In this project, researchers examined access to health care by individuals with developmental disabilities in Kansas from low-income populations and from minority backgrounds (i.e., African American, Hispanic, and American Indian). Four criteria for determining access were: availability, accessibility, affordability, and appropriateness of care. Factors that pose barriers and facilitate access are described and recommendations are presented, with reference to the 2002 Report of the Surgeon General of the United States, related to health status of people with mental retardation.