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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 133 Reported in Senate (RS)]

<DOC>

                                                       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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``NAPA Reauthorization 
Act''.</DELETED>

<DELETED>SEC. 2. EXTENSION OF PROJECT.</DELETED>

<DELETED>    Section 2 of the National Alzheimer's Project Act (42 
U.S.C. 11225) is amended--</DELETED>
        <DELETED>    (1) in subsection (c)--</DELETED>
                <DELETED>    (A) in paragraph (2), by striking ``and 
                coordination of'' and inserting ``on, and coordination 
                of,'';</DELETED>
                <DELETED>    (B) in paragraph (4)--</DELETED>
                        <DELETED>    (i) by redesignating subparagraphs 
                        (A) and (B) as subparagraphs (B) and (C), 
                        respectively; and</DELETED>
                        <DELETED>    (ii) by inserting before 
                        subparagraph (B), as so redesignated, the 
                        following:</DELETED>
                <DELETED>    ``(A) promotion of healthy aging and 
                reduction of risk factors for Alzheimer's;'';</DELETED>
                <DELETED>    (C) in paragraph (5), by striking ``; 
                and'' and inserting a semicolon;</DELETED>
                <DELETED>    (D) by redesignating paragraph (6) as 
                paragraph (7); and</DELETED>
                <DELETED>    (E) by inserting after paragraph (5) the 
                following:</DELETED>
        <DELETED>    ``(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'';</DELETED>
        <DELETED>    (2) in subsection (d)(2)--</DELETED>
                <DELETED>    (A) by inserting ``, across public and 
                private sectors,'' after ``Nation's progress''; 
                and</DELETED>
                <DELETED>    (B) by inserting ``, including 
                consideration of public-private collaborations, as 
                appropriate'' before the period;</DELETED>
        <DELETED>    (3) in subsection (e)--</DELETED>
                <DELETED>    (A) in paragraph (2)--</DELETED>
                        <DELETED>    (i) in subparagraph (A), by adding 
                        at the end the following:</DELETED>
                        <DELETED>    ``(xi) A designee of the 
                        Department of Justice.</DELETED>
                        <DELETED>    ``(xii) A designee of the Federal 
                        Emergency Management Agency.</DELETED>
                        <DELETED>    ``(xiii) A designee of the Social 
                        Security Administration.</DELETED>
                        <DELETED>    ``(xiv) A designee of the Office 
                        of Management and Budget.</DELETED>
                        <DELETED>    ``(xv) 1 or more other designees 
                        of the Department of Health and Human Services, 
                        as determined by the Secretary of Health and 
                        Human Services.''; and</DELETED>
                        <DELETED>    (ii) in subparagraph (B)--
                        </DELETED>
                                <DELETED>    (I) in clause (v)--
                                </DELETED>
                                        <DELETED>    (aa) by striking 
                                        ``2 researchers'' and inserting 
                                        ``3 researchers''; 
                                        and</DELETED>
                                        <DELETED>    (bb) by striking 
                                        ``; and'' and inserting ``, 
                                        including at least one 
                                        researcher with demonstrated 
                                        experience in recruitment and 
                                        retention of diverse cohorts of 
                                        trial 
                                        participants;'';</DELETED>
                                <DELETED>    (II) in clause (vi), by 
                                striking the period and inserting ``; 
                                and''; and</DELETED>
                                <DELETED>    (III) by adding at the end 
                                the following:</DELETED>
                        <DELETED>    ``(vii) an individual with a 
                        diagnosis of Alzheimer's disease.'';</DELETED>
                <DELETED>    (B) in paragraph (5)--</DELETED>
                        <DELETED>    (i) in subparagraph (A)--
                        </DELETED>
                                <DELETED>    (I) by striking ``an 
                                initial evaluation'' and inserting 
                                ``annual evaluations''; and</DELETED>
                                <DELETED>    (II) by striking 
                                ``research, clinical'' and inserting 
                                ``research, risk reduction, public 
                                health, clinical'';</DELETED>
                        <DELETED>    (ii) in subparagraph (B), by 
                        striking ``initial'';</DELETED>
                        <DELETED>    (iii) in subparagraph (C)--
                        </DELETED>
                                <DELETED>    (I) in the matter 
                                preceding clause (i), by striking 
                                ``initial''; and</DELETED>
                                <DELETED>    (II) in clause (ii), by 
                                inserting ``and reduce disparities'' 
                                before the semicolon; and</DELETED>
                        <DELETED>    (iv) in subparagraph (D), by 
                        striking ``annually thereafter, an evaluation'' 
                        and inserting ``annual evaluations''; 
                        and</DELETED>
                <DELETED>    (C) in paragraph (6), by striking ``2025'' 
                and inserting ``2035'';</DELETED>
        <DELETED>    (4) in subsection (g)(3)(A)(ii), by inserting 
        ``and reduce disparities'' before the semicolon; and</DELETED>
        <DELETED>    (5) in subsection (h), by striking ``2025'' and 
        inserting ``2035''.</DELETED>

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 ``ethnic and racial 
                        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 
                                        diverse cohorts of trial 
                                        participants;'';
                                    (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)(3)(A)(ii), by inserting ``and reduce 
        disparities'' before the semicolon; and
            (5) in subsection (h), by striking ``2025'' and inserting 
        ``2035''.
                                                       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
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