A study of the health mandates placed on elementary and secondary education in Illinois was initiated in September 1981. Rules and regulations requiring health examinations, screening of vision, hearing, and dental status, and immunization against certain preventable communicable diseases were reviewed. Analysis focused on five study questions: (1) What desirable condition or outcome is called for by the mandate? (2) In the absence of the mandate would the condition or outcome be achieved? (3) Can the mandate yield the desired results? (4) Could desired results be achieved if the mandate were defined or implemented differently? and (5) Does the mandate reflect a compelling state interest? This report includes an historical perspective, a discussion of the study methodology, a discussion of the major issues relating to the mandates, a set of conclusions, and preliminary recommendations. Appendices include selections from the rules and regulations set forth by the School Code of Illinois, the State Board of Education, and the Illinois Department of Public Health. (JD)