Ten years from now. people will look back on this legislation and ask how Congress could give away neariy $140 billion federal health care dollars without guaranteeing that even a single penny would be spent on public health. They will ask how Congress could overturn thirty years of Medicaid lawwithout a single hearing so that members could understand the ramifications of the legislation and without any action by the full House so that Members could debate and vote on the issue. This provision has no business being on an emergency supplemental appropriations bill that provides disaster aid for Central America and funds for military operation and refugee relief in Kosovo. It is not an emergency appropriation issue in any sense. What it is. however. is one of the biggest giveaways of federal health care dollars I have seen in my entire congressional career.