,,ii  #aac? ,,congress  #a/ ,session    
,s4 #gji  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #aa1 #bjac ,ms4 
,/ab5[ 7= h]self1 ,ms4 ,coll9s1 ,mr4    
,begi*1 ,mr4 ,br[n1 ,mr4 ,frank51 ,ms4  
,klobu*>1 ,mrs4 ,gillibr&1 & ,mr4       
,m55dez7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
increase diagnosis ( ,alzheim]'s disease
 & relat$ dem5tias1 lead+ to bett] c>e &
 outcomes = ,am]icans liv+ ) ,alzheim]'s
 disease & relat$ dem5tias4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,heal?  
,outcomes1 ,plann+1 & ,education =      
,alzheim]'s ,act4  #b4 ,f9d+s & purpose 
7a7 ,f9d+s ,congress makes ! foll[+     
f9d+s3  7#a7 ,z _m z half ( ! e/imat$   
#e4b million ,am]icans ) ,alzheim]'s    
disease h nev] receiv$ a diagnosis4     
7#b7 ,an e>ly & docum5t$ diagnosis &    
access to c>e plann+ s]vices leads to   
bett] outcomes = individuals )          
,alzheim]'s disease & o!r dem5tias & _! 

c>egiv]s4  7#c7 ,comb9+ ! exi/+ ,m$ic>e 
b5efits ( a diagno/ic evaluation & c>e  
plann+ into a s+le package ( s]vices    
w\ld help ensure t individuals receive  
an appropriate diagnosis z well z       
critical in=mation ab\t ! disease &     
available c>e options1 :i* leads to     
bett] outcomes4  7#d7 ,an accurate      
diagnosis all[s = bett] managem5t ( o!r 
kn[n *ronic conditions & m effici5t     
utilization ( m$ical res\rces1 includ+  
r$uc+ complications & ! numb] ( co/ly   
em]g5cy room visits & hospitalizations4 
7#e7 ,a =mal diagnosis all[s individuals
 & _! c>egiv]s to h access to available 
m$ical & non-m$ical treatm5ts1 build a  
c>e team1 p>ticipate 9 support s]vices1 
& enroll 9 cl9ical trials4  7#f7        
,und]tak+ ! diagno/ic process pot5tially
 all[s cognitive impairm5t to be rev]s$1
 z ! cognitive impairm5t ( n9e p]c5t (  
individuals exp]i5c+ dem5tia-l symptoms 
is due to a pot5tially rev]sible cause1 
su* z depression or vitam9 defici5cy4   
7b7 ,purpose ,! purpose ( ?is ,act is to

 increase diagnosis ( ,alzheim]'s       
disease & relat$ dem5tias1 lead+ to     
bett] c>e & outcomes = ,am]icans liv+ ) 
,alzheim]'s disease & relat$ dem5tias4  
#c4 ,m$ic>e cov]age ( compreh5sive      
,alzheim]'s disease diagnosis & s]vices 
7a7 ,9 g5]al ,section #ahfa ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$--  7#a7 9 subsection 7s77#b7--   
7,a7 by /rik+ & at ! end ( subp>agraph  
7,,ee72  7,b7 by add+ & at ! end (      
subp>agraph 7,,ff72 &  7,c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,,gg7  
compreh5sive ,alzheim]'s disease        
diagnosis & s]vices 7z def9$ 9          
subsection 7iii772  2 &  7#b7 by add+ at
 ! end ! foll[+ new subsection3  7iii7  
,compreh5sive ,alzheim]'s disease       
diagnosis & s]vices  7#a7 ,! t]m        
compreh5sive ,alzheim]'s disease        
diagnosis & s]vices means ! s]vices     
describ$ 9 p>agraph 7#b7 furni%$ to an  
individual--  7,a7 :o does n already h a
 diagnosis ( ,alzheim]'s disease2 &     
7,b7 = :om a physician or a practition] 

describ$ 9 clause 7i71 7iv71 or 7v7 (   
section #ahdb7;b77#ah77;,c71 9 a m$ical 
sett+ su* z a physician's (fice1 a      
hospital1 a skill$ nurs+ facility1 a    
community heal? c5t]1 or ano!r simil>   
m$ical sett+--  7i7 has detect$ !       
individual may h a cognitive impairm5t  
or dem5tia2 &  7ii7 pursuant to su*     
detection1 has det]m9$ a diagno/ic      
evaluation = ,alzheim]'s disease is     
ne$$4  7#b7 ,! s]vices describ$ 9 ?is   
p>agraph are ! foll[+3  7,a7 ,a         
diagno/ic evaluation1 includ+ ref]ral to
 a speciali/ if recomm5d$4  7,b7 ,if !  
individual is diagnos$ ) ,alzheim]'s    
disease "u ! diagno/ic evaluation "u    
subp>agraph 7,a71 c>e plann+ s]vices 7) 
! individual1 ) ! p]sonal repres5tative 
( ! individual1 or ) "o or m family     
c>egiv]s ( ! individual ) or )\t !      
pres5ce ( ! individual71 includ+        
assi/ance und]/&+ ! diagnosis z well z !
 m$ical & non-m$ical options = ongo+    
treatm5t1 s]vices1 & supports1 &        
in=mation ab\t h[ to obta9 su*          

treatm5ts1 s]vices1 & supports4 ,su* c>e
 plann+ s]vices = individuals diagnos$ )
 ,alzheim]'s disease %\ld take into     
consid]ation & address o!r co-morbid    
*ronic conditions4  7,c7 ,m$ical record 
docum5tation1 ) respect to an           
individual1 ( ! diagno/ic evaluation "u 
subp>agraph 7,a71 ! diagnosis1 & any c>e
 plann+ s]vices "u subp>agraph 7,b74    
7#c7 ,9 ?is subsection--  7,a7 ! t]m    
,alzheim]'s disease means ,alzheim]'s   
disease & relat$ dem5tias2 &  7,b7 ! t]m
 p]sonal repres5tative means1 ) respect 
to an individual1 a p]son legally       
au?oriz$ to make heal? c>e decisions on 
su* individual's behalf4  4  7b7 ,paym5t
 ,section #ahcc7;a77#a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#aciel7a77#a77 is am5d$ by /rik+ & be=e 
7,z7 & ins]t+ be=e ! semicolon at ! end 
! foll[+3 1 & 7,,aa7 ) respect to       
compreh5sive ,alzheim]'s disease        
diagnosis & s]vices 7z def9$ 9 section  
#ahfa7;iii771 ! am\nt paid %all be an   
am\nt equal to #hj p]c5t ( ! am\nt      

det]m9$ "u a fee s*$ule designat$ by !  
,secret>y4  7c7 ,effective date ,!      
am5dm5ts made by ?is section %all apply 
to s]vices furni%$ on or aft] ,janu>y #a
 ( ! ye> foll[+ ! ye> :i* includes !    
date ( ! enactm5t ( ?is ,act4