In the past 5 years there has been a growing interest among psychology practitioners in obtaining prescription privileges, and relevant policy documents have reflected increasing support from the APA. The nonphysician health manpower literature has demonstrated that a wide range of professionals can be trained to prescribe medications competently, while maintaining quality of care; within federal agencies, psychologists have legally prescribed medications. Ongoing debates in Hawaii and in the U.S. Department of Defense may be laying the foundation for psychology's training and practice agenda for the 1990s. Were psychologists to have this clinical privilege, many societal needs--including addressing the longstanding problems of excessive medication of elderly persons and quality care for the chronically mentally ill and for persons residing in rural areas--could be met.