Evidence map›Paper›PMID 42667053›Full record

ArticleTransport policy2026

Free buses: Citywide zero fare is associated with increased use of public transit.

Keith Feldman, Jannette Berkley-Patton, Brian E Saelens, Amanda Grimes, Joseph S Lightner, Donna Ginther, Lauren Fitzpatrick, Vincent S Staggs, Emily Cramer, Brent Never and 2 more

Abstract read
In one paragraph

Article in Transport policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Keith FeldmanDepartment of Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.ORCID 0000-0001-6935-5844
Jannette Berkley-PattonDepartment of Biomedical and Health Informatics, School of Medicine, University of, Missouri-Kansas City, Kansas City, MO, USA.ORCID 0000-0003-0235-7057
Brian E SaelensSeattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0001-6998-6339
Amanda GrimesDepartment of Health Sciences, School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, USA.ORCID 0000-0002-0132-1696
Joseph S LightnerDepartment of Health Sciences, School of Nursing and Health Studies, University of Missouri-Kansas City, Kansas City, MO, USA.ORCID 0000-0002-8536-0085
Donna GintherUniversity of Kansas, Lawrence, KS, USA.
Lauren FitzpatrickCenter for Children's Healthy Lifestyles & Nutrition, Children's Mercy Hospital, Kansas City, MO, USA.
Vincent S StaggsDepartment of Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.
Emily CramerDepartment of Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.
Brent NeverBloch School of Management, University of Missouri-Kansas City, Kansas City, MO, USA.ORCID 0000-0002-2919-940X
Cindy BakerKansas City Area Transportation Authority, Kansas City, MO, USA.
Jordan A CarlsonDepartment of Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.ORCID 000-0002-6008-7983

Funding

Health Impacts of City-Wide Zero-Fare Bus Transit: A Natural ExperimentR01DK132350 · NIDDK · UNIVERSITY OF MISSOURI KANSAS CITY · PI BERKLEY-PATTON, JANNETTE YVONNE, CARLSON, JORDAN A. · 2022 to 2025
$2.6M
NIDDK NIH HHS R01 DK132350
6 · The paper itself

Abstract

Increasing reach and use of public transit holds the potential to improve population health by supporting active transportation and enhancing access to local resources. Emerging citywide zero-fare transit programs offer a policy-based approach to improving use of existing systems by eliminating economic barriers. The rapid rise of these programs in the U.S. warrants more research on their impacts. This study leverages a natural experiment in Kansas City, MO-the first major U.S. city to adopt an extended, citywide zero-fare bus program-to estimate the impact of zero-fare policy on bus ridership. Leveraging over seven years of temporally aligned data from multiple U.S. cities, a robust series of analyses including controlled interrupted time series along with matched and synthetic control methods allowed for the estimation of effects at both the city level and individual route level. Comparisons were made between Kansas City and nine similar cities without zero-fare policy, then replicated across three additional positive controls (cities that also implemented citywide zero-fare during the study period). Results indicate a strong and sustained increase in ridership attributable to the zero-fare policy. After accounting for pandemic-related disruptions, post-policy ridership in zero-fare cities was approximately 22% higher than in cities without such policies, relative to pre-policy baselines. Similar effects were observed across nearly 30 routes, even after adjusting for neighborhood characteristics, with elevated ridership persisting during the nearly four-year follow-up period. Findings support citywide zero-fare as an effective strategy for increasing public transit ridership at scale. Future work is needed to assess downstream economic and health implications of these changes.

Indexed as

Free FareNatural ExperimentProgram EvaluationSynthetic ControlsTime Series Analysis

Identifiers

PMID42667053
PMCPMC13524420

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.