#aae? ,,congress  #b;d ,session  ,s4    
#bjgf  ,,an ,,act  ,to am5d ! ,public   
,heal? ,s]vice ,act to au?orize !       
expansion ( activities relat$ to        
,alzheim]'s disease1 cognitive decl9e1 &
 bra9 heal? "u ! ,alzheim]'s ,disease & 
,heal?y ,ag+ ,program1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,build+ ,our ,l>ge/ ,dem5tia        
,infra/ructure = ,alzheim]'s ,act or !  
,,bold ,infra/ructure = ,alzheim]'s     
,act4  #b4 ,promotion ( public heal? k &
 aw>5ess ( ,alzheim]'s disease1         
cognitive decl9e1 & bra9 heal? "u !     
,alzheim]'s ,disease & ,heal?y ,ag+     
,program ,"p ,k ( title ,,iii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;c et seq47 is am5d$--    
7#a7 9 ! "p head+1 by add+ ,,& ,,public 
,,heal? ,,programs ,,= ,,dem5tia at !   
end2 &  7#b7 9 subp>t ,,ii--  7,a7 by   
/rik+ ! subp>t head+ & ins]t+ ! foll[+3 
,,ii ,programs ,) ,respect to           
,alzheim]'s ,disease & ,relat$ ,dem5tias
  2 &  7,b7 by /rik+ section #cih;,a    

7#db ,u4,s4,c4 #bhj;c-#d7 & ins]t+ !    
foll[+3  #cih;,a4 ,promotion ( public   
heal? k & aw>5ess ( ,alzheim]'s disease 
& relat$ dem5tias  7a7 ,alzheim]'s      
,disease & ,relat$ ,dem5tias ,public    
,heal? ,c5t]s ( ,excell5ce  7#a7 ,9     
g5]al ,! ,secret>y1 9 coord9ation ) !   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion & ! heads ( o!r ag5cies z 
appropriate1 %all aw>d grants1          
contracts1 or coop]ative agreem5ts to   
eligible entities1 su* z in/itutions (  
high] education1 ,/ate1 tribal1 & local 
heal? dep>tm5ts1 ,indian tribes1 tribal 
organizations1 associations1 or o!r     
appropriate entities = ! e/abli%m5t or  
support ( regional c5t]s to address     
,alzheim]'s disease & relat$ dem5tias   
by--  7,a7 advanc+ ! aw>5ess ( public   
heal? (ficials1 heal? c>e pr(essionals1 
& ! public1 on ! mo/ curr5t in=mation & 
rese>* relat$ to ,alzheim]'s disease &  
relat$ dem5tias1 includ+ cognitive      
decl9e1 bra9 heal?1 & associat$ heal?   
disp>ities2  7,b7 id5tify+ & translat+  

promis+ rese>* f9d+s1 su* z f9d+s f     
rese>* & activities conduct$ or support$
 by ! ,national ,in/itutes ( ,heal?1    
includ+ ,alzheim]'s ,disease ,rese>*    
,c5t]s au?oriz$ by section #dde1 into   
evid5ce-bas$ programmatic int]v5tions = 
populations ) ,alzheim]'s disease &     
relat$ dem5tias & c>egiv]s = su*        
populations2 &  7,c7 exp&+ activities1  
includ+ ?r\gh public-private p>tn]%ips  
relat$ to ,alzheim]'s disease & relat$  
dem5tias & associat$ heal? disp>ities4  
7#b7 ,requirem5ts ,to be eligible to    
receive a grant1 contract1 or coop]ative
 agreem5t "u ?is subsection1 an entity  
%all submit to ! ,secret>y an           
application conta9+ su* agreem5ts &     
in=mation z ! ,secret>y may require1    
includ+ a description ( h[ ! entity w-- 
7,a7 coord9ate1 z applicable1 ) exi/+   
,f$]al1 ,/ate1 & tribal programs relat$ 
to ,alzheim]'s disease & relat$         
dem5tias2  7,b7 exam9e1 evaluate1 &     
promote evid5ce-bas$ int]v5tions =      
individuals ) ,alzheim]'s disease &     

relat$ dem5tias1 includ+ und]s]v$       
populations ) su* conditions1 & ^? :o   
provide c>e = su* individuals2 &  7,c7  
prioritize activities relat+ to-- 7i7   
exp&+ ef=ts1 z appropriate1 to implem5t 
evid5ce-bas$ practices to address       
,alzheim]'s disease & relat$ dem5tias1  
includ+ ?r\gh ! tra9+ ( ,/ate1 local1 & 
tribal public heal? (ficials & o!r heal?
 pr(essionals on su* practices2  7ii7   
support+ e>ly detection & diagnosis (   
,alzheim]'s disease & relat$ dem5tias2  
7iii7 r$uc+ ! risk ( pot5tially         
avoidable hospitalizations ( individuals
 ) ,alzheim]'s disease & relat$         
dem5tias2  7iv7 r$uc+ ! risk ( cognitive
 decl9e & cognitive impairm5t associat$ 
) ,alzheim]'s disease & relat$ dem5tias2
  7v7 enhanc+ support to meet ! ne$s (  
c>egiv]s ( individuals ) ,alzheim]'s    
disease & relat$ dem5tias2  7vi7 r$uc+  
heal? disp>ities relat$ to ! c>e &      
support ( individuals ) ,alzheim]'s     
disease & relat$ dem5tias2  7vii7       
support+ c>e plann+ & managem5t =       

individuals ) ,alzheim]'s disease &     
relat$ dem5tias2 &  7viii7 support+ o!r 
relevant activities id5tifi$ by !       
,secret>y or ! ,director ( ! ,c5t]s =   
,disease ,control & ,prev5tion1 z       
appropriate4  7#c7 ,consid]ations ,9    
aw>d+ grants1 contracts1 & coop]ative   
agreem5ts "u ?is subsection1 ! ,secret>y
 %all consid]1 among o!r factors1 :e!r !
 entity--  7,a7 provides s]vices to     
rural areas or o!r und]s]v$ populations2
  7,b7 is able to build on an exi/+     
infra/ructure ( s]vices & public heal?  
rese>*2 &  7,c7 has exp]i5ce ) provid+  
c>e or c>egiv] support1 or has exp]i5ce 
conduct+ rese>* relat$ to ,alzheim]'s   
disease & relat$ dem5tias4  7#d7        
,di/ribution ( aw>ds ,9 aw>d+ grants1   
contracts1 or coop]ative agreem5ts "u   
?is subsection1 ! ,secret>y1 to ! ext5t 
practicable1 %all ensure equitable      
di/ribution ( aw>ds bas$ on geographic  
area1 includ+ consid]ation ( rural      
areas1 & ! burd5 ( ! disease )9         
sub-populations4  7#e7 ,data report+ &  

program ov]sight ,) respect to a grant1 
contract1 or coop]ative agreem5t aw>d$  
"u ?is subsection1 n lat] ?an #ij days  
aft] ! end ( ! fir/ ye> ( ! p]iod (     
assi/ance1 & annually !reaft] = !       
duration ( ! grant1 contract1 or        
agreem5t 7includ+ ! duration ( any      
r5ewal p]iod z provid$ = "u p>agraph    
7#e771 ! entity %all submit data1 z     
appropriate1 to ! ,secret>y reg>d+--    
7,a7 ! programs & activities fund$ "u ! 
grant1 contract1 or agreem5t2 &  7,b7   
outcomes relat$ to su* programs &       
activities4  7b7 ,improv+ data on ,/ate 
& national preval5ce ( ,alzheim]'s      
disease & relat$ dem5tias  7#a7 ,9 g5]al
 ,! ,secret>y %all1 z appropriate1      
improve ! analysis & timely report+ (   
data on ! incid5ce & preval5ce (        
,alzheim]'s disease & relat$ dem5tias4  
,su* data may include1 z appropriate1   
in=mation on cognitive decl9e1 c>egiv+1 
& heal? disp>ities exp]i5c$ by          
individuals ) cognitive decl9e & _!     
c>egiv]s4 ,! ,secret>y may aw>d grants1 

contracts1 or coop]ative agreem5ts to   
eligible entities = activities "u ?is   
p>agraph4  7#b7 ,eligibility ,to be     
eligible to receive a grant1 contract1  
or coop]ative agreem5t "u ?is           
subsection1 an entity %all be a public  
or nonpr(it private entity1 includ+     
in/itutions ( high] education1 ,/ate1   
local1 & tribal heal? dep>tm5ts1 &      
,indian tribes & tribal organizations1 &
 submit to ! ,secret>y an application at
 su* "t1 9 su* mann]1 & conta9+ su*     
in=mation z ! ,secret>y may require4    
7#c7 ,data s\rces ,! analysis1 timely   
public report+1 & dissem9ation ( data "u
 ?is subsection may be c>ri$ out us+    
data s\rces su* z ! foll[+3  7,a7 ,!    
,behavioral ,risk ,factor ,surveillance 
,sy/em4  7,b7 ,! ,national ,heal? &     
,nutrition ,exam9ation ,survey4  7,c7 ,!
 ,national ,heal? ,int]view ,survey4    
7c7 ,improv$ coord9ation ,! ,secret>y   
%all ensure t activities & programs     
relat$ to dem5tia "u ?is section d n    
unnecess>ily duplicate activities &     

programs ( o!r ag5cies & (fices )9 !    
,dep>tm5t ( ,heal? & ,human ,s]vices4  4
  #c4 ,support+ /ate public heal?       
programs relat$ to alzheim]'s disease & 
relat$ dem5tias ,section #cih ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;c-#c7 is am5d$-- 7#a7 9 !
 section head+1 by /rik+ ,e/abli%m5t (  
program & ins]t+ ,coop]ative agreem5ts  
to ,/ates & public heal? dep>tm5ts =    
,alzheim]'s disease & relat$ dem5tias2  
7#b7 by /rik+ subsection 7a7 & ins]t+ ! 
foll[+3  7a7 ,9 g5]al ,! ,secret>y1 9   
coord9ation ) ! ,director ( ! ,c5t]s =  
,disease ,control & ,prev5tion & ! heads
 ( o!r ag5cies1 z appropriate1 %all aw>d
 coop]ative agreem5ts to heal? dep>tm5ts
 ( ,/ates1 political subdivisions (     
,/ates1 & ,indian tribes & tribal       
organizations1 to address ,alzheim]'s   
disease & relat$ dem5tias1 includ+ by   
r$uc+ cognitive decl9e1 help+ meet !    
ne$s ( c>egiv]s1 & address+ unique      
aspects ( ,alzheim]'s disease & relat$  
dem5tias to support ! developm5t &      

implem5tation ( evid5ce-bas$ int]v5tions
 ) respect to--  7#a7 educat+ & in=m+ ! 
public1 bas$ on evid5ce-bas$ public     
heal? rese>* & data1 ab\t ,alzheim]'s   
disease & relat$ dem5tias2  7#b7        
support+ e>ly detection & diagnosis2    
7#c7 r$uc+ ! risk ( pot5tially avoidable
 hospitalizations = individuals )       
,alzheim]'s disease & relat$ dem5tias2  
7#d7 r$uc+ ! risk ( cognitive decl9e &  
cognitive impairm5t associat$ )         
,alzheim]'s disease & relat$ dem5tias2  
7#e7 improv+ support to meet ! ne$s (   
c>egiv]s ( individuals ) ,alzheim]'s    
disease & relat$ dem5tias2  7#f7        
support+ c>e plann+ & managem5t =       
individuals ) ,alzheim]'s disease &     
relat$ dem5tias4  7#g7 support+ o!r     
relevant activities id5tifi$ by !       
,secret>y or ! ,director ( ! ,c5t]s =   
,disease ,control & ,prev5tion1 z       
appropriate  42 &  7#c7 by /rik+        
subsection 7b72  7#d7 by r$esignat+     
subsection 7c7 z subsection 7g72  7#e7  
by ins]t+ aft] subsection 7a71 ! foll[+3

  7b7 ,pref]5ce ,9 aw>d+ coop]ative     
agreem5ts "u ?is section1 ! ,secret>y   
%all give pref]5ce to applications t    
focus on address+ heal? disp>ities1     
includ+ populations & geographic areas t
 h ! highe/ preval5ce ( ,alzheim]'s     
disease & relat$ dem5tias4  7c7         
,eligibility ,to be eligible to receive 
a coop]ative agreem5t "u ?is section1 an
 eligible entity 7pursuant to subsection
 7a77 %all prep>e & submit to !         
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require1 includ+ a plan t 
describes--  7#a7 h[ ! applicant        
proposes to develop or exp&1 programs to
 educate individuals ?r\gh p>tn]%ip     
engagem5t1 work=ce developm5t1 guidance 
& support = programmatic ef=ts1 &       
evaluation ) respect to ,alzheim]'s     
disease & relat$ dem5tias1 & 9 ! case ( 
a coop]ative agreem5t "u ?is section1 h[
 ! applicant proposes to support o!r    
relevant activities id5tifi$ by !       
,secret>y or ,director ( ! ,c5t]s =     

,disease ,control & ,prev5tion1 z       
appropriate4  7#b7 ! mann] 9 :i* !      
applicant w coord9ate ) ,f$]al1 tribal1 
& ,/ate programs relat$ to ,alzheim]'s  
disease & relat$ dem5tias1 & appropriate
 ,/ate1 tribal1 & local ag5cies1 z well 
z o!r relevant public & private         
organizations or ag5cies2 &  7#c7 !     
mann] 9 :i* ! applicant w evaluate !    
effectiv5ess ( any program c>ri$ out "u 
! coop]ative agreem5t4  7d7 ,mat*+      
requirem5t ,ea* heal? dep>tm5t t is     
aw>d$ a coop]ative agreem5t "u          
subsection 7a7 %all provide1 f          
non-,f$]al s\rces1 an am\nt equal to #cj
 p]c5t ( ! am\nt provid$ "u su* agreem5t
 7:i* may be provid$ 9 ca% or 9-k9d7 to 
c>ry out ! activities support$ by !     
coop]ative agreem5t4  7e7 ,waiv]        
au?ority ,! ,secret>y may waive all or  
"p ( ! mat*+ requirem5t describ$ 9      
subsection 7d7 = any fiscal ye> = a     
heal? dep>tm5t ( a ,/ate1 political     
subdivision ( a ,/ate1 or ,indian tribe 
& tribal organization 7includ+ ^? locat$

 9 a rural area or fronti] area71 if !  
,secret>y det]m9es t apply+ su* mat*+   
requirem5t w\ld result 9 s]i\s h>d%ip or
 an inability to c>ry out ! purposes ( !
 coop]ative agreem5t aw>d$ to su* heal? 
dep>tm5t ( a ,/ate1 political           
subdivision ( a ,/ate1 or ,indian tribe 
& tribal organization4  2  7#f7 9       
subsection 7f7 7z s r$esignat$71 by     
/rik+ grant & ins]t+ coop]ative         
agreem5t2 &  7#g7 by add+ at ! end !    
foll[+3  7f7 ,non-duplication ( ef=t ,! 
,secret>y %all ensure t activities "u   
any coop]ative agreem5t aw>d$ "u ?is    
subp>t d n unnecess>ily duplicate ef=ts 
( o!r ag5cies & (fices )9 ! ,dep>tm5t ( 
,heal? & ,human ,s]vices relat$ to--    
7#a7 activities ( c5t]s ( excell5ce )   
respect to ,alzheim]'s disease & relat$ 
dem5tias describ$ 9 section #cih;,a2 &  
7#b7 activities ( public heal? dep>tm5ts
 ) respect to ,alzheim]'s disease &     
relat$ dem5tias describ$ 9 ?is section4 
4  #d4 ,additional provisions ,section  
#cih;,b ( ! ,public ,heal? ,s]vice ,act 

7#db ,u4,s4,c4 #bhj;c-#e7 is am5d$--    
7#a7 9 subsection 7a7--  7,a7 by ins]t+ 
or coop]ative agreem5t aft] grant ea*   
place t su* appe>s2  7,b7 by /rik+      
section #cih7;a7 to a ,/ate unless !    
,/ate & ins]t+ sections #cih or #cih;,a 
to an entity unless ! entity2 &  7,c7 by
 /rik+ #aj & ins]t+ #e2  7#b7 by /rik+  
subsection 7b72  7#c7 by r$esignat+     
subsections 7c7 & 7d7 z subsections 7b7 
& 7c71 respectively2  7#d7 9 subsection 
7b7 7z s r$esignat$7--  7,a7 9 ! matt]  
prec$+ p>agraph 7#a71 by /rik+ section  
#cih7;a7 to a ,/ate unless ! ,/ate &    
ins]t+ sections #cih or #cih;,a to an   
entity unless ! entity2  7,b7 9 p>agraph
 7#a71 by /rik+ exp5ditures requir$ 9   
subsection 7b72 & ins]t+ exp5ditures22  
7#e7 9 subsection 7c7 7z s r$esignat$7--
 7,a7 9 p>agraph 7#a7--  7i7 by /rik+   
ea* demon/ration project = :i* a grant &
 ins]t+ ! activities = :i* an aw>d2 &   
7ii7 by /rik+ section #cih7;a7 & ins]t+ 
sections #cih or #cih;,a2 &  7,b7 9     
p>agraph 7#b71 by /rik+ #f mon?s &      

ins]t+ #a ye>2  7#f7 by ins]t+ aft]     
subsection 7c7 7z s r$esignat$71 !      
foll[+3  7d7 ,def9ition ,9 ?is subp>t1 !
 t]ms #8,indian tribe' & #8tribal       
organization' h ! mean+s giv5 su* t]ms 9
 section #d ( ! ,indian ,heal? ,c>e     
,improvem5t ,act4  2 &  7#g7 9          
subsection 7e71 by /rik+ #e1jjj1jjj =   
ea* ( ! fiscal ye>s #aihh ?r\gh #aiij & 
all t foll[s ?r\gh #bjjb & ins]t+       
#bj1jjj1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  ,pass$ ! ,s5ate ,decemb]  
#ab1 #bjah4,secret>y