,,ii ,cal5d> ,no4 #ahb #aah? ,,congress #a/ ,session ,s4 #acc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #cj1 #bjbc,ms4 ,coll9s 7= h]self1 ,mr4 ,w>n]1 ,mrs4 ,capito1 ,mr4 ,m>key1 ,mr4 ,moran1 ,mr4 ,m55dez1 ,ms4 ,murk[ski1 ,ms4 ,/ab5[1 ,mr4 ,lank=d1 ,mr4 ,wick]1 ,mr4 ,crapo1 ,mr4 ,w>nock1 ,mr4 ,scott ( ,florida1 ,mr4 ,boozman1 ,mr4 ,da9es1 ,mr4 ,b5net1 ,mr4 ,rubio1 ,ms4 ,ros51 ,mrs4 ,gillibr&1 ,mr4 ,cram]1 ,mrs4 ,hyde-,smi?1 ,mr4 ,tillis1 ,ms4 ,smi?1 ,mr4 ,hick5loop]1 ,mr4 ,van ,holl51 ,mrs4 ,fis*]1 & ,mr4 ,budd7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,july #bg1 #bjbc,report$ by ,mr4 ,s&]s1 ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,a ,,bill ,to ext5d ! ,national ,alzheim]'s ,project4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,napa ,reau?orization ,act4 #b4 ,ext5sion ( project ,section #b ( ! ,national ,alzheim]'s ,project ,act 7#db ,u4,s4,c4 #aabbe7 is am5d$-- 7#a7 9 subsection 7c7-- 7,a7 9 p>agraph 7#b71 by /rik+ & coord9ation ( & ins]t+ on1 & coord9ation (12 7,b7 9 p>agraph 7#d7-- 7i7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z subp>agraphs 7,b7 & 7,c71 respectively2 & 7ii7 by ins]t+ be=e subp>agraph 7,b71 z s r$esignat$1 ! foll[+3 7,a7 promotion ( heal?y ag+ & r$uction ( risk factors = ,alzheim]'s2 2 7,c7 9 p>agraph 7#e71 by /rik+ 2 & & ins]t+ a semicolon2 7,d7 by r$esignat+ p>agraph 7#f7 z p>agraph 7#g72 & 7,e7 by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 provide in=mation on1 & promote ! adoption (1 heal?y behaviors t may r$uce ! risk ( cognitive decl9e & promote & protect cognitive heal?2 & 2 7#b7 9 subsection 7d77#b7-- 7,a7 by ins]t+ 1 across public & private sectors1 aft] ,nation's progress2 & 7,b7 by ins]t+ 1 includ+ consid]ation ( public-private collaborations1 z appropriate be=e ! p]iod2 7#c7 9 subsection 7e7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by add+ at ! end ! foll[+3 7xi7 ,a designee ( ! ,dep>tm5t ( ,ju/ice4 7xii7 ,a designee ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy4 7xiii7 ,a designee ( ! ,social ,security ,adm9i/ration4 7xiv7 ,a designee ( ! ,(fice ( ,managem5t & ,budget4 7xv7 #a or m o!r designees ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 z det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices4 2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 clause 7v7-- 7aa7 by /rik+ #b rese>*]s & ins]t+ #c rese>*]s2 & 7bb7 by /rik+ 2 & & ins]t+ 1 includ+ at lea/ "o rese>*] ) demon/rat$ exp]i5ce 9 recruitm5t & ret5tion ( div]se cohorts ( trial p>ticipants22 7,,ii7 9 clause 7vi71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,,iii7 by add+ at ! end ! foll[+3 7vii7 an individual ) a diagnosis ( ,alzheim]'s disease4 2 7,b7 9 p>agraph 7#e7-- 7i7 9 subp>agraph 7,a7-- 7,i7 by /rik+ an initial evaluation & ins]t+ annual evaluations2 & 7,,ii7 by /rik+ rese>*1 cl9ical & ins]t+ rese>*1 risk r$uction1 public heal?1 cl9ical2 7ii7 9 subp>agraph 7,b71 by /rik+ initial2 7iii7 9 subp>agraph 7,c7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ initial2 & 7,,ii7 9 clause 7ii71 by ins]t+ & r$uce disp>ities be=e ! semicolon2 & 7iv7 9 subp>agraph 7,d71 by /rik+ annually !reaft]1 an evaluation & ins]t+ annual evaluations2 & 7,c7 9 p>agraph 7#f71 by /rik+ #bjbe & ins]t+ #bjce2 7#d7 9 subsection 7g77#c77;,a77ii71 by ins]t+ & r$uce disp>ities be=e ! semicolon2 & 7#e7 9 subsection 7h71 by /rik+ #bjbe & ins]t+ #bjce4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,napa ,reau?orization ,act4 #b4 ,ext5sion ( project ,section #b ( ! ,national ,alzheim]'s ,project ,act 7#db ,u4,s4,c4 #aabbe7 is am5d$-- 7#a7 9 subsection 7c7-- 7,a7 9 p>agraph 7#b71 by /rik+ & coord9ation ( & ins]t+ on1 & coord9ation (12 7,b7 9 p>agraph 7#d7-- 7i7 by r$esignat+ subp>agraphs 7,a7 & 7,b7 z subp>agraphs 7,b7 & 7,c71 respectively2 & 7ii7 by ins]t+ be=e subp>agraph 7,b71 z s r$esignat$1 ! foll[+3 7,a7 promotion ( heal?y ag+ & r$uction & mitigation ( risk factors = ,alzheim]'s2 2 7,c7 9 p>agraph 7#e7-- 7i7 by ins]t+ & o!r und]s]v$ populations1 includ+ individuals ) developm5tal disabilities su* z ,d[n syndrome1 aft] e?nic & racial populations2 & 7ii7 by /rik+ 2 & & ins]t+ a semicolon2 7,d7 by r$esignat+ p>agraph 7#f7 z p>agraph 7#g72 & 7,e7 by ins]t+ aft] p>agraph 7#e7 ! foll[+3 7#f7 provide in=mation on1 & promote ! adoption (1 heal?y behaviors t may r$uce ! risk ( cognitive decl9e & promote & protect cognitive heal?2 & 2 7#b7 9 subsection 7d77#b7-- 7,a7 by ins]t+ 1 across public & private sectors1 aft] ,nation's progress2 & 7,b7 by ins]t+ 1 includ+ consid]ation ( public-private collaborations1 z appropriate be=e ! p]iod2 7#c7 9 subsection 7e7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 subp>agraph 7,a71 by add+ at ! end ! foll[+3 7xi7 ,a designee ( ! ,dep>tm5t ( ,ju/ice4 7xii7 ,a designee ( ! ,f$]al ,em]g5cy ,managem5t ,ag5cy4 7xiii7 ,a designee ( ! ,social ,security ,adm9i/ration4 7xiv7 #b or m o!r designees1 z det]m9$ by ! ,secret>y ( ,heal? & ,human ,s]vices1 at lea/ "o ( :om has exp]tise 9 risk factors associat$ ) ! developm5t or ! progression ( ,alzheim]'s4 2 & 7ii7 9 subp>agraph 7,b7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ #ab & ins]t+ #ae2 7,,ii7 9 clause 7v7-- 7aa7 by /rik+ #b rese>*]s & ins]t+ #c rese>*]s2 & 7bb7 by /rik+ 2 & & ins]t+ 1 includ+ at lea/ "o rese>*] ) demon/rat$ exp]i5ce 9 recruitm5t & ret5tion ( div]se cohorts ( trial p>ticipants22 7,,iii7 9 clause 7vi71 by /rik+ ! p]iod & ins]t+ a semicolon2 & 7,,iv7 by add+ at ! end ! foll[+3 7vii7 #a individual ) a diagnosis ( ,alzheim]'s disease2 & 7viii7 #a repres5tative f a hi/orically und]s]v$ population ^: lifetime risk = develop+ ,alzheim]'s is m>k$ly high] ?an t ( o!r populations4 2 7,b7 9 p>agraph 7#e7-- 7i7 9 subp>agraph 7,a7-- 7,i7 by /rik+ an initial evaluation & ins]t+ annual evaluations2 & 7,,ii7 by /rik+ rese>*1 cl9ical & ins]t+ rese>*1 risk r$uction1 public heal?1 cl9ical2 7ii7 9 subp>agraph 7,b71 by /rik+ initial2 7iii7 9 subp>agraph 7,c7-- 7,i7 9 ! matt] prec$+ clause 7i71 by /rik+ initial2 & 7,,ii7 9 clause 7ii71 by ins]t+ & r$uce disp>ities be=e ! semicolon2 & 7iv7 9 subp>agraph 7,d71 by /rik+ annually !reaft]1 an evaluation & ins]t+ annual evaluations2 & 7,c7 9 p>agraph 7#f71 by /rik+ #bjbe & ins]t+ #bjce2 7#d7 9 subsection 7g77#c77;,a77ii71 by ins]t+ & r$uce disp>ities be=e ! semicolon2 & 7#e7 9 subsection 7h71 by /rik+ #bjbe & ins]t+ #bjce4 ,july #bg1 #bjbc,report$ ) an am5dm5t