S. 133 

One Hundred Eighteenth Congress 

of the 

United States of America 

AT THE SECOND SESSION 

Begun and held at the City of Washington on Wednesday, 

the third day of January, two thousand and twenty four 

An Act 

To extend the National Alzheimer’s Project. 

Be it enacted by the Senate and House of Representatives of 

the United States of America in Congress assembled, 

SECTION 1. SHORT TITLE. 

This Act may be cited as the ‘‘NAPA Reauthorization Act’’. 

SEC. 2. EXTENSION OF PROJECT. 

Section 2 of the National Alzheimer’s Project Act (42 U.S.C. 

11225) is amended— 

(1) in subsection (c)— 

(A) in paragraph (2), by striking ‘‘and coordination 

of’’ and inserting ‘‘on, and coordination of,’’; 

(B) in paragraph (4)— 

(i) by redesignating subparagraphs (A) and (B) 

as subparagraphs (B) and (C), respectively; and 

(ii) by inserting before subparagraph (B), as so 

redesignated, the following: 

‘‘(A) promotion of healthy aging and reduction and 

mitigation of risk factors for Alzheimer’s;’’; 

(C) in paragraph (5)— 

(i) by inserting ‘‘and other underserved populations, including individuals with developmental 

disabilities such as Down syndrome,’’ after ‘‘populations’’; and 

(ii) by striking ‘‘; and’’ and inserting a semicolon; 

(D) by redesignating paragraph (6) as paragraph (7); 

and 

(E) by inserting after paragraph (5) the following: 

‘‘(6) provide information on, and promote the adoption of, 

healthy behaviors that may reduce the risk of cognitive decline 

and promote and protect cognitive health; and’’; 

(2) in subsection (d)(2)— 

(A) by inserting ‘‘, across public and private sectors,’’ 

after ‘‘Nation’s progress’’; and 

(B) by inserting ‘‘, including consideration of publicprivate collaborations, as appropriate’’ before the period; 

(3) in subsection (e)— 

(A) in paragraph (2)— 

(i) in subparagraph (A), by adding at the end the 

following: 

‘‘(xi) A designee of the Department of Justice. 

‘‘(xii) A designee of the Federal Emergency 

Management Agency. 
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‘‘(xiii) A designee of the Social Security Administration. 

‘‘(xiv) 2 or more other designees, as determined 

by the Secretary of Health and Human Services, at 

least one of whom has expertise in risk factors associated with the development or the progression of 

Alzheimer’s.’’; and 

(ii) in subparagraph (B)— 

(I) in the matter preceding clause (i), by 

striking ‘‘12’’ and inserting ‘‘15’’; 

(II) in clause (v)— 

(aa) by striking ‘‘2 researchers’’ and 

inserting ‘‘3 researchers’’; and 

(bb) by striking ‘‘; and’’ and inserting ‘‘, 

including at least one researcher with demonstrated experience in recruitment and retention of underrepresented groups into research 

or clinical trials related to dementia;’’; 

(III) in clause (vi), by striking the period and 

inserting a semicolon; and 

(IV) by adding at the end the following: 

‘‘(vii) 1 individual with a diagnosis of Alzheimer’s 

disease; and 

‘‘(viii) 1 representative from a historically underserved population whose lifetime risk for developing 

Alzheimer’s is markedly higher than that of other 

populations.’’; 

(B) in paragraph (5)— 

(i) in subparagraph (A)— 

(I) by striking ‘‘an initial evaluation’’ and 

inserting ‘‘annual evaluations’’; and 

(II) by striking ‘‘research, clinical’’ and 

inserting ‘‘research, risk reduction, public health, 

clinical’’; 

(ii) in subparagraph (B), by striking ‘‘initial’’; 

(iii) in subparagraph (C)— 

(I) in the matter preceding clause (i), by 

striking ‘‘initial’’; and 

(II) in clause (ii), by inserting ‘‘and reduce 

disparities’’ before the semicolon; and 

(iv) in subparagraph (D), by striking ‘‘annually 

thereafter, an evaluation’’ and inserting ‘‘annual 

evaluations’’; and 

(C) in paragraph (6), by striking ‘‘2025’’ and inserting 

‘‘2035’’; 

(4) in subsection (g)— 

(A) in paragraph (1)— 

(i) by adding ‘‘and’’ after the semicolon; 

(ii) by striking ‘‘that includes an evaluation’’ and 

inserting ‘‘that includes— 

‘‘(A) an evaluation;’’; and 

(iii) by adding at the end the following: 

‘‘(B) a summary of the Secretary’s process for identifying and updating what conditions constitute Alzheimer’s 

disease;’’; and 

(B) in paragraph (3)(A)(ii), by inserting ‘‘and reduce 

disparities’’ before the semicolon; and 
S. 133—3 

(5) in subsection (h), by striking ‘‘2025’’ and inserting 

‘‘2035’’. 

Speaker of the House of Representatives. 

Vice President of the United States and

President of the Senate.