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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 133 Enrolled Bill (ENR)]

        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 public-
        private 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.
                ``(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
        (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.
```