To amend title 23, United States Code, to establish a transportation and active living program, a safe routes to school program, and a nonmotorized transportation pilot program.

Pedestrian and Cyclist Equity Act of 2003 - Requires the Secretary of Transportation to establish and carry out a transportation and active living program to create, enhance, and promote, through changes in transportation, community design, and architectural policies and programs, community environments that improve opportunities for people to be physically active in their daily lives....