This report to the Kentucky State Legislature and Governor on the needs of the state's hearing impaired population was developed with information from 40 state agencies, 25 consumer organizations, and 135 deaf and hard of hearing individuals. Fifteen recommendations are offered with specific suggestions for required funding and possible funding sources. Introductory information includes mission statements, cover letters, an executive summary, a statement of methodology, and a brief history and summary of current services. Recommendations along with supporting documentation are organized into adult services and educational services. Recommendations for adult services address: (1) interpreting (including quality/standards, training, and a statewide referral center); (2) human services (regional community access/service centers and services for the elderly with hearing impairments); (3) mental health (mental health and substance abuse services); (4) technology (information technology services); (5) workforce development services (vocational rehabilitation and adult education/literacy). Recommendations for educational services focus on early intervention/preschool services, program standards for K-12 services, the statewide resource center on deafness, educational interpreting, and quality and quantity of educational staff. A glossary is included. (Contains approximately 200 references.) (DB)