This study sought to determine if changes in the supply, distribution, and minority representation of health professionals over the past decade have been effective in creating greater access to health care in rural and underserved areas, and if these changes were attributable to programs established under Titles VII and VIII of the Public Health Service Act. A review of relevant data and studies found that, over the past decade, the supply of nearly all health professionals has increased faster than the population. For most health professions, however, data are not available to demonstrate whether this increased supply has translated into more access to care in rural and underserved areas. While almost $2 billion has been provided for 30 Title VII and VIII programs in the last 10 years, evaluations have not shown that these programs had a significant effect on those changes that have occurred in the supply, distribution, and minority representation of health professions. The bulk of the report consists of four appendixes, which provide information about: (1) the objectives, scope and methodology of the study; (2) changes in urban-rural supply and distribution of health professions; (3) changes in minority representation in health education and practice; and (4) the major contributors to the report. (MDM)