The home health industry has continued to express concern about the impact of closures of home health agencies on beneficiary access. This report: (1) presents an updated analysis on closures, paying particular attention to the distribution of home health agencies closures across urban & rural counties & to the characteristics of closed agencies, & (2) assesses the effect of closures on beneficiary access to home health services. It analyzed data on changes in the number & characteristics of Medicare-certified home health agencies through January 1, 1999. It also examined beneficiary utilization during the first quarter of 1998, & compared it with similar periods in 1994 & 1996. Charts & tables.Scanlon, William J. is the author of 'Medicare Home Health Agencies Closures Continue, With Little Evidence Beneficiary Access Is Impaired' with ISBN 9780788188930 and ISBN 0788188933.