THE SPREAD OF HEALTH AND DAY CARE SERVICES FOR MIGRANT CHILDREN IN KANSAS IN 1963 WAS DESCRIBED. IN ADDITION TO A GENERAL TREATMENT OF THE SUBJECT, PROGRAMS IN EACH COUNTY WERE DESCRIBED SEPARATELY BECAUSE OF LOCAL VARIATION, ALTHOUGH THEY WERE ALL VERY SIMILAR. MONEY WAS APPROPRIATED BY THE KANSAS LEGISLATURE IN 1963 TO THE KANSAS STATE DEPARTMENT OF HEALTH FOR CONTINUATION OF THE DAY CARE CENTER AND HEALTH PROGRAM AT HOLCOMB, KANSAS. THE IDEA OF DAY CARE AND ASSOCIATED HEALTH SERVICES WAS ADOPTED IN NEIGHBORING COUNTIES OF KEARNY, GRANT, AND WICHITA. IN KEARNY COUNTY, THE PUBLIC HEALTH NURSE, WHO SERVED AS A VOLUNTEER WORKER IN THE HOLCOMB PROGRAM THE PREVIOUS YEAR, ASSISTED COMMUNITY GROUPS IN DEVELOPING A DAY CARE CENTER AND HEALTH PROGRAM. THE DIVISION OF MATERNAL AND CHILD HEALTH ARRANGED WITH LOCAL AND DISTRICT HEALTH OFFICES TO EXTEND HEALTH SERVICES TO WICHITA AND KEARNY COUNTIES, AND TO BEGIN A HEALTH SURVEY IN GRANT COUNTY. IN WYANDOTTE COUNTY, A HEALTH SURVEY WAS INITIATED BY THE LOCAL HEALTH DEPARTMENT, AND A DAY CARE CENTER WAS CONDUCTED BY LOCAL CHURCH GROUPS. THE CENTERS AT LEOTI, IN WICHITA COUNTY, AND AT ULYSSES, IN GRANT COUNTY, OFFERED CARE IN THE MORNING ONLY. TWO SPANISH-SPEAKING STAFF WORKERS ASSISTED THE COMMUNITY GROUPS IN COORDINATING AND INTERPRETING THE PROGRAM TO MIGRANT FAMILIES, AND WORKED DIRECTLY WITH HEALTH PERSONNEL AS INTERPRETERS ON HEALTH MATTERS. HEALTH SERVICES WERE PROVIDED BY STATE, LOCAL, AND DISTRICT HEALTH OFFICES AND LOCAL PHYSICIANS, DENTISTS, AND NURSES. THEY INCLUDED A MEDICAL RECORD FOR EACH CHILD IN THE CENTER, A MEDICAL HISTORY, A COMPLETE PHYSICAL EXAMINATION, SCREENING PROGRAMS (VISION, HEARING, DENTAL), TUBERCULIN TESTING, HEMOGLOBIN DETERMINATIONS, AND IMMUNIZATIONS. REFERRAL WAS MADE LOCALLY TO PRIVATE PHYSICIANS AND DENTISTS FOR NECESSARY TREATMENT AND TO THE FAMILIES' HOME STATE WHEN TREATMENT COULD NOT BE COMPLETED IN KANSAS.