,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cced  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ai1 #bjba,ms4   
,sn*ez 7= h]self1 ,mr4 ,la,hood1 ,ms4   
,matsui1 ,mr4 ,upton1 ,ms4 ,%]rill1 ,ms4
 ,b>ragn1 ,mr4 ,posey1 ,ms4 ,/ev5s1 ,mr4
 ,fitzpatrick1 ,mr4 ,l[5?al1 ,ms4       
,norton1 ,mr4 ,wel*1 ,mr4 ,k9z+]1 ,ms4  
,wat]s1 ,ms4 ,newman1 ,mr4 ,de,fazio1   
,mr4 ,cole1 ,mr4 ,suozzi1 ,mrs4 ,dem+s1 
,mr4 ,gro?man1 ,mr4 ,mi*ael ,f4 ,doyle (
 ,p5nsylvania1 ,mr4 ,keat+1 ,ms4 ,ku/]1 
& ,mr4 ,grijalva7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce1 & 9 addition to !    
,committee on ,ways & ,means1 = a p]iod 
to be subsequ5tly det]m9$ by ! ,speak]1 
9 ea* case = consid]ation ( su*         
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to       
provide bett] c>e & outcomes = ,am]icans
 liv+ ) ,alzheim]'s disease & relat$    
dem5tias & _! c>egiv]s :ile accel]at+   
progress t[>d prev5tion /rategies1      
disease modify+ treatm5ts1 &1           

ultimately1 a cure4  #a4 ,%ort title2   
table ( cont5ts2 f9d+s  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,conc5trat+ on
 ,high-value ,alzheim]'s ,ne$s to ,get  
to an ,end ,act ( #bjba or ! ,,*ange    
,act ( #bjba4  7b7 ,table ( cont5ts ,!  
table ( cont5ts ( ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title2 table ( cont5ts2 
f9d+s4,sec4 #b4 ,cognitive impairm5t    
detection b5efit 9 ! ,m$ic>e annual     
wellness visit & initial prev5tive      
physical exam9ation4,sec4 #c4 ,m$ic>e   
quality paym5t program4,sec4 #d4 ,report
 to ,congress on implem5tation ( ?is    
,act4,sec4 #e4 ,/udy & report on        
regulatory & legislative *anges or      
ref9em5ts t w\ld accel]ate ,alzheim]'s  
disease rese>* progress4  7c7 ,f9d+s    
,congress f9ds z foll[s3 7#a7 ,x is     
e/imat$ t #f4b million ,am]icans age #fe
 & old] are liv+ ) ,alzheim]'s disease 9
 #bjba4 ,m ?an "o 9 n9e p age #fe & old]
 has ,alzheim]'s4 ,by #bjej1 ! numb] (  
,am]icans age #fe & old] ) ,alzheim]'s  
dem5tia is project$ to rea* #ab4g       

million4  7#b7 ,alzheim]'s disease      
disproportionately impacts wom5 & p (   
color4  7#c7 ,almo/ two-?irds (         
,am]icans ) ,alzheim]'s disease are     
wom54  7#d7 ,accord+ to ! ,c5t]s =      
,disease ,control & ,prev5tion1 among p 
ages #fe & old]1 ,african ,am]icans h ! 
highe/ preval5ce ( ,alzheim]'s disease &
 relat$ dem5tias 7#ac4h p]c5t71 foll[$  
by ,hispanics 7#ab4b p]c5t71 &          
non-,hispanic ,:ites 7#aj4c p]c5t71     
,am]ican ,indian & ,alaska ,natives     
7#i4a p]c5t71 & ,asian & ,pacific       
,isl&]s 7#h4d p]c5t74 ,?is high]        
preval5ce translates into a high] dea?  
rate3 ,alzheim]'s dea?s increas$ #ee    
p]c5t among all ,am]icans betwe5 #aiii &
 #bjad1 :ile ! numb] 0 #ajg p]c5t =     
,lat9os & #ii p]c5t = ,african          
,am]icans4  7#e7 ,curr5tly available    
data %[s t ab\t half ( individuals age  
#fe & old] ) mild cognitive impairm5t   
7,,mci7--r\ghly #e million ,am]icans--h 
,,mci due to ,alzheim]'s disease4       
,approximately #ae p]c5t ( individuals )

 ,,mci develop dem5tia aft] two ye>s &  
#cb p]c5t develop ,alzheim]'s dem5tia )9
 five ye>s' foll[-up4  7#f7 ,address+   
modifiable risk factors su* z physical  
activity1 smok+1 education1 /ay+        
socially & m5tally active1 blood        
pressure1 & diet might prev5t or delay  
up to #dj p]c5t ( dem5tia cases4  7#g7  
,an e>ly1 docum5t$ diagnosis1           
communicat$ to ! pati5t & c>egiv]1      
enables e>ly access to c>e plann+       
s]vices & available m$ical & nonm$ical  
treatm5ts1 & optimizes pati5ts' ability 
to build a c>e team1 p>ticipate 9       
support s]vices1 & enroll 9 cl9ical     
trials4  7#h7 ,alzheim]'s exacts an     
emotional & physical toll on c>egiv]s1  
result+ 9 high] incid5ce ( he>t disease1
 canc]1 depression1 & o!r heal?         
consequ5ces4  7#i7 ,m ?an #aa million   
,am]icans provide unpaid c>e = p )      
,alzheim]'s or o!r dem5tia & provid$    
ne>ly #beg billion 9 unpaid c>e to p    
liv+ ) ,alzheim]'s & o!r dem5tias 9     
#bjbj4  7#aj7 ,9 #bjba1 x is e/imat$ t  

,alzheim]'s & relat$ dem5tias w h co/   
,m$ic>e & ,m$icaid programs #bci        
billion4 ,by #bjej1 x is e/imat$ t ^!   
direct co/s w increase to z mu* z #a4a  
trillion4  #b4 ,cognitive impairm5t     
detection b5efit 9 ! ,m$ic>e annual     
wellness visit & initial prev5tive      
physical exam9ation  7a7 ,annual        
wellness visit  7#a7 ,9 g5]al ,section  
#ahfa7;hhh77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is 
am5d$-- 7,a7 by /rik+ subp>agraph 7,d7 &
 ins]t+ ! foll[+3  7,d7 ,detection ( any
 cognitive impairm5t or progression (   
cognitive impairm5t t %all-- 7i7 be     
p]=m$ us+ a cognitive impairm5t         
detection tool id5tifi$ by ! ,national  
,in/itute on ,ag+ z meet+ its crit]ia = 
select+ in/rum5ts to detect cognitive   
impairm5t 9 ! prim>y c>e sett+1 & o!r   
validat$ cognitive detection tools z !  
,secret>y det]m9es2  7ii7 include       
docum5tation ( ! tool us$ = detect+     
cognitive impairm5t & results ( !       
assessm5t 9 ! pati5t's m$ical record2 & 

7iii7 take into consid]ation ! tool us$1
 & results (1 any previ\sly p]=m$       
cognitive impairm5t detection assessm5t4
  2  7,b7 by r$esignat+ subp>agraph 7,i7
 z subp>agraph 7,j72 &  7,c7 by ins]t+  
aft] subp>agraph 7,h7 ! foll[+ new      
subp>agraph3  7,i7 ,ref]ral ( pati5ts ) 
detect$ cognitive impairm5t or pot5tial 
cognitive decl9e to-- 7i7 appropriate   
,alzheim]'s disease & dem5tia diagno/ic 
s]vices1 includ+ amyloid positron       
emission tomography1 & o!r m$ically     
accept$ diagno/ic te/s t ! ,secret>y    
det]m9es are safe & effective2  7ii7    
speciali/s & o!r cl9icians ) exp]tise 9 
diagnos+ or treat+ ,alzheim]'s disease &
 relat$ dem5tias2  7iii7 available      
community-bas$ s]vices1 includ+ pati5t &
 c>egiv] c\nsel+ & social support       
s]vices2 &  7iv7 appropriate cl9ical    
trials4  4  7#b7 ,effective date ,!     
am5dm5ts made by p>agraph 7#a7 %all     
apply to annual wellness visits furni%$ 
on or aft] ,janu>y #a1 #bjbb4  7b7      
,initial prev5tive physical exam9ation  

7#a7 ,9 g5]al ,section #ahfa7ww77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7ww77#a77 is am5d$ by /rik+       
agreem5t ) ! individual1 & & ins]t+     
agreem5t ) ! individual1 detection ( any
 cognitive impairm5t or progression (   
cognitive impairm5t z describ$ 9        
subp>agraph 7,d7 ( subsection 7hhh77#b7 
& ref]rals z describ$ 9 subp>agraph 7,i7
 ( su* subsection1 &4  7#b7 ,effective  
date ,! am5dm5ts made by p>agraph 7#a7  
%all apply to initial prev5tive physical
 exam9ations furni%$ on or aft] ,janu>y 
#a1 #bjbb4  #c4 ,m$ic>e quality paym5t  
program ,n lat] ?an ,janu>y #a1 #bjbb1 !
 ,secret>y ( ,heal? & ,human ,s]vices   
%all implem5t ,m$ic>e policies "u title 
,,xviii ( ! ,social ,security ,act1     
includ+ quality measures & ,m$ic>e      
,advantage plan rat+ & risk adju/m5t    
me*anisms1 t reflect ! public heal?     
imp]ative (-- 7#a7 promot+ heal?y bra9  
life/yle *oices2  7#b7 id5tify+ &       
respond+ to pati5t risk factors =       
,alzheim]'s disease & relat$ dem5tias2 &

  7#c7 inc5tiviz+ provid]s =-- 7,a7     
adequate & reliable cognitive impairm5t 
detection 9 ! prim>y c>e sett+1 t is    
docum5t$ 9 ! pati5t's electronic heal?  
record & communicat$ to ! pati5t2  7,b7 
timely ,alzheim]'s disease diagnosis2 & 
7,c7 appropriate c>e plann+ s]vices1    
includ+ id5tification (1 & communication
 ) pati5ts & c>egiv]s ab\t1 ! pot5tial =
 cl9ical trial p>ticipation4  #d4       
,report to ,congress on implem5tation ( 
?is ,act ,n lat] ?an #c ye>s aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,heal? & ,human ,s]vices %all submit a  
report to ,congress on ! implem5tation (
 ! provisions (1 & am5dm5ts made by1 ?is
 ,act1 includ+-- 7#a7 ! increas$ use (  
validat$ tools = detection ( cognitive  
impairm5t & ,alzheim]'s disease2  7#b7  
utilization ( ,alzheim]'s disease       
diagno/ic & c>e plann+ s]vices2 &  7#c7 
outrea* ef=ts 9 ! prim>y c>e & pati5t   
communities4  #e4 ,/udy & report on     
regulatory & legislative *anges or      
ref9em5ts t w\ld accel]ate ,alzheim]'s  

disease rese>* progress  7a7 ,9 g5]al ,!
 ,comptroll] ,g5]al ( ! ,unit$ ,/ates 79
 ?is section ref]r$ to z ! ,comptroll]  
,g5]al7 %all conduct a /udy on          
regulatory & legislative *anges or      
ref9em5ts t w\ld accel]ate ,alzheim]'s  
disease rese>* progress4 ,9 conduct+ su*
 /udy1 ! ,comptroll] ,g5]al %all consult
 ) int]e/$ /akehold]s1 includ+ indu/ry  
lead]s1 rese>*]s1 cl9ical exp]ts1 pati5t
 advocacy gr\ps1 c>egiv]s1 pati5ts1     
provid]s1 & ,/ate lead]s4 ,su* /udy %all
 include an analysis ( innovative       
public-private p>tn]%ips1 innovative    
f9anc+ tools1 inc5tives1 & o!r me*anisms
 to enhance ! quality ( c>e =           
individuals diagnos$ ) ,alzheim]'s      
disease1 r$uce ! emotional1 f9ancial1 & 
physical burd5 on familial c>e p>tn]s1 &
 accel]ate developm5t ( prev5tative1    
curative1 & disease-modify+ !rapies4    
7b7 ,report ,n lat] ?an #a ye> aft] !   
date ( ! enactm5t ( ?is ,act1 !         
,comptroll] ,g5]al %all submit to       
,congress a report conta9+ ! results ( !

 /udy conduct$ "u subsection 7a71 toge!r
 ) recomm5dations = su* legislation &   
adm9i/rative action z ! ,comptroll]     
,g5]al det]m9es appropriate4