The report addresses issues of telecommunications access for hearing and speech impaired persons in Virginia. Six analyses were performed: (1) Accessibility of service organizations--over 89% of sample organizations were not accessible by a telecommunications device for the deaf and existing TDDs were underutilized; (2) Telephone use by persons with hearing impairments--20,000 to 40,000 Virginians are in need of TDDs; (3) Telephone company services--79% of companies were not accessible by TDD; (4) Message relay services--1.46% of the potential telephone service demand is being met through Virginia's relay services for this population; (5) Other related Virginia programs--there is limited placement by private and public programs of such assistive devices as TDDs, hearing aids, and telebraillers; and (6) Telecommunications access programs in other states--funding varied widely with budgets from a few thousand to $15 million annually. Specific recommendations resulting from the analyses include: an executive order that all state agencies and activities become TDD-accessible; promoting use of telecommunications access strategies by individuals, private, and public organizations; central coordination of state efforts to improve telecommunications access; state financial assistance to message relay services; distribution of TDDs to private persons in need with functional impairments of speech or hearing. (DB)