I 
113TH CONGRESS 
2D SESSION 
H. R. 4351 
To amend the National Alzheimer’s Project Act to require the Director 
of the National Institutes of Health to prepare and submit, directly 
to the President for review and transmittal to Congress, an annual 
budget estimate (including an estimate of the number and type of per-
sonnel needs for the Institutes) for the initiatives of the National Insti-
tutes of Health pursuant to such Act. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 1, 2014 
Mr. GUTHRIE (for himself, Mr. TONKO, Mr. SMITH of New Jersey, and Ms. 
WATERS) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend the National Alzheimer’s Project Act to require 
the Director of the National Institutes of Health to 
prepare and submit, directly to the President for review 
and transmittal to Congress, an annual budget estimate 
(including an estimate of the number and type of per-
sonnel needs for the Institutes) for the initiatives of 
the National Institutes of Health pursuant to such Act. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Alzheimer’s Account-
ability Act of 2014’’. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Alzheimer’s disease is the most expensive 
disease in the United States today. Its costs are set 
to increase like the costs of no other disease and will 
be carried in substantial measure through the Medi-
care and Medicaid programs. 
(2) Through the unanimous, bipartisan passage 
of the National Alzheimer’s Project Act (Public Law 
111–375), the 111th Congress recognized the na-
tional imperative to act and instructed the Nation’s 
scientists to develop a plan to change the trajectory 
of this disease. 
(3) Scientists at the National Institutes of 
Health have prepared and presented to Congress a 
national plan to prevent and effectively treat Alz-
heimer’s disease by 2025, including the underlying 
specification of milestones and timelines to achieve 
this goal. 
(4) Capital budgeting is a universally accepted 
best practice for the successful management of such 
a multiyear project, but such projections have not 
been prepared and provided to Congress to achieve 
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the 2025 goal, preventing Congress from exercising 
truly effective oversight over a venture of profound 
importance to the Nation. 
SEC. 3. PROFESSIONAL JUDGMENT BUDGET FOR INITIA-
TIVES 
OF 
NIH 
UNDER 
NATIONAL 
ALZ-
HEIMER’S PROJECT. 
Section 2 of the National Alzheimer’s Project Act 
(Public Law 111–375) (42 U.S.C. 11225) is amended— 
(1) by redesignating subsection (h) as sub-
section (i); and 
(2) by inserting after subsection (g) the fol-
lowing: 
‘‘(h) PROFESSIONAL JUDGMENT BUDGET.—For each 
fiscal year through fiscal year 2025, the Director of the 
National Institutes of Health shall prepare and submit, 
directly to the President for review and transmittal to 
Congress, after reasonable opportunity for comment (but 
without change) by the Secretary of Health and Human 
Services and the Advisory Council, an annual budget esti-
mate (including an estimate of the number and type of 
personnel needs for the Institutes) for the initiatives of 
the National Institutes of Health pursuant to this Act.’’. 
Æ 
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