Congress included this program in the Older Americans Act Amendments of 1987 in an effort to find new ways to provide home health care to lowincome persons who might otherwise require lengthy hospital stays or institutionalization. To date. grants have been awarded in five States. allowing numerous chronically ill and disabled individuals to receive vitally needed services. Among the beneficiaries of the program have been technology dependent children. migrant farm workers. people with AIDS. hypertension. or diabetes. and the frail elderly. The advantages of the casemanaged approach embodied In the program are well stated by the director of one State project. who said. "patients and their families have liked this home health care option. They feel that they have more control over their lives and they feel better being at home.