The effects of Title VI provisions of the Health Professions Educational Assistance Act of 1976 on patient care services in hospitals were investigated. The law restricts the supply of foreign medical grduates in the United States. Interviews were conducted with representatives of the administrative, medical, and teaching staffs of 24 hospitals to determine the law's impact on: delivery of patient care services, the particular specialties and/or services affected; and the particular population groups served by these facilities. Attention was also directed to the effects of foreign medical graduate supply constraints on hospital costs and quality of care. The implications of strategies developed in response to Title VI restrictions were also considered in terms of changes in the cost, quality, and availability of patient care services. Policies and views of public and private organizations concerned with the Title VI restrictions were identified, and federal policy options relating to implementation of Title VI were developed. Data collection was preceded by the establishment of an expert advisory panel, a literature review, preparation of discussion guides for site visits, and site selection. The findings are presented under three interrelated categories: hospital perception of the problem, actual/anticipated hospital responses, and organizational perspectives. Policy recommendations based on both no change in the law and a change in the law are presented. (SW)