• Medicaid now reimburses transportation to health services.
• Consumer Choices Option in HCBS waivers allows the purchase of transportation services to ensure community participation for work, recreation, and social reasons.
• A newly developed program focusing on aging drivers and their physicians helps the older driver remain a safe driver, and provides information to caregivers about indicators of dementia.

• Self-direction allows the use of natural supports for transportation.
• Iowa's 2005 Real Choices Systems Transformation grant will establish statewide transportation brokerage service.
• All new fixed-route transit buses must meet ADA accessibility standards.
• Some vehicles have been retrofitted for wheelchair access, which results in 100% fixed-route accessibility.
• Private inter-city bus companies were given financial and technical assistance to acquire new ADA accessible over-the-road buses.
• The legislature, recognizing that “efficiency” is not the primary purpose of accessible transportation, passed a new formula for allocating transit funds to make funding more feasible for para-transit services. The new formula is based on 50% actual service delivery (number of riders and mileage with number of routes) plus 20% efficiency and 30% local funding match.
• IDOT has contracted for the installation of technology at Iowa transit agencies to enhance coordination of transportation services, improve access for people with disabilities and for older Iowans, and strengthen accountability for human service organizations that pay for transportation.
• Under a grant from the Federal Transit Administration transportation reauthorization legislation, IDOT began a statewide community planning effort in 2006; local stakeholders and consumers will be able to provide input on local transportation needs at regional workshops, explore opportunities for collaboration, and make recommendations for statewide planning.

Accomplishments: Community-based services
Accomplishments: Employment
Accomplishments: Housing