2. Who Are We? The Commission for the Transportation Disadvantaged is an independent state agency serving as the policy development and implementation agency for Floridas Transportation Disadvantaged Program. The Commission is administratively housed within the Florida Department of Transportation.

3. Who Is the Commission? 7 Voting Members 5 members who must have significant experience in the operation of a business. 2 members must have a disability and use the transportation disadvantaged system 8 Ex Officio, Nonvoting Advisors- Secretary of Transportation Secretary of Children and Families Director of Workforce Innovation Executive Director of the Dept. of Veterans Affairs Secretary of Dept. of Elder Affairs Secretary of Agency for Health Care Administration Director of Agency for Persons with Disabilities County Manager/Administrator (appt by Gov) Delegates may be appointed by the Secretaries/Directors.

4. Whats Our Mission? To ensure the availability of efficient, cost-effective and quality transportation services for transportation disadvantaged persons.

5. Who is Transportation Disadvantaged? Those persons who because of physical or mental disability, income status, age are unable to transport themselves or purchase transportation and are, therefore, dependent on others to obtain access to health care, employment, education, shopping, social activities, or other life-sustaining activities or children who are handicapped or high-risk or at- risk as defined in s. 411.202, Florida Statutes. (Chapter 427, Florida Statutes)

6. How Many People Are Considered TD Floridas Potential TD Population Projections in Millions 2008 7.0 20107.34 20158.25 Floridas Total Population in Millions 2008 18.7 201017.4 201518.5 Source: Center for Urban Transportation Research, University of South Florida, 5/20 Year Plan and the U.S. Bureau of the Census, Population Division

7. What Does the Commission Do? Provides statewide oversight for a coordinated transportation system Administers the Transportation Disadvantaged Trust Fund Partners with local officials and citizens to assist with mobility needs and to resolve concerns. Provides statewide training and technical assistance Performs quality assurance reviews to ensure program accountability, cost effectiveness and quality of services. Develops policies and procedures Approves CTC and planning agency appointments. Develops minimum performance standards Submits an annual performance report to the Governor, Florida Senate and Florida House of Representatives. Annually evaluates local system performance measures and works with locals for improvements. Manages the TD Helpline/Ombudsman Program (1-800-983-2435)

8. Does Coordination Save $? An Independent Assessment conducted for the Agency for Health Care Administration (AHCA) showed the coordinated system saved $41 million to the State of Florida in Fiscal Year 2002. Bus Pass Program- Client contacts CTC for a trip CTC screens the applicant If appropriate, CTC issues a bus pass instead of a door-to-door trip Only 23 Florida counties have access to a transit system, many of these systems provide limited service.

9. What is Coordination? Coordination means….…the arrangement for the provision of transportation services to the transportation disadvantaged in a manner that is cost-effective, efficient and reduces fragmentation and duplication of services. (427.011 (11), F.S.)

10. What are the Benefits of Coordination? Ensures safety and welfare of the most vulnerable Reduces expenditures for purchasing agencies and providers Increases service due to cost savings Improves efficiency Reduces duplication/fragmentation Stretches limited tax dollars Improves tax dollar accountability due to gatekeeper role Prevents fraud and abuse Improves local education of community transportation services Improves quality of life Increases tax savings in other program areas due to increased access of health care, employment, nutrition and education. Increases local participation, promote increased support from local governments.

11. Who are Our Partners? Community Transportation Coordinators Transportation Operators Designated Official Planning Agencies Local Coordinating Boards Purchasing Agencies Consumers

12. Organization of Floridas Coordinated Transportation Program May contract with

13. How is a Trip Provided? The Commission contracts with 49 entities (Community Transportation Coordinators or CTCs) to carry out the provision of transportation service in all 67 counties in Florida. The CTCs may contract with transportation operators following a competitive process to provide the transportation service. In rural areas, the CTC is most likely the sole provider. There are 446 total operators, 84% of which are private. There are 5,662 total employees.

14. How is Performance Measured? Annually, the local coordinating board evaluates the CTCs performance and recommends changes to the Commission, when needed. Biennially, the Commissions Quality Assurance Team monitors each CTC (compliance with local and Commission standards, ADA, Chapter 427, F.S. and Rule 41-2, F.A.C.) Purchasing agencies also monitor for similar performance and compliance issues.

15. COORDINATED TRANSPORTATION SYSTEM FUNDING Total FY 2008 Revenues = $361,842,788 As reported in the FY 2008 Annual Performance Report

16. Who Funds TD Services? CTD (Commission for the Transp. Dis.)$37,186,235 FDOT & USDOT (Dept. of Transportation)$17,218,135 DCF (Children and Families)$22,091,655 AHCA (Health Care Administration- Medicaid)$54,352,081 DOE (Education)$1,758,900 DOEA (Elderly Affairs)$9,003,751 DOH/DCA/DJJ/AWI (Health, Community Affairs, Juvenile Justice, Agency for Workforce Innov.) $1,105,773 Other Federal Programs$4,442,931 Local Government$174,028,390 Local Non-Government$14,862,793 Fare Box$25,686,998 2008 Total Revenues$361,737,642 Reported in the 2008 Annual Performance Report

17. What Makes Up The Transportation Disadvantaged Trust Fund (TDTF)? 15% Florida DOT Public Transit Block Grant - $11,030,461 $1.50 License Tag Fees - 21,134,000 Voluntary Dollar - license tag - $30,000 Temporary Disabled Parking Permits - $217,000 Direct Transfer from the State Transportation Trust Fund- $6,000,000 = $39,713,563 ($1.5 million to planning agencies, remainder for trip/equipment grants) Estimate for FY 2008-2009

18. Funds trips that arent sponsored by any other agency Partly based on a performance driven formula (total trips, total miles, square mileage of county, population of county) Eligibility guidelines (no other funding available, no other means of transportation, public transit, disability, age, and income) Prioritization allowed pursuant to state law. What Makes The TDTF Different?

19. Are there Unmet Needs for the TDTF Trips? Yes!! 1,009,436 denied trips reported in FY 2008 Lack of Fixed Route, no other options in more rural areas Operating hours are limited County line limits

20. Operating Expense per Total Trips, 2003-2008 Includes fixed route, non-ambulatory, stretcher, and ambulatory trips As reported in the FY 2008 Annual Performance Report

21. Operating Expense per Paratransit Trip, 2004-2008 As reported in the FY 2008 Annual Performance Report

22. How Safe is the System? National standard is 1.2-2.5 per 100,000 miles traveled; State of Florida exceeds this standard. As reported in the FY 2008 Annual Performance Report

23. How Safe and Reliable is the System? National Standard is 10,000 miles between roadcalls; the State of Florida exceeds this standard. As reported in the FY 2008 Annual Performance Report

24. Who is Riding the System? As reported in the FY 2008 Annual Performance Report

25. Where are the Riders Going? Trip Purpose20072008 Medical18,049,45616,8203,714 Employment6,864,4218,674,243 Education/Training10,382,81010,547,852 Nutritional8,055,8146,996,297 Life-Sustaining/ Other* 8,179,5547,847,891 Total51,033,78250,269,997 *Life-Sustaining/Other is defined as anyone transported for the purpose of conducting personal business (e.g.- banks, social service offices); and shopping, excluding grocery shopping. Or anyone transported for reasons other than the above. This could include after school programs, transporting persons against their will, social, or recreational reasons.

26. Recent Activities- Medicaid Commission is on contract with State Medicaid Agency. Medicaid Agency pays Commission a flat fee monthly. Commission pays providers a flat fee. Providers may use any method to provide transportation services (gas vouchers, mileage reimbursement, rental cars, etc…).

27. Challenges facing Floridas Coordination Efforts Various program standards and requirements Local ordinances impeding coordination Consistent program information and education Compliance with Chapter 427, F.S. Lack of funding

28. Hurricane Efforts Special needs are the first to evacuate Most CTCs are the local entity to facilitate evacuations CTCs continued to provide services to dialysis and urgent care medical trips Assisted in the delivery of water and food

29. State and National Recognition Federal Transit Administrations State Leadership Award in February 2004 and 2008 US Department of Transportation and US Department of Human Services Best Practice Model Received the Florida Tax Watch and Florida Council of 100s Davis Productivity Award in 1998 and 2005 Received Community Transportation Association of Americas State Achievement Award in May 2000 and June 2004

30. Thank You! Thank you for listening and learning about the Transportation Disadvantaged Program. Any questions?

31. Contact Information Bobby Jernigan Interim Executive Director Commission for the Transportation Disadvantaged 605 Suwannee Street, MS 49 Tallahassee, FL 32399-0450 Bobby.Jernigan@dot.state.fl.us (850) 410-5706, (850) 410-5752 fax (800) 983-2435 www.dot.state.fl.us/ctd