Their national association is one of the most effective advocacy groups I have worked with during my career in Washington. and I am very pleased with my relationship with them. Mr. Speaker. over 600 federally funded community. migrant and homeless health care centers across the country provide health care services to almost 6.5 million medically underserved patient. about 40 percent of whom are Medicaid recipients. With limited support from the Federal Government. these facilities have over the past 27 years filled a critical gap in our rapidly eroding health care system. Detroit is home to several of these critical operations.