This report reviews key issues and problems addressed at a national conference on transportation for the elderly and handicapped. The first section presents an executive summary, which details the following major problems (identified in the seven general sessions and four workshops): the need for more coordination of funding sources; better definition of the roles of various agencies involved in transportation for this population; more hands-on technical assistance for system operators; more information-sharing among all parties involved; more funding for such programs; more information and mechanisms for using the private sector; and a final regulation stating the responsibilities of agencies receiving federal funding for provision of such services. Conference highlights are summarized in the second section, including the conference process, remarks of key speakers, and significant considerations. Recommendations to address the identified problems are detailed in the third section. Conference evaluation reports are presented in the fourth section. Appendices (which comprise most of the volume) present a list of members on the conference advisory committee, a list of conference registrants, a list of workshop coordinators, conference agenda, and 15 papers (most describing a state transportation system) presented at the conference. (CB)