State and Federal Governments by nipping in the bud illnesses. which. if untreated may develop into serious and costly health problems. It is appropriate and necessary that we maintain these programs. However. this does not mean we should not conduct serious w.crutiny of the effectiveness of these community and migrant health centers in each region of the country. In fact. in this legislation there is language requiring a memorandum of agreement between States and the health and human services agency which requires each State analyze their current needs for primary care services. and plan to meet those needs in an effective and timely manner. It is the intent of members of the Labor and Human Resources Committee in the Senate and our colleagues in the House of Representatives that States work toward assuming more responsibility for these important basic health services.