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Rural Health Information Hub

Considerations for People with Low Incomes

Most rural residents rely on privately owned vehicles to meet their daily transportation needs. However, the purchase and ownership of a vehicle can present a financial hardship to people with low incomes.

Programs have been established over the years to help alleviate some of the financial burden of car ownership. Some communities have partnered with Community Action Agencies, which provide services to people with low incomes, to help fill the transportation gap for this population. For example, the Indiana Community Action Association offers free or low cost transportation services in many communities. States and local jurisdictions, healthcare providers, and human service agencies can also partner with Community Action Agencies to ensure that all community members have reliable transportation.

In addition, Medicaid will pay for non-emergency transportation for healthcare services for eligible individuals. This is an important benefit in many rural areas where people with low incomes may otherwise go without care. Non-emergency transportation benefits through Medicaid vary by state. Some states provide rides for free, some charge a small fee, and some may have restrictions on distance traveled and/or the number of times a person can use this benefit.

Resources to Learn More

The Stranded Poor: Recognizing the Importance of Public Transportation for Low-Income Households
Document
Describes the benefits of rural public transportation for low-income individuals and families and the role Community Action Agencies can play in supporting rural transportation. Includes case studies.
Organization(s): National Association for State Community Services Programs
Date: 2008