II 

Calendar No. 182 

118TH CONGRESS 

1ST SESSION S. 133 

To extend the National Alzheimer’s Project. 

IN THE SENATE OF THE UNITED STATES 

JANUARY 30, 2023 

Ms. COLLINS (for herself, Mr. WARNER, Mrs. CAPITO, Mr. MARKEY, Mr. 

MORAN, Mr. MENENDEZ, Ms. MURKOWSKI, Ms. STABENOW, Mr. 

LANKFORD, Mr. WICKER, Mr. CRAPO, Mr. WARNOCK, Mr. SCOTT of 

Florida, Mr. BOOZMAN, Mr. DAINES, Mr. BENNET, Mr. RUBIO, Ms. 

ROSEN, Mrs. GILLIBRAND, Mr. CRAMER, Mrs. HYDE-SMITH, Mr. TILLIS, 

Ms. SMITH, Mr. HICKENLOOPER, Mr. VAN HOLLEN, Mrs. FISCHER, and 

Mr. BUDD) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions 

JULY 27, 2023 

Reported by Mr. SANDERS, with an amendment 

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

A BILL 

To extend the National Alzheimer’s Project. 

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’’. 


kjohnson on DSK79L0C42PROD with BILLS
2 

•S 133 RS

1 SEC. 2. EXTENSION OF PROJECT. 

2 Section 2 of the National Alzheimer’s Project Act (42 

3 U.S.C. 11225) is amended— 

4 (1) in subsection (c)— 

5 (A) in paragraph (2), by striking ‘‘and co6 ordination of’’ and inserting ‘‘on, and coordina7 tion of,’’; 

8 (B) in paragraph (4)— 

9 (i) by redesignating subparagraphs 

10 (A) and (B) as subparagraphs (B) and 

11 (C), respectively; and 

12 (ii) by inserting before subparagraph 

13 (B), as so redesignated, the following: 

14 ‘‘(A) promotion of healthy aging and re15 duction of risk factors for Alzheimer’s;’’; 

16 (C) in paragraph (5), by striking ‘‘; and’’ 

17 and inserting a semicolon; 

18 (D) by redesignating paragraph (6) as 

19 paragraph (7); and 

20 (E) by inserting after paragraph (5) the 

21 following: 

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

23 adoption of, healthy behaviors that may reduce the 

24 risk of cognitive decline and promote and protect 

25 cognitive health; and’’; 

26 (2) in subsection (d)(2)— 


kjohnson on DSK79L0C42PROD with BILLS
3 

•S 133 RS

1 (A) by inserting ‘‘, across public and pri2 vate sectors,’’ after ‘‘Nation’s progress’’; and 

3 (B) by inserting ‘‘, including consideration 

4 of public-private collaborations, as appropriate’’ 

5 before the period; 

6 (3) in subsection (e)— 

7 (A) in paragraph (2)— 

8 (i) in subparagraph (A), by adding at 

9 the end the following: 

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

11 Justice. 

12 ‘‘(xii) A designee of the Federal 

13 Emergency Management Agency. 

14 ‘‘(xiii) A designee of the Social Secu15 rity Administration. 

16 ‘‘(xiv) A designee of the Office of 

17 Management and Budget. 

18 ‘‘(xv) 1 or more other designees of the 

19 Department of Health and Human Serv20 ices, as determined by the Secretary of 

21 Health and Human Services.’’; and 

22 (ii) in subparagraph (B)— 

23 (I) in clause (v)— 


kjohnson on DSK79L0C42PROD with BILLS
4 

•S 133 RS

1 (aa) by striking ‘‘2 research2 ers’’ and inserting ‘‘3 research3 ers’’; and 

4 (bb) by striking ‘‘; and’’ and 

5 inserting ‘‘, including at least one 

6 researcher with demonstrated ex7 perience in recruitment and re8 tention of diverse cohorts of trial 

9 participants;’’; 

10 (II) in clause (vi), by striking the 

11 period and inserting ‘‘; and’’; and 

12 (III) by adding at the end the 

13 following: 

14 ‘‘(vii) an individual with a diagnosis of 

15 Alzheimer’s disease.’’; 

16 (B) in paragraph (5)— 

17 (i) in subparagraph (A)— 

18 (I) by striking ‘‘an initial evalua19 tion’’ and inserting ‘‘annual evalua20 tions’’; and 

21 (II) by striking ‘‘research, clin22 ical’’ and inserting ‘‘research, risk re23 duction, public health, clinical’’; 

24 (ii) in subparagraph (B), by striking 

25 ‘‘initial’’; 


kjohnson on DSK79L0C42PROD with BILLS
5 

•S 133 RS

1 (iii) in subparagraph (C)— 

2 (I) in the matter preceding clause 

3 (i), by striking ‘‘initial’’; and 

4 (II) in clause (ii), by inserting 

5 ‘‘and reduce disparities’’ before the 

6 semicolon; and 

7 (iv) in subparagraph (D), by striking 

8 ‘‘annually thereafter, an evaluation’’ and 

9 inserting ‘‘annual evaluations’’; and 

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

11 and inserting ‘‘2035’’; 

12 (4) in subsection (g)(3)(A)(ii), by inserting 

13 ‘‘and reduce disparities’’ before the semicolon; and 

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

15 inserting ‘‘2035’’. 

16 SECTION 1. SHORT TITLE. 

17 This Act may be cited as the ‘‘NAPA Reauthorization 

18 Act’’. 

19 SEC. 2. EXTENSION OF PROJECT. 

20 Section 2 of the National Alzheimer’s Project Act (42 

21 U.S.C. 11225) is amended— 

22 (1) in subsection (c)— 

23 (A) in paragraph (2), by striking ‘‘and co24 ordination of’’ and inserting ‘‘on, and coordina25 tion of,’’; 


kjohnson on DSK79L0C42PROD with BILLS
6 

•S 133 RS

1 (B) in paragraph (4)— 

2 (i) by redesignating subparagraphs (A) 

3 and (B) as subparagraphs (B) and (C), re4 spectively; and 

5 (ii) by inserting before subparagraph 

6 (B), as so redesignated, the following: 

7 ‘‘(A) promotion of healthy aging and reduc8 tion and mitigation of risk factors for Alz9 heimer’s;’’; 

10 (C) in paragraph (5)— 

11 (i) by inserting ‘‘and other underserved 

12 populations, including individuals with de13 velopmental disabilities such as Down syn14 drome,’’ after ‘‘ethnic and racial popu15 lations’’; and 

16 (ii) by striking ‘‘; and’’ and inserting 

17 a semicolon; 

18 (D) by redesignating paragraph (6) as 

19 paragraph (7); and 

20 (E) by inserting after paragraph (5) the fol21 lowing: 

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

23 adoption of, healthy behaviors that may reduce the 

24 risk of cognitive decline and promote and protect cog25 nitive health; and’’; 


kjohnson on DSK79L0C42PROD with BILLS
7 

•S 133 RS

1 (2) in subsection (d)(2)— 

2 (A) by inserting ‘‘, across public and pri3 vate sectors,’’ after ‘‘Nation’s progress’’; and 

4 (B) by inserting ‘‘, including consideration 

5 of public-private collaborations, as appropriate’’ 

6 before the period; 

7 (3) in subsection (e)— 

8 (A) in paragraph (2)— 

9 (i) in subparagraph (A), by adding at 

10 the end the following: 

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

12 Justice. 

13 ‘‘(xii) A designee of the Federal Emer14 gency Management Agency. 

15 ‘‘(xiii) A designee of the Social Secu16 rity Administration. 

17 ‘‘(xiv) 2 or more other designees, as de18 termined by the Secretary of Health and 

19 Human Services, at least one of whom has 

20 expertise in risk factors associated with the 

21 development or the progression of Alz22 heimer’s.’’; and 

23 (ii) in subparagraph (B)— 


kjohnson on DSK79L0C42PROD with BILLS
8 

•S 133 RS

1 (I) in the matter preceding clause 

2 (i), by striking ‘‘12’’ and inserting 

3 ‘‘15’’; 

4 (II) in clause (v)— 

5 (aa) by striking ‘‘2 research6 ers’’ and inserting ‘‘3 research7 ers’’; and 

8 (bb) by striking ‘‘; and’’ and 

9 inserting ‘‘, including at least one 

10 researcher with demonstrated ex11 perience in recruitment and reten12 tion of diverse cohorts of trial 

13 participants;’’; 

14 (III) in clause (vi), by striking 

15 the period and inserting a semicolon; 

16 and 

17 (IV) by adding at the end the fol18 lowing: 

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

20 Alzheimer’s disease; and 

21 ‘‘(viii) 1 representative from a histori22 cally underserved population whose lifetime 

23 risk for developing Alzheimer’s is markedly 

24 higher than that of other populations.’’; 

25 (B) in paragraph (5)— 


kjohnson on DSK79L0C42PROD with BILLS
9 

•S 133 RS

1 (i) in subparagraph (A)— 

2 (I) by striking ‘‘an initial evalua3 tion’’ and inserting ‘‘annual evalua4 tions’’; and 

5 (II) by striking ‘‘research, clin6 ical’’ and inserting ‘‘research, risk re7 duction, public health, clinical’’; 

8 (ii) in subparagraph (B), by striking 

9 ‘‘initial’’; 

10 (iii) in subparagraph (C)— 

11 (I) in the matter preceding clause 

12 (i), by striking ‘‘initial’’; and 

13 (II) in clause (ii), by inserting 

14 ‘‘and reduce disparities’’ before the 

15 semicolon; and 

16 (iv) in subparagraph (D), by striking 

17 ‘‘annually thereafter, an evaluation’’ and 

18 inserting ‘‘annual evaluations’’; and 

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

20 and inserting ‘‘2035’’; 

21 (4) in subsection (g)(3)(A)(ii), by inserting ‘‘and 

22 reduce disparities’’ before the semicolon; and 

23 (5) in subsection (h), by striking ‘‘2025’’ and in24 serting ‘‘2035’’. 


kjohnson on DSK79L0C42PROD with BILLS
Calendar No. 182 

118TH CONGRESS 

1ST SESSION S. 133 

A BILL 

To extend the National Alzheimer’s Project. 

JULY 27, 2023 

Reported with an amendment 


kjohnson on DSK79L0C42PROD with BILLS