The Amish represent an underserved healthcare population in the United States. Two Amish Districts in New York State concurred that barriers exist to healthcare access and agreed to participate in a Comprehensive Health Needs Assessment and to work collaboratively with Capstone Project leader to develop a strategic plan of action to address identified healthcare needs. The Culture Care and Universality Theory was used as the theoretical framework to guide the project. 90.3% of identified eligible individuals participated, representing 94.4% of households with the two Amish Districts. Average age of participant was 39.4 years, and 52.3% of participants were female. Average household size is 5.95 people & average live births per household is 5.85. Baseline health status was obtained with Dartmouth COOP Charts. Largest identified barriers to accessing healthcare are cost and transportation. Prenatal care & birthing center/home delivery are priority health needs. Most desired quality in a healthcare provider is honesty and trustworthiness. Community meetings held resulted in the development of a strategic plan of action to meet identified healthcare needs. Immunization services are reestablished in the community. A Family Nurse Practitioner is exploring the possibility of opening independent practice to serve Amish community, and a meeting is pending to start process of obtaining Certified Nurse-Midwife.