The document presents a Department of Health, Education and Welfare (HEW) special report on dental care for the handicapped. The nature and extent of the problem of providing dental services to the handicapped population is examined. The handicapped population is defined and their oral health status reviewed. Factors contributing to the poor oral health of the handicapped are considered. Current HEW programs impacting on dental care for handicapped people are described, including those in the Health Care Financing Administration, Office of Education, Office of Human Development Services, and Public Health Service. Nine areas needing strengthening or improvement are discussed, including the coordination of federal activities related to the oral health of the handicapped and the training of dental students and practicing dentists in the care of handicapped persons. Fourteen suggested actions for the department are offered, including the establishment of a focal point within the department for activities relating to the oral health of handicapped people, and changes in the Medicaid law and/or regulation. (DLS)