,,ii  #aad? ,,congress  #a/ ,session    
,s4 #heg  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #be1 #bjae ,ms4   
,/ab5[ 7= h]self1 ,ms4 ,coll9s1 ,mr4    
,m>key1 & ,mrs4 ,capito7 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to provide = cov]age "u !
 ,m$ic>e program ( an initial           
compreh5sive c>e plan = ,m$ic>e         
b5efici>ies newly diagnos$ ) ,alzheim]'s
 disease & relat$ dem5tias1 & = o!r     
purposes4  #a4 ,%ort title  ,?is ,act   
may be cit$ z ! ,heal? ,outcomes1       
,plann+1 & ,education 7,,hope7 =        
,alzheim]'s ,act ( #bjae4  #b4 ,f9d+s & 
purpose  7a7 ,f9d+s ,congress makes !   
foll[+ f9d+s3 7#a7 ,z _m z half ( !     
e/imat$ #e1ajj1jjj ,am]ican s5iors )    
,alzheim]'s disease & o!r dem5tias 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 ,build+  
^u ! exi/+ ,m$ic>e b5efit ( a diagno/ic 
evaluation to add compreh5sive c>e      
plann+ s]vices w\ld help ensure t       
b5efici>ies & _! families receive       
critical in=mation ab\t ! disease &     
available c>e options1 :i* leads to     
bett] outcomes4  7#d7 ,an accurate1     
timely1 & docum5t$ 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 & docum5t$ diagnosis & c>e plann+ 
s]vices all[ 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  7b7 ,purpose ,!       
purpose ( ?is ,act is to provide bett]  
c>e & outcomes = ,m$ic>e b5efici>ies    
liv+ ) ,alzheim]'s disease & relat$     
dem5tias by build+ ^u exi/+ ,m$ic>e     
cov]age ( a diagno/ic evaluation =      

,alzheim]'s disease & relat$ dem5tias to
 add cov]age ( initial compreh5sive c>e 
plann+ s]vices = ,m$ic>e b5efici>ies :o 
are fir/ diagnos$ ) ,alzheim]'s disease 
or relat$ dem5tias on or aft] ! date ( !
 enactm5t ( ?is ,act & ^: m$ical records
 conta9 ! docum5t$ diagnosis ( !        
disease4  #c4 ,m$ic>e cov]age (         
compreh5sive alzheim]'s disease c>e     
plann+ s]vices  7a7 ,9 g5]al ,section   
#ahfa ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciex7 is am5d$-- 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 c>e plann+ s]vices  
7z def9$ 9 subsection 7iii772  2 &  7#b7
 by add+ at ! end ! foll[+ new          
subsection3  7iii7 ,compreh5sive        
,alzheim]'s disease c>e plann+ s]vices  
7#a7 7,a7 ,subject to subp>agraph 7,b71 
! t]m compreh5sive ,alzheim]'s disease  
c>e plann+ s]vices means ! s]vices      

describ$ 9 p>agraph 7#b7 furni%$ by a   
physician or non-physician practition]  
to any or all ( ! foll[+3  7i7 ,an      
eligible individual4  7ii7 ,! p]sonal   
repres5tative ( su* eligible individual1
 ) or )\t ! pres5ce ( ! eligible        
individual4  7iii7 ,"o or m family      
c>egiv]s ( su* eligible individual1 ) or
 )\t ! pres5ce ( ! eligible individual4 
7,b7 ,! ,secret>y %all e/abli% guidel9es
 = ! furni%+ ( ,compreh5sive ,alzheim]'s
 disease c>e plann+ s]vices to          
individuals describ$ 9 clauses 7i71     
7ii71 & 7iii7 ( subp>agraph 7,a74  7#b7 
7,a7 ,subject to ! succe$+ provisions ( 
?is p>agraph1 ! s]vices describ$ 9 ?is  
p>agraph are ! developm5t & furni%+ ( an
 initial compreh5sive c>e plan to an    
eligible individual t provides su*      
in=mation & s]vices z ! ,secret>y may   
specify 79 consultation ) /akehold]s z  
provid$ 9 p>agraph 7#e771 :i*--  7i7    
includes-- 7,i7 assi/ance und]/&+ !     
diagnosis2  7,,ii7 assi/ance und]/&+    
m$ical & non-m$ical options = ongo+     

treatm5t1 s]vices1 & supports2 &        
7,,iii7 in=mation ab\t h[ to obta9 !    
treatm5ts1 s]vices1 & supports describ$ 
9 subclause 7,,ii72 &  7ii7 takes into  
acc\nt ! eligible individual's o!r      
co-morbid *ronic conditions4  7,b7 ,!   
s]vices describ$ 9 ?is p>agraph %all    
also include compreh5sive m$ical record 
docum5tation1 ) respect to ! eligible   
individual ( ! c>e plann+ s]vices "u    
subp>agraph 7,a71 by ! physician or     
non-physician practition] furni%+ !     
s]vices4  7#c7 ,subject to p>agraph     
7#e71 ! ,secret>y %all p]iodically      
update requirem5ts "u ?is subsection to 
reflect advances 9 sci5ce & te*nology4  
7#d7 7,a7 ,compreh5sive ,alzheim]'s     
disease c>e plann+ s]vices may only be  
furni%$ once ) respect to ea* eligible  
individual4  7,b7 ,no?+ 9 ?is subsection
 %all be con/ru$ z prohibit+ an update (
 any initial compreh5sive c>e plan      
furni%$ "u ?is subsection to an eligible
 individual "u physicians' s]vices t are
 cov]$ "u o!r provisions ( ?is title1   

su* z c>e plann+ "u p]sonaliz$ prev5tion
 plan s]vices 7z def9$ 9 subsection     
7hhh77#a774  7#e7 ,! ,secret>y %all     
consult ) /akehold]s1 su* z physicians1 
non-physician practition]s1 &           
organizations t repres5t individuals    
7includ+ individuals "u ?is title7 )    
,alzheim]'s disease1 ) respect to ea* ( 
! foll[+3  7,a7 ,! scope (1 &           
requirem5ts =1 s]vices describ$ 9       
p>agraph 7#b74  7,b7 ,! p]iodic updates 
( requirem5ts "u p>agraph 7#c74  7#f7 ,9
 ?is subsection3 7,a7 ,! t]m ,alzheim]s 
disease' means ,alzheim]'s disease &    
relat$ dem5tias4  7,b7 ,! t]m eligible  
individual means an individual :o-- 7i7 
has a docum5t$ diagnosis ( ,alzheim]'s  
disease 9 ! m$ical record2 &  7ii7 0    
fir/ diagnos$ z hav+ ,alzheim]'s disease
 on or aft] ! date ( ! enactm5t ( ?is   
subsection4  7,c7 ,! t]m non-physician  
practition] means a practition] describ$
 9 clause 7i71 7iv71 or 7v7 ( section   
#ahdb7;b77#ah77;,c74  7,d7 ,! 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  7,e7 ,! t]m   
physician has ! mean+ giv5 t t]m 9      
subsection 7r77#a74  4  7b7 ,paym5t     
7#a7 ,9 g5]al ,section #ahcc7;a77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7a77#a77 is am5d$--  7,a7 by /rik+
 & be=e 7,z72 &  7,b7 by ins]t+ be=e !  
semicolon at ! end ! foll[+3 1 & 7,,aa7 
) respect to compreh5sive ,alzheim]'s   
disease c>e plann+ s]vices 7z def9$ 9   
section #ahfa7;iii77#b771 ! am\nt paid  
%all be an am\nt equal to #hj p]c5t ( ! 
less] ( ! actual *>ge = ! s]vices or !  
am\nt det]m9$ "u ! paym5t basis det]m9$ 
"u section #ahdh44  7#b7 ,paym5t "u     
physician fee s*$ule ,section           
#ahdh7;j77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is   
am5d$ by ins]t+ 7#b77;,,gg71 aft]       
7#b77;,,ff7 7includ+ adm9i/ration ( !   
heal? risk assessm5t714  7#c7 ,frequ5cy 
limitation ,section #ahfb7;a77#a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   

#aciey7a77#a77 is am5d$--  7,a7 9       
subp>agraph 7,o71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,p71 by /rik+ !     
semicolon at ! end & ins]t+ 1 &2 &  7,c7
 by add+ at ! end ! foll[+ new          
subp>agraph3  7,q7 9 ! case (           
compreh5sive ,alzheim]'s disease c>e    
plann+ s]vices 7z def9$ 9 section       
#ahfa7;iii77#a771 :i* are p]=m$ m       
frequ5tly ?an is cov]$ "u su* section2  
4  7c7 ,provid] outrea* & report+ on c>e
 plann+ s]vices  7#a7 ,outrea* ,!       
,secret>y ( ,heal? & ,human ,s]vices 79 
?is subsection ref]r$ to z ! ,secret>y7 
%all conduct outrea* to physicians &    
appropriate non-physician practition]s  
p>ticipat+ "u ! ,m$ic>e program )       
respect to ! am5dm5ts made by           
subsections 7a7 & 7b74 ,su* outrea* %all
 include a compreh5sive1 "o-"t education
 initiative to in=m su* physicians &    
practition]s ( ! addition ( compreh5sive
 ,alzheim]'s disease c>e plann+ s]vices 
z a cov]$ b5efit "u ! ,m$ic>e program1  
includ+ mat]ials on appropriate         

diagno/ic evaluations & explanations ( !
 requirem5ts = eligibility = su*        
s]vices4  7#b7 ,reports to ,congress    
7,a7 ,provid] outrea* ,n lat] ?an "o ye>
 aft] ! effective date ( ! am5dm5ts made
 by subsections 7a7 & 7b7 7z describ$ 9 
subsection 7d771 ! ,secret>y %all submit
 to ! ,committee on ,ways & ,means & !  
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives & ! ,committee  
on ,f9ance ( ! ,s5ate a report on !     
outrea* conduct$ "u p>agraph 7#a74 ,su* 
report %all include a description ( !   
me?ods us$ = su* outrea*4  7,b7         
,utilization rates ,n lat] ?an #ah mon?s
 aft] ! effective date ( ! am5dm5ts made
 by subsections 7a7 & 7b7 7z describ$ 9 
subsection 7d77 & annually !reaft] = !  
succe$+ five ye>s1 ! ,secret>y %all     
submit to ! ,committee on ,ways & ,means
 & ! ,committee on ,en]gy & ,comm]ce ( !
 ,h\se ( ,repres5tatives & ! ,committee 
on ,f9ance ( ! ,s5ate a report on !     
numb] ( ,m$ic>e b5efici>ies :o1 dur+ !  
prec$+ ye>1 7 furni%$ compreh5sive      

,alzheim]'s disease c>e plann+ s]vices =
 :i* paym5t 0 made "u title ,,xviii ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq474 ,ea* su* report %all    
include in=mation on any b>ri]s ,m$ic>e 
b5efici>ies face to access su* s]vices &
 ! ,secret>y's recomm5dations to        
elim9ate any su* b>ri]s4  7,c7 ,copy (  
ea* report ,on ! same day t a report is 
submitt$ "u subp>agraph 7,a7 or 7,b7 (  
p>agraph 7#b71 ! ,secret>y %all transmit
 a copy ( su* report to ! ,advisory     
,c\ncil on ,alzheim]'s ,rese>*1 ,c>e1 & 
,s]vices 7e/abli%$ "u section #b7;e7 ( !
 ,national ,alzheim]'s ,project ,act    
7,public ,law #aaa-cge74  7d7 ,effective
 date ,! am5dm5ts made by subsections   
7a7 & 7b7 %all apply to s]vices furni%$ 
on or aft] ,janu>y #a ( ! ye> foll[+ !  
ye> :i* includes ! date ( ! enactm5t (  
?is ,act4