[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 133 Engrossed in Senate (ES)]

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118th CONGRESS
  2d Session
                                 S. 133

_______________________________________________________________________

                                 AN ACT


 
              To extend the National Alzheimer's Project.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``NAPA Reauthorization Act''.

SEC. 2. EXTENSION OF PROJECT.

    Section 2 of the National Alzheimer's Project Act (42 U.S.C. 11225) 
is amended--
            (1) in subsection (c)--
                    (A) in paragraph (2), by striking ``and 
                coordination of'' and inserting ``on, and coordination 
                of,'';
                    (B) in paragraph (4)--
                            (i) by redesignating subparagraphs (A) and 
                        (B) as subparagraphs (B) and (C), respectively; 
                        and
                            (ii) by inserting before subparagraph (B), 
                        as so redesignated, the following:
                    ``(A) promotion of healthy aging and reduction and 
                mitigation of risk factors for Alzheimer's;'';
                    (C) in paragraph (5)--
                            (i) by inserting ``and other underserved 
                        populations, including individuals with 
                        developmental disabilities such as Down 
                        syndrome,'' after ``populations''; and
                            (ii) by striking ``; and'' and inserting a 
                        semicolon;
                    (D) by redesignating paragraph (6) as paragraph 
                (7); and
                    (E) by inserting after paragraph (5) the following:
            ``(6) provide information on, and promote the adoption of, 
        healthy behaviors that may reduce the risk of cognitive decline 
        and promote and protect cognitive health; and'';
            (2) in subsection (d)(2)--
                    (A) by inserting ``, across public and private 
                sectors,'' after ``Nation's progress''; and
                    (B) by inserting ``, including consideration of 
                public-private collaborations, as appropriate'' before 
                the period;
            (3) in subsection (e)--
                    (A) in paragraph (2)--
                            (i) in subparagraph (A), by adding at the 
                        end the following:
                            ``(xi) A designee of the Department of 
                        Justice.
                            ``(xii) A designee of the Federal Emergency 
                        Management Agency.
                            ``(xiii) A designee of the Social Security 
                        Administration.
                            ``(xiv) 2 or more other designees, as 
                        determined by the Secretary of Health and Human 
                        Services, at least one of whom has expertise in 
                        risk factors associated with the development or 
                        the progression of Alzheimer's.''; and
                            (ii) in subparagraph (B)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``12'' and inserting 
                                ``15'';
                                    (II) in clause (v)--
                                            (aa) by striking ``2 
                                        researchers'' and inserting ``3 
                                        researchers''; and
                                            (bb) by striking ``; and'' 
                                        and inserting ``, including at 
                                        least one researcher with 
                                        demonstrated experience in 
                                        recruitment and retention of 
                                        underrepresented groups into 
                                        research or clinical trials 
                                        related to dementia;'';
                                    (III) in clause (vi), by striking 
                                the period and inserting a semicolon; 
                                and
                                    (IV) by adding at the end the 
                                following:
                            ``(vii) 1 individual with a diagnosis of 
                        Alzheimer's disease; and
                            ``(viii) 1 representative from a 
                        historically underserved population whose 
                        lifetime risk for developing Alzheimer's is 
                        markedly higher than that of other 
                        populations.'';
                    (B) in paragraph (5)--
                            (i) in subparagraph (A)--
                                    (I) by striking ``an initial 
                                evaluation'' and inserting ``annual 
                                evaluations''; and
                                    (II) by striking ``research, 
                                clinical'' and inserting ``research, 
                                risk reduction, public health, 
                                clinical'';
                            (ii) in subparagraph (B), by striking 
                        ``initial'';
                            (iii) in subparagraph (C)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``initial''; and
                                    (II) in clause (ii), by inserting 
                                ``and reduce disparities'' before the 
                                semicolon; and
                            (iv) in subparagraph (D), by striking 
                        ``annually thereafter, an evaluation'' and 
                        inserting ``annual evaluations''; and
                    (C) in paragraph (6), by striking ``2025'' and 
                inserting ``2035'';
            (4) in subsection (g)--
                    (A) in paragraph (1)--
                            (i) by adding ``and'' after the semicolon;
                            (ii) by striking ``that includes an 
                        evaluation'' and inserting ``that includes--
                    ``(A) an evaluation;''; and
                            (iii) by adding at the end the following:
                    ``(B) a summary of the Secretary's process for 
                identifying and updating what conditions constitute 
                Alzheimer's disease;''; and
                    (B) in paragraph (3)(A)(ii), by inserting ``and 
                reduce disparities'' before the semicolon; and
            (5) in subsection (h), by striking ``2025'' and inserting 
        ``2035''.

            Passed the Senate July 30, 2024.

            Attest:

                                                             Secretary.
118th CONGRESS

  2d Session

                                 S. 133

_______________________________________________________________________

                                 AN ACT

              To extend the National Alzheimer's Project.