This final report discusses the activities and outcomes of a federally funded project designed to address the safe and legal implementation of the Individuals with Disabilities Education Act for young children who required invasive health care procedures. To accomplish the project objectives three annual, interdisciplinary conferences were held to explore the issues and present strategies for collaboration. Five domains for action were identified: the central role and needs of the children and family; the legal status of delegation in state practice acts; risk management; resource availability; and the changing fiscal climate. Recommendations for influencing systems that design and implement policy and practice on behalf of children with invasive health care needs include: (1) definition of goals and objectives; (2) identification of players; (3) establishment of coalitions; (4) engagement of all concerned parties; (5)consensus on the goals; (6) assessment of the full range of solutions; (7) addressing resistance to solutions; (8) prioritizing solutions; (9) definition of the framework for accomplishing the task; (10) careful use of contacts with legislators to be enlisted in the cause; and (11) periodic re-evaluation and modification. Appendices include the results of a national nurse practice acts survey, program brochures and follow-up evaluations. (CR)