Georgia Coordination Committee for Rural and Human Services Transportation

1. Georgia Coordination Committee for Rural and Human Services Transportation HB 277 Human Services Transportation Orientation Meeting August 11, 2010

2. WELCOME • Charlotte Nash - GCCRHST Chair • Vance Smith – GDOT Commissioner

3. HST Orientation Agenda • 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

4. HB 277 GCCRHST (“Committee”) Tasks • Examination of: • All HST programs including capital and operating costs; • Duplication of services among programs, emphasis on overcoming duplication; • Current level of HST service coordination; • Federal funding limitations; • Interaction of agency programs with public transit; • HST best practices nationwide;

5. HB 277 GCCRHST (Committee) Tasks (cont’d.) • Examination of: • Potential sharing of capital and operating costs among agencies; • Consolidation of program areas to lower costs w/o sacrificing program quality to clients; • Cost sharing opportunities for clients; • Other cost reduction methods, including greater use of privatization.

6. HB277 SASRHST (“Subcommittee”) Membership • Subcommittee Membership • Chair - Department of Transportation (DOT) Commissioner • State School Superintendent • Department of Human Services (DHS) Commissioner • Department of Behavioral Health and Developmental Disabilities (DBHDD) Commissioner • Department of Community Health (DCH) Commissioner • Department of Labor (DOL) Commissioner • Department of Community Affairs (DCA) Commissioner • Governor’s Development Council (GDC) Commissioner

7. HB 277: HST – Governance Flow Chart 6 Governor’s Office of Planning and Budget Governor’s Development Council GDC provides final report to OPB for review and consideration (due 9/1 annually) 1 7 GDC creates GCCRHST (membership undefined) OPB submits final report and any budget recommendations to General Assembly (due 1/15 annually) 4 GDC provides preliminary report to SASRHST for comment (due 7/1 annually) GCCRHST prepares a preliminary RHST report and provides to the GDC 5 Georgia Coordinating Committee for Rural and Human Services Transportation 3 SASRHST provides comments to GDC (30 days to submit comments) Presiding officers of the General Assembly 2 GCCRHST creates SASRHST LEGEND Governing Bodies State Advisory Subcommittee for Rural and Human Services Transportation GDC: Governor’s Development Council GCCRHST: Georgia Coordinating Committee for Rural and Human Services Transportation SASRHST: State Advisory Subcommittee for Rural and Human Services Transportation OPB: Office of Planning and Budget Order Action taken

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?

11. What is Human Services Transportation (HST)? • 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.

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. Who Provides HST? • 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.)

14. Federal and State Agency HST Roles Human Services (DHS) Community Health (DCH) • State Agencies • Other Key State Executive Branch Agencies/Staff • State Legislature • Federal Agencies Governor’s Office Health and Human Services (HHS) Senate Transportation Committee Chair Behavioral Health & Developmental Disabilities (BH&DD) Educations (DOE) • Federal Guidance and Oversight Governors Development Council (GRTA Board) • Agencies Directly Impacting HST Services • Policy Guidance at the Executive Level • Support for Potential Legislation Resulting from HST Plan Community Affairs (DCA) House Transportation Committee Chair Labor (DOL) Labor (DOL) Environmental Protection Agency (EPA) Lieutenant Governor Administration Services (DOAS) Transportation (GDOT) Education (DOE) Speaker of the House Federal Transit Agency (FTA) Veterans Services (DVA) Economic Development (DED)

15. 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. What Are HST Coordination Issues? • 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

17. 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

18. GDOT Human Services Transportation Plan Development Process Agency Coordination HST Needs Assessment Preferred Alternatives System Implementation Create Guiding Principals Develop System Financial Plan Interagency Advisory Committee Review Existing Plans Pilot Project Pilot Project Pilot Project Craft HST Model Alternatives Assess Need for Gubernatorial or Legislative Action Technical Advisory Committee Coordination With Ongoing Studies Develop Evaluation Criteria & Select Preferred Models Human Services Transportation Plan Implementation Develop Concepts of Operations Develop Statewide Needs Assessment Develop Performance Measures and Methodology Collateral & Outreach Materials Design Statewide TMCC System Interagency Advisory Committee & Technical Advisory Committee Input

19. How HB 277 and GDOTs HST 2.0 Can Coordinate • 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

20. North Carolina - Coordination • 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

21. Other Fully Coordinated States • 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

22. What Might Success Look Like • 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

23. Committee Next Steps • 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

24. Questions?