This report is the product of a committee charged to define "medically fragile," explore the array of educational services available and/or needed for children in Michigan considered medically fragile, identify current information and gaps in the information, and identify areas of interagency collaboration. The report discusses critical evolving issues, including definition of the term "medically fragile," demographics of this population, and legal precedence for educating medically fragile students. It also discusses partnership and communication issues through vignettes focusing on the family's perspective and needs and emphasizing interagency cooperation. A section on program support recommendations outlines specific steps in service delivery and discusses transportation issues, nursing needs, and staff training. Appendices contain a bibliography of reports and books (15 entries), a list of approximately 45 audiovisual materials, and a list of health care occupations to consider as potential resources for training school employees. (JDD)