Health and Human Services appropriations bill. We began this initiative to demonstrate the effectiveness of outreach programs in rural areas that do not normally seek or have trouble accessing health or mental health services. The outreach grants are designed to address two major needs: First. improved outreach efforts by community and migrant health centers and local health departments to reach many people in need of primary anti preventive care who now are not being reached until they are acutely ill and need extensive and expensive hospital care. and second. Improved cooperation between health and social service agencies in reaching these people. This program has received overwhelmingly positive response from around the Nation.