Board previews pilot to lower fares for local medical trips and approves resolution to seek FTA Section 5310 operating funds

5834557 · August 26, 2025

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Summary

Staff updated the board on Community Transportation Service Agency (CTSA) programs, described a pilot in partnership with Del Norte Healthcare District to subsidize local medical trips, and the board adopted a resolution supporting an application for FTA Section 5310 operating funds for medical shuttles.

The Redwood Coast Transit Authority board received an update on CTSA programs and approved a resolution supporting an application for FTA Section 5310 operating funds to underwrite medical shuttle operations. Staff described two CTSA programs launched in 2020 — an ADA eligibility determination program and a transit travel-training program — and said both were slowed by the pandemic. Staff said some riders who were "grandfathered" into para-transit databases before 2020 never completed formal ADA eligibility applications; staff signaled a likely future plan to require remaining riders to complete eligibility paperwork over a phased schedule. The board also discussed growing medical shuttle services: a South Oregon medical shuttle that extends Route 20 through Eureka and connects passengers to hospital and VA facilities and a Tuesday/Thursday demand–response shuttle that operates when two or more paid reservations exist. Staff said the Southern Oregon shuttle had a poor first year because of wildfire-related road disruptions but has gained ridership and that net operating costs last year were about $21,000, split evenly between the CTSA (Redwood Coast Transit) and Del Norte Healthcare District. To encourage more trips, staff previewed a pilot proposal under which the Del Norte Healthcare District would subsidize local medical trip fares for eligible riders. The concept would reduce fares for rides that start or end at a medical facility; the health district would buy down the user subsidy and contribute an operating subsidy (illustrative example: $5 per trip) to help cover the authority’s roughly $40 fully loaded cost for a single demand-response trip. Staff said further negotiation with the health district is expected and that the board would see a refined proposal next month. The board also adopted a resolution to pursue FTA Section 5310 operating funds, a grant program to support transportation for seniors and individuals with disabilities; staff said the grant is reporting‑intensive but could pay half of operating costs for the medical shuttle if awarded. Director questions included whether medical-trip vouchers prioritize patients with appointments (staff said priority is generally given when capacity is constrained) and whether costs could be further reduced by contracting with taxis or ride-hailing (staff said reducing fully loaded dial‑a‑ride cost would be difficult without significant service model changes). The board voted to adopt the resolution supporting the FTA 5310 operating funds application: Director Starkey, Director Altman and Chairman Wright voted yes.