Ensuring that all children are immunized on schedule is as essential as it is costeffective. For every 1 million children vaccinated. 92.000 children will be spared suffering from whooping cough. For every dollar we spend on immunizations. we save $10 in later health costs. Finally. the legislation will expand access to substance abuse programs for pregnant women by providing prevention and treatment services at community and migrant health centers and other primary care sites. More than 250.000 pregnant women need substance abuse treatment in 31 States and the District of Columbia alone. In 1988. 375.000 babies were born to crackaddicted mothers.