San Luis Obispo - Caltrans - State of California

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SAN LUIS OBISPO REGION COORDINATED HUMAN SERVICES-PUBLIC TRANSPORTATION PLAN Services Agencies (CTSAs) and recognized the importance of an inventory activity to identify and catalog the human services transportation resources, specifically vehicles and funding. Unfortunately, no additional funding was provided to county-level agencies for the conduct of activities set forth In AB 120/SB 826. County transportation commissions and Regional Transportation Planning Agencies (RTPA’s) had been complying by using their own resources with the biennial and then every four-year inventory and Action Plan activities. The Act did allow, on a discretionary basis, for the utilization of California Transportation Development Act (TDA), Article 4.5 funds to support vehicle operations provided by the CTSAs. The Olmstead Act has prompted more recent dialogue about coordination of human service transportation. The Olmstead Act is a consequence of court settlements intended to improve community-based services such that alternatives to institutionalization exist for seniors or others threatened with the potential need for long-term, institutional care. The Act provides guidance on the distribution of State funds and seeks to influence policy around its core purposes. In a recent issue paper authored by the Olmstead Advisory Committee – Diversion Work Group, transportation is recognized as a critical aspect of protecting health and well-being in the community: Table 1-2 Olmstead Advisory Committee – Diversion Work Group 2 ISSUE 5: INCREASING ACCESS TO TRANSPORTATION Policy Goal – To increase access to transportation alternatives that help individuals remain at home and in the community by, among other things, connecting consumers to medical, supportive and employment services. Problem – A lack of coordination and silos of funding between programs spanning across the Health and Human Services Agency departments and the Department of Transportation have contributed to a fragmented human services transportation system. The system fragmentation can lead to difficulty accessing services for seniors and persons with disabilities. Barriers – - Multiple funding streams operating across departments. - Lack of resources necessary to meet demand for services. . Transportation actions supported by the Olmstead Advisory Committee include: 1. Addressing the MediCal reimbursement structure for non-emergency medical transportation; 2. Supporting mobility management initiatives, and 3. Increasing access to transit and paratransit by focusing on the location decisions for all service facilities; 2 Steenhausen, Sarah, Assistant Secretary, California Health and Human Services Agency; Olmstead Advisory Committee – Diversion Work Group. Olmstead Issues Briefs – Draft 2: February 21, 2006, Sacramento, California. 3 OCTOBER 2007
SAN LUIS OBISPO REGION COORDINATED HUMAN SERVICES-PUBLIC TRANSPORTATION PLAN 4. Enhancing funding for paratransit; and 5. Amending the CTSA law to require that public transit programs evaluate the impact of route and service cuts on seniors and persons with disabilities. Caltrans is also providing some state-level coordination leadership as a consequence of a United We Ride grant and an outgrowth of 2001 President Bush Executive Order directing coordination among Federal level transportation, health and human services, education and labor departments. Caltrans hosted the March 2005 United We Ride Mobility Summit which brought together over 200 persons, local, state and federal-level leaders, to examine issues of mobility for California’s more frail residents and the policies that inhibit or promote these. The United We Mobility Summit was a recommendation from the Long Range Strategic Plan for an Aging California (October 2003) which had identified transportation as a priority. The Summit vision was “improving mobility and access to services through interagency cooperation and greatly improved coordination.” There was recognition among the speakers of the need for infrastructure, for mechanisms by which to promote that coordination. The primary Summit recommendation was to address the need for a formal structure in California to address mobility and coordination barriers, and to implement mobility management at the state, regional and local levels. Caltrans has supported the Transportation Task Team (TTT), meeting since 2004 as another recommendation from the 2003 Long Range Strategic Plan for an Aging California. Its focus has been on identification and promotion of strategies to build a state-level structure by which to support transportation coordination. The Caltrans TTT anticipates managing a consultant study during 2007 which will move forward specific state-level policy issues related to transportation. These include: • Develop guidance on the MediCal transportation reimbursement policies; • Increase the interaction of various state-level agencies around transportation issues; • Devise the structure and guidance for a long range, comprehensive strategy to promote human services transportation coordination across the State. 1.3 SAN LUIS OBISPO REGION’S ROLE IN COORDINATION Within the San Luis Obispo region, there has been extensive and continuing involvement with coordination in several arenas. First, Ride-On, as a division of the San Luis Obispo County United Cerebral Palsy organization, assumed the designation of the Consolidated Transportation Services Agency (CTSA) after the passage of AB 120/ SB 826. In that role it has provided a range of services that extend the public transportation network, with a particular focus on seniors and persons with disabilities. Ride-On was characterized in its recent Short Range Transit Plan as “a very entrepreneurial organization that closely mirrors [what was] envisioned in the original 1979 Consolidated Transportation Services Agency state legislation.” SLOCOG has supported the inventory and action plan responsibilities of the AB 120/SB 826 legislation regarding social services coordination with the most recent Action Plan completed in 2002 for the San Luis Obispo region. 4 OCTOBER 2007
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San Luis Obispo - Caltrans - State of California

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