Restrooms The majority of the BorderTransportationSystem passenger rail cars are short range, designed to travel under one hour, and some are long range, that will travel for hours or most of a day, i.e., San Diego to Brownsville. The short range transport should not need an on-board rest room which will save space and allow for fast turn-around without having someone service the rest rooms.  The long range passenger units will need an on-board rest room that is Unisex, and will need servicing at each end of the trip. Medicare and Handicapped "HMO-based and health network plans (HMO, QPOS, Health Network Only, Health Network Option, Golden Medicare, and U.S. Access) generally follow Medicare's criteria for durable medical equipment (DME) items that are used in the bathroom. Most DME items used in the bathroom are considered by Medicare to be personal convenience items."  Aetna The Restroom in the train cars, the stations, the restaurants, etc., shall comply to the ADA standards.  Index of ... Are there toilets on Amtrak trains? Bathroom and Toilet Equipment and Supplies Riding the Bullet Train in Japan