Last year we passed a simple 1year extension of the five programs before us now to hold them In place while we took a more careful look at them. I want to commend my distinguished colleagues. the gentleman from West Virginia . and the gentleman from Florida for bringing to the floor a bill developed on the basis of careful evaluation of past peformance of these programs and assessment of our needs for health services resources under any reasonably comprehensive plan for national health insurance. The five programs before us now for extension and revision are the backbone of our Federal health services delivery effort for particularly vulnerable groups in our countrythe poor. the young and the old. the migrant worker and his family. They are absolutely essential. I can speak now to only a few features of this truly massive piece of legislation.