The paper examines current problems, controversies, legal disputes, and judicial rulings regarding the provision of related services to handicapped students. Following a section on background information, statutory requirements are specified and compared in chart form. A summary of legal disputes focuses on specific services (such as catheterization, tracheotomy tube assistance, psychotherapy, and occupational and physical therapy) and on questions of the intent of the law (regarding limitations in terms of ties to special education or academic achievement or limitations to nonmedical services). An analysis of additional policy considerations addresses current legal precedent, the influence of the judiciary, sensitivity of the issue, variations by state, cost sharing strategies, state statutory solutions, eligibility, and personnel preparation. (CL)