,,ii  #aadth ,,congress  #b;d ,session  
,s4 #cacg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #g1      
#bjaf,mrs4 ,capito 7for herself and ,ms4
 ,stabenow7 introduced the following    
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to require the ,center for ,medicare 
and ,medicaid ,innovation to test the   
efficacy of providing ,alzheimer's      
,disease caregiver support services in  
delaying or reducing the use of         
institutionalized care for ,medicare    
beneficiaries with ,alzheimer's ,disease
 or a related dementia4  #a4 ,short     
title ,this ,act may be cited as the    
,alzheimer's ,beneficiary and ,caregiver
 ,support ,act4  #b4 ,testing of        
,medicare and ,medicaid coverage of     
,alzheimer's disease caregiver support  
services ,section #aaae;,a of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acae;a7 is amended--  7#a7 in          
subsection 7b77#b7-- 7,a7 in            
subparagraph 7,a71 by adding at the end 

the following new sentence3 ,the models 
selected under this subparagraph shall  
include the model described in          
subparagraph 7,d71 which shall be       
implemented by not later than the date  
that is #a year after the date of       
enactment of such subparagraph42 and    
7,b7 by adding at the end the following 
new subparagraph3  7,d7 ,alzheimer's    
disease caregiver support services model
 ,the model described in this           
subparagraph is a model that meets the  
requirements of subsection 7h7 with     
respect to coverage of1 and payment for1
 ,alzheimer's ,disease caregiver support
 services 7as defined in such           
subsection74  2 and  7#b7 by adding at  
the end the following new subsection3   
7h7 ,coverage of alzheimer's disease    
caregiver support services  7#a7 ,in    
general ,subject to the succeeding      
provisions of this subsection1 for the  
#c-year period that begins on ,january  
#a1 #bjah1 the ,secretary shall test the
 efficacy of coverage of1 and payment   

for1 ,alzheimer's ,disease caregiver    
support services 7as defined in         
paragraph 7#b77 under the applicable    
title1 in delaying or reducing the use  
of institutionalized care for applicable
 ,medicare beneficiaries 7as defined in 
paragraph 7#c774  7#b7 ,definition of   
,alzheimer's disease caregiver support  
services ,in this subsection1 the term  
,alzheimer's ,disease caregiver support 
services means the following services   
furnished by an eligible professional   
7as defined in paragraph 7#c77 to a     
family caregiver 7as defined in such    
paragraph7 of an applicable ,medicare   
beneficiary 7as defined in such         
paragraph73  7,a7 ,a defined set of     
counseling sessions over a fixed period 
of time 7as determined appropriate by   
the ,secretary71 including a            
comprehensive baseline interview1 two   
individual counseling sessions1 and four
 family counseling sessions4  7,b7      
,following such defined set of          
counseling sessions1 a subsequent period

 7as determined appropriate by the      
,secretary7 of follow-up assessments1   
support group participation1 and ad hoc 
counseling or consultations to support  
the family caregiver as needs arise and 
the health of the applicable ,medicare  
beneficiary changes4  7#c7 ,additional  
definitions ,in this subsection3 7,a7   
,applicable medicare beneficiary ,the   
term applicable ,medicare beneficiary   
means an individual--  7i7 who is       
entitled to benefits under part ,a and  
enrolled under part ,b of title ,,xviii 
who is not enrolled in a ,medicare      
,advantage plan under part ,c of such   
title1 an eligible organization under   
section #ahgf1 or a ,,pace program under
 section #ahid2 and  7ii7 who has been  
diagnosed with ,alzheimer's ,disease or 
a related dementia4  7,b7 ,eligible     
professional ,the term eligible         
professional means an individual who--  
7i7 is a clinical social worker 7as     
defined in section #ahfa7;hh77#a77 or a 
nurse practitioner 7as defined in       

section #ahfa7;aa77#e77;,a772 and  7ii7 
has undergone extensive online training 
in the best practices for caregiver     
intervention for patients who have been 
diagnosed with ,alzheimer's ,disease or 
a related dementia4  7,c7 ,family       
caregiver ,the term family caregiver    
means1 with respect to an applicable    
,medicare beneficiary1 a spouse1 adult  
child1 or other family member of the    
applicable ,medicare beneficiary who is 
part of the care team of the applicable 
,medicare beneficiary and receives no   
monetary compensation for their service 
as part of the team4  7#d7 ,payment ,the
 ,secretary shall establish payment     
amounts under this subsection for       
,alzheimer's ,disease caregiver support 
services4  4