Video & Transcript Research : 'screening services'
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FL
Florida 2026 5th Special Session
Appropriations Committee on Health and Human Services Feb 4th, 2026
Transcript Highlights:
- The Appropriations Committee on Health and Human Services will come to order.
- This change maintains the safety requirement for background screening of visitors in these homes, but
- Anna Higgins, Family Support Services, waiving in support. Thank you. Senators, was there debate?
- Crisis services that protect kids and families before harm becomes permanent.
- Thank you for listening and for your service to the people of Florida.
Summary:
The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce.
The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare.
The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.
FL
Florida 2025 Regular Session
Joint Legislative Auditing Committee Feb 3rd, 2025
Transcript Highlights:
- CONTRACTUAL SERVICE FINDINGS AND SATISFACTORY RECEIPT OF GOODS AND SERVICES.
- DEMONSTRATE IS IN THE PUBLIC'S BEST INTEREST TO PERFORM PROJECTS USING THEIR OWN SERVICES.
- THEY USED STUDENT ACTIVITY AND SERVICE FEES THAT WERE NOT ALWAYS IN COMPLIANCE WITH STATE LAW.
- THEY AMENDED THE CONTRACT FOR WHAT THEY CALLED ADMINISTRATIVE SERVICES OR ADMINISTRATIVE BURDEN.
- THEY WERE HIRED FOR STRATEGY SERVICES. >> Sen.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Feb 18th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- This enabled the department and system partners to provide services and much-needed placement services
- So we know in providing services to these youth, they do require a lot of other services.
- So we're looking at all the services, making sure that they're quality services.
- or services.
- Data collection and service gaps.
Summary:
The Committee on Children, Families, and Elder Affairs received three presentations and took no bill votes. The Department of Children and Families gave an extensive update on human trafficking prevention and services, describing Florida’s statutory framework, hotline and investigation data, placement options such as safe houses and safe foster homes, new adult safe house certification rules, expanded screening tools for vulnerable adults, and prevention efforts including youth-led outreach and training. Members asked about whether current funding is sufficient, how DCF addresses grooming and re-victimization in residential settings, and how long youth typically remain in safe-house placements; DCF said funding is only one part of the support system, that families and youth receive prevention resources even when allegations are not substantiated, and that placement length varies by child.
OPPAGA then presented its 2024 annual report on commercial sexual exploitation of children. The report found that verified CSE victims slightly declined in 2023, with Broward, Miami-Dade, Duval, Hillsborough, and Escambia among the highest-prevalence counties. Most verified victims were community youth rather than children already in care, though dependent youth had higher rates of prior maltreatment. OPPAGA also reported continued concerns about limited placement capacity, especially for less restrictive Tier 1 safe houses, and service gaps such as the need for survivor mentors. Its recommendations focused on expanding placement options, improving data collection, and strengthening collaboration to support survivor mentors.
Finally, DCF presented the Step into Success pilot program for current and former foster youth ages 16 to 26. The program combines workforce education, professional development, and paid internships with mentor support; the first cohort launched in 2024 with 15 participants, all of whom secured placements, and the department reported strong satisfaction and early outcomes. Committee members asked about scalability, costs, and whether the model could be moved beyond DCF-run operations into community-based providers. DCF said the program was designed to be scalable, currently costs about $500,000 annually for the pilot, and could be expanded statewide with additional funding and partner support. The committee adjourned after the presentations.
KY
Transcript Highlights:
- . screen. screen.
- and nearly 17,000 participate in service and nearly 17,000 participate in service learning<00:42
- Hundreds of can see on the screen.
- says nothing about the actual screening says nothing about the actual screening and<02:03:21.920
- What's required of a screening screening screening >> for<02:04:23.360>
educational <02:04
Keywords:
Call to Order and Roll Call – 0:00:00
Workforce Pell Grant Update – 0:03:30
Extension Office Update – 0:33:25
Kentucky Academic Standards for Social Studies – 1:07:08
Early Literacy Outcomes – 1:32:20
Consideration of Referred Administrative Regulations – 1:58:30
Adjournment 2:13:13, 958, all
MN
KY
Transcript Highlights:
- And subject of screen time in schools.
- book as opposed to looking at a screen? book as opposed to looking at a screen?
- So what doesn't exist on a screen.
- ,<01:25:49.040>
human minutes of reading on a screen, human minutes of reading on a screen - Today in screens at school, too.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 01:00 pm
Joint Committee on Financial Services
Transcript Highlights:
- Senator from the Bristol and Norfolk District and Senate co-chair of the Joint Committee on Financial Services
- I'm going to try to recognize everybody in my limited view screen here.
- Thank you for your time and for your service to the people of Massachusetts. Ms.
- The average person starts colorectal cancer screening at 45.
- Look through our screens. Okay, I don't see anybody with any questions.
Summary:
The Joint Committee on Financial Services held a fully virtual public hearing after a blizzard and state emergency closed the State House and created travel and cleanup concerns. Chairs Senator Paul Feeney and Representative James Murphy opened by thanking first responders and committee staff for making the hearing possible and noted that several members attended remotely. The committee heard testimony on three bills: H.5112, An Act Prohibiting Genetic Discrimination; H.4914, An Act Relative to the Massachusetts Uniform Commercial Code; and S.2921, An Act Relative to Travel Insurance. Most of the testimony focused on H.5112.
Representative Dave Rogers and his constituent Robin Biggs testified in support of H.5112, describing gaps in federal genetic nondiscrimination law that do not cover life, long-term care, or disability insurance. Biggs shared her experience as a BRCA2 mutation carrier and said genetic knowledge helped her take preventive steps, but that people fear testing because insurers may use results against them. Lindsay Jack of the ALS Association and Lisa Schlager of FORCE also supported the bill, arguing that it would encourage preventive care, research participation, and fairer underwriting without harming insurance markets. They said insurers could still use medical history and diagnoses, but not genetic test results alone.
Committee members asked questions about whether insurers currently request genetic testing and how such information is used in underwriting. Testifiers said the information is routinely asked for or found in medical records, but the bill would prohibit its use in coverage decisions and would prevent insurers from requiring testing. No votes were taken. After testimony concluded and no additional witnesses came forward, the chairs closed the hearing and adjourned the meeting by unanimous voice vote.
MN
Transcript Highlights:
- Madam Chair, so we're, you know, talking about things like headlight screenings, the vision screening
- the uh vision headlight screenings the uh vision screening<01:21:04.639>
you <01:21:04.760> - Gilman in regards to vision screening Gilman in regards to vision screening the<01:23:37.880>
- They need mental health services. They need these wraparound services to be in school.
- they need these wraparound services they need these wraparound services<01:30:45.960>
to <01:30
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 5th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- We can provide them with a secure email service. We can provide them with a secure email service.
- You might also see if they didn't have a reactive screening, a Hepatitis Screening Summary.
- provider of that service.
- Los Lunas provides health screenings, pregnancy, childbirth, and infant care services, health support
- And then we would add a layer from the directory of services called access to services.
TX
Transcript Highlights:
- Cancer. screenings, and SDI testing, not more barriers.
- crucial step in rebuilding Texas reproductive health care system and restoring access to essential services
- STI testing and screening. cancer screening, prevention methods for diabetes treatment, pregnancy counseling
- like breast and cervical cancer screening, STI testing, and treatment, contraception and wellness exams
- Texas leaders have made it hard for people to get birth control, cancer screenings, and basic health
Keywords:
Texas, healthcare, reproductive health, Care No Matter What Act, Planned Parenthood, maternal mortality, teen pregnancy, funding cuts, community health
Summary:
The meeting addressed critical health care concerns in Texas, highlighting the consequences of funding cuts on access to reproductive health services. Key speakers emphasized the urgent need for the Care No Matter What Act, which aims to restore funding to healthcare providers like Planned Parenthood. They underscored the alarming statistics of maternal mortality and the rising rates of teen pregnancies, particularly in Black and Latina communities. Testimonies shared during the meeting illustrated the real-life impacts of healthcare access issues on individuals and families across the state, illustrating the necessity for legislative action to ensure comprehensive reproductive health services.
TX
Texas 89th 2nd C.S.
Press Conference: C.A.R.E. No Matter What Bill Rollout Mar 4th, 2025
Transcript Highlights:
- Texans need access to birth control, cancer screenings, and STI testing, not more barriers.
- Resulting in a complete lack, complete lack of emergency and inpatient services for affected communities
- STI testing and screening, cancer screening, prevention methods for diabetes treatment, pregnancy counseling
- And cancer screenings. Many rural Texans have to travel. Uh, uh Pardon me.
- Texas leaders have made it hard for people to get birth control, cancer screenings, and basic health
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, November 17, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Following her active duty service, Ms.
- Following her active duty service, Ms.
- Following her active duty service, Ms.
- Following her active duty service, Ms.
- Following her active duty service, Ms.
TX
Transcript Highlights:
- Vocational training and chapel services.
- preceding year be screened for depression at specific intervals.
- In the screening timeline, it, it establishes a comprehensive screening schedule once each trimester
- This screen doesn't show you registered, but OK, we got it now.
- These measures prioritize victims and enhance the safety within the essential healthcare services.
MN
Minnesota 2025-2026 Regular Session
House Transportation Finance and Policy Committee 2/25/26
Transportation Finance and Policy
Transcript Highlights:
- He said he drives a Lincoln and it has a big screen; the new one has a screen all the way around the
- Is there this or my screen till I stop.
- . screen. screen.
- a community assigning community service a community assigning community service to<01:04:32.640>
- from them nor assign a community service from them nor assign a community service punishment. punishment
Keywords:
cancer, disability, parking certificates, transportation, state law, school bus, schoolchildren, student safety, traffic safety, stop arm, flashing red lights, amber lights, passing a school bus, 20 feet, vehicle stopping distance, driver duties, school transportation, Minnesota traffic law, school bus law, bus stop signal
FL
Florida 2025 Regular Session
March 4, 2025 - 01:30 PM
Transcript Highlights:
- And what this does is allow all level two background screening.
- And what this does is allow all level two background screening.
- That are in our state that need background screening and keep them in one spot.
- We have been doing Level 2 background check screens since June.
- And if it's $100 for a background screening, then it's $100 for a background screening.
Summary:
The Health Care Facilities and System Subcommittee met and heard three bills, all of which passed favorably. HB 229 by Rep. Oliver would update the Health Facilities Authority Act to reflect modern health system structures, allowing not-for-profit LLCs and not-for-profit parent corporations of health systems to use the financing authority, and clarifying that authorities may use loan agreements as well as lease financing. An amendment narrowing and clarifying the not-for-profit definition was adopted without objection. AdventHealth testified in support, and the bill passed 17-0.
The committee then heard HB 527 by Rep. Trabulsi, which creates a public records exemption for current and former AHCA personnel who investigate complaints, Medicaid fraud, abuse, waste, or inspect licensed health facilities. The sponsor said the exemption is intended to protect investigators and their families from retaliation. There was no public testimony, and members discussed balancing transparency with safety. The bill passed 17-0.
Finally, the committee heard HB 431 by Rep. Trabulsi, which extends by one year the requirement for athletic coaches and similar youth sports volunteers to complete Level 2 background screening through AHCA’s clearinghouse, with the sponsor saying the delay would give the system time to expand and reduce costs over time. Public testimony from youth sports organizations supported the goal of screening but raised concerns about cost, implementation details, and age thresholds for screening. Members generally supported the bill as a child-safety measure, and it also passed 17-0. The meeting then adjourned.
FL
Florida 2026 5th Special Session
Health Policy Oct 7th, 2025
Transcript Highlights:
- The Screening and Services Grant Program, also known as the Sanadi Grant Program, awards funding to nonprofit
- entities to implement new health care screening or service programs, or to expand existing programs
- Grant funding is intended to be used on screenings, referrals for treatment, and related services for
- , provides information on screenings and services that are available for no or reduced cost and is not
- limited to the screenings and services that are directly supported by the Sanadi Grant Program.
Summary:
The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook.
Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates.
The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.
ND
North Dakota 2026 1st Special Session
Tax Reform and Relief Advisory Property Tax Div. Jun 24th, 2026 at 09:00 am
Transcript Highlights:
- It is the school relief and then it is also the social services or human services relief.
- All right, so I'm assuming I can share my screen. Yes, you can go ahead and share your screen.
- screen and can hear me.
- I wonder if I can share my screen. I didn't really... ...can share my screen.
- We did not always levy the full amount for our social services zone, human services zone.
Summary:
The subcommittee of the Tax Reform and Relief Committee met with a quorum to begin its study of whether the content of North Dakota real estate tax statements should be revised to improve transparency. Legislative Council staff reviewed the background for the study, including House Bill 1176, current statutory requirements for tax statements, and recent changes such as separate line items for bonded debt, primary residence credit, and legacy fund-related amounts. The Tax Department then explained the current statement format and noted that the form is prescribed and approved by the tax commissioner, with changes typically driven by statute and implemented collaboratively with counties and vendors.
County officials from the North Dakota Association of Counties described the full annual process for preparing budgets, setting levies, calculating taxable values, and issuing notices and tax statements. They said counties spend significant time coordinating with taxing districts, neighboring counties, and software vendors, and that the new budget hearing notices and valuation notices have not generated much public response. Members raised concerns about the usefulness and clarity of certain line items, especially the legislative tax relief calculation and the primary residence credit, and discussed whether the current statement creates confusion rather than transparency. Testimony also addressed the 3% cap, mill levy worksheets, assessment cycles, and the role of county auditors and tax directors in maintaining accurate values.
The committee also heard from software vendors CPT and Tyler Technologies about how legislative changes are programmed into tax systems and how online taxpayer portals can provide more detailed breakdowns of tax bills. Vendors said changes required by law are generally absorbed in contracts rather than billed directly to counties, and they demonstrated web tools and pie-chart style breakdowns that show where tax dollars go. NDACO presented a survey of eight counties estimating tax statement preparation and mailing costs, concluding that outsourced printing tends to be cheaper on average and that total statewide tax statement costs may be roughly $600,000, though the estimate was based on limited data. No votes were taken; the meeting was informational and focused on gathering testimony and identifying issues for possible future recommendations or bill drafts.
HI
Transcript Highlights:
- <00:05:33.319>
providing Department of Human Services providing Department of Human Services - 189 relating to breast cancer screening 189 relating to breast cancer screening first<00:25:52.919
- <00:26:56.399>
across about close to 34,000 screenings across about close to 34,000 screenings - <00:30:06.159>
the the cost of additional screening the the cost of additional screening the - if you're getting people screenings if you're getting people screenings early<00:33:19.960>
on
Summary:
The committee opened its first hearing of the 2025 session with procedural instructions about testimony limits, Zoom participation, written testimony, and a reconvening date if needed. It then heard SB 200 on speedy trials. The Office of the Public Defender opposed the bill, arguing it could create conflicts of interest for prosecutors, potentially make victims or witnesses quasi-parties to criminal cases, force traumatizing testimony on continuance motions, and unfairly delay trials for in-custody defendants. A World Care representative supported the bill and urged broader protections for minors, disabled people, and seniors. The chair also pressed the public defender to suggest improvements, emphasizing that the bill was driven by victims and families. No vote or final action was taken on SB 200.
The committee next took up SB 8 on jury duty exemptions for health professionals. Testimony was strongly supportive from nurses, physicians, and disability advocates, who said APRNs and other nurses are in short supply and that jury service can disrupt patient care, especially in rural and neighbor island areas. One witness suggested expanding the exemption to include registered nurses as well as APRNs, while a senator raised concerns about blanket exemptions for non-practicing APRNs and suggested a time limit. The bill remained under discussion with no final action reported.
The committee then heard SB 144 on chiropractic, with the state chiropractic board offering comments and the Hawaii State Chiropractic Association supporting the measure as a way to address workforce shortages and provide students more hands-on clinical experience. A World Care witness also supported the bill after clarifying her remarks. The chair then moved to SB 107 on medical informed consent, where the Hawaii Medical Board opposed the bill and the Healthcare Association of Hawaii and Queen’s Health System offered comments, citing concerns about duplicative standards. A support witness proposed expanding the bill to better address combined mental and physical health conditions. Finally, SB 189 on breast cancer screening drew support from the Hawaii Medical Association, Hawaii Radiological Society, Queen’s Health Systems, and others, while the Insurance Division raised concerns about possible insurance mandate defrayment and the need for a sunrise analysis. Senators also asked about local demographic data and coverage impacts; the chair indicated decision-making would be deferred to another day.
FL
Florida 2026 5th Special Session
Banking and Insurance Feb 4th, 2026
Transcript Highlights:
- So there has been no prior agreed-upon amount with regard to services, if that makes sense.
- services in a timely manner.
- , including mammogram screenings based on a licensed physician recommendation.
- , including mammogram screenings based on a licensed physician recommendation.
- Scott Jenkins, American Financial Services Association, waiving in support.
Summary:
The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support.
The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted.
Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, June 9, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- However, Sam's service to his country did not stop when he returned from World War II.
- This is a long-overdue improvement to Amtrak's service. Mr.
- THIS IS A LONG OVERDUE IMPROVEMENT TO AMTRAK'S SERVICE. MR.
- Health and Human Services has lost a quarter of its workforce.
- SCREENING PROGRAMS MAY BE DETECTING WHAT OTHERWISE MIGHT BE A SILENT DISEASE.