This document presents witnesses' testimonies and additional information from the Senate hearing held in Miami, Florida to examine the issue of preventive health services, focusing on risk reduction and health promotion programs for the elderly. The goal of the hearing was to examine efforts to identify people with high risks of developing a catastrophic illness. Opening statements are included from Senators Bob Graham and George Mitchell, and from Mitch Maidique, president of Florida International University. Florida witnesses providing testimony include: (1) Carl Eisdorfer, director of the Comprehensive Center on Aging, University of Miami Medical School; (2) Carolee DeVito, director of planning and evaluation, South Shore Hospital, Miami Beach; (3) Josefina Carbonell, director of Little Havana Activities and Nutrition Center, Miami; (4) Tessa Macaulay, coordinator of Geronto-Logical Programs, Florida Power and Light, Miami; (5) G. Curt Meyers, director of the Wellness Center, Lee Memorial Hospital, Fort Myers; (6) Elliott Palevsky, executive director of River Garden Hebrew Home, Jacksonville; (7) Gary Lyman, chief of medical services, H. Lee Monifit Cancer Center, University of South Florida, Tampa; (8) Jack Kassan, medical director, Broward County Medivan, Fort Lauderdale; and (9) Sally Kanter-Bruin, St. Mary's Hospital, Mammovan Project, West Palm Beach. Witnesses describe efforts being conducted by their organizations and emphasize the need for preventive health activities for older adults. (NB)