Describes the complexities involved in creating an accurate eligibility determination process that complies with Americans with Disabilities Act (ADA) requirements and is regionally and politically feasible to implement. This study documents the range of outcomes produced by the different eligibility certification models and offers information about their overall effectiveness.

Offers information from selected transit agencies about the operational practices used to provide Americans with Disabilities Act (ADA) paratransit services and identifies factors perceived by transit personnel to have influenced the selection of service delivery methodology. It focuses on the state of the practice in paratransit contracting and service delivery methods to comply with ADA paratransit provisions.

"TRB's Transit Cooperative Research Program (TCRP) Report 163: Strategy Guide to Enable and Promote the Use of Fixed-Route Transit by People with Disabilities is designed to help transit agencies fulfill the primary goals of the Americans with Disabilities Act of 1990 (ADA) by making mainstream fixed-route bus and rail systems accessible to and usable by individuals with disabilities. The focus of the Strategy Guide is to offer guidance on providing public services in the most integrated setting possible." -- Publisher's note.

The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.

"TRB's Transit Cooperative Research Program (TCRP) Synthesis 74: Policies and Practices for Effectively and Efficiently Meeting ADA Paratransit Demand highlights policies and practices that transit agencies may be able to apply to their own paratransit services, often without the need to devote significant funds, personnel, or other resources. The report also examines certain practices and technologies that are still under development or have not undergone extensive testing"--Publisher's description.