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Many elderly, low-income, and minority individuals who need preventive care are transportation disadvantaged. The problem is particularly acute in Texas. The Texas Legislature’s Sunset Advisory Commission issued the following statement in a 1998 report: “Transportation is among the most frequently cited barriers to service delivery for health and human services clients in Texas. Without transportation, clients are unable to access services for which they are eligible. Transportation is a problem primarily for those who do not own a personal automobile, or are unable to drive for other reasons, and thus considered “transportation disadvantaged.” This can include people with a mental or physical disability . . . and low-income individuals. In 1997, approximately six million adult Texans or 31 percent of the population, qualified as transportation disadvantaged” (4 p.115).