I 

118TH CONGRESS 

2D SESSION H. R. 10175 

To authorize United States participation in the Davos Alzheimer’s 

Collaborative. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 20, 2024 

Mr. BERA (for himself, Mr. FITZPATRICK, and Mrs. KIM of California) introduced the following bill; which was referred to the Committee on Foreign 

Affairs 

A BILL 

To authorize United States participation in the Davos 

Alzheimer’s Collaborative. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Global Alzheimer’s Ini5 tiative Now Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds the following: 

8 (1) Alzheimer’s disease and dementia currently 

9 afflicts nearly 60 million people across the globe, a 


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1 number that is projected to jump to more than 150 

2 million by 2050. 

3 (2) There are now more global cases of Alz4 heimer’s disease and dementia than cancer and HIV 

5 combined, with 39 million diagnosed cases of HIV/ 

6 AIDS and 20 million cases of cancer in 2022. 

7 (3) The pace of populations aging will challenge 

8 countries’ sovereign funds and health and social 

9 safety systems. 

10 (4) By 2050, the world’s population of people 

11 aged 60 years and older will double to 1.6 billion 

12 and reach a proportion of 22 percent of the world’s 

13 population. While the number of persons aged 80 or 

14 older is expected to triple by 2050. 

15 (5) The old-age dependency ratio, expressing 

16 the relative size of the older population compared 

17 with the working-age population, is projected to 

18 more than double by 2075 in the majority of the 

19 world. Rising dependency ratios will result in in20 creasing pressures on old-age support systems, with 

21 fewer people of working age for each older person. 

22 (6) The prevalence of Alzheimer’s disease and 

23 dementia is growing most rapidly in low- and mid24 dle-income countries, which comprise more than 70 


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1 percent of the world’s Alzheimer’s disease and de2 mentia cases. 

3 (7) Every year, Alzheimer’s disease and demen4 tia costs the global economy more than $1.3 trillion 

5 and this is doubling every decade. 

6 (8) By 2050, the number of Americans living 

7 with Alzheimer’s disease and dementia is expected to 

8 reach 12.7 million, bringing the total cost to nearly 

9 $1 trillion each year. 

10 (9) Women are disproportionately affected by 

11 Alzheimer’s disease and dementia, both directly and 

12 indirectly. Women experience higher disability-ad13 justed life years and mortality due to Alzheimer’s 

14 disease and dementia, but also provide 70 percent of 

15 care hours for people living with Alzheimer’s disease 

16 and dementia. 

17 (10) The Davos Alzheimer’s Collaborative 

18 (DAC) is a public–private–patient venture, launched 

19 in 2021, that is transforming Alzheimer’s disease 

20 and dementia research, prevention, and care in low21 income, middle-income, and high-income settings 

22 globally. 

23 (11) DAC seeks to raise and deploy over $700 

24 million over 6 years to accelerate innovation in drug 

25 development and transform the way healthcare sysVerDate Sep 11 2014 03:01 Nov 21, 2024 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H10175.IH H10175

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1 tems prevent, diagnose, and treat Alzheimer’s dis2 ease and dementia for all people in all places. 

3 (12) In 2023, DAC supported 19 healthcare 

4 systems in 12 countries, including the United States. 

5 (13) The United States Government is the larg6 est funder of global health programs, with approxi7 mately $12 billion in annual funding for programs 

8 that cover the full range of global health challenges. 

9 (14) USAID and the Department of State are 

10 lead funders of multilateral health initiatives, such 

11 as Gavi, the Vaccine Alliance, the Global Fund to 

12 Fight AIDS, TB and Malaria, the Coalition for Epi13 demic Preparedness Innovations, and the Inter14 national AIDS Vaccine Initiative. 

15 SEC. 3. STATEMENT OF POLICY. 

16 It shall be the policy of the United States— 

17 (1) to lead global cooperative efforts to combat 

18 Alzheimer’s disease and dementia, including in coun19 tries with low-income economies and countries with 

20 middle-income economies (as such terms are defined 

21 by the World Bank) that represent the majority of 

22 future cases; and 

23 (2) to lead multilateral health initiatives, in24 cluding the Davos Alzheimer’s Collaborative— 


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1 (A) to develop diagnostics and treatments 

2 for diverse populations in the United States and 

3 across the globe; 

4 (B) to promote international development 

5 cooperation; and 

6 (C) to provide substantial leverage and 

7 burden sharing for United States investments. 

8 SEC. 4. AUTHORIZATION FOR UNITED STATES PARTICIPA9 TION IN THE DAVOS ALZHEIMER’S COLLABO10 RATIVE. 

11 (a) IN GENERAL.—The United States is hereby au12 thorized to participate in, and contribute to, the Davos 

13 Alzheimer’s Collaborative (DAC) in order to advance 

14 international efforts to prevent, diagnose, and treat Alz15 heimer’s disease and dementia. 

16 (b) DESIGNEE.— 

17 (1) IN GENERAL.—The President is authorized 

18 to designate an employee of the relevant Federal de19 partment or agency providing the majority of United 

20 States contributions to DAC to serve on the Advi21 sory Council of DAC and, if nominated, on the 

22 Board of Directors of DAC, as a representative of 

23 the United States. 

24 (2) QUALIFICATIONS.—The individual to be 

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1 onstrate knowledge and experience in the fields of 

2 development and public health. 

3 (3) COOPERATION.—In carrying out this sec4 tion, the individual designated pursuant to para5 graph (1) shall coordinate with the USAID Adminis6 trator, the Secretary of State, and the Secretary of 

7 Health and Human Services to promote alignment, 

8 as appropriate, between DAC and United States 

9 global health and Alzheimer’s disease and dementia 

10 research and development programs. 

11 (c) UNITED STATES CONTRIBUTIONS.— 

12 (1) IN GENERAL.—Amounts authorized to be 

13 appropriated and made available to carry out chap14 ters 1 and 10 of part I and chapter 4 of part II of 

15 the Foreign Assistance Act of 1961 (22 U.S.C. 2151 

16 et seq.) are authorized to be made available for 

17 United States contributions to DAC. 

18 (2) MATCHING REQUIREMENT.—Amounts made 

19 available under paragraph (1) may be obligated and 

20 expended only to the extent that DAC secures fund21 ing from sources other than the United States. At 

22 any time during fiscal years 2025 through 2029, no 

23 United States contribution to DAC may cause the 

24 total amount of United States Government contribu25 tions to DAC to exceed 33 percent of the total 


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1 amount of funds contributed to the DAC from all 

2 sources. 

3 (d) REPORT.—Not later than 180 days after the date 

4 of the enactment of this Act, and on an annual basis there5 after, the President shall submit to the appropriate con6 gressional committees a report that includes the following: 

7 (1) A description of any planned financial con8 tributions from the United States Government to 

9 DAC. 

10 (2) The manner and extent to which the United 

11 States will participate in the governance of DAC. 

12 (3) A summary of private and governmental 

13 contributions to DAC. 

14 (4) A description of how participation in DAC 

15 supports relevant United States Government strate16 gies and programs to combat Alzheimer’s disease 

17 and dementia and to promote global health. 

18 (e) DEFINITION.—In subsection (d), the term ‘‘ap19 propriate congressional committees’’ means— 

20 (1) the Committee on Foreign Affairs and Com21 mittee on Appropriations of the House of Represent22 atives; and 

23 (2) the Committee on Foreign Relations and 

24 the Committee on Appropriations of the Senate. 

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