,i #aaith ,,congress #ast ,session ,h4 ,r4 #cfgd ,,in ,,the ,,house ,,of ,,representatives ,june #c1 #bjbe,mr4 ,bera 7for himself1 ,mr4 ,fitzpatrick1 and ,mrs4 ,kim7 introduced the following bill2 which was referred to the ,committee on ,foreign ,affairs ,a ,,bill ,to authorize ,united ,states participation in the ,davos ,alzheimer's ,collaborative4 #a4 ,short title ,this ,act may be cited as the ,global ,alzheimer's ,initiative ,now ,act4 #b4 ,findings ,congress finds the following3 7#a7 ,alzheimer's disease and dementia currently afflicts nearly #fj million people across the globe1 a number that is projected to jump to more than #aej million by #bjej4 7#b7 ,there are now more global cases of ,alzheimer's disease and dementia than cancer and ,,hiv combined1 with #ci million diagnosed cases of ,,hiv_/,,aids and #bj million cases of cancer in #bjbb4 7#c7 ,the pace of populations aging will challenge countries' sovereign funds and health and social safety systems4 7#d7 ,by #bjej1 the world's population of people aged #fj years and older will double to #a4f billion and reach a proportion of #bb percent of the world's population4 ,while the number of persons aged #hj or older is expected to triple by #bjej4 7#e7 ,the old-age dependency ratio1 expressing the relative size of the older population compared with the working-age population1 is projected to more than double by #bjge in the majority of the world4 ,rising dependency ratios will result in increasing pressures on old-age support systems1 with fewer people of working age for each older person4 7#f7 ,the prevalence of ,alzheimer's disease and dementia is growing most rapidly in low- and middle-income countries1 which comprise more than #gj percent of the world's ,alzheimer's disease and dementia cases4 7#g7 ,every year1 ,alzheimer's disease and dementia costs the global economy more than #a4c trillion and this is doubling every decade4 7#h7 ,by #bjej1 the number of ,americans living with ,alzheimer's disease and dementia is expected to reach #ab4g million1 bringing the total cost to nearly #a trillion each year1 with minority populations in the ,united ,states disproportionately impacted by these trends4 7#i7 ,international ,alzheimer's research across all races and ethnicities directly benefits minority populations in the ,united ,states4 7#aj7 ,women are disproportionately affected by ,alzheimer's disease and dementia1 both directly and indirectly4 ,women experience higher disability-adjusted life years and mortality due to ,alzheimer's disease and dementia1 but also provide #gj percent of care hours for people living with ,alzheimer's disease and dementia4 7#aa7 ,the ,davos ,alzheimer's ,collaborative 7,,dac7 is a public-private-patient venture1 launched in #bjba1 that is transforming ,alzheimer's disease and dementia research1 prevention1 and care in low-income1 middle-income1 and high-income settings globally4 7#ab7 ,,dac seeks to raise and deploy over #gjj million over #f years to accelerate innovation in drug development and transform the way healthcare systems prevent1 diagnose1 and treat ,alzheimer's disease and dementia for all people in all places4 7#ac7 ,in #bjbc1 ,,dac supported #ai healthcare systems in #ab countries1 including the ,united ,states4 7#ad7 ,the ,united ,states ,government has traditionally been the largest funder of global health programs1 with approximately #ab billion in funding in fiscal year #bjbd for programs that cover the full range of global health challenges4 7#ae7 ,the ,united ,states ,government has been a lead funder of multilateral health initiatives1 such as ,gavi1 the ,vaccine ,alliance1 the ,global ,fund to ,fight ,,aids1 ,,tb and ,malaria1 the ,coalition for ,epidemic ,preparedness ,innovations1 and the ,international ,,aids ,vaccine ,initiative4 #c4 ,statement of policy ,it shall be the policy of the ,united ,states-- 7#a7 to lead global cooperative efforts to combat ,alzheimer's disease and dementia1 including in countries with low-income economies and countries with middle-income economies 7as such terms are defined by the ,world ,bank7 that represent the majority of future cases2 and 7#b7 to lead multilateral health initiatives1 including the ,davos ,alzheimer's ,collaborative-- 7,a7 to develop diagnostics and treatments for diverse populations in the ,united ,states and across the globe2 7,b7 to promote international development cooperation2 and 7,c7 to provide substantial leverage and burden sharing for ,united ,states investments4 #d4 ,authorization for ,united ,states participation in the ,davos ,alzheimer's ,collaborative 7a7 ,in general ,the ,united ,states is hereby authorized to participate in1 and contribute to1 the ,davos ,alzheimer's ,collaborative 7,,dac7 in order to advance international efforts to prevent1 diagnose1 and treat ,alzheimer's disease and dementia4 7b7 ,designee 7#a7 ,in general ,the ,president is authorized to designate an employee of the relevant ,federal department or agency providing the majority of ,united ,states contributions to ,,dac to serve on the ,advisory ,council of ,,dac and1 if nominated1 on the ,board of ,directors of ,,dac1 as a representative of the ,united ,states4 7#b7 ,qualifications ,the individual to be designated pursuant to paragraph 7#a7 should demonstrate knowledge and experience in the fields of development and public health4 7#c7 ,cooperation ,in carrying out this section1 the individual designated pursuant to paragraph 7#a7 shall coordinate with the ,,usaid ,administrator1 the ,secretary of ,state1 and the ,secretary of ,health and ,human ,services to promote alignment1 as appropriate1 between ,,dac and ,united ,states global health and ,alzheimer's disease and dementia research and development programs4 7c7 ,united ,states contributions 7#a7 ,in general ,amounts authorized to be appropriated and made available to carry out chapters #a and #aj of part ,i and chapter #d of part ,,ii of the ,foreign ,assistance ,act of #aifa 7#bb ,u4,s4,c4 #baea et seq47 are authorized to be made available for ,united ,states contributions to ,,dac4 7#b7 ,matching requirement ,amounts made available under paragraph 7#a7 may be obligated and expended only to the extent that ,,dac secures funding from sources other than the ,united ,states4 ,at any time during fiscal years #bjbf through #bjcj1 no ,united ,states contribution to ,,dac may cause the total amount of ,united ,states ,government contributions to ,,dac to exceed #cc percent of the total amount of funds contributed to the ,,dac from all sources4 7d7 ,report ,not later than #ahj days after the date of the enactment of this ,act1 and on an annual basis thereafter1 the ,president shall submit to the appropriate congressional committees a report that includes the following3 7#a7 ,a description of any planned financial contributions from the ,united ,states ,government to ,,dac4 7#b7 ,the manner and extent to which the ,united ,states will participate in the governance of ,,dac4 7#c7 ,a summary of private and governmental contributions to ,,dac4 7#d7 ,a description of how participation in ,,dac supports relevant ,united ,states ,government strategies and programs to combat ,alzheimer's disease and dementia and to promote global health4 7e7 ,definition ,in subsection 7d71 the term appropriate congressional committees means-- 7#a7 the ,committee on ,foreign ,affairs and ,committee on ,appropriations of the ,house of ,representatives2 and 7#b7 the ,committee on ,foreign ,relations and the ,committee on ,appropriations of the ,senate4