START
PROJECTS
AND
RURAL
START 
PROJECTS’’; 
(B) in paragraph (1) by striking ‘‘small 
start project’’ and inserting ‘‘small start project 
or rural start project’’; 
(C) in paragraph (2)(A) by striking ‘‘small 
starts project’’ and inserting ‘‘small start 
project or rural start project’’; 
(D) in paragraph (3) by striking ‘‘small 
start project’’ and inserting ‘‘small start project 
or rural start project’’; and 
(E) in paragraph (6)(A) by striking ‘‘small 
start project’’ and inserting ‘‘small start project 
or rural start project’’. 
SEC. 3. ENHANCED MOBILITY OF SENIORS AND INDIVID-
UALS WITH DISABILITIES. 
Section 5310 of title 49, United States Code, is 
amended— 
(1) in subsection (b)(2) by striking ‘‘(A) 
AMOUNT AVAILABLE’’ and all that follows through 
‘‘A recipient of a grant under’’ and inserting ‘‘A re-
cipient of a grant under’’; 
(2) in subsection (c)(2) by adding at the end 
the following: 
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‘‘(E) REALLOCATION.—Amounts appor-
tioned under section 5310(c)(1)(A) may be re-
allocated to projects in areas other than urban-
ized areas.’’; 
(3) by striking paragraphs (1) and (2) of sub-
section (d) and inserting the following: 
‘‘(1) CAPITAL PROJECTS.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), a grant awarded under this 
section for a capital project shall be 80 percent 
of the net costs of the project, as determined by 
the Secretary. 
‘‘(B) EXCEPTION.—A State described in 
section 120(b) of title 23 shall receive a Gov-
ernment share of the net costs in accordance 
with the formula under such section. 
‘‘(2) OPERATING ASSISTANCE.— 
‘‘(A) IN GENERAL.—Except as provided by 
subparagraph (B), a grant awarded under this 
section for a operating assistance may not ex-
ceed an amount equal to 50 percent of the net 
operating costs of the project, as determined by 
the Secretary. 
‘‘(B) EXCEPTION.—A State described in 
section 120(b) of title 23 shall receive a Gov-
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ernment share of the net costs that is equal to 
62.5 percent of the Government share provided 
for under paragraph (1)(B).’’; and 
(4) by striking subsection (e)(1) and inserting 
the following: 
‘‘(1) IN GENERAL.—To the extent the Secretary 
determines appropriate, the requirements of— 
‘‘(A) section 5307 shall apply to recipients 
of grants made in urbanized areas under this 
subsection; and 
‘‘(B) section 5311 shall apply to recipients 
of grants made in rural areas under this sub-
section.’’. 
SEC. 4. FORMULA GRANTS FOR RURAL AREAS. 
Section 5311(g) of title 49, United States Code, is 
amended— 
(1) in paragraph (1) by adding at the end the 
following: 
‘‘(C) PROJECTS
IN
QUALIFIED
OPPOR-
TUNITY
ZONES, 
MEDICALLY
UNDERSERVED 
AREAS, OR AREAS WITH A MEDICALLY UNDER-
SERVED POPULATION.—A grant awarded under 
this section for a capital project in a qualified 
opportunity zone, a medically underserved area, 
or areas with a medically underserved popu-
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lation shall be for 90 percent of the net costs 
of the project, as determined by the Sec-
retary.’’; 
(2) in paragraph (2) by adding at the end the 
following: 
‘‘(C) PROJECTS
IN
QUALIFIED
OPPOR-
TUNITY
ZONES, 
MEDICALLY
UNDERSERVED 
AREAS, OR AREAS WITH A MEDICALLY UNDER-
SERVED POPULATION.—A grant awarded under 
this section for a capital project in a qualified 
opportunity zone, a medically underserved area, 
or an area with a medically underserved popu-
lation shall be for 62.5 percent of the Govern-
ment share provided for under paragraph 
(1)(B).’’; and 
(3) by adding at the end the following: 
‘‘(6) DEFINITIONS.—In this subsection: 
‘‘(A) QUALIFIED
OPPORTUNITY
ZONE.— 
The term ‘qualified opportunity zone’ has the 
meaning given such term section 1400Z–1 of 
the Internal Revenue Code of 1986. 
‘‘(B) MEDICALLY
UNDERSERVED
AREAS; 
AN
AREA
WITH
A
MEDICALLY
UNDERSERVED 
POPULATION.—The 
term 
‘medically 
under-
served areas’ or ‘an area with a medically un-
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derserved population’ means an area or popu-
lations that are designated as medically under-
served by the Secretary of Health and Human 
Services pursuant to section 330(b)(3) of the 
Public 
Health 
Service 
Act 
(42 
U.S.C. 
254b(b)(3)).’’. 
SEC. 5. NON-EMERGENCY MEDICAL TRANSPORTATION. 
(a) RESEARCH
PROJECT
ELIGIBILITY.—Section 
5312(c)(2) of title 49, United States Code, is amended— 
(1) in subparagraph (M), by striking ‘‘or’’ at 
the end; 
(2) by redesignating subparagraph (N) as sub-
paragraph (O); and 
(3) by inserting after subparagraph (M) the fol-
lowing: 
‘‘(N) access to hospitals and healthcare 
providers in areas underserved by transit or 
with limited public transportation options, as 
determined by the Secretary; or’’. 
(b) INNOVATION AND DEVELOPMENT PROJECT ELI-
GIBILITY.—Section 5312(d)(2) of title 49, United States 
Code, is amended— 
(1) in subparagraph (G), by striking ‘‘or’’ at 
the end; 
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(2) by redesignating subparagraph (H) as sub-
paragraph (I); and 
(3) by inserting after subparagraph (G) the fol-
lowing: 
‘‘(H) public transportation projects that 
improve health care access and outcomes; or’’. 
(c) DEMONSTRATION, DEPLOYMENT, AND EVALUA-
TION PROJECT ELIGIBILITY.—Section 5312(e)(3) of title 
49, United States Code, is amended— 
(1) in subparagraph (B), by striking ‘‘or’’ at 
the end; 
(2) in subparagraph (C), by striking the period 
and inserting ‘‘; or’’; and 
(3) by adding at the end the following: 
‘‘(D) the deployment of public transpor-
tation projects or practices that— 
‘‘(i) achieve measurable improvements 
in transportation access to health care for 
medically underserved areas or popu-
lations, as designated by the Health Re-
sources and Services Administration pursu-
ant to section 330(b)(3) of the Public 
Health 
Service 
Act 
(42 
U.S.C. 
254b(b)(3)); 
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‘‘(ii) implement transportation strate-
gies for addressing significant health needs 
as identified by a community health needs 
assessment pursuant to the requirements 
of section 501(r)(3)(A) of the Internal 
Revenue Code of 1986; or 
‘‘(iii) eliminate or reduce transpor-
tation barriers to accessing health care 
that are identified and prioritized in the 
coordinated public transit-human services 
transportation plan described in section 
5310(e)(2)(A).’’. 
SEC. 6. INNOVATIVE MOBILITY AND TECHNOLOGY DEPLOY-
MENT GRANTS. 
(a) IN GENERAL.—Chapter 53 of title 49, United 
States Code, is amended by inserting after section 5312 
the following: 
‘‘§ 5313. Innovative mobility and technology deploy-
ment grants 
‘‘(a) AUTHORITY.—The Secretary shall establish an 
innovative mobility and technology deployment grants pro-
gram to award grants to entities described in subsection 
(b) to assist in financing of public transportation projects 
that— 
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‘‘(1) allow for the integration of mobility serv-
ices or technologies in public transportation services, 
including traveler information, trip planning infor-
mation, new or expanded reservation capabilities, in-
tegrated payment solutions, fare automation, or de-
livery designs to improve options in public transpor-
tation; 
‘‘(2) advance first-mile, last-mile, late night, or 
low density services that connect riders to public 
transportation, including— 
‘‘(A) microtransit; 
‘‘(B) commuter busing; or 
‘‘(C) commuter highway vehicles; 
‘‘(3) advance on demand complementary para-
transit services; 
‘‘(4) provide accessibility and connectivity for 
rural areas not being adequately served by public 
transportation, as determined by the Secretary; 
‘‘(5) expand high-performing public transpor-
tation business models that increase access to public 
transportation; or 
‘‘(6) provide any other transit service that the 
Secretary determines appropriate to meet the pur-
poses of this section. 
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‘‘(b) ELIGIBLE ENTITIES.—To be eligible for a grant 
under this section, an entity shall be— 
‘‘(1) a State or local government; or 
‘‘(2) a publicly owned operator of public trans-
portation. 
‘‘(c) APPLICATION.—To be eligible to receive a grant 
under this section, an entity described in subsection (b) 
shall submit to the Secretary an application in such form 
and contain such information as the Secretary may re-
quire. 
‘‘(d) RULEMAKING.—The Secretary shall— 
‘‘(1) issue such regulations as are necessary to 
carry out this section, and publish such regulations 
in the Federal Register, not later than 270 days 
after the date of enactment of this section; and 
‘‘(2) in issuing such regulations, solicit and re-
ceive comments from stakeholders not later than 
180 days after the date of enactment of this section. 
‘‘(e) GRANT REQUIREMENTS.—The Secretary may 
approve modified grant requirements for projects carried 
out using a grant under this section. 
‘‘(f) LIMITATIONS.— 
‘‘(1) PERIOD OF GRANT.—A grant under this 
section shall be for a 3-year period beginning on the 
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date on which the first payment of any amount 
under the grant is provided to an eligible entity. 
‘‘(2) RURAL GRANT MINIMUM.—The Secretary 
shall award not less than 20 percent of the total 
amounts made available to carry out this section to 
support activities described under subsection (a) in 
rural areas. 
‘‘(3) GOVERNMENT
SHARE
OF
COSTS.—The 
Federal share of the total project cost of a project 
carried out under this section may not exceed 80 
percent. 
‘‘(4) ALLOCATION.—Of the amounts authorized 
to be appropriated to carry out this section for each 
fiscal year, not more than 20 percent may be award-
ed under subsection (a) to a single entity. 
‘‘(g) BEST PRACTICES.—The Secretary shall annu-
ally collect from, review, and disseminate to public trans-
portation agencies findings or best practices from projects 
funded under this section. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) COMMUTER
HIGHWAY
VEHICLE.—The 
term ‘commuter highway vehicle’ has the meaning 
given such term in section 132(f)(5)(B) of the Inter-
nal Revenue Code of 1986. 
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‘‘(2) HIGH-PERFORMING
PUBLIC
TRANSPOR-
TATION.—The term ‘high-performing public trans-
portation’ means a public transportation service, 
whether provided by a public agency, private non-
profit, or for-profit organization, that is able to col-
lect all operating costs through fare-box revenue or 
other dedicated sources for an activity and increases 
access to public transportation. 
‘‘(3) MICRO-TRANSIT.—The term ‘micro-transit’ 
means internet-enabled, public transportation serv-
ices that use dynamically generated routes calculated 
by algorithms developed to increase the occupancy of 
vehicles.’’. 
(b) CLERICAL AMENDMENT.—The analysis for chap-
ter 53 of title 49, United States Code, is amended by in-
serting after section 5312 the following: 
‘‘5313. Innovative mobility and technology deployment grants.’’. 
Æ 
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