Safe, Accountable, Flexible, and Efficient Transportation Equity Act of 2003

Safe, Accountable, Flexible, and Efficient Transportation Equity Act of 2003 - Reauthorizes the Federal-aid surface transportation program through FY 2009.

Directs the Secretary of Transportation (the Secretary) to establish: (1) an Infrastructure Performance and Maintenance Program; (2) a freight transportation gateways program; (3) a National Blue Ribbon Commission on Highway Safety; (4) a highway safety improvement program; and (5) a multi-modal energy and climate change program.

Modifies provisions of the Transportation Equity Act for the 21st Century regarding ozone and particulate matter standards, and the regional haze program.

Directs: (1) the Secretary to design and implement a discretionary grant program to reduce impaired driving; and (2) the Secretary and the Secretary of Homeland Security to establish a Federal Interagency Committee on Emergency Medical Services.

Federal Public Transportation Act of 2003 - Directs the Secretary to establish a Planning Capacity Building Program.

Authorizes the Secretary to: (1) provide grants for new transportation services; and (2) make grants to sub-recipients of State and local governmental authorities in financing specified capital projects.

Authorizes appropriations for: (1) major capital investment program grants; and (2) Federal Motor Carrier Safety Administration administrative expenses.

Directs: (1) the Federal Motor Carrier Safety Administrator to establish a Medical Review Board; and (2) the Secretary to carry out a motor carrier research, development, and technology (RD&T) program.

Authorizes appropriations for: (1) a surface transportation RD&T deployment program; (2) training and education; (3) the Bureau of Transportation Statistics; (4) university transportation research; (5) intelligent transportation systems (ITS) research; and (6) high speed rail.

Establishes an Advisory Council on Transportation Statistics.

Intelligent Transportation Systems Act of 2003 - Directs the Secretary to conduct an ongoing ITS program to advance nationwide deployment.

Requires: (1) designated metropolitan planning organizations to develop transportation plans for metropolitan planning areas of the State; and (2) each State to develop a statewide transportation improvement program.

Directs: (1) the U.S. Postal Service to prescribe regulations for the safe transportation of hazardous material in the mail; (2) the Secretary to monitor public-sector emergency response planning and training for hazardous material incidents; and (3) the Secretary of the Treasury to establish an Emergency Preparedness Fund account.

Sanitary Food Transportation Act of 2003 - Amends the Federal Food, Drug, and Cosmetic Act to direct the Secretary of Health and Human Services to establish sanitary transportation practices to avoid the adulteration of food.

Surface Transportation Revenue Act of 2004 - Extends certain highway-related taxes and tax benefits.