,,ii ,calendar ,no4 #dbe #aahth         
,,congress  #b;d ,session  ,s4 #cgge    
,,in ,,the ,,senate ,,of ,,the ,,united 
,,states  ,february #h 7legislative day1
 ,february #g71 #bjbd,ms4 ,collins 7for 
herself1 ,ms4 ,cortez ,masto1 ,mrs4     
,capito1 ,mr4 ,kaine1 ,mr4 ,tillis1 ,mr4
 ,moran1 ,mrs4 ,hyde-,smith1 ,mr4       
,blumenthal1 ,ms4 ,stabenow1 ,mr4       
,wicker1 ,ms4 ,klobuchar1 ,ms4          
,murkowski1 ,mr4 ,sullivan1 ,mr4 ,reed1 
,mr4 ,whitehouse1 ,mr4 ,lujn1 ,mr4      
,coons1 ,ms4 ,cantwell1 ,mr4 ,menendez1 
,mr4 ,booker1 ,mr4 ,lankford1 ,mrs4     
,fischer1 ,mr4 ,markey1 ,mr4 ,warnock1  
,mr4 ,crapo1 ,mr4 ,rounds1 ,mr4 ,mullin1
 ,mr4 ,merkley1 ,mr4 ,marshall1 ,ms4    
,baldwin1 and ,ms4 ,smith7 introduced   
the following bill2 which was read twice
 and referred to the ,committee on      
,health1 ,education1 ,labor1 and        
,pensions  ,june #ah1 #bjbd,reported by 
,mr4 ,sanders1 with an amendment,strike 
out all after the enacting clause and   
insert the part printed in italic  ,a   

,,bill  ,to amend the ,public ,health   
,service ,act to reauthorize the ,,bold 
,infrastructure for ,alzheimer's ,act1  
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,building ,our ,largest ,dementia       
,infrastructure for ,alzheimer's        
,reauthorization ,act of #bjbd or the   
,,bold ,infrastructure for ,alzheimer's 
,reauthorization ,act of #bjbd4  #b4    
,extension of programs with respect to  
,alzheimer's disease and related        
dementias  7a7 ,cooperative agreements  
to ,states and public health departments
 for ,alzheimer's disease and related   
dementias ,section #cih of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;c-#c7 is amended-- 7#a7 in         
subsection 7a7-- 7,a7 in the matter     
preceding paragraph 7#a71 by striking in
 coordination with the ,director of the 
,centers for ,disease ,control and      
,prevention and and inserting acting    
through the ,director of the ,centers   
for ,disease ,control and ,prevention1  

and in coordination with2 and  7,b7 in  
paragraph 7#g71 by adding a period at   
the end2 and  7#b7 by transferring      
subsection 7f7 to appear after          
subsection 7e74  7b7 ,promotion of      
public health knowledge and awareness of
 ,alzheimer's disease and related       
dementias ,section #cih;,a7a7 of the    
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bhj;c-#d7;a77 is amended--   
7#a7 in paragraph 7#a71 in the matter   
preceding subparagraph 7,a71 by striking
 in coordination with the ,director of  
the ,centers for ,disease ,control and  
,prevention and the heads of other      
agencies as and inserting acting through
 the ,director of the ,centers for      
,disease ,control and ,prevention1 and  
in coordination with the heads of other 
agencies1 as2 and  7#b7 in paragraph    
7#b77;,c7-- 7,a7 in clause 7vii71 by    
striking 2 and and inserting a          
semicolon2  7,b7 by redesignating clause
 7viii7 as clause 7ix72 and  7,c7 by    
inserting after clause 7vii7 the        

following3  7viii7 identifying and      
translating findings from clinical      
trials and other studies on ,alzheimer's
 disease and related dementias1         
including studies on risk reduction1 for
 application and integration into       
effective and sustained community-level 
evidence-based practices1 interventions1
 and policies2 and  4  7c7              
,reauthorization of programs ,section   
#cih;,b7e7 of the ,public ,health       
,service ,act 7#db ,u4,s4,c4            
#bhj;c-#e7;e77 is amended by inserting 1
 and #cc1jjj1jjj for each of fiscal     
years #bjbe through #bjbi before the    
period at the end4  #a4 ,short title    
,this ,act may be cited as the ,building
 ,our ,largest ,dementia ,infrastructure
 for ,alzheimer's ,reauthorization ,act 
of #bjbd or the ,,bold ,infrastructure  
for ,alzheimer's ,reauthorization ,act  
of #bjbd4  #b4 ,extension of programs   
with respect to ,alzheimer's disease and
 related dementias  7a7 ,cooperative    
agreements to ,states and public health 

departments for ,alzheimer's disease and
 related dementias ,section #cih of the 
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bhj;c-#c7 is amended-- 7#a7  
in subsection 7a7-- 7,a7 in the matter  
preceding paragraph 7#a7-- 7i7 by       
striking in coordination with the       
,director of the ,centers for ,disease  
,control and ,prevention and the heads  
of other agencies and inserting acting  
through the ,director of the ,centers   
for ,disease ,control and ,prevention1  
and in coordination with the heads of   
other relevant ,federal departments and 
agencies2 and  7ii7 by striking tribes  
and inserting ,tribes2  7,b7 in         
paragraph 7#g71 by striking or the      
,director of the ,centers for ,disease  
,control and ,prevention1 as appropriate
 and inserting 1 as appropriate42  7#b7 
in subsection 7c77#a71 by striking or   
,director of the ,centers for ,disease  
,control and ,prevention2  7#c7 in      
subsection 7e71 by striking ,indian     
tribe each place it appears and         

inserting ,indian ,tribe2  7#d7 by      
transferring subsection 7f7 to appear   
after subsection 7e72 and  7#e7 by      
striking tribal each place it appears   
and inserting ,tribal4  7b7 ,promotion  
of public health knowledge and awareness
 of ,alzheimer's disease and related    
dementias ,section #cih;,a of the       
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bhj;c-#d7 is amended-- 7#a7  
in subsection 7a7-- 7,a7 in paragraph   
7#a71 in the matter preceding           
subparagraph 7,a71 by striking in       
coordination with the ,director of the  
,centers for ,disease ,control and      
,prevention and the heads of other      
agencies as and inserting acting through
 the ,director of the ,centers for      
,disease ,control and ,prevention1 and  
in coordination with the heads of other 
relevant ,federal departments and       
agencies1 as2 and  7,b7 in paragraph    
7#b77;,c7-- 7i7 in clause 7vii71 by     
striking 2 and and inserting a          
semicolon2  7ii7 in clause 7viii71 by   

striking or the ,director of the        
,centers for ,disease ,control and      
,prevention2  7iii7 by redesignating    
clause 7viii7 as clause 7ix72 and  7iv7 
by inserting after clause 7vii7 the     
following3  7viii7 identifying and      
translating findings from clinical      
trials and other studies on ,alzheimer's
 disease and related dementias1         
including studies related to reducing   
risk of cognitive decline or impairment1
 into evidence-based practices and      
interventions2 and  2  7#b7 by striking 
tribal each place it appears and        
inserting ,tribal2 and  7#c7 by striking
 ,indian tribes each place it appears   
and inserting ,indian ,tribes4  7c7     
,reauthorization of programs ,section   
#cih;,b of the ,public ,health ,service 
,act 7#db ,u4,s4,c4 #bhj;c-#e7 is       
amended-- 7#a7 in subsection 7d7-- 7,a7 
by striking tribe and inserting ,tribe2 
and  7,b7 by striking tribal and        
inserting ,tribal2 and  7#b7 in         
subsection 7e71 by inserting 1 and      

#cc1jjj1jjj for each of fiscal years    
#bjbe through #bjbi before the period at
 the end4  ,june #ah1 #bjbd,reported    
with an amendment