Video & Transcript Research : 'declining enrollment'
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MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 4/8/26
Health Finance and Policy
Transcript Highlights:
- insurance claims, enrollment insurance claims, enrollment information,<01:08:13.680>
and < - um monthly enroles in the medical assistance<01:19:14.960>
program. - <01:35:21.440>
So <01:35:21.679>effective certain Medicaid enrolles. - So effective certain Medicaid enrolles.
- <01:37:36.320>
and communicating with those enrolles and communicating with those enrolles
Keywords:
infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy
FL
Florida 2025 Regular Session
October 8, 2025 - 10:30 AM
Transcript Highlights:
- Not just a touch upon some of the eligibility and enrollment provisions.
- We already have processes in place to kind of to make sure that we're not enrolling.
- Delta billion enrollment and Medicare Savings Program.
- Met from from the water being enrolled in the Medicaid program.
- And if you've declined.
LA
Transcript Highlights:
- It went up, enrollment went up every year until the pandemic.
- Senate was hit by back-to-back Category 3 hurricanes, 2.5 on one, and that resulted in some enrollment
- She had to decline the job. ...she would be removed from most of her benefits.
- She had to decline the job.
- Currently, a little over 50% of Louisiana high school graduates are enrolling in college immediately
Keywords:
HR171, House Resolution 171, M.J. Foster Promise Program, TOPS-Tech, TOPS Tech Award, Board of Regents, Louisiana Works, Louisiana Community and Technical College System, LCATCS, financial aid, scholarship, workforce development, career training, technical education, vocational education, postsecondary credential, associate degree, industry-based credential, high-demand jobs, high-wage occupations
HI
Transcript Highlights:
- Council revenues projected major declines from 6.4% in fiscal year 25.
- 00.920>
projected <00:02:01.680>major revenues projected major revenues projected major declines - retire who may be<00:24:59.200>
employed <00:25:00.159>without <00:25:00.520>re-enrollment - <00:25:01.240>
in <00:25:01.399>the be employed without re-enrollment in the be employed - without re-enrollment in the ERS<00:25:03.799>
and <00:25:04.720>perfecting <00:25:05.159
Summary:
The committee met in decision-making only and first took up HB 300, the Senate majority budget package. The chair described the bill as a response to economic uncertainty and reduced revenue forecasts, and outlined a wide range of appropriations and staffing changes across state agencies, including agriculture, education, health, public safety, housing, labor, natural resources, and corrections. The package emphasized one-year funding for many new programs, vacancy reductions, and investments in services such as preschool, mental health, wildfire mitigation, cybersecurity, public access, and workforce development. HB 300 was recommended to pass with amendments and was adopted unanimously, with members voting yes and no reservations noted only as procedural responses.
The committee then acted on HB 794 and HB 795, both recommended to pass with amendments by changing the defective date to 2050; both measures were adopted without discussion. On the 101 agenda, HB 400, the Judiciary budget bill, was recommended to pass with amendments. The bill included vacancy reductions, security funding, permanent staffing for several court and justice programs, and support for civil legal services, immigration-related services, and technology licenses. HB 400 was adopted. HB 410 was also adopted with amendments and a defective date change to 2050.
On the 102 agenda, the committee passed several bills either unamended or with targeted amendments. HB 3, HB 134, HB 177, HB 237, HB 648, HB 713, HB 735, HB 1391, and HB 1462 were passed unamended. HB 214 passed with amendments expanding eligibility for retired employees to fill labor-shortage or succession-planning positions, including certain management positions excluded from collective bargaining; one member raised concerns about school resource officers and community fit, which the chair said could be addressed in the committee report. HB 441 passed with amendments to direct cigarette tax funds to the Hawaii Cancer Research Special Fund, with a discussion about whether e-cigarettes should be included. Other measures passed with amendments included HB 448, HB 667, HB 727, HB 740, HB 806, HB 1020, HB 1345, and HB 1365, generally involving date changes, blank appropriations, or technical language. HB 1391 was adopted with a reservation from Senator Kim. The meeting concluded with HB 1462 adopted unamended.
CA
Transcript Highlights:
- I'm concerned about the enrollment increases and decreases.
- given to the differences depending on whether or not on different parts of the state as to the enrollment
- , I am aware and cognizant that there is growth—excuse me—that's unfunded in some areas and also declining
- enrollment in other community colleges, and that's something that we need to look at. will be discussing
- We see enrollment growth and high demand in some institutions, decline in others, and so I think we want
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (04/25/2025)
Transcript Highlights:
- so far, 10 of which have have enrolled so far, 10 of which have have been<00:31:10.880>
released< - We've had five people enrolled center. We've had five people enrolled so<00:32:23.840>
far. - in the members meaning pe enrolles in the program<01:08:44.159>
to <01:08:44.960>to <01 - Unfortunately, we do see a concerning decline for dentists, where there was a net loss of 8%. Okay.
- >
dentists <01:52:52.719>where concerning decline for dentists where concerning decline
Summary:
The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26.
The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center.
Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.
WY
Wyoming 2026 Regular Session
Select Committee on School Finance Recalibration, June 25, 2026 - AM
Select Committee on School Finance Recalibration
Transcript Highlights:
- Uh, the second thing I wanted to mention is that there is a myth about attention spans declining, and
- So, is technology truly deteriorating and declining our test scores in WTOP? It is not.
- We support school information system and online enrollment.
- Power School online information system enrollment is $18,000.
- So I think it's $8,000-ish for the SIS and about $10,000 for the online enrollment. Those..."
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Education (10-14-25)
Transcript Highlights:
- <00:08:51.839>
in benefits and by lowering enrollment in benefits and by lowering enrollment - prrated based on how their enrollment prrated based on how their enrollment intensity.<00:25:35.200
- The enrollment statistics have changed significantly.
- The enrollment statistics have changed significantly.
- seen double digit growth in enrollment seen double digit growth in enrollment as<01:43:51.440>
Keywords:
Call to Order and Roll Call: 0:00:00
Approval of Minutes: 0:01:45
Federal Education Updates 0:02:12
Dual Credit Updates: 0:43:38
Kentucky State University's Doctoral Program Request: 01:27:08
Postsecondary Accreditation: 1:49:05
Consideration of Referred Administrative Regulations: 2:14:48
Adjournment 2:16:31, 958, all
Summary:
The committee met with a quorum, approved the previous meeting minutes, and heard a presentation from Austin Reid of the National Conference of State Legislatures on education-related provisions in the federal One Big Beautiful Bill Act (H.R. 1). Reid said the law is projected to increase the federal deficit over 10 years, with major savings coming from Medicaid, student loan changes, and SNAP. He focused on how those changes could affect schools, including possible effects on free and reduced-price meal certification, state funding formulas that use SNAP as a proxy for low-income status, and Medicaid-funded school services for students with disabilities.
Reid also outlined the new federal scholarship tax credit, which gives a dollar-for-dollar credit for donations to qualifying scholarship-granting organizations. He said families up to 300% of area median income may benefit, the program begins in 2027, and states must opt in and designate eligible organizations. He noted unresolved questions about whether states can add their own criteria and said Treasury regulations will be important. He also described the expansion of 529 plans to cover more K-12 and postsecondary expenses.
On higher education, Reid explained a new workforce Pell grant option for short-term programs, with states and governors playing a role in determining eligible programs. He said the programs must meet placement, completion, and earnings measures and that implementation is expected to be tight before the July 1, 2026 effective date. He also reviewed student loan changes, including lower institutional loan limits, prorated borrowing for part-time enrollment, new caps on graduate and Parent PLUS loans, and a new earnings-based accountability standard that could make some programs ineligible for student loans if graduates earn too little. No votes were taken beyond approval of the minutes.
VA
Virginia 2026 Regular Session
Virginia Commission to End Hunger May 21st, 2026
Transcript Highlights:
- We are seeing a drop in enrollment in our public school systems as well.
- Because as we've heard earlier, automatic enrollment in SNAP means automatic enrollment in free and reduced
- "Means automatic enrollment in free and reduced meals.
- , which ones are partially enrolled, and which ones are not?
- Because in the not... ...enrolled, which ones are partially enrolled, and which ones are not?
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 3/11/25
Higher Education Finance and Policy
Transcript Highlights:
- We use a two-year FL when we have final enrollment numbers.
- We use a two-year FL when we have final enrollment numbers.
- We use a two-year FL when we have final enrollment numbers.
- <01:32:19.800>
so funding based on actual enrollment so funding based on actual enrollment - actually grew during that time period, and we had others that their enrollment declined slightly.
NH
New Hampshire 2026 Regular Session
House Education Policy and Administration (02/24/2026)
Education Policy and Administration
Transcript Highlights:
- Our enrollment is up 44% since 2019 in our charter schools.
- Our enrollment is up 44% since 2019 in our charter schools.
- Our enrollment is up 44% since 2019 in our charter schools.
- Schools at this time actually still can opt into being an open enrollment school at this moment.
- spending more money on the declining spending more money on the declining population.<04:41:46.400
AL
Alabama 2026 1st Special Session
Alabama House Education Policy Committee Mar 11th, 2026
Education Policy
Transcript Highlights:
- they asked us to put an amendment on, which we did in the Senate, that specifies they have to be enrolled
- they<00:13:15.839>
have <00:13:15.920>to <00:13:16.079>be <00:13:16.240>enrolled - that specifies they have to be enrolled that specifies they have to be enrolled as<00:13:16.959>
- couple of schools, uh, colleges, and I want to let you know that I saw a slippery slope and a huge decline
- I want to let you know that I saw a slippery slope and a huge decline from 1986.
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations May 14th, 2026
Transcript Highlights:
- I respectfully request that you decline its passage from this committee.
- So I would respectfully ask for your declination of favorable passage of this bill, and I'm happy to
- But what I ask you to do is to leave the processes in place that are working since 2013 and decline favorable
- number of initiatives in which we’re working very closely with the K-12 system and through dual enrollment
Summary:
The Senate Labor Committee met on March 14 and adopted the prior minutes. It voluntarily deferred Senate Bill 358, which would have addressed workers’ compensation coverage for independent contractors and sole-proprietor subcontractors. Senator Abraham said the bill would instead be studied to determine whether such workers should be able to buy occupational accident coverage or be required to carry workers’ compensation coverage, particularly where no employees are involved.
The committee then heard House Bill 456, which would expand and clarify workers’ compensation petition requirements and broaden employers’ and payers’ ability to file disputed claims beyond fraud and medical-director appeals to other disputes under the chapter. The bill drew strong support from business groups and strong opposition from injured-worker attorneys, who argued it would revive problems seen in 2012 when employers could sue injured workers without a ripe dispute, burden unrepresented claimants, and increase litigation and administrative costs. Supporters said it would improve access to the courts and help employers investigate questionable claims. After debate, the committee voted 5-1 to report HB 456 favorably, with Senator Barrow voting no.
The committee also heard House Bill 549, which creates the Bayou Growth Opportunity Workforce Program, or Bayou Works, a proposed statewide workforce training grant program aimed at helping employers quickly train workers for specific skill needs. The sponsor and Louisiana Workforce Commission representatives said it would be privately funded, modeled on Michigan’s “Going Pro” program, and coordinated with technical colleges, apprenticeships, internships, and other workforce partners. Members asked about statewide reach, youth pipeline efforts, and timing; the department said implementation would likely begin later next year. The committee reported HB 549 favorably by unanimous consent and then adjourned.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/18/26
Commerce Finance and Policy
Transcript Highlights:
- Enrollment in the small group market continues to decline.
- <00:18:58.559>
in make it harder for people to enroll in make it harder for people to enroll - annual and special open enrollment annual and special open enrollment periods<00:19:17.039>
and - different way about 15% of enrolles different way about 15% of enrolles canceled<00:26:09.840>
reach all of our enrolles. reach all of our enrolles.
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Appropriations & Revenue. (7-1-26)
Appropriations & Revenue
Transcript Highlights:
- <01:02:22.800>
numbers associated cost enrollment numbers associated cost enrollment numbers - ,<01:02:29.720>
you if you your projected enrollments, you if you your projected enrollments - <01:02:53.080>
too cuz we can't project enrollment too cuz we can't project enrollment too - students enrolled may vary. students enrolled may vary.
- CT student enrollment changes. CT student enrollment changes.
Keywords:
Meeting Start 00:00:00
Budget Process 00:02:28
Allotment Process 00:10:30
School Facilities Construction Commission 00:29:10
Role of KDE in School Facilities Funding 00:47:00
Kentucky School Boards Association 01:13:25
Elementary and Secondary School Construction 01:20:40
Perkins V Funding 01:35:32, 958, all
TX
Transcript Highlights:
- Secretary, read the resolution: SCR 54, instructing the enrolling class to come to the podium. of the
- The resolution simply authorizes the enrolling clerk to make technical corrections needed to place language
- with a population of less than a quarter million and have a higher education campus with a student enrollment
- Senate be considered to be in agreement in all respects on Senate Bill 293 and that the bill be so enrolled
- In this resolution and then the bill can be enrolled and sent to the governor by tomorrow afternoon.
Bills:
SJR27, SB7, SB27, SB57, SB66, SB140, SB293, SB413, SB437, SB467, SB506, SB510, SB512, SB571, SB710, SB785, SB800, SB850, SB863, SB865, SB904, SB905, SB973, SB974, SB1191, SB1281, SB1300, SB1362, SB1494, SB1504, SB1522, SB1567, SB1579, SB1580, SB1723, SB1760, SB1838, SB1923, SB1946, SB1957, SB1964, SB2121, SB2167, SB2221, SB2321, SB2368, SB2373, SB2407, SB2431, SB2477, SB2587, SB2615, SB2807, SB2965, SB2986, SB3039, SB3047, SB3070, SB1, SB8, SB12, SB13, SB15, SB17, SB21, SB30, SB37, SB260, SB268, SB331, SB379, SB441, SB447, SB457, SB509, SB568, SB650, SB763, SB1198, SB1405, SB1506, SB1540, SB1566, SB1610, SB1637, SB1660, SB1833, SB2018, SB2024, SB2155, SB2217, SB2308, SB2337, SB2601, SB2753, SB2778, SB2878, SB2900, SB2972, SB3059, HB4, HB145, HB300, HB493, HB2011, HB2067, HB2516, HB2525, HB2885, HB2974, HB3071, HB3372, HB3556, HB3595, HB5138, HB5246, HB40, HB46, HB119, HB705, HB1545, HB2017, HB2963, HB3642, HB3909, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59, SR695, SCR54, HCR153, HCR166, HCR168, SJR27, SB7, SB57, SB66, SB140, SB293, SB413, SB437, SB467, SB506, SB510, SB512, SB571, SB710, SB785, SB800, SB850, SB863, SB865, SB904, SB905, SB973, SB974, SB1191, SB1281, SB1300, SB1362, SB1504, SB1522, SB1567, SB1579, SB1580, SB1723, SB1760, SB1838, SB1923, SB1946, SB1957, SB1964, SB2167, SB2221, SB2321, SB2368, SB2407, SB2477, SB2587, SB2615, SB2807, SB2965, SB2986, SB3039, SB3047, SB3070, HB40, HB119, HB705, HB1545, HB2017, HB2963, HB3642, HB3909, SB17, SB21, SB509, SB1198, SB1506, SB1833, SB2155, SB2601, SB2778, HB300, HB2011
Keywords:
judicial conduct, state commission, judicial misconduct, commission membership, constitutional amendment, water infrastructure, financial assistance, Texas Water Development Board, water supply, environmental sustainability, school safety, emergency operations plan, multihazard plan, mandatory drill, disaster preparedness, emergency response, students with disabilities, impairments, special education, Section 504
NM
Transcript Highlights:
- mind at that moment, I tell people now that as I'm getting older, I have age-appropriate cognitive decline
- focused on school districts right now, but it will have a lot of information for you in terms of enrollment
- Those are usually generated depending on the enrollment of the students themselves.
- I know it makes a big difference in some of the schools around the state regarding their enrollment.
- If they’re still school-aged but do not enroll...
NH
Transcript Highlights:
- A little deviation here with an enrolled bill report adoption.
- The enrolled bill report is adopted.
- enrolled bill report is adopted. Okay. enrolled bill report is adopted. Okay.
- I also rise in opposition to declining access to health care in New Hampshire.
- <02:09:33.119>
to opposition to declining access to opposition to declining access to healthcare
KY
Kentucky 2026 Regular Session
House Budget Review Subcommittee on Primary & Secondary Education & Workforce Development (2-3-26)
Transcript Highlights:
- the $70 million to local districts, with 60% being allocated on a weighted full-time equivalent enrollment
- c><00:04:40.800>
and <00:04:41.040>as <00:04:41.440>illustrated equivalent enrollment - and as illustrated equivalent enrollment and as illustrated on<00:04:42.240>
the <00:04:42.560 - <00:31:42.559>
classrooms <00:31:43.200>where actually have declining classrooms where - actually have declining classrooms where school<00:31:43.760>
districts <00:31:44.159>have
Summary:
The subcommittee met without a quorum and first heard from Kentucky Department of Education officials on career and technical education funding. KDE explained that House Bill 499 created a CTE funding formula using 60% weighted full-time equivalent enrollment and 40% incentives, but House Bill 6’s budget language excluded area technology centers (ATCs) from that supplemental funding. KDE requested approval of an additional budget request of $14,789,352 in each fiscal year 2027 and 2028 to include ATCs in the formula and hold local districts harmless. Officials said ATCs serve students from 117 of Kentucky’s 171 districts and argued the change would reduce funding disparities and better reflect the return on investment from CTE programs, citing growth in dual credit and work-based learning participation.
Members asked whether the issue would need to be revisited each budget cycle. KDE responded that the problem could be fixed by removing the notwithstanding language from the budget bill, which they said would allow ATCs to be included under the existing statute. Representative Klein supported the request, saying the current clause could lead to stagnation and that the committee should help the program continue to grow. No vote was taken on the CTE item during the portion of the meeting provided.
The committee then heard a presentation from PreK for All on expanding preschool access in Kentucky. Advocates said the state’s preschool program has been funded since 1990 and currently serves about 14,200 children at roughly $84 million per year, but that many working families still fall into a coverage gap. They proposed expanding eligibility to 250% of the federal poverty line, which they said would add about 9,600 children at a cost of $40 million in year two, after a planning year. The proposal also included regulatory flexibility for classrooms and partnerships with private child care providers and nonprofits, with speakers emphasizing child care deserts in some counties and citing research that early learning improves kindergarten readiness and later outcomes. No action or vote was taken on the preschool proposal in the transcript provided.
HI
Transcript Highlights:
- problem of why we're not able to enroll problem of why we're not able to enroll more<00:29:53.720
- We just got the recent enrollment or application numbers.
- <00:32:16.600>
or we just got the recent enrollment or we just got the recent enrollment or - But they need to have ready, when the time comes, when their first decline is so important that they
- But they need to have ready, when the time comes, when their first decline is so important that they
Summary:
The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted.
HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same.
HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.