II 

118TH CONGRESS 

2D SESSION S. 4276 

To amend the Public Health Service Act to reauthorize the Project ECHO 

Grant Program, to establish grants under such program to disseminate 

knowledge and build capacity to address Alzheimer’s disease and other 

dementias, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 7, 2024 

Ms. KLOBUCHAR (for herself and Mrs. CAPITO) introduced the following bill; 

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to reauthorize the 

Project ECHO Grant Program, to establish grants under 

such program to disseminate knowledge and build capacity to address Alzheimer’s disease and other dementias, 

and for other purposes. 

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 ‘‘Accelerating Access 

5 to Dementia and Alzheimer’s Provider Training Act’’ or 

6 the ‘‘AADAPT Act’’. 


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1 SEC. 2. REAUTHORIZATION OF PROJECT ECHO GRANT PRO2 GRAM; PROJECT ECHO GRANTS FOR ALZ3 HEIMER’S DISEASE AND RELATED DEMENTIA 

4 CARE. 

5 (a) DEFINITIONS.—Section 330N(a)(1) of the Public 

6 Health Service Act (42 U.S.C. 254c–20(a)(1)) is amended 

7 to read as follows: 

8 ‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en9 tity’ means— 

10 ‘‘(A) in the case of a grant under sub11 section (b)(1), an entity that provides, or sup12 ports the provision of, health care services in 

13 rural areas, frontier areas, health professional 

14 shortage areas, or medically underserved areas, 

15 or to medically underserved populations or Na16 tive Americans, including Indian Tribes, Tribal 

17 organizations, and urban Indian organizations, 

18 and which may include entities leading, or capa19 ble of leading, a technology-enabled collabo20 rative learning and capacity building model or 

21 engaging in technology-enabled collaborative 

22 training of participants in such model; and 

23 ‘‘(B) in the case of a grant under sub24 section (b)(2), a public or nonprofit private en25 tity that is leading, or is capable of leading, a 


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1 model described in subsection (b)(2)(A) for Alz2 heimer’s disease and related dementias.’’. 

3 (b) GRANTS.—Section 330N(b) of the Public Health 

4 Service Act (42 U.S.C. 254c–20(b)) is amended— 

5 (1) by striking ‘‘ESTABLISHED.—The Sec6 retary’’ and inserting ‘‘ESTABLISHED.— 

7 ‘‘(1) IN GENERAL.—The Secretary’’; and 

8 (2) by adding at the end the following: 

9 ‘‘(2) PROJECT ECHO GRANTS FOR ALZHEIMER’S

10 DISEASE AND RELATED DEMENTIA CARE.— 

11 ‘‘(A) IN GENERAL.—Not later than 1 year 

12 after the date of enactment of this paragraph, 

13 the Secretary shall award 1 or more grants to 

14 eligible entities to evaluate, develop, and, as ap15 propriate, expand the use of technology-enabled 

16 collaborative learning and capacity building 

17 models for eligible health care professionals to 

18 improve retention of health care providers and 

19 to increase access to early and accurate diag20 nosis of Alzheimer’s disease and related demen21 tias and quality dementia care. 

22 ‘‘(B) ELIGIBLE HEALTH CARE PROFES23 SIONAL DEFINED.—In this paragraph, the term 

24 ‘eligible health care professional’ means a 

25 health care professional who— 


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1 ‘‘(i) provides primary care services, in2 cluding such services provided— 

3 ‘‘(I) in rural areas, frontier 

4 areas, health professional shortage 

5 areas, or medically underserved areas; 

6 or 

7 ‘‘(II) to medically underserved 

8 populations or Native Americans; and 

9 ‘‘(ii) is licensed, registered, or cer10 tified in accordance with applicable law re11 garding the provision of such services.’’. 

12 (c) SUPPLEMENT NOT SUPPLANT.—Section 330N(f) 

13 of the Public Health Service Act (42 U.S.C. 254c–20(f)) 

14 is amended to read as follows: 

15 ‘‘(f) APPLICATION.—An eligible entity that seeks to 

16 receive a grant under subsection (b) shall submit to the 

17 Secretary an application, at such time, in such manner, 

18 and containing such information as the Secretary may re19 quire. Such application shall include— 

20 ‘‘(1) plans to assess the effect of technology-en21 abled collaborative learning and capacity building 

22 models on patient outcomes and health care pro23 viders; and 

24 ‘‘(2) in the case of an application submitted for 

25 a grant under subsection (b)(2), assurances that 


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1 funds received under such grant shall supplement 

2 and not supplant funds received from any other 

3 source.’’. 

4 (d) REPORTS.— 

5 (1) BY ELIGIBLE ENTITIES.—Section 330N(e) 

6 of the Public Health Service Act (42 U.S.C. 254c– 

7 20(e)) is amended— 

8 (A) in the first sentence— 

9 (i) by striking ‘‘this section’’ and in10 serting ‘‘subsection (b)(1), and shall re11 quire entities awarded a grant under sub12 section (b)(2),’’; and 

13 (ii) by striking ‘‘subsection (b).’’ and 

14 inserting ‘‘subsection (b)(1).’’; and 

15 (B) by inserting after the first sentence 

16 the following: ‘‘Each entity awarded a grant 

17 under subsection (b)(2) shall submit to the Ad18 visory Council on Alzheimer’s Research, Care, 

19 and Services a report containing such collected 

20 information.’’. 

21 (2) BY SECRETARY.—Section 330N(j) of the 

22 Public Health Service Act (42 U.S.C. 254c–20(j)) is 

23 amended— 

24 (A) in paragraph (2), by redesignating 

25 subparagraphs (A) through (C) as clauses (i) 


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1 through (iii), respectively, and adjusting the 

2 margins accordingly; 

3 (B) by redesignating paragraphs (1) 

4 through (3) as subparagraphs (A) through (C), 

5 respectively, and adjusting the margins accord6 ingly; 

7 (C) by striking ‘‘Not later than 4 years 

8 after’’ and inserting the following: 

9 ‘‘(1) IN GENERAL.—Not later than 4 years 

10 after’’; and 

11 (D) by adding at the end the following: 

12 ‘‘(2) UPDATE TO REPORT.—Not later than 4 

13 years after the date of enactment of subsection 

14 (b)(2), the Secretary shall prepare and submit to the 

15 Committee on Health, Education, Labor, and Pen16 sions of the Senate and the Committee on Energy 

17 and Commerce of the House of Representatives, and 

18 post on the internet website of the Department of 

19 Health and Human Services, an updated version of 

20 the report described in paragraph (1).’’. 

21 (e) AUTHORIZATION OF APPROPRIATIONS.—Section 

22 330N(k) of the Public Health Service Act (42 U.S.C. 

23 254c–20(k)) is amended to read as follows: 


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1 ‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There 

2 are authorized to be appropriated to carry out this sec3 tion— 

4 ‘‘(1) other than with respect to grants under 

5 subsection (b)(2), $10,000,000 for each of fiscal 

6 years 2022 through 2031; and 

7 ‘‘(2) with respect to grants under subsection 

8 (b)(2), $1,000,000 for each of fiscal years 2026 

9 through 2031.’’. 

Æ 


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