This document comprises an analysis of the needs of immigrants of African descent to New York State in the following areas: (1) economic planning; (2) culture and the arts; (3) immigration reform and amnesty; and (4) health care. Immigrants from the Caribbean and Africa comprise rapidly growing segments of the State's population. These immigrants differ from native Black American migrants with respect to culture and national identification, but both groups share common problems of economic disadvantage and racial discrimination during the adjustment to their new environment. In general, the health, education, and social service proposals outlined in the recommendations should be funded out of a 20 percent set-aside from the $100 million in Federal funds allocated to New York State under the Immigration Reform and Control Act of 1986 (IRCA), and at least one-third of the black grant funds should be directed to communities with a concentration of Black immigrants. Statistical data are included on 1 graph and 13 tables. A 14-item bibliography of papers presented at the Caribbean Women's Health Association conference, "Delivering Health Care Services to Immigrant Communities in New York City" (Woodhull Medical and Mental Health Center, Brooklyn, NY, October 17, 1985), is included. The following materials are appended: (1) a list of 12 references; (2) a document from the Committee to Aid Ethiopian Refugees; (3) a proposal to institute new Immigrant Service Centers; and (4) a discussion of the impact of the new amnesty law on New York State. (FMW)