RRTA coordinates a paratransit service, Red Rose Access, which is run by three private transportation providers.

In 1992, the RRTA consolidated with the Lancaster Integrated Specialized Transportation System, with the paratransit service renamed Red Rose Access.

[4] The Queen Street Station transit center in downtown Lancaster was completed in 2005 on the former site of the Otto Paving and Construction Company building that was built in 1926.

Construction on the second phase of the transit center began in September 2009, which added a parking garage, three bus bays, and access to Chestnut Street.

[5] Red Rose Transit Authority operates the following routes, most of which run on a hub and spoke type system out of Downtown Lancaster.

[10] The Queen Street Station transit center located in downtown Lancaster serves 11 of RRTA's bus routes.

The RRTA Information Center is located at Queen Street Station and contains a waiting area, restrooms, sales outlet, bike racks, snack machines, ATM, and television.