Video & Transcript Research : 'preventive screening'
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NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 9th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- We need to work with families in preventative ways.
- Restorative practices, mental health, and suicide prevention.
- Our focus is on prevention, healing, and community restoration.
- We must invest in prevention.
- Clubs' health and wellness prevention programs help avoid preventable health crises.
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Sep 3rd, 2025
Transcript Highlights:
- What you see on this screen is probably a graphic that you've seen before.
- So, we can go from high level, like what you see on the screen, and drill down to the individual level
- What we've built actually takes the cut scores from each one of the assessments that's on the screen
- On the screen, you will see the data from FY18 to FY26.
- We've also been working with local county and preventative measures.
TX
Transcript Highlights:
- The committee substitute to 1741 aims to prevent foreign interference and intellectual property theft
- Secretary will read the caption: Committee Substitute Senate Bill 1741 relating to measures to prevent
- Senate Bill 2713 by Middleton, relating to preventing discrimination in membership in a professional
- Senate Bill 2713 by Middleton, relating to preventing discrimination in membership in a professional
- Senate Bill 2715 by Middleton, relating to sexual abuse and assault prevention training for employees
Summary:
The Senate convened with a quorum, heard an invocation, and adopted the previous day’s journal. Members then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with remarks highlighting UTRGV’s growth, degree production, research expansion, medical school, and role in serving the Rio Grande Valley and South Texas. The chamber also recognized the doctor of the day and adopted additional resolutions, including one for Denton County Days at the Capitol and another recognizing Texas HBCU Day.
The Senate gave extensive recognition to outgoing Texas A&M University System Chancellor John Sharp through Senate Resolution 368. Senators from both parties praised his long public career, leadership of the A&M System, support for regional universities, and bipartisan approach. The resolution was adopted after multiple members added their names. The chamber also heard from advocates with the Texas Streets Coalition, and received gubernatorial nominations for the State Board of Examiners of Professional Counselors and the Texas Commission on Fire Protection.
On legislation, the Senate passed several major bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to address teacher vacancies, bilingual certification testing, paid leave options, classroom removals, and appeal rights, then passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment on parents’ right to direct a child’s education, advanced on a 22-9 vote. Committee Substitute Senate Bill 1741, aimed at preventing foreign influence and intellectual property theft at public institutions of higher education, passed unanimously. Committee Substitute Senate Bill 29, the business entities bill, also passed after debate over corporate governance and shareholder protections. Senate Bill 857, authorizing law enforcement to tow certain vehicles driven by unlicensed or uninsured drivers, passed despite some concern about towing abuses during disasters. The Senate also took up Committee Substitute Senate Bill 1536 on dementia and Alzheimer’s training for certain guardians, but the transcript ends as that bill is being laid out.
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (03/18/2026)
Health and Human Services
Transcript Highlights:
- Her saying no did not prevent an abortion. Others of the physicians could step in.
- Her saying no did not prevent an abortion. Others of the physicians could step in.
- , reproductive health care screenings, reproductive health care screenings, treatments,<00:53:36.640
- It explicitly allows employees to sue their employers while preventing hospitals from raising staffing
- It explicitly allows employees to sue their employers while preventing hospitals from raising staffing
NM
New Mexico 2025 Regular Session
IC - Water and Natural Resources Sep 11th, 2025
Water & Natural Resources Committee
Transcript Highlights:
- And so I guess for now, I guess that is legal, and there's nothing that prevents that, right?
- We have the Federal Power Grant Preventing Outages While Enhancing Resilience.
- The one up here on the screen, Ute Lake Ranch, we're currently on the fifth phase of that one.
- In most cases, though, they are wanting to just again prevent development that's incompatible with their
- Our inaugural soil health event, supported by the Healthy Soils Program, was a movie screening at our
FL
Florida 2025 Regular Session
February 11, 2025 - 01:00 PM
Transcript Highlights:
- update the language to reflect current law that mirrors dentists and hygienists, adding background screening
- morning... ...once a month on a Thursday morning, I will be there next Thursday morning doing dental screenings
- We work closely with the local hospitals to educate patients about the need for preventive dentistry
- There are dentists there that do the work, that do every medical screening that you receive, whether
Summary:
The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote.
The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote.
Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.
MA
Massachusetts 2025-2026 Regular Session
Correctional Consolidation and Collaboration Jun 21st, 2026 at 01:00 pm
Transcript Highlights:
- They're screened. Their PPD is placed on them. All the... They're screened.
- And we have this cyclical cycle, something that is very hard to prevent, something that I think we're
- all very in tune in this room to how we can combat it, but it's very hard to prevent.
- Our facilities are under a preventative maintenance program.
- Let me say that again: we're under preventative maintenance programs.
Summary:
The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget.
The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state.
A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.
AZ
Transcript Highlights:
- She herself was not permitted to see the screen of the ultrasound.
- She should be able to see an ultrasound screen without it being covered by a blanket or a cover of any
- And Madam Chair, the laws on the books do prevent that type of illegal behavior. So thank you.
- And the statute also reads that this section does not prevent prosecution under any other law if the
- I think that we can talk with him about ways in which we can prevent this in a broader way.
Keywords:
felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, education, funding, school districts, state aid, education reform, venue, employee conflict, superior court, legal proceedings, workplace disputes, weapons, explosives, trafficking, firearm regulations
Summary:
The committee heard several criminal justice and victims’ rights bills. HB 2131 would remove the financial-gain element from weapons/explosives trafficking and impose stricter sentencing, including no early release for trafficking three or more weapons; it received a due pass recommendation on a 6-1 vote. HB 2132 would lower the fentanyl trafficking threshold from 200 grams to 100 grams and adjust related motor-vehicle language; supporters said it would help prosecutors and law enforcement, while opponents warned it would sweep in heavy users and lacked data on current prosecutions. It passed 4-3. HB 2223 would require sex offenders seeking a name change to notify prosecutors and victims, and to register under the new name with the old name as an alias; it passed 6-1.
The committee also considered HB 2411, creating the crime of coerced abortion for secretly or forcibly administering abortion-inducing drugs without a pregnant woman’s knowledge or consent. Supporters argued existing laws do not clearly cover situations where the drug is given but no death occurs; opponents said assault, manslaughter, homicide, and food-contamination statutes already address the conduct and warned the bill was unnecessary and aimed at abortion access. The bill passed 4-3. HB 2043 would add unborn children to the felony-murder statute; supporters called it a cleanup measure closing a loophole, while opponents said it was an abortion/personhood measure with broader implications. It passed 4-3.
HB 2046 would require victims of sex offenses to be notified of pre-hearings in probation review matters involving young sex offenders; victims and prosecutors said the change would ensure meaningful participation, and it passed unanimously 7-0. HB 2666 would increase penalties for sexual extortion involving 15-, 16-, and 17-year-olds when committed by an adult, and it passed unanimously 7-0. HB 2265 would eliminate court fees and assessments tied to public defenders, jury trials, appeals, and related criminal-case charges; supporters framed it as protecting constitutional rights, while counties warned of lost revenue, and it passed 7-0. Finally, HB 2133 would require commercial websites hosting sexual material to verify consent and age of depicted persons, retain records, and treat synthetic depictions as images; the sponsor said it was meant to curb CSAM and revenge porn, while testifiers raised concerns about breadth, record retention, and constitutional issues.
NM
Transcript Highlights:
- We hope that it'll stop the violation sooner, and it'll prevent continued damage to our already... ..
- .hope that it'll stop the violation sooner and it'll prevent continued damage to our already stressed
- Oh, okay, so apparently we're having trouble with the screen part of the volume, I think.
- Plan, the Family First Prevention and Services Act...
- The federal Title IV Prevention Plan, the Family First Prevention and Services Act, all this stuff that's
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Aug 19th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Many noted that the processes and rules that insurance companies have put in place prevent or obstruct
- There was a big push in 1993 to increase our excise tax and also put in funds for DWI prevention. prevention
- There are other measures that can be taken, like changing outlet density and implementing screening and
- So what the attempts, a lot of the attempts of raising that tax is to prevent youth from ever becoming
- We do the expert screening when they are discharged, and we do that every six months.
NM
New Mexico 2025 Regular Session
IC - Radioactive and Hazardous Materials Jul 11th, 2025
Radioactive & Hazardous Materials Committee
Transcript Highlights:
- Since I know we don't see Our slides are up on the screen.
- Let's see if I can, yeah it won't show up on the screen, but you can see that it moves in that direction
- The New Mexico Mining Act is, I think, to prevent those sorts of things from happening in the future.
- contamination. ...prevent contamination that we've seen in the past.
- the regulatory requirements. prevent us from issuing a permit if they were to satisfy the regulatory
CA
California 2025-2026 Regular Session
Assembly Floor Session Apr 10th, 2025
California House Floor Meeting
Transcript Highlights:
- California makes sure that every student in school has access to free dental and eye and vision screenings
- appropriations in this bill will benefit communities across California by investing in wildfire prevention
- And the reason is simple: we are not doing enough to prevent wildfires.
- And the reason is simple: we are not doing enough to prevent wildfires.
- We're also putting $181 million toward wildfire We're also putting $181 million toward wildfire prevention
Summary:
The Assembly met after a quorum call and prayer, then handled a series of procedural motions, guest introductions, and floor actions. Members welcomed student groups from Hope International University and Vacaville High School, and later recognized several guests connected to public safety dispatch. The chamber also adopted multiple re-referrals and procedural requests, including moving bills between committees and taking up AB 100 on concurrence from the Senate.
A major portion of the session was devoted to ACR 34, designating April 14 as Sylvia Mendez Day. Assembly Member Ta and several colleagues spoke in support of honoring Sylvia Mendez and the Mendez v. Westminster case as a landmark in civil rights and school desegregation. The resolution drew extended partisan debate over the framing of the measure and broader issues of diversity, equity, and inclusion, but it ultimately passed on a roll call vote, with the resolution adopted.
The Assembly also recognized Dolores Huerta on her 95th birthday through guest introductions and celebratory remarks, then moved through several bills and resolutions. AB 471 on air district board compensation, AB 677 on pupil records and access to screenings for housing-insecure students, ACR 31 designating California Public Safety Telecommunications Week, and AB 1150 on airport customer facility charges all passed. HR 30 recognizing Khmer New Year also was adopted with broad support.
The most contentious policy action was AB 100, the early action budget bill. Supporters said it provided funding for wildfire prevention, hospital payments, Medi-Cal, and recovery in Los Angeles fire areas, while opponents criticized the bill for health care spending and high-speed rail. After a failed attempt by Assembly Member DeMaio to amend the bill and an unsuccessful appeal of the chair, the Assembly concurred in the Senate amendments and sent AB 100 to the Governor. The day ended with consent calendar approvals and adjournments in memory for several community members, including Larkin Carol Wells, Carmen O. Perez, and Oscar B. Ramos.
LA
Transcript Highlights:
- permit must demonstrate compliance with local laws, and then also to clarify that HB 302 does not prevent
- I'm going to need you to come back next session and help me curb screen time among children as well,
- I want to echo what Daisy said, where in its current form, it has the possibility of preventing our locals
- before issuing a new license, but also making sure that none of the language that's prescribed here prevents
- before issuing a new license, but also making sure that none of the language that's prescribed here prevents
Summary:
The Senate Judiciary B Committee met on May 27 and first approved the minutes from the May 21 meeting. The committee then took up House Bill 75, as amended, which would increase the promotional play tax deduction for gaming facilities from $5 million to $7 million and apply the change to racetracks and other brick-and-mortar casino properties on a phased-in basis. The bill’s author and gaming industry witnesses said the measure would help Louisiana compete with neighboring states, drive visitation, and support horse racing purses and tourism. The committee adopted the amendments and reported HB 75 favorably.
The committee next considered House Bill 623, which creates a three-tier system for vapor products and includes related technical changes, including a provision allowing in-person delivery of vapor, alternative nicotine, or smokeless tobacco products by third-party contractors from licensed Louisiana retailers with age verification. Amendments were adopted to correct language and address an effective-date issue tied to another bill. The committee then reported HB 623 with amendments.
House Bill 302, which would prohibit the sale of vapor products near schools, was also amended and heard with testimony from the New Orleans Health Department and the American Lung Association. Both witnesses supported youth protections but urged clarifying language to ensure local governments can keep or adopt stricter rules and to avoid conflicts with existing local ordinances; the health department also noted concerns that the bill focuses only on vapor products while youth nicotine use is broader. After discussion, the committee reported HB 302 with amendments. The meeting ended with thanks to staff and members, and the committee adjourned without objection.
TX
Texas 89th 2nd C.S.
89th Legislative Session - Second Called Session Aug 18th, 2025
Texas House Floor Meeting
Transcript Highlights:
- HB 20 by DARB relating to the certain measures to prevent and reduce fraudulent charitable solicitations
- disasters, including establishing a voluntary accreditation program for disaster relief organizations, screening
- HB 66 by DARB relating to the creation of a disaster relief fund and prevention matching grant and loan
- programs, and the disaster relief and prevention account for the Committee on Disaster Preparedness
TX
Transcript Highlights:
- And by having that majority requirement, it would prevent a small group of the members getting together
- Last session we passed SB 240, which is the workplace violence prevention law.
- Even though Texas screens newborns, we don't have a central registry to follow cases and outcomes or
- But this is a good bill because this would prevent that from happening, right?
- It was one of the saddest stories on something that could have been prevented.
Bills:
HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655
Keywords:
sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records
Summary:
The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (6-25-25)
Transcript Highlights:
- EPSDT is the early periodic screening, diagnostic, and treatment benefit.
- EPSDT is the early periodic screening, diagnostic, and treatment benefit.
- EPSDT is the early periodic screening, diagnostic, and treatment benefit.
- EPSDT is the early periodic screening, diagnostic, and treatment benefit.
- EPSDT is the early periodic screening, diagnostic, and treatment benefit.
Keywords:
Call to Order and Roll Call – 00:00:00
Introduction of Board Members – 00:02:04
Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46
Medicaid Legislative Update - 00:20:26
Discussion of Next Steps and Future Meeting Dates – 01:04:06
Adjournment – 01:06:37, 958, all
Summary:
The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do.
Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board.
Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.
HI
Transcript Highlights:
- :03.200>
and Those tragedies were preventable and Those tragedies were preventable and they<05 - screening and Evident Early screening and evidence-based<05:20:11.040>
instruction evidence-based - Early identification, to prevent it.
- c><05:27:03.080>
an prevention over consequence, an prevention over consequence, an opportunity - simple early screening Without simple early screening and<05:28:45.000>
without <05:28:45.600>
Bills:
HB2459, HB1616, HB1799, HB1604, HB1732, HB1736, HB1931, HB772, HB2153, HB2122, HB2009, HB2012, HB1779, HB2296, HB2397, HB2398, HB1596, HB2233, HB1976, HB1563, HB815, HB1655, HB1851, HB1941, HB2037, HB1635, HB2201, HB1943, HB1163, HB2452, HB2429, HB2148, HB2306, HB2007, HB2049, HB2616
Keywords:
food innovation, agribusiness, food safety, market access, branding, economic diversification, performance indicators, agriculture, aquaculture, commercial activity, swine production, Korean natural farming, housing development, commercial projects, county authority, public works, construction standards, exemption, zoning, housing
NH
New Hampshire 2026 Regular Session
Health and Human Services Oversight Committee (06/26/2026)
Transcript Highlights:
- It prevents action needed to applicants.
- They provide preventive, restorative, and extraction services on the van.
- preventative on restorative 5%. preventative on restorative 5%.
- preventive care which includes screening preventive care which includes screening and<01:40:36.400
- Okay, so health care utilization and preventive care on slide 14.
Summary:
The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements.
The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories.
Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.
TX
Texas 89th 2nd C.S.
Appropriations - S/C on Article II Feb 26th, 2025
Appropriations - S/C on Article II
Transcript Highlights:
- This local work is critical to helping prevent infectious and chronic diseases, as well as protecting
- Third, we want to, we want to highlight the prevention of tobacco-related cancers.
- So first, I want to thank you all for funding the tobacco prevention and control, for the funding for
- tobacco prevention and control.
- We know that smoking costs T and Texans, um, but prevention pays off.
TX
Texas 89th Regular
Appropriations - S/C on Article II Feb 26th, 2025
Appropriations - S/C on Article II
Transcript Highlights:
- One of the ways that we can address this is by leveraging funding through the Family First Prevention
- This local work is critical to helping prevent infectious and chronic diseases. as well as protecting
- tobacco prevention and control.
- We know that smoking costs Texas and Texans. but prevention pays off.
- Smoking use is the number one cause of preventable death in the United States year after year.