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Union Calendar No. 438 

118TH CONGRESS 

2D SESSION H. R. 619 

[Report No. 118–526] 

To extend the National Alzheimer’s Project. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 30, 2023 

Mr. TONKO (for himself, Mr. SMITH of New Jersey, and Ms. WATERS) introduced the following bill; which was referred to the Committee on Energy 

and Commerce 

MAY 24, 2024 

Additional sponsors: Mr. COLE, Mr. GARAMENDI, Mr. CONNOLLY, Mr. 

GOTTHEIMER, Ms. ROSS, Mr. DOGGETT, Mr. FITZPATRICK, Ms. 

BARRAGA ́N, Mr. MENENDEZ, Ms. WASSERMAN SCHULTZ, Mr. BLUMENAUER, Mr. CARTWRIGHT, Mr. TRONE, Mr. CARTER of Georgia, Ms. 

CASTOR of Florida, Mr. HUFFMAN, Mr. RUPPERSBERGER, Mr. SCHNEIDER, Mr. COHEN, Ms. PINGREE, Mr. QUIGLEY, Mr. POCAN, Mr. 

KEATING, Mr. JOHNSON of Georgia, Mr. CUELLAR, Mr. PHILLIPS, Mr. 

MAGAZINER, Ms. SHERRILL, Ms. MCCOLLUM, Mr. LEVIN, Ms. DAVIDS

of Kansas, Mr. KIM of New Jersey, Mr. MEUSER, Mrs. FOUSHEE, Mr. 

VAN DREW, Ms. SALAZAR, Mrs. TRAHAN, Ms. TOKUDA, Mr. BACON, Mr. 

LAWLER, Ms. CRAIG, Mr. HARDER of California, Mr. POSEY, Ms. LOIS

FRANKEL of Florida, Mr. WILSON of South Carolina, Mr. RUTHERFORD, 

Mrs. PELTOLA, Ms. MANNING, Mr. KHANNA, Mr. MULLIN, Mr. CARTER

of Louisiana, Ms. LEE of California, Ms. NORTON, Ms. CROCKETT, Mr. 

GOLDMAN of New York, Mr. MOSKOWITZ, Mr. SANTOS, Mr. HIMES, Mr. 

TORRES of New York, Mr. LANGWORTHY, Mr. FROST, Mr. VICENTE

GONZALEZ of Texas, Mr. MOLINARO, Ms. BUDZINSKI, Mr. NEGUSE, Mr. 

BUCHANAN, Mr. STAUBER, Ms. SEWELL, Mr. SWALWELL, Mr. DELUZIO, 

Ms. OMAR, Mr. COSTA, Mr. RASKIN, Mr. PANETTA, Ms. LOFGREN, Mr. 

PAPPAS, Mrs. CHERFILUS-MCCORMICK, Ms. SPANBERGER, Mr. BERA, 

Mrs. KIGGANS of Virginia, Ms. ADAMS, Mr. SORENSEN, Ms. PETTERSEN, 

Ms. TLAIB, Mr. THOMPSON of California, Mr. THANEDAR, Ms. BALINT, 

Ms. KELLY of Illinois, Mr. ALLRED, Mr. DAVIS of North Carolina, Mr. 

LANDSMAN, Mr. PASCRELL, Mr. BARR, Ms. WILSON of Florida, Mr. 


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AUCHINCLOSS, Ms. JAYAPAL, Mr. RYAN, Ms. SCHOLTEN, Mr. VALADAO, 

Mr. NADLER, Ms. STEVENS, Mr. DUNCAN, Ms. STANSBURY, Ms. 

KUSTER, Mr. RESCHENTHALER, Mr. BILIRAKIS, Mr. DAVIS of Illinois, 

Mr. KELLY of Pennsylvania, Mr. NORCROSS, Ms. WILD, Mr. GRIJALVA, 

Ms. HOULAHAN, Mr. BOWMAN, Mr. BISHOP of Georgia, Mrs. HAYES, Mr. 

MOULTON, Ms. WILLIAMS of Georgia, Mrs. NAPOLITANO, Mr. LALOTA, 

Mr. PETERS, Ms. PORTER, Mr. MEEKS, Mr. KILMER, Ms. SLOTKIN, Mr. 

DUARTE, Ms. BONAMICI, Mr. PAYNE, Mr. FLEISCHMANN, Mr. LIEU, Mr. 

JACKSON of North Carolina, Mr. DAVID SCOTT of Georgia, Mr. THOMPSON of Pennsylvania, Mr. AMO, Ms. MCCLELLAN, Ms. CLARKE of New 

York, Ms. SCANLON, Mr. KEAN of New Jersey, Mr. MORELLE, Mr. 

MRVAN, Mr. CARSON, Mrs. MILLER of Illinois, and Mr. WILLIAMS of 

New York 

MAY 24, 2024 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on January 30, 2023] 

A BILL 

To extend the National Alzheimer’s Project. 


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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 ‘‘NAPA Reauthorization 

5 Act’’. 

6 SEC. 2. EXTENSION OF NATIONAL ALZHEIMER’S PROJECT. 

7 (a) PURPOSE OF PROJECT.—Section 2(c) of the Na8 tional Alzheimer’s Project Act (42 U.S.C. 11225(c)) is 

9 amended— 

10 (1) in paragraph (2), by striking ‘‘and coordina11 tion of’’ and inserting ‘‘on, and coordination of,’’; 

12 (2) in paragraph (4)— 

13 (A) by redesignating subparagraphs (A) 

14 and (B) as subparagraphs (B) and (C), respec15 tively; and 

16 (B) by inserting before subparagraph (B), 

17 as so redesignated, the following: 

18 ‘‘(A) promotion of healthy aging and reduc19 tion and mitigation of risk factors for Alz20 heimer’s;’’; 

21 (3) in paragraph (5)— 

22 (A) by inserting ‘‘and other underserved 

23 populations, including individuals with develop24 mental disabilities such as Down syndrome,’’ 

25 after ‘‘populations’’; and 


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1 (B) by striking ‘‘; and’’ and inserting a 

2 semicolon; 

3 (4) by redesignating paragraph (6) as para4 graph (7); and 

5 (5) by inserting after paragraph (5) the fol6 lowing: 

7 ‘‘(6) provide information on, and promote the 

8 adoption of, healthy behaviors that may reduce the 

9 risk of cognitive decline and promote and protect cog10 nitive health; and’’. 

11 (b) NATIONAL PLAN.—Section 2(d)(2) of the National 

12 Alzheimer’s Project Act (42 U.S.C. 11225(d)(2)) is amend13 ed— 

14 (1) by inserting ‘‘, across public and private sec15 tors,’’ after ‘‘Nation’s progress’’; and 

16 (2) by inserting ‘‘, including consideration of 

17 public-private collaborations, as appropriate’’ before 

18 the period at the end. 

19 (c) ADVISORY COUNCIL.—Section 2(e) of the National 

20 Alzheimer’s Project Act (42 U.S.C. 11225(e)) is amended— 

21 (1) in paragraph (2)— 

22 (A) in subparagraph (A), by adding at the 

23 end the following: 

24 ‘‘(xi) A designee of the Department of 

25 Justice. 


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1 ‘‘(xii) A designee of the Social Security 

2 Administration. 

3 ‘‘(xiii) A designee of the Federal Emer4 gency Management Agency. 

5 ‘‘(xiv) 2 or more other designees of the 

6 Department of Health and Human Services, 

7 at least one of whom has expertise in risk 

8 factors associated with the development or 

9 the progression of Alzheimer’s disease, as de10 termined by the Secretary of Health and 

11 Human Services.’’; and 

12 (B) in subparagraph (B)— 

13 (i) in the matter preceding clause (i), 

14 by striking ‘‘12’’ and inserting ‘‘14’’; 

15 (ii) in clause (v)— 

16 (I) by striking ‘‘2 researchers’’ 

17 and inserting ‘‘3 researchers’’; and 

18 (II) by striking ‘‘; and’’ and in19 serting ‘‘, including at least one re20 searcher with demonstrated experience 

21 in recruitment and retention of under22 represented groups into research or 

23 clinical trials related to dementia;’’; 

24 (iii) in clause (vi), by striking the pe25 riod at the end and inserting ‘‘; and’’; and 


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1 (iv) by adding at the end the following: 

2 ‘‘(vii) 1 individual with a diagnosis of 

3 Alzheimer’s disease.’’; 

4 (2) in paragraph (5)— 

5 (A) in subparagraph (A)— 

6 (i) by striking ‘‘an initial evaluation’’ 

7 and inserting ‘‘annual evaluations’’; and 

8 (ii) by striking ‘‘research, clinical’’ 

9 and inserting ‘‘research, risk reduction, 

10 public health, clinical’’; 

11 (B) in subparagraph (B), by striking ‘‘ini12 tial’’ and inserting ‘‘annual’’; 

13 (C) in subparagraph (C)— 

14 (i) in the matter preceding clause (i), 

15 by striking ‘‘initial’’ and inserting ‘‘an16 nual’’; and 

17 (ii) in clause (ii), by inserting ‘‘and 

18 reduce disparities’’ before the semicolon at 

19 the end; and 

20 (D) in subparagraph (D), by striking ‘‘an21 nually thereafter, an evaluation’’ and inserting 

22 ‘‘annual evaluations’’; and 

23 (3) in paragraph (6), by striking ‘‘2025’’ and in24 serting ‘‘2035’’. 


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1 (d) ANNUAL REPORT.—Section 2(g) of the National 

2 Alzheimer’s Project Act (42 U.S.C. 11225(g)) is amended— 

3 (1) in paragraph (1)— 

4 (A) by striking ‘‘that includes an evalua5 tion’’ and inserting the following: ‘‘that in6 cludes— 

7 ‘‘(A) an evaluation’’; 

8 (B) in subparagraph (A) (as so designated), 

9 by adding ‘‘and’’ at the end; and 

10 (C) by adding at the end the following: 

11 ‘‘(B) a summary of the Secretary’s process 

12 for identifying and updating what conditions 

13 constitute Alzheimer’s disease;’’; and 

14 (2) in paragraph (3)(A)(ii), by inserting ‘‘and 

15 reduce disparities’’ before the semicolon at the end. 

16 (e) SUNSET.—Section 2(h) of the National Alzheimer’s 

17 Project Act (42 U.S.C. 11225(h)) is amended by striking 

18 ‘‘2025’’ and inserting ‘‘2035’’. 


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Union Calendar No. 438 

118TH CONGRESS 

2D SESSION H. R. 619 

[Report No. 118–526] 

A BILL 

To extend the National Alzheimer’s Project. 

MAY 24, 2024 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


ssavage on LAPJG3WLY3PROD with BILLS