Research for the AASHTO Standing Committee on Public Transportation. Task 39. Impacts of the New Health Care Bill on Mass Transit

This report presents the results of an analysis of the potential impacts of the Patient Protection and Affordable Care Act (enacted in March 2010) on public transit agencies and operations. The report concludes that the provision of the law likely to have the largest and most direct impacts on transit agencies is the broadened eligibility for Medicaid, which is expected to increase the number of Medicaid enrollees by about 16 million (or roughly 30 percent) by 2019. This expansion of the Medicaid program is particularly significant for public transit, because transit agencies currently participate in the management and provision of non-emergency medical transportation, a service to which many Medicaid participants are entitled. However, other provisions to increase the number of Americans with health insurance outside of Medicaid and to improve the availability of health care in underserved areas could also affect the demand for transit. The report uses five case studies to illustrate how the Affordable Care Act could affect transit systems operating in different geographic and policy environments. The report also assesses ways in which transit agencies and government agencies can monitor and communicate the effects of federal health care reform on public transit.


  • English


  • Status: Completed
  • Funding: $75000.00
  • Contract Numbers:

    Project 20-65, Task

  • Sponsor Organizations:

    Federal Highway Administration

    1200 New Jersey Avenue, SE
    Washington, DC  United States  20590

    American Association of State Highway & Transportation Officials (AASHTO)

    444 North Capitol Street, NW, Suite 225
    Washington, DC  United States  20001

    National Cooperative Highway Research Program

    Transportation Research Board
    500 Fifth Street, NW
    Washington, DC  United States  20001
  • Performing Organizations:

    ICF Incorporated LLC

    9300 Lee Highway
    Fairfax, VA  United States  22031
  • Principal Investigators:

    Grant, Michael

  • Start Date: 20110422
  • Expected Completion Date: 0
  • Actual Completion Date: 20130401
  • Source Data: RiP Project 38401

Subject/Index Terms

Filing Info

  • Accession Number: 01547680
  • Record Type: Research project
  • Source Agency: Transportation Research Board
  • Contract Numbers: Project 20-65, Task
  • Files: TRB, RiP
  • Created Date: Dec 13 2014 1:00AM