Children who inherit sickle cell disease, primarily African Americans and Hispanics, are at risk for serious medical conditions and require special care both at home and in school. Sickle cell disease is recognized as an "Other Health Impairment" and identified students may be eligible for special education services under the Individuals with Disabilities Education Act (IDEA). This report reviews the description and management of sickle cell disease, including physical areas affected, medical problems associated with the disease, and proper treatment. A case study details a school's failure to accommodate a child with the disease. The educational rights of a student with the disease are examined within the framework of IDEA: goals of early intervention; types of service considerations; identification, location, and evaluation; inclusion; eligibility determination; individualized education program development; and placement safeguards. Implications are listed for educators and administrators in accommodating students with sickle cell disease. These include teacher education about the disease and its impairments; communication with parents; learning environment modifications; due process; student academic and social evaluation; and "search and find" coordination with social agencies, health care providers, and educators. (SAS)