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;

5

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.

6

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

9

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

10

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

? ?

?

? ?

?

11

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)?

12

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

13

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?

14

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

16

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

18

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

20

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

21

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

22

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

23

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

24

Questions?