2. The History of Florida’s Coordinated system, when and how we began. The Accomplishments that Florida has achieved. The Future Growth and Challenges for the Florida program and what lies ahead. Federal Initiatives and Recognition the State of Florida has received. HistoryAccomplishmentsFuture Growth and ChallengesFederal Initiatives & Recognition

4. What is “Coordinated Transportation”? “Simple” Concept : Legislative Action Taken Appointment of Planning Agencies Community Transportation Coordinator (CTC) Designations Begin in Each County Unmet Needs Identified Dedicated Funding Source Created More Riders Served Independent State Agency Housed at FDOT (12 full time employees)

5. How the Florida TD Program Works The Public/Rider Calls the CTC CTC’s are competitively procured by the Planning Agency The Planning Agency staffs the Local Coordinating Board (LCB) The LCB Evaluates and Provides Guidance to the CTC The LCB is Chaired by a Locally Elected Official CTD The Public The CTC The Planners LCB The Elected Officials

6. History- When and How Did We Begin? Original Coordination Legislation Passed 3 Official CTCs 33 Official CTCs 47 Official CTCs 58 Official CTCs 63 Official CTCs 67 Official CTCs TD Trust Fund was Created- $4-5 Million per Year (.50 cent fee for every motor vehicle registration that was not exempted), Law Updated Membership of the Commission Altered

7. History- When and How Did We Begin? 15% of the DOT Public Transit Block Grant was transferred to the TD Trust Fund (additional $1.9 million) Legislature authorized $5.00 off of each Temporary Disabled Parking Placard ($200,000 per year) Legislature authorized an additional $1.00 tag fee ($1.50 total), increase of $10 million per year Voluntary Dollar added to increase the TD Trust Fund Commission Membership Altered

8. History- When and How Did We Begin? FDOT transfers an additional $6 million to the TD Trust Fund FDOT creates the Rural Capital Equipment Grant (“Shirley Conroy Grant”) to assist rural communities with Capital Equipment, Commission manages Commission signs an agreement with AHCA to manage their Medicaid NET Program Commission Membership Altered Part I of Chapter 427, F.S. Updated

9. How Does Florida Define “TD”? 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.” (Chapter 427.011[1], F. S.) Definition of Transportation Disadvantaged or “TD “

10. How Does Florida Fund the TD Trust Fund ?

12. Accomplishments Florida’s Transportation Disadvantaged Program is one of the most coordinated and standardized programs in the nation. It works well because all of the TD Partners work together to make our state the best in the nation! TD Partners The Public The Providers The Planners The Elected Officials 2008 CTAA State Agency of the Year

13. Accomplishments 1979- Little access to Public Transportation Services 1985- 63.2% of TD Population covered by an MOA 1986- 9.6 million Vehicle Miles Reported 1987- TD Population Estimate is 4.2 million 2007- All 67 Counties have access to Public Transportation Services 2007- 100% of TD Population covered by an MOA 2007- 140.5 million Vehicle Miles Reported 2007- TD Population Estimate is 8.5 million

14. Accomplishments 1987- 4,755,013 Trips reported in the AOR 1988- $12.4 million in Local Revenue reported 1989- TD Trust Fund is at $4 million 2007- 51,532,055 Trips reported in the AOR 2007- $155.7 million in Local Revenue reported 2007- TD Trust Fund is at $38 million

15. Accomplishments Proven Cost Savings: Medical Trips $1 Invested = $11.08 Returned* Employment Trips $1 Invested = $5.71 Returned* Education Trips $1 Invested = $5.85 Returned* Nutrition Trips $1 Invested = $12.52 Returned* Life-Sustaining/Other Trips $1 Invested = $4.62 Returned* *- “Florida Transportation Disadvantaged Services: Return on Investment Study” -- March 2008 the Marketing Institute -- Florida State University College of Business

16. Accomplishments Proven Cost Savings: Agency for Health Care Administration conducted an Independent Assessment of Medicaid Non-Emergency Transportation (NET) Services that were coordinated* Analysis 1- Based on Growth Rate of Costs from the Previous Model = $41 million saved for FY 2002 Analysis 2- Based on county level econometric model = $22.77 million saved for FY 2002 *- “Independent Assessment: Florida Non-Emergency Mediaid Transportation Waiver”– October 2003 University of Florida, Bureau of Economic and Business Research

17. Emergency Preparedness 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. Our providers are ready and willing to assist in any situation.

19. Future Growth and Challenges: What Lies Ahead? The demand for Transportation Disadvantaged services in Florida will continue to grow. The Florida Population is estimated to be 22.9 million by the year 2020. The TD Population will be estimated to be 11.3 million (49.3%). By the year 2020, one in four Floridians will be over the age of 65, half will be 75 or older. Transportation Alternatives must be readily available and easily accessible.

20. Future Growth and Challenges: What Lies Ahead? Costs are skyrocketing

21. Future Growth and Challenges: What Lies Ahead? In the last five years, 3.75 million trips have been denied due to lack of funding or other reasons. Rates are increasing, due to spiraling costs. The $1.50 tag fee has not been increased since 1994.

22. Future Growth and Challenges: What Lies Ahead? Challenges: Keeping up with demand Being flexible enough Cost of service New Medicaid contract/Other Contracts Funding Proper Allocation of Funding Regionalization The TD Program must continue to grow and adjust to these challenges The TD Program must continue to grow and adjust to these challenges

24. Federal Initiatives Federal Support: United We Ride Initiative A nationwide push for coordinated transportation Executive Order issued by President Bush on February 24, 2004 State of Florida Received an award (only 1 of 5 states) Federal Interagency Transportation Coordinating Council created

25. Recognition Received Awards: USDOT United We Ride Leadership Award for excellence in improving transportation for citizens with disabilities, older adults, & low- income families. US Department of Transportation and US Department of Human Services “Best Practice” Model Received the 1998 and 2004 Florida Tax Watch and Florida Council of 100’s Davis Productivity Award Received Community Transportation Association of America’s (CTAA’s) “2000 and 2004 Distinguished Service Award” Received CTAA’s 2008 State Agency of the Year The TD Program continues to receive state and federal recognition The TD Program continues to receive state and federal recognition

26. Thank You! Contact Information: Karen Somerset Interim Executive Director Florida Commission for the Transportation Disadvantaged 605 Suwannee Street, MS 49 Tallahassee, FL 32399-0450 (850) 410-5700 Karen.Somerset@dot.state.fl.us