This study explored the current state of the preschool special education program in a large, diverse state in the United States through the perspectives of preschool special education administrators, with particular emphasis on educational impact, equity considerations, and potential solutions. Through thematic analysis, four central themes emerged: "Evolving Needs, A System in Turmoil, Prioritize Preschool," and "Disparate Outcomes." Administrators contended that needs had increased and intensified in recent years, particularly in a post-pandemic world where telehealth therapies, staffing shortages, and funding issues had made providing quality educators and services more difficult. The study revealed connections to topics such as post-pandemic education, early childhood intervention, special education mandates, and educational equity. The findings suggested that a renewed focus on preschool special education was imperative, especially in light of the evidence supporting the benefits of early childhood intervention. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]