| Sumario: | Part of a special issue on access, quality, and outcomes in child and adolescent preventive care. A study was conducted to examine changes in provider systems before and after enactment of the Omnibus Budget Reconciliation Act of 1989. Data were collected from Medicaid Tape-to-Tape information from California, Georgia, Michigan, and Tennessee. Findings indicated that although all four study states' preventive and Early and Periodic Screening, Diagnostic, and Treatment services provider system grew, Michigan's growth was notably higher. In addition, it was found that growth occurred in the number of both office-based and clinic-based providers. However, it was also found that this growth was outpaced by growth in enrollment, so that child/provider ratios were generally higher at the end of the study period.
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