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GRTA
Georgia Coordination Committee for Rural and Human
Services TransportationHB 277 Human Services Transportation
Orientation MeetingAugust 11, 2010
2
Charlotte Nash - GCCRHST Chair Vance Smith – GDOT Commissioner
WELCOME
3
HB 277 Tasks, Key Players & Reporting What is Human Services Transportation? Who Uses It? Who Provides It? Why HST Coordination? What are the HST Issues? How Does the GDOT HST 2.0 Fit In? What Might Success Look Like? Next Steps and Suggested Schedule
HST Orientation Agenda
4
HB 277 GCCRHST (“Committee”) Tasks Examination of:
o All HST programs including capital and operating costs;
o Duplication of services among programs, emphasis on overcoming duplication;
o Current level of HST service coordination;o Federal funding limitations;o Interaction of agency programs with public
transit; o HST best practices nationwide;
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HB 277 GCCRHST (Committee) Tasks (cont’d.) Examination of:
o Potential sharing of capital and operating costs among agencies;
o Consolidation of program areas to lower costs w/o sacrificing program quality to clients;
o Cost sharing opportunities for clients;o Other cost reduction methods,
including greater use of privatization.
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HB277 SASRHST (“Subcommittee”) Membership
Subcommittee Membership
o Chair - Department of Transportation (DOT) Commissionero State School Superintendento Department of Human Services (DHS) Commissionero Department of Behavioral Health and Developmental
Disabilities (DBHDD) Commissionero Department of Community Health (DCH) Commissionero Department of Labor (DOL) Commissionero Department of Community Affairs (DCA) Commissionero Governor’s Development Council (GDC) Commissioner
7
HB 277: HST – Governance Flow Chart
GDC: Governor’s Development CouncilGCCRHST: Georgia Coordinating Committee for Rural and Human Services TransportationSASRHST: State Advisory Subcommittee for Rural and Human Services Transportation OPB: Office of Planning and Budget
Order
Governing Bodies
Action taken
LEGEND
GDC provides
preliminary report to
SASRHST for comment (due 7/1 annually)
SASRHST provides
comments to GDC (30
days to submit
comments)
4
5GCCRHST prepares a
preliminary RHST report and
provides to the GDC
GDC provides final report to OPB for
review and consideration (due
9/1 annually)
3
6
OPB submits final report and any budget
recommendations to General Assembly (due
1/15 annually)
7
Governor’s Office of
Planning and Budget
Presiding officers of the
General Assembly
GDC creates GCCRHST (membership undefined)
1
Governor’s Development
Council
Georgia Coordinating
Committee for Rural and Human
Services Transportation
State Advisory Subcommittee for Rural and
Human Services
Transportation
GCCRHST creates SASRHST
2
8
Committee Formal Reporting Requirements per HB 277
July 1, 2011 – Governor’s Development Council (GDC) submits Committee report to the Subcommittee:◦ Subcommittee submits comments on report within 30 days to GDC
September 1, 2011 – GDC submits report to Office and Planning Budget (OPB)◦ Report addresses each HB 277 specific task◦ Report shall make specific recommendations for means to improve
such current HST practices, including cost implications and impact on client service
January 15, 2012 – OPB submits the final report and any affiliated budget recommendations to the presiding officers of the General Assembly ◦ Copies to the chairpersons of the transportation committees, the
appropriations committees, and the health and human services committees of each chamber of the General Assembly
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Committee Interim Reporting
◦ September 1, 2010 – Provide update to OPB detailing status of data collection and work plan/milestones for progress
◦ January 2011– Provide second update to OPB, report on findings to date
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Why HST Coordination?
State Governors&
Cabinet Secretaries
FederalAgencies
&Grant
$
Education
Labor
EmploymentTrainingAgency
Office of DisabilityEmployment Policy
Centers forIndependent Living
DisabilityRehab andResearchRehabilitation
ServicesAdministration
Office of SpecialEducation Programs
Substance AbuseMental Health
TemporaryAssistance for
Needy Families
FamilyAssistance
HHSMedicare &
Medicaid Svcs
Aging
HealthResources& Services
CommunityServices
Child Care
Bureau
DevelopmentDisabilities
MedicaidProgram
HeadStart
Soc. ServicesBlock Grant
Children& Families
Transportation
Office of theSecretary
National HighwayTraffic SafetyAdministration
Federal TransitAdministration
Assistant Secretaryfor Transportation
Policy
DepartmentalOffice of
Civil Rights
Faith BasedTransit
Area Agencyon Aging
MedicalTransit Provider
Head Start
Office of theSecretary
AssistantSecretaryPlanning
Evaluation
Special EdTransportation
Rural TransitOperators
PrivateParatransit
Private Taxi
ADAParatransit
TransitPass
Elderly&
DisabilityProgram
Job AccessReverse Commute
Program
Rural GrantProgram
UrbanizedGrant Program
LocalTransportation
Authority
DisabilityService
Provider
Family
Employment
Shopping
Independence
Recreation
Education
LocalGovernment
HealthCare
? ?
?
State Governors&
Cabinet Secretaries
FederalAgencies
&Grant
$
Education
Labor
EmploymentTrainingAgency
Office of DisabilityEmployment Policy
Labor
EmploymentTrainingAgency
Office of DisabilityEmployment Policy
Centers forIndependent Living
DisabilityRehab andResearchRehabilitation
ServicesAdministration
Office of SpecialEducation Programs
Substance AbuseMental Health
TemporaryAssistance for
Needy Families
FamilyAssistance
HHSMedicare &
Medicaid Svcs
Aging
HealthResources& Services
CommunityServices
Child Care
Bureau
DevelopmentDisabilities
MedicaidProgram
HeadStart
Soc. ServicesBlock Grant
Children& Families
Transportation
Office of theSecretary
National HighwayTraffic SafetyAdministration
Federal TransitAdministration
Assistant Secretaryfor Transportation
Policy
DepartmentalOffice of
Civil Rights
Faith BasedTransit
Area Agencyon Aging
MedicalTransit Provider
Head Start
Office of theSecretary
AssistantSecretaryPlanning
Evaluation
Special EdTransportation
Rural TransitOperators
PrivateParatransit
Private Taxi
ADAParatransit
TransitPass
Elderly&
DisabilityProgram
Job AccessReverse Commute
Program
Rural GrantProgram
UrbanizedGrant Program
LocalTransportation
Authority
DisabilityService
Provider
Family
Employment
Shopping
Independence
Recreation
Education
LocalGovernment
HealthCare
? ?
?
? ?
?
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HST provides mobility for older adults, persons with disabilities, individuals below the poverty level, and those without a motor vehicle.
HST allows these people to get to the doctor, senior center, hospital, pharmacy, grocery store, job interviews, jobs, court mandated programs, battered women’s shelters and just about anywhere else a person may need to go that meets trip eligibility.
What is Human Services Transportation (HST)?
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What is Coordinated Transportation Service Delivery?Working Together - How organizations can
share information and resources to provide transportation to those people that rely on community transportation services.
Coordination truisms: Coordination is a process Coordination requires trust Coordination needs a champion Lots of different ways to coordinate
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Regional Commissions (provide and/or coordinate HST services)
Private Providers (private entities that provide HST service, usually working for an RC and/or broker)
Public Transit Agencies (provide HST trips) Non-Profit and/or Social Service
Entities (church groups, senior centers, court programs, battered women shelters, etc.)
Who Provides HST?
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Federal and State Agency HST Roles
Governors Development Council (GRTA Board)
Governor’s OfficeCommunity Health (DCH)
Human Services (DHS)
Labor (DOL)
Community Affairs (DCA)
Behavioral Health & Developmental Disabilities (BH&DD)
Transportation (GDOT)
State Agencies
Agencies Directly Impacting HST Services
Other Key State
Executive Branch
Agencies/StaffPolicy Guidance at the Executive Level
Speaker of the House
Lieutenant Governor
House Transportation Committee Chair
Senate Transportation Committee Chair
State Legislature
Support for Potential Legislation Resulting from HST Plan
Veterans Services (DVA)
Health and Human Services (HHS)
Federal Transit Agency (FTA)
Educations (DOE)
Federal Agencies
Federal Guidance and Oversight
Labor (DOL)
Environmental Protection Agency
(EPA)
Education (DOE)
Economic Development (DED)
Administration Services (DOAS)
Why HST Coordination? Stretch often limited funding used to support HST by :
◦ Reducing redundant administration, service delivery, and/or capital expenditures
◦ Improved economies of scale Make services easily understood and accessed by
riders Improved quality of service Ensure wise and efficient use of public funding Leverage new funding dollars to attract additional
federal funds Provide funding to expand existing services Help various agencies and providers achieve any one
or all of these goals
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63 different federal funding programs for HST recipients
Many local and state entities involved with HST Three key state agencies - GDOT/DCH/DHS – with
some or little coordination between them Other key state agencies - Labor, Veterans, others Potential for multiple entities providing HST service
to the same area, at the same time Myriad of reporting requirements and compliance
regulations User confusion as who to call, how to call, and ride
eligibility
What Are HST Coordination Issues?
GDOT Human Services Transportation (HST) Statewide Plan Update Goals
Better Customer Service Improved Coordination
◦ Improved Client Service◦ Service Bundling◦ Inter-Agency Cooperation◦ Centralized Reporting◦ Regional Approach
Service Consolidation Service Efficiencies Best Use of Limited Funds
Interagency Advisory Committee & Technical Advisory Committee Input
Create Guiding Principals
GDOT Human Services Transportation Plan Development Process
System Implementation
Preferred Alternatives
HST Needs Assessment
Agency Coordination
Interagency Advisory
Committee
Technical Advisory
Committee
Collateral & Outreach Materials
Review Existing Plans
Coordination With Ongoing
Studies
Develop Statewide
Needs Assessment
Craft HST Model Alternatives
Develop Evaluation Criteria & Select
Preferred Models
Develop Concepts of Operations
Design Statewide TMCC System
Develop System Financial Plan
Assess Need for Gubernatorial or Legislative
Action
Develop Performance
Measures and Methodology
Human Services Transportation
Plan Implementation
Pilot Project
Pilot Project
Pilot Project
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19
GDOT HST 2.0 effort meets HB 277 mandates◦ HST services data development ◦ Identifying existing coordination at local, regional,
state and federal level◦ Identification of inter-agency cooperation areas◦ Analysis of existing HST services ◦ Best practices – Georgia, U.S. and international◦ Identification of potential legislative action to
further HST coordination◦ Recommendations on service efficiencies & cost
reduction
How HB 277 and GDOTs HST 2.0 Can Coordinate
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Funding Basis Using NCDOTs Community Transportation Program (CTP)◦ Block grants consolidating FTA 5310/5311/5316/5317
and several state funded programs◦ Program requirements:
County/regional coordination plan Lead agency MOUs from DSS, Aging, Mental Health, Health, Voc Rehab
County Medicaid offices directed to utilize CTP for non-emergency transportation (NET)
Of 100 Counties – coordination in 68 counties and 7 regions
North Carolina - Coordination
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Rhode Island (RIPTA/The Ride) ADA, Seniors, Medicaid and other Human Services
Agencies (HSAs) Pennsylvania (PA Transit/Access)
ADA, Seniors, Medicaid and other HSAs Massachusetts (MART/HST Office Brokers)
Medicaid and other HSAs; RTAs are brokers/providers Florida (County Transportation Coordinators)
Some ADA, Seniors, Medicaid, other HSAs and “transportation disadvantaged” population
Other Fully Coordinated States
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Submit Committee report to Governor and Legislature
Simple to complex improvements within each regional commission (RC)
Development of specific “coordination plans” that fit each RC region and allow HST growth
Measurable metrics to track and understand specific efficiencies reached
Testing key coordination concepts through the pilot project effort
What Might Success Look Like
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Development of formal work plan Committee meeting schedule – suggest bi-
monthly though July, 2011 Joint Committee/Subcommittee meeting
schedule - suggest 4 meetings though July, 2011
Decision on Subcommittee establishment for MPOs, RCs, providers and others
Approval of 9/1 update to OPB
Committee Next Steps
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Questions?