S. 66 represents in my judgment a fair compromise between the legitimate prerogative of the Congress to define grant programs. and the concerns of the administration. First. S. 66 grant programs in no way duplicate services available under medicare and medicaid. Grant programs to support mental health centers. community health centers. migrant centers. and most other programs authorized in the bill are basically aimed at helping communities set up the staff and clinic needed to provide health services to the people in their area. These services may in some cases be reimbursable under medicare or medicaid for some of the people which the centers serve. Whenever this is the case.