As part of the 2004 reauthorization of the Individuals with Disabilities Education Act (IDEA), states are "required to ensure that highly qualified personnel are recruited, hired, trained and retained to provide special education and related services to children with disabilities" [Section 612(a)(14)(D)]. The purpose of this document is to describe state-level efforts to recruit, hire, train and retain highly qualified personnel for "preschool children with disabilities". Although only 15 states reported having policies specifically addressing the recruitment, hiring, training and retention of early childhood personnel for children with disabilities, states may be addressing this population through generic personnel policies and practices to varying degrees. Almost all states are engaged in one or more efforts to ensure that this population is being served by highly qualified teachers and related service providers. Most commonly, efforts include continuing education activities, mentoring programs, technical assistance and scholarships and/or tuition reimbursement for individuals pursuing certification in the area of early childhood. Funding for these efforts comes primarily from IDEA 619 funds, other Part B funds, state funds and State Personnel Development Grant or American Reinvestment and Recovery Act funds. Outcomes are documented via a range of means and include reductions in personnel shortages and increased participation in mentoring and professional development activities. Barriers most commonly cited include a lack of highly qualified personnel, limited funding and too few institutions of higher education degree or certification programs in the area of preschool special education. Respondents stressed the need for adequate funding; improved data systems; alternative personnel preparation programs; and integrated technical assistance systems in order to better address the recruitment, hiring, training, and retention of personnel serving preschool children with disabilities. (Contains 1 footnote.)