[Congressional Record Volume 170, Number 124 (Tuesday, July 30, 2024)]
[Senate]
[Pages S5568-S5569]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                        NAPA REAUTHORIZATION ACT

  Ms. COLLINS. Mr. President, so as if in legislative session and 
notwithstanding rule XXII, I ask unanimous consent that the Senate 
proceed to the immediate consideration of Calendar No. 182, S. 133.
  The PRESIDING OFFICER. The clerk will report the bill by title.
  The senior assistant executive clerk read as follows:

       A bill (S. 133) to extend the National Alzheimer's Project.

  There being no objection, the Senate proceeded to consider the bill 
which had been reported from the Committee on Health, Education, Labor, 
and Pensions with an amendment to strike all after the enacting clause 
and insert in lieu thereof the following:

     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 ``ethnic and racial 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 diverse cohorts of trial 
     participants;'';

       (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.'';

[[Page S5569]]

       (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)(3)(A)(ii), by inserting ``and reduce 
     disparities'' before the semicolon; and
       (5) in subsection (h), by striking ``2025'' and inserting 
     ``2035''.

  Ms. COLLINS. Mr. President, I ask unanimous consent that the 
committee-reported substitute amendment be withdrawn, that the Collins 
substitute amendment, which is at the desk, be considered and agreed 
to; and that the bill, as amended, be considered read a third time.
  The PRESIDING OFFICER. Without objection, it is so ordered.
  The committee-reported amendment, in the nature of a substitute, was 
withdrawn.
  The amendment (No. 3201), in the nature of a substitute, was agreed 
to as follows:

                (Purpose: In the nature of a substitute)

        Strike all after the enacting clause and insert the 
     following:

     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''.

  The bill, as amended, was ordered to be engrossed for a third reading 
and was read the third time.
  Ms. COLLINS. Mr. President, I know of no further debate on the bill, 
prior to our proceeding with it, as amended.
  The PRESIDING OFFICER. Is there further debate on the bill?
  Hearing none, the bill having been read the third time, the question 
is, Shall the bill pass?
  The bill (S. 133), as amended, was passed.

                          ____________________