118TH CONGRESS 

2D SESSION S. 133 

AN ACT 

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, 
2 

†S 133 ES

1 SECTION 1. SHORT TITLE. 

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

3 Act’’. 

4 SEC. 2. EXTENSION OF PROJECT. 

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

6 U.S.C. 11225) is amended— 

7 (1) in subsection (c)— 

8 (A) in paragraph (2), by striking ‘‘and co9 ordination of’’ and inserting ‘‘on, and coordina10 tion of,’’; 

11 (B) in paragraph (4)— 

12 (i) by redesignating subparagraphs 

13 (A) and (B) as subparagraphs (B) and 

14 (C), respectively; and 

15 (ii) by inserting before subparagraph 

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

17 ‘‘(A) promotion of healthy aging and re18 duction and mitigation of risk factors for Alz19 heimer’s;’’; 

20 (C) in paragraph (5)— 

21 (i) by inserting ‘‘and other under22 served populations, including individuals 

23 with developmental disabilities such as 

24 Down syndrome,’’ after ‘‘populations’’; and 

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

26 a semicolon; 
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†S 133 ES

1 (D) by redesignating paragraph (6) as 

2 paragraph (7); and 

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

4 following: 

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

6 adoption of, healthy behaviors that may reduce the 

7 risk of cognitive decline and promote and protect 

8 cognitive health; and’’; 

9 (2) in subsection (d)(2)— 

10 (A) by inserting ‘‘, across public and pri11 vate sectors,’’ after ‘‘Nation’s progress’’; and 

12 (B) by inserting ‘‘, including consideration 

13 of public-private collaborations, as appropriate’’ 

14 before the period; 

15 (3) in subsection (e)— 

16 (A) in paragraph (2)— 

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

18 the end the following: 

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

20 Justice. 

21 ‘‘(xii) A designee of the Federal 

22 Emergency Management Agency. 

23 ‘‘(xiii) A designee of the Social Secu24 rity Administration. 
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†S 133 ES

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

2 determined by the Secretary of Health and 

3 Human Services, at least one of whom has 

4 expertise in risk factors associated with the 

5 development or the progression of Alz6 heimer’s.’’; and 

7 (ii) in subparagraph (B)— 

8 (I) in the matter preceding clause 

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

10 ‘‘15’’; 

11 (II) in clause (v)— 

12 (aa) by striking ‘‘2 research13 ers’’ and inserting ‘‘3 research14 ers’’; and 

15 (bb) by striking ‘‘; and’’ and 

16 inserting ‘‘, including at least one 

17 researcher with demonstrated ex18 perience in recruitment and re19 tention of underrepresented 

20 groups into research or clinical 

21 trials related to dementia;’’; 

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

23 the period and inserting a semicolon; 

24 and 
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†S 133 ES

1 (IV) by adding at the end the fol2 lowing: 

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

4 Alzheimer’s disease; and 

5 ‘‘(viii) 1 representative from a histori6 cally underserved population whose lifetime 

7 risk for developing Alzheimer’s is markedly 

8 higher than that of other populations.’’; 

9 (B) in paragraph (5)— 

10 (i) in subparagraph (A)— 

11 (I) by striking ‘‘an initial evalua12 tion’’ and inserting ‘‘annual evalua13 tions’’; and 

14 (II) by striking ‘‘research, clin15 ical’’ and inserting ‘‘research, risk re16 duction, public health, clinical’’; 

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

18 ‘‘initial’’; 

19 (iii) in subparagraph (C)— 

20 (I) in the matter preceding clause 

21 (i), by striking ‘‘initial’’; and 

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

23 ‘‘and reduce disparities’’ before the 

24 semicolon; and 
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1 (iv) in subparagraph (D), by striking 

2 ‘‘annually thereafter, an evaluation’’ and 

3 inserting ‘‘annual evaluations’’; and 

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

5 and inserting ‘‘2035’’; 

6 (4) in subsection (g)— 

7 (A) in paragraph (1)— 

8 (i) by adding ‘‘and’’ after the semi9 colon; 

10 (ii) by striking ‘‘that includes an eval11 uation’’ and inserting ‘‘that includes— 

12 ‘‘(A) an evaluation;’’; and 

13 (iii) by adding at the end the fol14 lowing: 

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

16 for identifying and updating what conditions 

17 constitute Alzheimer’s disease;’’; and 

18 (B) in paragraph (3)(A)(ii), by inserting 

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

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

2 inserting ‘‘2035’’. 

Passed the Senate July 30, 2024. 

Attest: 

Secretary. 
118TH CONGRESS 

2D SESSION S. 133 

AN ACT 

To extend the National Alzheimer’s Project.