I 
115TH CONGRESS 
2D SESSION 
H. R. 6646 
To amend the Older Americans Act of 1965 to authorize services to be 
provided to individuals with Alzheimer’s disease or a related disorder 
with neurological and organic brain dysfunction who have not attained 
60 years of age. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 31, 2018 
Miss RICE of New York introduced the following bill; which was referred to 
the Committee on Education and the Workforce 
A BILL 
To amend the Older Americans Act of 1965 to authorize 
services to be provided to individuals with Alzheimer’s 
disease or a related disorder with neurological and or-
ganic brain dysfunction who have not attained 60 years 
of age. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Younger-Onset Alz-
heimer’s Disease Parity Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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work does not trigger the employment disability ac-
commodations that a diagnosed individual would re-
ceive. 
(7) Those with younger-onset Alzheimer’s dis-
ease will suffer from higher levels of stigma because 
Alzheimer’s disease is more often associated with 
older adults. This often adversely impacts family, 
personal, and professional relationships. 
(8) Those with younger-onset Alzheimer’s dis-
ease are often supporting young children who are 
living in the home. Many times these children also 
serve as caregivers. 
(9) Those with younger-onset Alzheimer’s dis-
ease may have a working spouse who has to decide 
between continuing to work to support the household 
or leaving the working world to be the primary care-
giver of their loved one living with Alzheimer’s dis-
ease. 
(10) The Older Americans Act of 1965, enacted 
in 1965, authorizes the provision of essential serv-
ices to Americans age 60 or over, with particular at-
tention given to those individuals with low incomes 
or disabilities. 
(11) Services provided under the Act include 
Alzheimer’s disease education, meal delivery, family 
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caregiver support, and supportive services such as 
home care, adult day care, and transportation. 
(12) These services are particularly helpful for 
those with a degenerative disease such as Alz-
heimer’s disease in which sufferers ultimately re-
quire assistance with basic daily tasks. 
(13) These services also provide vital assistance, 
support, and respite to family caregivers and help to 
maintain the independence of the individual living 
with younger-onset Alzheimer’s disease. 
(14) The Older Americans Act 1965 uniquely 
authorizes services that can assist individuals with 
younger-onset Alzheimer’s disease and their families. 
SEC. 3. PARITY FOR INDIVIDUALS WITH YOUNGER-ONSET 
ALZHEIMER’S DISEASE. 
Section 102(40) of the Older Americans Act of 1965 
(42 U.S.C. 3002(40)) is amended by inserting before the 
period at the end the following: 
‘‘and includes an individual with Alzheimer’s disease 
or a related disorder with neurological and organic 
brain dysfunction who has not attained 60 years of 
age’’. 
Æ 
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