Cover -- Front Matter -- Preface -- Acknowledgments -- Reviewers -- Contents -- TABLES, FIGURES, AND BOXES -- Executive Summary -- 1 Background and Overview -- 2 The Core Safety Net and the Safety Net System -- 3 Forces Affecting Safety Net Providers in a Changing Health Care Environment -- 4 How Safety Net Providers Are Adapting to the New Environment -- 5 The Impact of Change on Vulnerable Populations -- 6 Safety Net Populations with Special Health and Access Needs -- 7 Findings and Recommendations -- Appendixes -- A Committee Biographies -- B Workshop Agenda -- C Workshop Participants -- D California Regional Meeting Agenda -- E California Regional Meeting Participants -- F New York Regional Meeting Agenda -- G New York Regional Meeting Participants -- H Rural Conference Call Participants -- I Acronyms -- Index.