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<bill bill-stage="Introduced-in-Senate" dms-id="A1" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 1555</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20090731">July 31, 2009</action-date>
			<action-desc><sponsor name-id="S304">Mr. Martinez</sponsor> (for
			 himself, <cosponsor name-id="S264">Mr. Bayh</cosponsor>,
			 <cosponsor name-id="S252">Ms. Collins</cosponsor>, <cosponsor name-id="S330">Mr. Bennet</cosponsor>, <cosponsor name-id="S230">Mr.
			 Feingold</cosponsor>, and <cosponsor name-id="S314">Mr. Tester</cosponsor>)
			 introduced the following bill; which was read twice and referred to the
			 <committee-name committee-id="SSHR00">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To establish the Office of the National Alzheimer's
		  Project.</official-title>
	</form>
	<legis-body>
		<section id="S1" section-type="section-one"><enum>1.</enum><header>Short
			 title; findings</header>
			<subsection id="id2F8A40CC693A460CB1B0AAA65489CD37"><enum>(a)</enum><header>Short
			 title</header><text display-inline="yes-display-inline">This Act may be cited
			 as the <quote><short-title>Office of the National
			 Alzheimer's Project Act</short-title></quote>.</text>
			</subsection><subsection id="id9219187F3FCF405BAE96B1986F056C1C"><enum>(b)</enum><header>Findings</header><text>Congress
			 finds that according to the 2009 Alzheimer’s Study Group National Strategic
			 Plan and the 2009 Alzheimer’s Disease Facts and Figures report of the
			 Alzheimer’s Association—</text>
				<paragraph id="IDf89f1f3abd984e7c9a18a9b70d9f76d7"><enum>(1)</enum><text>Alzheimer’s
			 disease is a progressive, debilitating, terminal disease with no known
			 cure;</text>
				</paragraph><paragraph id="ID18036cd1f0564208819581d6742c9e61"><enum>(2)</enum><text>Alzheimer’s
			 disease was the sixth leading cause of death in the United States for all ages
			 in 2006 and the fifth leading cause of death for people age 65 and
			 older;</text>
				</paragraph><paragraph id="IDd435ff927f364582b81f7a4cead0fc5e"><enum>(3)</enum><text>currently, an
			 estimated 5,300,000 Americans of all ages have Alzheimer’s disease, and 13
			 percent of people age 65 and older have Alzheimer’s disease;</text>
				</paragraph><paragraph id="ID4b4269f26ad141c7a4ac4e3e2cf7b7a3"><enum>(4)</enum><text>of those with
			 Alzheimer’s disease some minority populations are disproportionately suffering
			 from the disease;</text>
				</paragraph><paragraph id="ID14ef50b401b742bc84167d33c640f542"><enum>(5)</enum><text>there are
			 78,000,000 people in the baby boom generation, and in 2011, the first baby
			 boomers will turn 65, and by 2029, all baby boomers will be at least 65 years
			 old;</text>
				</paragraph><paragraph id="ID6c64e4a3e37c4d47a94173d61a3af2aa"><enum>(6)</enum><text>the number of
			 people aged 65 and older with Alzheimer’s disease is estimated to reach
			 7,700,000 in 2030, more than a 50 percent increase from the 5,100,000 aged 65
			 and older who are currently affected;</text>
				</paragraph><paragraph id="IDf39875122e8e41d8906609f849ef64f6"><enum>(7)</enum><text>the 85 years and
			 older population currently comprises nearly 50 percent of the individuals with
			 Alzheimer’s disease, or about 2,700,000 people, and by the time the first wave
			 of baby boomers reaches age 85 years (2031), there will be an estimated
			 3,500,000 people aged 85 and older with Alzheimer’s;</text>
				</paragraph><paragraph id="IDe3b8b5c7fef54d8fa089c9092454b8ad"><enum>(8)</enum><text>in 2008,
			 9,900,000 unpaid caregivers provided care valued at $94,000,000,000 for a
			 person with Alzheimer’s disease or other dementia;</text>
				</paragraph><paragraph id="ID0b500cfd7f3d4fed921e4416fc694471"><enum>(9)</enum><text>total per-person
			 payments from all sources for health and long-term care were three times higher
			 for Medicare beneficiaries with Alzheimer’s disease: $33,007 compared to
			 $10,603;</text>
				</paragraph><paragraph id="ID932f7603cba64344b1ffbe1c69888eab"><enum>(10)</enum><text>in 2009 the
			 Federal Government will spend more than $100,000,000,000 through Medicare and
			 Medicaid to care for those with Alzheimer’s disease;</text>
				</paragraph><paragraph id="ID4f5bb22d7d8d46e5a29a3d4c1d7561ce"><enum>(11)</enum><text>if the United
			 States follows current trends the Federal Government will spend more than
			 $1,000,000,000,000 per year by 2050 on Alzheimer’s disease care; and</text>
				</paragraph><paragraph id="ID6396bf5e276b4613acd4b200ac07069a"><enum>(12)</enum><text>between 2010 and
			 2050 Medicare and Medicaid programs are projected to spend $20,000,000,000,000
			 for Alzheimer’s disease care.</text>
				</paragraph></subsection></section><section id="id646E7A55D85C463E90C4EE158C118750"><enum>2.</enum><header>Office of the
			 National Alzheimer's Project</header>
			<subsection id="id3767AE94D3984BF5A08DD8811B6A57EA"><enum>(a)</enum><header>Establishment
			 of Office</header><text display-inline="yes-display-inline">There is
			 established in the Office of the President the Office of the National
			 Alzheimer's Project (referred to in this Act as the
			 <quote>Office</quote>).</text>
			</subsection><subsection id="idA331B442100D403F91B74542259ABAF6"><enum>(b)</enum><header>Purpose of the
			 Office</header><text display-inline="yes-display-inline">The Office
			 shall—</text>
				<paragraph id="id265A3AC42A8846C2B58FD31A650C4F7A"><enum>(1)</enum><text>accelerate the
			 development of treatments that would prevent, halt, or reverse the course of
			 Alzheimer's;</text>
				</paragraph><paragraph id="ID94fa43af6d99463f8ce82786c1d6ea12"><enum>(2)</enum><text>be responsible
			 for the creation and maintenance of an integrated national plan to overcome
			 Alzheimer's;</text>
				</paragraph><paragraph id="idDA7CC4F8AE664311891B3AF0A12F8203"><enum>(3)</enum><text display-inline="yes-display-inline">help to coordinate the health care and
			 treatment of citizens with Alzheimer’s;</text>
				</paragraph><paragraph id="IDd8fa35d7521843348e53f9827fe41785"><enum>(4)</enum><text>ensure the
			 inclusion of ethnic and racial populations at higher risk for Alzheimer's or
			 least likely to receive care, in clinical, research, and service efforts with
			 the purpose of decreasing health disparities in Alzheimer's; and</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID4625b0b0464a429ea2047c490d3c059f"><enum>(5)</enum><text>coordinate with
			 international bodies to integrate and inform the fight against Alzheimer’s
			 globally.</text>
				</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="idF78592909CEE451E86631AF306020C51"><enum>(c)</enum><header>Director of the
			 Office</header>
				<paragraph commented="no" display-inline="no-display-inline" id="id09173CB0D805416AA1351204E38C79F5"><enum>(1)</enum><header>Appointment</header><text>The
			 President by and with the advice and consent of the Senate shall appoint a
			 Director of the Office.</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idB3B6E47419D749718611A37CDBEF986A"><enum>(2)</enum><header>Duties of the
			 director</header>
					<subparagraph commented="no" display-inline="no-display-inline" id="id6AC74D60A7F74822A464C55088F0D6AC"><enum>(A)</enum><header>In
			 general</header><text>The Director of the Office shall—</text>
						<clause id="IDe59a215493d242c2afb1b742b6ab031c"><enum>(i)</enum><text>oversee the
			 creation and updating of the national plan described in subparagraph
			 (B);</text>
						</clause><clause commented="no" display-inline="no-display-inline" id="id691E88DDBF0A4C84882DE6C306295458"><enum>(ii)</enum><text>use
			 discretionary authority to evaluate all Federal programs around Alzheimer's,
			 including budget requests and approvals; and</text>
						</clause><clause id="id95BC8BA849884AE2985419F625B14026"><enum>(iii)</enum><text>prepare and
			 submit to the President the annual budget estimate for the Office.</text>
						</clause></subparagraph><subparagraph id="ID91988136133a4ca69351fc8714d70bc7"><enum>(B)</enum><header>National
			 plan</header><text>The Director of the Office shall carry out an annual
			 assessment of the Nation’s progress in preparing for the escalating burden of
			 Alzheimer's, including both implementation steps and recommendations for
			 priority actions based on the assessment.</text>
					</subparagraph></paragraph><paragraph id="ID8d957036731f4f1ba5b343c7be445205"><enum>(3)</enum><header>Service by
			 director</header><text>The Director of the Office shall serve—</text>
					<subparagraph id="idE3082B432CDF4A88AF77ACA00F02C202"><enum>(A)</enum><text>on the advisory
			 board of the Office of Science and Technology to promote research efforts into
			 mechanisms to slow and stop the development of Alzheimer’s for those at risk of
			 developing the disease, or may appoint a designee to sit on such board;
			 and</text>
					</subparagraph><subparagraph id="idDDE357798CFC4F82B4499237B3EF8EF3"><enum>(B)</enum><text>on the Domestic
			 Policy Council to represent those who have or will develop Alzheimer’s,
			 including on matters of housing, transportation, and education.</text>
					</subparagraph></paragraph></subsection><subsection id="idBCCC1B3A84434E249A3635A151A16722"><enum>(d)</enum><header>Advisory
			 Council</header>
				<paragraph id="ID5832538406214efa971a3040213316ee"><enum>(1)</enum><header>In
			 general</header><text>There is established in the Office an Advisory Council on
			 Alzheimer's Research and Treatment (referred to in this Act as the
			 <quote>Advisory Council</quote>).</text>
				</paragraph><paragraph id="id84B714531E44404B9A5E4073D8F524A8"><enum>(2)</enum><header>Membership</header>
					<subparagraph id="id2E52703732524E1C8FFF0D4100A06B53"><enum>(A)</enum><header>In
			 general</header><text>The Advisory Council shall be comprised of the
			 following:</text>
						<clause id="IDc435caf7d15f47b589a5a30d4a67d54c"><enum>(i)</enum><text>A
			 designee of the Office of Science of the Department of Energy.</text>
						</clause><clause id="IDc1d9f0a2d1574ba89f8cf52997f7df47"><enum>(ii)</enum><text>A
			 designee of the Office of the Secretary of the Department of Health and Human
			 Services.</text>
						</clause><clause id="IDa93ce3b428c747eaba2a29e09f9b6f45"><enum>(iii)</enum><text>A
			 designee of the Administration on Aging.</text>
						</clause><clause id="IDac326dbd4bff4dbb8062c1f61352adf1"><enum>(iv)</enum><text>A
			 designee of the Centers for Medicare &amp; Medicaid Services.</text>
						</clause><clause id="IDe941921a19f344ff859b334ed34dddec"><enum>(v)</enum><text>A
			 designee of the Indian Health Service.</text>
						</clause><clause id="ID21cb7f3f78ba4789982cd0072975e005"><enum>(vi)</enum><text>A
			 designee of the Office of the Director of the National Institutes of
			 Health.</text>
						</clause><clause id="ID73e8b0d8b74d4c858bb7f3d1ae6fc1be"><enum>(vii)</enum><text>The Surgeon
			 General.</text>
						</clause><clause id="ID44948497f2f7402cac880557b57db6bc"><enum>(viii)</enum><text>A designee of
			 the National Science Foundation.</text>
						</clause><clause id="ID11b898cd0be84321a9e88d784c9bd45d"><enum>(ix)</enum><text>A
			 designee of the Department of Veterans Affairs.</text>
						</clause></subparagraph><subparagraph id="ID2c5ea5a8f08240609e9b0c03339f1945"><enum>(B)</enum><header>Non-federal
			 members</header>
						<clause id="idBE21253989A5444599EC09D99A703C5C"><enum>(i)</enum><header>In
			 general</header><text>In addition to the members outlined in subparagraph (A),
			 the Advisory Council shall include 12 members from outside the Federal
			 Government, including 2 members who are patient advocate members and 2 members
			 who represent States, and members appointed pursuant to clause (ii).</text>
						</clause><clause id="ID72517b6b95394d6f8fdc42c6b29e0685"><enum>(ii)</enum><header>Congressional
			 appointments</header>
							<subclause commented="no" id="id06A80B6722B64D949A11ECE163A68FFB"><enum>(I)</enum><header>In
			 general</header><text>In addition to the members outlined in subparagraph (A)
			 and clause (i), the majority and minority leaders of the Senate and the Speaker
			 and minority leader of the House of Representatives shall each appoint 2
			 members from the pool described in clause (II) to the Advisory Council for a
			 2-year term, with each such member eligible to be reappointed.</text>
							</subclause><subclause id="idF1EEB0063AAD4B37BA64058C9A88B478"><enum>(II)</enum><header>Remaining
			 non-Federal members</header><text>The remaining non-Federal members shall be
			 representatives of academia, research, health and elder care delivery (both
			 community-based and institutional), technology, or other related
			 sectors.</text>
							</subclause><subclause commented="no" display-inline="no-display-inline" id="idB03439BD169E4C42A0E3A14FA8C743D2"><enum>(III)</enum><header>Vacancies</header><text>Any
			 member appointed under this clause to fill a vacancy occurring prior to the
			 expiration of the term for which the member's predecessor was appointed shall
			 be appointed for the remainder of such term. A member appointed under this
			 clause shall serve until the member's replacement has been appointed.</text>
							</subclause></clause></subparagraph></paragraph><paragraph id="ID62d36c0f7ecb4eb0a2ab9b26c1d37f85"><enum>(3)</enum><header>Meetings</header><text>The
			 Advisory Council shall meet quarterly and such meetings shall be open to the
			 public.</text>
				</paragraph><paragraph id="ID3cf2114d10d1486fbc79c806f3038e38"><enum>(4)</enum><header>Advice</header><text>The
			 Advisory Council shall advise the Director of the Office.</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="ID50b3f852c89642a59b051c0ed5939839"><enum>(5)</enum><header>Annual
			 report</header><text>The Advisory Council shall provide to the Director of the
			 Office—</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="idE8A7CB2A4A6E4C21A5DFB55223D7641B"><enum>(A)</enum><text>recommendations
			 for information to be included in the annual report to Congress by the Office;
			 and</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="id3BAD5B62FEE745BA909970A16066D96B"><enum>(B)</enum><text>an annually
			 updated national plan.</text>
					</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="id404ACC75F4DB4AACB4FCAB0FEFDD22D7"><enum>(e)</enum><header>Annual
			 report</header><text>The Director of the Office shall submit to
			 Congress—</text>
				<paragraph commented="no" display-inline="no-display-inline" id="idC37B536B51CE436B9058699D476F4774"><enum>(1)</enum><text>an annual report
			 that includes an evaluation of all nationally and federally funded efforts in
			 Alzheimer's research, clinical care, institutional, and home- and
			 community-based programs and their outcomes; and</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="idF4457C0EF4BA47F3851F985E3F23D362"><enum>(2)</enum><text>an annually
			 updated national plan.</text>
				</paragraph></subsection><subsection id="id61D50946127140009843E3162C7B4D44"><enum>(f)</enum><header>Sunset</header><text>The
			 Office shall expire on December 31, 2025.</text>
			</subsection></section></legis-body>
</bill>
