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The National Health Planning and Resources Development Act of 1974, was signed into law on January 4, 1975, following a lengthy legislative struggle. During the past 11 months, the fighting among private and public health interests has continued, although the principal arena has shifted from the Congress to the Department of Health, Education and Welfare, which is charged with primary responsibility for implementing the law. While the final outcome of this political conflict is still difficult to foresee, some informed estimates can already be made concerning the implications of this legislation for the poor. This article will not summarize the entire Act, since a short, useful discussion of the legislation directed at Legal Services issues is already available. Instead, this article will focus on those few provisions which directly affect the poor. From this analysis, suggestions will be made to assist Legal Services attorneys and their clients in devising local strategies to protect and advance the interests of the poor.