The Americans with Disabilities Act of 1990 (ADA) dramatically changed our country, by creating an accessible environment in which individuals with disabilities have the same opportunities to participate in the mainstream of American life. Research indicates the lack of accessible transportation is one of the top barriers to employment, accessing community resources, retaining medical assistance, accessing secondary education, as well as spending time with friends and families. The Americans with Disabilities: 2010 study indicates that 2.2 million people in the United State use wheelchairs for mobility. Out of this population less than one out of five report active employment, and four out of five express difficulties utilizing or locating accessible local transportation in their community. The lack of accessible transportation prevents individuals with mobility impairments from participating in community-based activities. Transportation impacts their ability to make a valuable contribution to America as individuals, workers, consumers, and taxpayers. Occupational therapists work diligently to help individuals reach independence in their home and community setting. Advocating for accessible transportation through vehicle adaptations will improve community access, quality of life, and participation in desired occupations of individuals with disabilities.