This guide is intended to provide local school district supervisors of transportation in Maryland with a ready reference on the transportation of children with special health care needs. An introduction offers decision guidelines and legal definitions under Maryland regulations. Basic information on the following conditions are then summarized: allergy, arthritis, asthma, autism, cardiac distress, cerebral palsy, diabetes, Downs syndrome, epistaxis, epilepsy, gastrostomy tube, hemophilia, hydrocephalus, hypertonia, incontinence, insect allergies, jejunostomy tube, leukemia, microcephaly, multiple sclerosis, muscular dystrophy, osteogenesis imperfecta, Rhett syndrome, spina bifida, tracheostomy, cytomegalovirus, hepatitis A, hepatitis B, herpes, human immunodeficiency virus, tuberculosis. Provided for each condition is a definition and information on signs and symptoms, precautions, and special equipment. Additional guidelines are given on emergency bus evacuation, notification of local medical and rescue assistance, delivery of special needs students to residence, and transporting medications. Much of the document consists of the following appendixes: "Federal and State Regulations Governing the Transportation of Students with Special Health Needs"; "Guide for Transportation of Children Utilizing Respiratory Therapy"; "Report on the Delineation of Roles and Responsibilities for the Safe Delivery of Specialized Health Care in the Educational Setting"; and "Wheelchairs and Assistive Devices for Special Needs Students Transported in the Maryland Public School System". (DB)