After the large district pilot STP with Cincinnati Public Schools in 2012, four additional large districts across the state of Ohio have created district-wide STPs. Akron Public Schools, Columbus City Schools and Toledo Public Schools all completed STPs in early 2015. These three plans encompassed a combined 175 K-8 schools – 41 in Akron, 94 in Columbus and 40 in Toledo. The Cleveland Metropolitan School District completed an STP in 2016 for its 70 K-8 schools.

All STPs completed in Ohio require a health component. A health representative must be on the SRTS team. However, many STPs, especially the large district ones, have been adding a more focused health component to their plans. Columbus City Schools and Cleveland Metropolitan School District incorporated a Health Impact Assessment (HIA) into their district-wide travel plans. The HIAs included health and socioeconomic disparities, and localized social determinants of health. Each also identified focus schools as priorities for SRTS countermeasures and pilots.