The House : Health Centers Funding

By a vote of 254 for and 151 against, the House failed to achieve the two-thirds majority needed to pass a bill to continue categorical grant funding of health centers in areas with inadequate medical care.

The special majority was needed because the bill was debated under a short-cut parliamentary procedure that barred floor amendments and abbreviated debate.

The bill (HR 2418) authorized $893 million over two years for community health centers in areas lacking adequate medical care and for migrant health centers to serve seasonal workers. Most individuals using these facilities cannot qualify for Medicaid coverage.

Largely at issue was the provision to continue categorical grants rather than fold these programs into the federal block grant for primary health care.

As the block grant approach has come into wide use during the Reagan Administration, many specific federal missions have been turned over to states and localities, which have wide latitude in determining how to administer the programs and spend the accompanying federal payments.

Supporter Henry Waxman (D-Los Angeles) said, “I think members are not willing to go along with” funding the community health programs via block grants.

Opponent Trent Lott (R-Miss.) noted that the Administration opposed the bill because it eschewed the block grant funding mechanism.

How They Voted Yea Nay No vote Rep. Anderson (D) x Rep. Dixon (D) x Rep. Dymally (D) x Rep. Fiedler (R) x Rep. Levine (D) x Rep. Lungren (R) x

Members voting yes wanted to pass the bill.

WHERE TO REACH THEM Glenn Anderson, 32nd District

300 Long Beach Blvd., Long Beach 90801(213) 437-7665

Julian C. Dixon, 28th District

111 N. La Brea, Suite 103, Inglewood 90301(213) 678-5424

Mervyn M. Dymally, 31st District

4455 W. 126th St., Hawthorne 90250(213) 536-6772

Bobbi Fiedler, 21st District

21053 Devonshire St., Chatsworth 91311(818) 341-2121

Mel Levine, 27th District

5250 W. Century Blvd, Suite 447, Los Angeles 90045(213) 215-2035

Dan Lungren, 42nd District

555 E. Ocean Blvd., Suite 505, Long Beach 90802(213) 436-9133