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    <updateDate>2023-01-11T13:50:11Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:50:11Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <type>S</type>
    <introducedDate>2021-05-19</introducedDate>
    <congress>117</congress>
    <committees>
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        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
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            <name>Referred to</name>
            <date>2021-05-19T15:17:28Z</date>
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    <relatedBills>
      <item>
        <title>CHANGE Act of 2021</title>
        <congress>117</congress>
        <number>3354</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2021-05-20</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
        </latestAction>
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            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
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        <actionDate>2021-05-19</actionDate>
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            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Finance.</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2021-05-19</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>C001047</bioguideId>
        <fullName>Sen. Capito, Shelley Moore [R-WV]</fullName>
        <firstName>Shelley</firstName>
        <lastName>Capito</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>Moore</middleName>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>S000770</bioguideId>
        <fullName>Sen. Stabenow, Debbie [D-MI]</fullName>
        <firstName>Debbie</firstName>
        <lastName>Stabenow</lastName>
        <party>D</party>
        <state>MI</state>
        <sponsorshipDate>2021-05-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000437</bioguideId>
        <fullName>Sen. Wicker, Roger F. [R-MS]</fullName>
        <firstName>Roger</firstName>
        <lastName>Wicker</lastName>
        <party>R</party>
        <state>MS</state>
        <middleName>F.</middleName>
        <sponsorshipDate>2021-05-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000639</bioguideId>
        <fullName>Sen. Menendez, Robert [D-NJ]</fullName>
        <firstName>Robert</firstName>
        <lastName>Menendez</lastName>
        <party>D</party>
        <state>NJ</state>
        <sponsorshipDate>2021-05-19</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001079</bioguideId>
        <fullName>Sen. Hyde-Smith, Cindy [R-MS]</fullName>
        <firstName>Cindy</firstName>
        <lastName>Hyde-Smith</lastName>
        <party>R</party>
        <state>MS</state>
        <sponsorshipDate>2021-07-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001070</bioguideId>
        <fullName>Sen. Casey, Robert P., Jr. [D-PA]</fullName>
        <firstName>Bob</firstName>
        <lastName>Casey</lastName>
        <party>D</party>
        <state>PA</state>
        <sponsorshipDate>2021-07-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000464</bioguideId>
        <fullName>Sen. Tester, Jon [D-MT]</fullName>
        <firstName>Jon</firstName>
        <lastName>Tester</lastName>
        <party>D</party>
        <state>MT</state>
        <sponsorshipDate>2021-09-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001061</bioguideId>
        <fullName>Sen. Hoeven, John [R-ND]</fullName>
        <firstName>John</firstName>
        <lastName>Hoeven</lastName>
        <party>R</party>
        <state>ND</state>
        <sponsorshipDate>2021-10-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001191</bioguideId>
        <fullName>Sen. Sinema, Kyrsten [D-AZ]</fullName>
        <firstName>Kyrsten</firstName>
        <lastName>Sinema</lastName>
        <party>D</party>
        <state>AZ</state>
        <sponsorshipDate>2021-10-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000476</bioguideId>
        <fullName>Sen. Tillis, Thomas [R-NC]</fullName>
        <firstName>Thomas</firstName>
        <lastName>Tillis</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>Roland</middleName>
        <sponsorshipDate>2021-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>V000128</bioguideId>
        <fullName>Sen. Van Hollen, Chris [D-MD]</fullName>
        <firstName>Chris</firstName>
        <lastName>Van Hollen</lastName>
        <party>D</party>
        <state>MD</state>
        <sponsorshipDate>2021-12-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001181</bioguideId>
        <fullName>Sen. Shaheen, Jeanne [D-NH]</fullName>
        <firstName>Jeanne</firstName>
        <lastName>Shaheen</lastName>
        <party>D</party>
        <state>NH</state>
        <sponsorshipDate>2022-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001277</bioguideId>
        <fullName>Sen. Blumenthal, Richard [D-CT]</fullName>
        <firstName>Richard</firstName>
        <lastName>Blumenthal</lastName>
        <party>D</party>
        <state>CT</state>
        <sponsorshipDate>2022-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000367</bioguideId>
        <fullName>Sen. Klobuchar, Amy [D-MN]</fullName>
        <firstName>Amy</firstName>
        <lastName>Klobuchar</lastName>
        <party>D</party>
        <state>MN</state>
        <sponsorshipDate>2022-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000383</bioguideId>
        <fullName>Sen. King, Angus S., Jr. [I-ME]</fullName>
        <firstName>Angus</firstName>
        <lastName>King</lastName>
        <party>I</party>
        <state>ME</state>
        <middleName>S.</middleName>
        <sponsorshipDate>2022-06-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000595</bioguideId>
        <fullName>Sen. Peters, Gary C. [D-MI]</fullName>
        <firstName>Gary</firstName>
        <lastName>Peters</lastName>
        <party>D</party>
        <state>MI</state>
        <sponsorshipDate>2022-09-12</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Aging</name>
        </item>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Health information and medical records</name>
        </item>
        <item>
          <name>Health promotion and preventive care</name>
        </item>
        <item>
          <name>Medical tests and diagnostic methods</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Neurological disorders</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2021-05-19</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2021-10-19T16:19:29Z</updateDate>
        <text><![CDATA[ <p><b>Concentrating on High-value Alzheimer's Needs to Get to an End (CHANGE) Act of 2021</b><br /> <br /> This bill modifies the requirements under Medicare for diagnosing and treating Alzheimer's disease and other cognitive impairments in older adults. Specifically, the bill expands the cognitive impairment detection benefit during annual wellness visits to require the use of validated detection tools and documentation of the results in the patient's medical record. Further, when a cognitive impairment is detected, the patient must be referred to an appropriate diagnostic service provider and other specified supports.<br /> <br /> Additionally, the Centers for Medicare &amp; Medicaid Services must implement Medicare policies that increase the identification and response to patients' Alzheimer's disease risk factors and incentivize providers to utilize high-quality cognitive impairment diagnosis practices.<br /> </p>]]></text>
      </summary>
    </summaries>
    <title>Concentrating on High-Value Alzheimer’s Needs to Get to an End (CHANGE) Act of 2021</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Concentrating on High-Value Alzheimer’s Needs to Get to an End (CHANGE) Act of 2021</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to provide better care and outcomes for Americans living with Alzheimer's disease and related to dementias and their caregivers, while accelerating progress toward prevention strategies, disease modifying treatments, and, ultimately, a cure.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <title>Concentrating on High-Value Alzheimer’s Needs to Get to an End (CHANGE) Act of 2021</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2021-05-19T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-117s1692is/xml/BILLS-117s1692is.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2021-05-19</actionDate>
      <text>Read twice and referred to the Committee on Finance.</text>
    </latestAction>
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    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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