The report relates existing State Title V programs based on the Social Security Act to implications of Public Law 99-457 (the Education of the Handicapped Act Amendments of 1986), especially Part H which authorizes comprehensive coordinated statewide early intervention delivery systems for infants and toddlers with handicaps. In section I, particular attention is given to the Surgeon General's National Agenda for Family-Centered, Community-Based, Coordinated Care for Children with Special Health Care Needs and to block-grant provisions promoting community-based networks and case management services. Section II presents the 14 required components of a statewide early intervention system under the Part H statute and excerpts portions of the Part H regulations, especially those in which the terms "health,""medical," or "Title V" appear. Section III examines opportunities for State Title V programs and is organized around required components of the early intervention system. Section IV, on health and medical services under Part H, stresses that Public Law 99-457 does not fully address the spectrum of health and medical needs of young children, rendering Title V programs still important. Finally, section V reviews State Title V Program roles related to Part H, especially those under Maternal and Child Health and Children with Special Health Care Needs funding. (DB)