To describe the quality of health services for persons with spinal cord injury (SCI), we studied satisfaction and access among a sample of National Spinal Cord Injury Database participants surveyed between 2000 and 2005. Respondents generally reported positive experiences, although exploratory analyses revealed less education and lack of private health insurance as significant risk factors for difficulty with obtaining medications, and whites were significantly more likely to report difficulties with obtaining medical equipment. Interpretation of these results is complicated and warrants further detailed studies of these issues to help improve the quality of health care provided to individuals living with SCI.