Health and Human Services appropriations bill. We began this innovative program to demonstrate the effectiveness of outreach programs to populations 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. local health departments. and other providers to reach many people in need of primary and preventive care who now are not being reached until they are acutely ill and nad 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. In the Outreach Grant Programs short history. it has already had a great impact on improving coordination between health care providers and expanding access to needed health and mental health services.