,i #aai? ,,congress #a/ ,session ,h4 ,r4 #ceja ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #ai1 #bjbe,ms4 ,sn*ez 7= h]self1 ,mr4 ,la,hood1 ,ms4 ,matsui1 & ,mr4 ,bilirakis7 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 am5d title ,,xviii ( ! ,social ,security ,act to provide = c]ta9 cognitive impairm5t detection 9 ! ,m$ic>e annual wellness visit & initial prev5tive physical exam9ation4 #a4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,x is e/imat$ t #f4i million ,am]icans are liv+ ) ,alzheim]'s disease1 a numb] t is e/imat$ to rise to ne>ly #ac4h million by #bjfj4 ,ab\t "o 9 elev5 p age #fe & old] has ,alzheim]'s4 7#b7 ,old] ,black ,am]icans are twice z likely1 & ,lat9o ,am]icans are "o & "o-half times z likely1 to h ,alzheim]'s disease ?an old] ,:ite ,am]icans4 ,ne>ly two-?irds ( ,am]icans ) ,alzheim]'s disease are wom54 7#c7 ,alzheim]'s disease is ! fif?-lead+ cause ( dea? 9 ,am]ica among ,am]icans ag$ #fe & old]4 7#d7 ,betwe5 #bjjj & #bjba1 dea?s f /roke1 he>t disease & ,,hiv decreas$1 :]eas report$ dea?s f ,,ad increas$ m ?an #adj p]c5t4 7#e7 ,address+ modifiable risk factors = ,alzheim]'s & o!r dem5tias su* z hyp]t5sion1 physical inactivity1 smok+1 depression1 diabetes1 obesity1 & poor nutrition might prev5t or delay up to #dj p]c5t ( dem5tia cases4 ,9 #bjba ! ,national ,plan to ,addresses ,alzheim]'s disease 0 updat$ to include a new goal to focus on r$uc+ risk ( develop+ dem5tia4 7#f7 ,an e>ly1 docum5t$ 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#g7 ,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#h7 ,m ?an #aa4e million ,am]icans provide unpaid c>e = p ) ,alzheim]'s or o!r dem5tia & provid$ ne>ly #cdg billion 9 unpaid c>e to p liv+ ) ,alzheim]'s & o!r dem5tias 9 #bjbc4 7#i7 ,9 #bjbd1 x is e/imat$ t ,alzheim]'s & relat$ dem5tias w co/ our nation #cfj billion1 n includ+ ! value ( unpaid c>egiv+4 ,by #bjej1 x is e/imat$ t ^! direct co/s w increase to ne>ly #a4a trillion4 7#aj7 ,m$ic>e & ,m$icaid are expect$ to cov] ne>ly #bca billion1 only ab\t #fd p]c5t ( ! total heal?c>e & long-t]m paym5ts = p ) ,alzheim]'s or dem5tia4 ,out-(-pocket sp5d+ is expect$ to be ab\t #ia billion1 or ab\t #be p]c5t ( total paym5ts4 #b4 ,cognitive impairm5t detection b5efit 9 ! m$ic>e annual wellness visit & initial prev5tive physical exam9ation 7a7 ,annual wellness visit 7#a7 ,9 g5]al ,section #ahfa7;hhh77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is am5d$ by /rik+ subp>agraph 7,d7 & ins]t+ ! foll[+3 7,d7 ,detection ( any cognitive impairm5t t %all-- 7i7 be p]=m$ us+ "o ( ! cognitive impairm5t detection tools 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+2 & 7ii7 include docum5tation ( ! tool us$ = detect+ cognitive impairm5t & results ( ! assessm5t 9 ! pati5t's m$ical record4 4 7#b7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all apply to annual wellness visits furni%$ on or aft] ,janu>y #a1 #bjbf4 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 z describ$ 9 subsection 7hhh77#b77;,d71 &4 7#b7 ,effective date ,! am5dm5t made by p>agraph 7#a7 %all apply to initial prev5tive physical exam9ations furni%$ on or aft] ,janu>y #a1 #bjbf4