of contention, for example, with the Congress opposing the Carter Administration's decision to focus on hospital expenditures. Despite the times, Richmond's neighborhood health centers remained, championed by Congress and reinforced by an assortment of PHS programs to improve access to care. Transferred to PHS jurisdiction in the early 1970s, neighborhood health centers were renamed Community Health Centers, authorized under 1975 legislation, scaled down and revamped to focus on rural (1975) and urban (1977) areas, spread thin to include new constituencies like residents of Appalachia and migrant workers and those served by PHS's National Health Service Corps. During Richmond's tenure, Congress would pass the Health Services and Centers Act of 1978 (PL95-626), which reauthorized a broad array of public health services, community and migrant health centers, grants for primary care projects, and grants-in-aid to support public health programs and authorized $2.9 billion in expenditures. The health of children also remained a top priority. The Communicable Disease Center (CDC) carried out a successful immunization campaign that focused on measles and other childhood diseases that disproportionately affected the poor, meeting an initial goal of immunizing at least 90 percent of eligible children by October 1979. In addition, there were efforts to establish a Child Health Assurance Program to improve prevention by broadening eligibility for the existing Medicaid Early and Periodic Screening, Diagnosis and Treatment Program. At PHS Richmond remains best known for his leadership in devising and implementing quantitative goals for public health, first published in 1979 as Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention. Healthy People moved PHS beyond its limited capabilities to lessen disparities in health services provision, to spur change by getting information out to journalists, health departments, and others about gains already made in reduced mortality from noninfectious causes. Richmond and Secretary Califano drew on the precedent of former Surgeon General Luther Terry's 1964 Report on Smoking and Health to build professional and public consensus toward making prevention key to PHS's efforts. A new Office of Disease Prevention and Health Promotion (1979) under Assistant Surgeon General Michael McGinnis prepared the formal publication, setting forth ambitious health goals to be achieved by 1990, and the Institute of Medicine drafted an accompanying volume, Promoting Health/Preventing Disease: Objectives For The Nation (1980), which included a series of specific targets within set categories for each age-group. One of the major goals of this effort was to educate people