Sec. 2914. Innovative coordinated access and mobility
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Section 5310 of title 49, United States Code, as amended by section 2205, is further amended by adding at the end the following: The Secretary may make grants under this paragraph to eligible recipients to assist in financing innovative projects for the transportation disadvantaged that improve the coordination of transportation services and non-emergency medical transportation services. An eligible recipient shall submit to the Secretary an application that, at a minimum, contains— a detailed description of the eligible project; an identification of all eligible project partners and the specific role of each eligible project partner in the eligible project, including— private entities engaged in the coordination of nonemergency medical transportation services for the transportation disadvantaged; nonprofit entities engaged in the coordination of nonemergency medical transportation services for the transportation disadvantaged; or Federal and State entities engaged in the coordination of nonemergency medical transportation services for the transportation disadvantaged; and a description of how the eligible project shall— improve local coordination or access to coordinated transportation services; reduce duplication of service, if applicable; and provide innovative solutions in the State or community.
An eligible recipient shall specify, in an application for a grant under this paragraph, the performance measures the eligible project, in coordination with project partners, will use to quantify actual outcomes against expected outcomes, including— changes to transportation expenditures as a result of improved coordination; changes to healthcare expenditures provided by projects partners as a result of improved coordination; and changes to health care metrics, including aggregate health outcomes provided by projects partners.
Eligible recipients receiving a grant under this section may use such funds for— the deployment of coordination technology; projects that create or increase access to community One-Call/One-Click Centers; projects that coordinate transportation for 3 or more of— public transportation provided under this section; a State plan approved under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.); title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq.); Veterans Health Administration; or private health care facilities; and such other projects as determined appropriate by the Secretary.
In evaluating the performance metrics described in subparagraph (C), the Secretary shall consult with the Secretary of Health and Human Services. The Secretary may make grants under this paragraph to eligible recipients to incentivize innovative projects for the transportation disadvantaged that improve the coordination of transportation services and non-emergency medical transportation services. The Secretary shall distribute grant funds made available to carry out this paragraph as described in subparagraph
(E)to eligible recipients that apply and propose to demonstrate improvement in the metrics described in subparagraph (F). An eligible recipient shall not be required to have received a grant under paragraph
(1)to be eligible to receive a grant under this paragraph. Eligible recipients shall submit to the Secretary an application that includes— which metrics under subparagraph
(F)the eligible recipient intends to improve; the performance data eligible recipients and the Federal, State, nonprofit, and private partners, as described in paragraph (1)(B)(ii), of the eligible recipient will make available; and a proposed incentive formula that makes payments to the eligible recipient based on the proposed data and metrics. The Secretary shall distribute funds made available to carry out this paragraph based upon the number of grant applications approved by the Secretary, number of individuals served by each grant, and the incentive formulas approved by the Secretary using the following metrics: The reduced transportation expenditures as a result of improved coordination. The reduced Federal and State healthcare expenditures using the metrics described in subparagraph (F). The reduced private healthcare expenditures using the metrics described in subparagraph (F). Healthcare metrics described in this subparagraph shall be— reducing missed medical appointments; the timely discharge of patients from hospitals; preventing hospital admissions and reducing readmissions of patients into hospitals; and other measureable healthcare metrics, as determined appropriate by the Secretary, in consultation with the Secretary of Health and Human Services. The Secretary shall allow the funds distributed by this grant program to be expended on eligible activities described in paragraph (1)(D) and any eligible activity under this section that is likely to improve the metrics described in subparagraph (F). The Secretary— may not provide more than 20 grants under this paragraph; and shall reduce the maximum number of grants under this paragraph to ensure projects are fully funded, if necessary. In evaluating the health care metrics described in subparagraph (F), the Secretary shall consult with the Secretary of Health and Human Services. Each grantee shall submit a report, in coordination with the project partners of such grantee, that includes an evaluation of the outcomes of the grant awarded to such grantee, including the performance measures. The Secretary shall make publicly available an annual report on the program carried out under this subsection for each fiscal year, not later than December 31 of the calendar year in which that fiscal year ends. The report shall include a detailed description of the activities carried out under the program, and an evaluation of the program, including an evaluation of the performance measures used by eligible recipients in consultation with the Secretary of Health and Human Services. The Federal share of the costs of a project carried out under this subsection shall not exceed 80 percent. The non-Federal share of the costs of a project carried out under this subsection may be derived from in-kind contributions. For purposes of this subsection, nonemergency medical transportation services shall be limited to services eligible under Federal programs other than programs authorized under this chapter. .
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