Transcript Highlights:

• and Californians need a reliable connection to be able to dial 911. to receive emergency alerts, evacuation
• for customers impacted by the fires or emergency situations who are seeking shelter, sometimes in evacuation

Keywords: 988, house, all

Transcript Highlights:

• Larry's videos, which started during the evacuation with flames still raging along the highway, evolved

Keywords: 987, senate, all

Transcript Highlights:

• Department of Transportation and the Hawaii Emergency Management Agency, to develop and implement an evacuation

Keywords: 912, senate, all

Summary: The joint committees on Public Safety and Military Affairs and Energy and Intergovernmental Affairs met on March 28, 2025, to hear testimony on SCR 24, with a proposed SD1 that would also change the title to urge the U.S. Department of Defense to keep all references to the 442nd Regimental Combat Team on its public website. Testimony was unanimously in support from veterans’ groups, civil rights organizations, and individual supporters, including Nisei Veterans Legacy, the Daniel K. Inouye Institute, the Hawaii Military Affairs Council, the Hawaii Coalition for Civil Rights, and the 100th Infantry Battalion Veterans Club. A senator also voiced strong support, saying the resolution addressed fairness and recognition of nonwhite service members. The committee then discussed STR 96 and SR 79, which urge Maui County, the Maui Emergency Management Agency, the Department of Transportation, and the Hawaii Emergency Management Agency to develop and implement an evacuation route signage program for Maui. There was no testimony on these measures. Members indicated that, consistent with committee practice, the measures would be deferred because of the lack of testimony. For SCR 24, the committee recommended passage with amendments, adopting the proposed SD1 and adding references to the 100th Infantry Battalion after each mention of the 442nd. The committee then took votes and adopted the recommendation. For STR 96 and SR 79, the committees deferred decision-making, with the Public Safety and Military Affairs committee agreeing to the deferral.

Transcript Highlights:

• Chairman, just a procedural item on the agenda was the approval of the January 2026 agenda.
• Clear procedures, coordination, crisis management, and planning was really stressed, too, when we heard
• Just with my SROs, what we do here every day is emergency procedures, lockdown drills, fire evacuation
• Policies, procedures, and they know the law and what we can and can't do.
• Policies and procedures where they have training, they have understanding, they know the laws, but they

Keywords: 916, all

Transcript Highlights:

• procedural perfection? procedural perfection?
• Second, the bill addresses procedural issues in 27805 subdivision 6.
• Over time, subdivision 6 has evolved into a strict procedural requirement that can end a case before
• requirement that can strict procedural requirement that can end<01:57:10.960> a<01:57:11.199>
• or the procedural technicalities or the prevailing<01:57:42.560> party<01:57:42.960> in

Keywords: 1187, senate, all

Transcript Highlights:

• We need to make sure our procedural process worked correctly.
• We need to make sure our procedural process worked correctly.
• Rules of Civil Procedure are very clear in 4.9.
• We are required by law... ...of evidence and procedure are no longer relaxed.
• And it's a new trial, except now the rules of evidence and procedure are strict.

Bills: HR2, HR37, HR61, HCR11, HCR64, HB89, HB183, HB341, HB371, HB451, HB480, HB520, HB541, HB579, HB597, HB816, HB1004, HB1064, HB1165, SB44

Keywords: transparency, accountability, Justice Department, FBI, Jeffrey Epstein, victim protection, investigation, public trust, HR37, House Resolution 37, Honduras veterans, Armed Forces Expeditionary Medal, military medal, veteran recognition, Congress memorialization, U.S. veterans, foreign deployment, 1981 to 1992, military service awards, combat support

Summary: The committee met with a quorum and took up a long agenda of judiciary-related bills and resolutions. It first considered HB 1165, which was substantially rewritten by substitute to create the City Courts of Marksville and Bunkie and expand their jurisdiction parishwide in Avoyelles Parish, including small claims and certain misdemeanor, civil, and juvenile matters. Supporters, including judges, said the change would improve access to justice and better use existing courts; the district attorney opposed it, arguing it would not help the criminal docket and raised constitutional, staffing, and election concerns. After questions about voting districts, appeals, and minority vote dilution, the substitute was reported favorably. The committee also reported favorably HB 1064, creating a domestic violence intervention court pilot program in the 19th JDC, and HB 341, clarifying that law-enforcement officer interrogations under the bill of rights are administrative rather than criminal matters; both drew supportive testimony from court, advocacy, and law-enforcement representatives. The committee then approved HCR 64, as amended, to study behavioral health courts and expand the study to Ouachita, East Baton Rouge, and Orleans parishes, with a report due by January 1, 2027. It also reported favorably HB 579, which strengthens the sexual assault survivor bill of rights and related protections, with testimony emphasizing survivor services and access to funding. HB 1004, which would have raised the jurisdictional limit for justice of the peace courts from $5,000 to $7,500, drew substantial opposition from city court judges and others who warned of unintended consequences, including inconsistent procedures, possible attorney-representation requirements for entities, and more appeals; after debate the bill failed on a roll call vote, 5 yeas to 11 nays. Later, the committee reported favorably HB 451, allowing the Alcohol and Tobacco Control commissioner to send hearing notices electronically and removing the 30-day mailing constraint; HB 541, as a substitute, allowing in-state microdistillers producing under 100 gallons to obtain a permit for a $100 fee; HB 183, prohibiting courthouse cellphone bans in areas where fines, fees, or court costs are paid, though it faced concerns about legislative authority over local courthouses and ultimately failed on a 7-8 vote; SB 44, requiring agency approval for firearms and ammunition carried by tactical medical professionals; HR 37, memorializing Congress to award the Armed Forces Expeditionary Medal to veterans who served in Honduras from 1981 to 1992; and HB 89, requiring the Third Judicial District DA’s office to pay health insurance premiums for eligible retired employees from its own funds. Several other items were voluntarily deferred, and the meeting ended after the committee completed its agenda.

Transcript Highlights:

• We need to make sure our procedural process worked correctly.
• We need to make sure our procedural process worked correctly.
• Basically, as the gentleman said, the rules of evidence and procedure are relaxed.
• We are required by law... ...of evidence and procedure are no longer relaxed.
• And it's a new trial, except now the rules of evidence and procedure are strict.

Bills: HR2, HR37, HR61, HCR11, HCR64, HB89, HB183, HB341, HB371, HB451, HB480, HB520, HB541, HB579, HB597, HB816, HB1004, HB1064, HB1165, SB44

Keywords: transparency, accountability, Justice Department, FBI, Jeffrey Epstein, victim protection, investigation, public trust, HR37, House Resolution 37, Honduras veterans, Armed Forces Expeditionary Medal, military medal, veteran recognition, Congress memorialization, U.S. veterans, foreign deployment, 1981 to 1992, military service awards, combat support

Summary: The committee met with a quorum and first took up House Bill 1165, which was converted into a substitute bill to reorganize the Avoyelles Parish court system by creating two city courts, one for Marksville and one for Bunkie, and expanding their jurisdiction parishwide, including small claims and certain misdemeanor, civil, and juvenile matters. The sponsor and supporting judges said the change would better use existing courts and improve access to justice, while the district attorney opposed it, arguing it would not help the criminal docket, could create staffing and constitutional issues, and needed more study. After questions about voting districts, appellate procedure, and minority vote dilution, the committee adopted the substitute and reported the bill favorably. The committee then heard House Bill 1064 creating a domestic violence intervention court pilot program in the 19th Judicial District, with testimony from the Criminal Justice Coordinating Council and the YWCA describing a specialty court model focused on accountability, victim services, and wraparound support. The bill was reported favorably. House Bill 341, clarifying law enforcement officer rights during administrative investigations, was amended to specify administrative matters and reported with amendments. House Concurrent Resolution 64, as amended, expanded a study of behavioral health courts to include additional parishes and a later reporting deadline, and was reported favorably. House Bill 579, the sexual assault survivor bill of rights, was amended to strengthen notice, confidentiality, and funding provisions and then reported favorably. Later, House Bill 1004, which would have raised the jurisdictional threshold for justice of the peace courts from $5,000 to $7,500, drew significant opposition from city court judges who warned of unintended consequences, including different evidentiary standards, possible attorney-representation issues for entities, and added burdens on district courts. Supporters framed it as an inflation adjustment and access-to-justice measure, but after debate the committee voted 5-11 to defer the bill. House Bill 183, limiting courthouse cell phone bans in fee-payment areas, was amended and then failed on a 7-7 tie with the chair voting no. The committee also reported favorably House Bill 451 on ATC hearing notices, House Bill 541 on micro distillers via substitute, Senate Bill 44 on tactical medical professionals’ firearms, House Resolution 37 honoring veterans who served in Honduras, and House Bill 89 requiring a district attorney office to pay certain retirees’ health premiums from its own funds. Several other bills were voluntarily deferred, and the meeting ended with a motion to adjourn.

Transcript Highlights:

• Right now, there's no clear timeline or procedure for them to do that.
• But we are talking about criminal procedure.
• That is current 9-0-Lewisiana Code of Criminal Procedure in 905.5.
• I know the proponents discussed it as a procedural mechanism.
• We already have procedures, all right?

Bills: HB91, HB123, HB167, HB255, HB264, HB321, HB884, HB955, HB967, HB968, HB969, HB978, HB985, HB994, HB1005, HB1104, HB1107, HB1109, SCR3

Keywords: criminal procedure, disclosure, criminal records, witness protection, trial rights, electronic monitoring, GPS ankle monitor, ankle bracelet, pretrial release, post-conviction supervision, bail monitoring, house arrest, corrections, criminal justice, law enforcement, prosecuting authority, court reporting, provider registration, LCLE, Louisiana Commission on Law Enforcement and Administration of Criminal Justice

Summary: The committee first handled housekeeping by voluntarily deferring HB 123, HB 255, and HB 994 without objection. It then took up SCR 3 by Sen. Myers, which sought to delay implementation of a State Police rule change affecting criminal history background checks for certain health care workers and authorized agents until October 1, 2026, to avoid hiring delays. An amendment was adopted to remove language authorizing parish and local law enforcement to perform checks during the interim. After testimony from health care stakeholders who supported the delay, SCR 3 as amended was reported favorably. The committee next considered HB 978 by Rep. Lecombe, which as amended changed the bill from a town-of-Addis-specific exception to a broader adjustment in the population threshold for municipalities required to remit special costs to the district indigent defender fund, raising the threshold from under 5,000 to under 9,000 population. Supporters said the change would relieve small mayor’s courts and similar local courts of a $45-per-violation burden that was not well suited to those systems. The bill drew support from local officials and was reported favorably as amended. HB 967 by Rep. Moore, which would have expanded parole eligibility for certain long-serving offenders convicted before July 2, 1973 by removing language limiting eligibility to those who had pleaded guilty, generated extensive debate. Supporters argued the bill would only allow elderly prisoners to be considered by the parole board and would not guarantee release, while opponents, including district attorneys and the Department of Public Safety and Corrections, argued the 2022 law already covered those who pled guilty and that the bill would extend relief to people convicted at trial of serious violent crimes. After discussion, the motion to report HB 967 favorably failed on an 8-3 vote. The committee then heard HB 1107 by Rep. Melancon, a post-conviction procedure bill for capital cases involving claims of intellectual disability. The bill, as amended, raised the burden of proof to clear and convincing evidence, required expert reports and IQ information, applied Daubert-style reliability screening, and clarified that it only applies in death penalty cases. Supporters from the Attorney General’s office and district attorneys said the bill would create a clearer procedure and speed resolution of Atkins claims; opponents from disability-rights, criminal defense, and medical groups argued it would replace clinical standards with a rigid statutory definition, rely too heavily on a 75 IQ cutoff, and risk excluding people with genuine intellectual disabilities. Testimony continued through the end of the transcript, with no final committee vote shown on HB 1107.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• 46:09.280> that hearings and things that follow that hearings and things that follow that procedure
• 10.640> saying<00:46:10.800> that<00:46:11.040> is<00:46:11.280> there procedure
• I'm just saying that is there procedure.

Bills: HB348, HB106, HB347, HB54, SB118, SB167, SB195, HB260, HB263, HB328, HB348, HB106, HB347, HB54, SB118, SB167, SB195, HB260, HB263, HB328

Keywords: bail reform, illegal aliens, violent offenses, pretrial detention, flight risk, court hearings, doxing, personal identifying information, harassment, online safety, law enforcement, public servants, penalties, consumer protection, illicit material, private rights, digital privacy, nonconsensual distribution, incarceration, pregnancy

Transcript Highlights:

• Municipalities already have a procedure for implementing the tax.
• Senate Bill 148 adds additional requirements to that procedure, which could result in increased tax cost
• Municipalities already<00:52:20.720> have<00:52:20.800> a<00:52:20.960> procedure
• ><00:52:21.359> for already have a procedure for already have a procedure for implementing<00:
• which could result in procedure which could result in increased<00:52:30.079> tax<00:52:30.400

Bills: SB23, SB71, SB105, SB109, SB115, SB131, SB148, SB165

Keywords: law enforcement, taser, restrained individuals, police procedures, civil rights, income tax, tax exemption, Alabama tax code, Section 40-18-3, civilian employees, Department of Defense, DoD, Armed Forces, military pay, combat zone, deployment, National Guard, Reserve components, emergency response, federal employees

Transcript Highlights:

• addressing military sexual trauma, providing support through advocacy, and developing targeted policies, procedures

Bills: SB124, SB201, SB275, SB410, SB478, SB607, SB610, SB611, SB654, SB702, SB787, SB831, SB892

Keywords: Department of Veterans Affairs, disciplinary procedures, accountability, personnel actions, whistleblower protection, cancer, military, aircrew, veterans, health study, toxins, morbidity, mortality, service members, mental health, community care, accessibility, treatment programs, substance abuse, appointments

Summary: During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.

Transcript Highlights:

• our Police Chief, Volunteer Fire Chief, and all Councilmembers, and we were to go door-to-door to evacuate

Transcript Highlights:

• Aurora is in the green, ready to evacuate. A lot of these members that work there are living there.

Transcript Highlights:

• So, once again, DEIA is making sure that wildfire evacuation notices are being delivered in a timely

Summary: The Governmental Organization Committee met as a subcommittee because it initially lacked a quorum, then later established quorum and heard several bills. AB 445 by Majority Leader Aguiar-Curry would grant Colusa County 10 on-sale liquor licenses to address a long-standing shortage and support local economic development; the author said she would accept committee amendments. The bill was later approved on a due-pass-as-amended motion to Appropriations, with the roll held open for absent members before additional aye votes were added. AB 766 by Assemblymember Sharp-Collins would require state agencies and departments to conduct an equity analysis before implementing budgets or regulations, with the review performed by a DEIA coordinator or qualified equivalent. Supporters, including a college administrator and a nursing instructor, argued the bill would protect diversity, equity, inclusion, and access efforts and help address systemic barriers in education and health care. The committee voted 13-? on the measure after a due-pass motion to Appropriations, with the roll held open and later additional aye votes recorded. AB 971 by Assemblymember Alvarez would facilitate transfer of about 3.83 acres of city-owned land in San Diego to the San Pasqual Band of Mission Indians, contingent on affirmative action by the City of San Diego. The author and tribal witnesses described the bill as a step toward correcting historical injustices and reopening a currently closed park as a tribal-operated historical park and museum. The measure passed on a due-pass motion to Appropriations, again with the roll held open for absent members before additional votes were added.

Transcript Highlights:

• focuses on practicing<01:36:15.600> protective<01:36:16.159> actions,<01:36:16.719> evacuate
• , practicing protective actions, evacuate, practicing protective actions, evacuate, secure,<01:36
• actions within modern emergency response frameworks,<01:37:00.239> including<01:37:00.719> evacuation
• ,<01:37:01.440> secure frameworks, including evacuation, secure frameworks, including evacuation

Bills: HF3698, HF3067, HF3730

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, paraprofessional, paraprofessional qualifications, education support staff, teacher aide, teacher assistant, special education, Title I, federal personnel qualifications, Minnesota Department of Education, school district, charter school, cooperative unit, Read Act, reading instruction, math instruction

Transcript Highlights:

• Pastor Neil serves as the chairperson of the committee that handles evacuations, housing, and feeding
• House Bill 1039, by Representative Dustin Miller, relates to local sales and use tax audit procedures
• Certain parishes and municipalities to expropriate by declaration of taking, provide for procedures,
• You go through all the procedures. You go all the way to the checkout.
• And as a limited second thing, it has a limited procedural mechanism for the garnishee.

Bills: HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, HR223, HR224, HR225, HR226, HR227, HR229, HR230, HR231, HR232, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, SCR31, SCR33, SCR35, SCR37, SCR56, SCR57, SB171, SB251, SB252, SB353, SB367, SB433, SB461, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, HB66, HB153, HB165, HB326, HB387, HB454, HB455, HB484, HB513, HB603, HB660, HB719, HB762, HB766, HB793, HB802, HB816, HB833, HB940, HB947, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SCR2, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, SB233, SB326, HR171, HCR49, HCR65, HCR72, HR37, HCR64, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB89, HB341, HB451, HB456, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1191, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, HCR32, HB955, HB284, HB617, HB730, HB926, HB1125, HB1194, HB1203, HB798, HB998, HB1084, HB1223, HB646, HB824, HB901, HB79, HR20, HR74, HB59, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1234, HB1240, SB89, SB68, SB149

Keywords: disclosure, local law, public notice, legislative transparency, Artists at the Capitol Day, art education, Louisiana Art Education Association, recognition, community engagement, House Resolution 247, HR247, Laura Lewis, birthday commendation, 104th birthday, centenarian, longevity, St. James Parish, Louisiana House of Representatives, Mount Calvary Baptist Church, ceremonial resolution

Summary: The House convened with a quorum, heard a prayer from Pastor Neil Bernard of New Wine Christian Center, and recognized a number of visiting groups and observances, including AMI Kids, Mother’s Day, the Hungarian Settlement Cultural Association, Pro-Life Day at the Capitol, the American Cancer Society and Cancer Action Network, Municipal Day for the Louisiana Municipal Association, Recreation and Parks Association Day, St. John Day, Hoopla basketball activities, Main Street program participants, Leadership North Shore, the Lack of Seeing High School basketball team, Literacy Champion recognition, Orleans Parish Sheriff Michelle Woodford, and LACE Day for chamber executives. Majority Leader Steve Scalise also addressed the chamber, praising recent economic investment in Louisiana, coastal restoration funding, and the state’s improved national reputation. The House received Senate messages and Legislative Bureau reports on numerous Senate bills, many of which were referred to committee or laid over, and several House and Senate resolutions were introduced or adopted, largely commemorative or study-related measures. The chamber then took up several House bills in regular order. HB 89, concerning district attorney retiree health insurance coverage in the Third Judicial District, was amended and passed 87-5. HB 451, dealing with ATC notice procedures, passed 98-0 after technical amendments. HB 456, revising workers’ compensation petition requirements and allowing employers broader access to disputed claims, drew extended debate over whether it would burden injured workers; it passed 67-30. HB 579, expanding the Sexual Assault Survivor Bill of Rights and related confidentiality and complaint provisions, passed 98-0. HB 595, requiring local authorities to respond timely to permit-related matters affecting natural resource development, passed 92-3. HB 621, requiring recycling of decommissioned renewable energy components and updating waste rules, passed 99-0. HB 818, requiring school systems to publish annual assessment schedules and related testing information, passed 98-0. Additional bills considered included HB 841, creating a code of conduct for landmen negotiating pipeline easements and authorizing penalties for bad-faith conduct, which passed 98-0; HB 1060, establishing a two-year domestic violence intervention court pilot program in the 19th Judicial District with coordinated services and data collection, which passed 86-13; and HB 1101, a workers’ compensation measure defining maximum medical improvement, adjusting benefit durations, and addressing misrepresentation and fraud, which was under debate at the end of the excerpt. Throughout the floor session, members repeatedly emphasized that the bills were intended to clarify procedures, improve transparency, or address public safety and economic development, while opponents of some measures raised concerns about added burdens on workers or injured claimants.

Transcript Highlights:

• hospitals, one is like it's not easy when you're attached to 100 machines to like just run out and evacuate
• 100 machines to like just run<00:42:35.599> out<00:42:35.839> and<00:42:36.079> evacuate
• I<00:42:37.520> mean,<00:42:37.680> there's<00:42:37.920> a run out and evacuate
• I mean, there's a run out and evacuate.

Keywords: 1189, house, all

Transcript Highlights:

• been a major concern, we do have some one-offs, right, where we do have to do some last-minute evacuations
• It also limits agency authority and discretion and replaces it instead with rigid procedural requirements
• It also limits agency authority and discretion and replaces it instead with rigid procedural requirements
• It also limits agency authority and discretion and replaces it instead with rigid procedural requirements
• But we have changed our procedures to be more responsive to families.

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening