IB 
Union Calendar No. 438 
118TH CONGRESS 
2D SESSION 
H. R. 619 
[Report No. 118–526] 
To extend the National Alzheimer’s Project. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 30, 2023 
Mr. TONKO (for himself, Mr. SMITH of New Jersey, and Ms. WATERS) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
MAY 24, 2024 
Additional sponsors: Mr. COLE, Mr. GARAMENDI, Mr. CONNOLLY, Mr. 
GOTTHEIMER, Ms. ROSS, Mr. DOGGETT, Mr. FITZPATRICK, Ms. 
BARRAGA´N, Mr. MENENDEZ, Ms. WASSERMAN SCHULTZ, Mr. BLU-
MENAUER, Mr. CARTWRIGHT, Mr. TRONE, Mr. CARTER of Georgia, Ms. 
CASTOR of Florida, Mr. HUFFMAN, Mr. RUPPERSBERGER, Mr. SCHNEI-
DER, Mr. COHEN, Ms. PINGREE, Mr. QUIGLEY, Mr. POCAN, Mr. 
KEATING, Mr. JOHNSON of Georgia, Mr. CUELLAR, Mr. PHILLIPS, Mr. 
MAGAZINER, Ms. SHERRILL, Ms. MCCOLLUM, Mr. LEVIN, Ms. DAVIDS 
of Kansas, Mr. KIM of New Jersey, Mr. MEUSER, Mrs. FOUSHEE, Mr. 
VAN DREW, Ms. SALAZAR, Mrs. TRAHAN, Ms. TOKUDA, Mr. BACON, Mr. 
LAWLER, Ms. CRAIG, Mr. HARDER of California, Mr. POSEY, Ms. LOIS 
FRANKEL of Florida, Mr. WILSON of South Carolina, Mr. RUTHERFORD, 
Mrs. PELTOLA, Ms. MANNING, Mr. KHANNA, Mr. MULLIN, Mr. CARTER 
of Louisiana, Ms. LEE of California, Ms. NORTON, Ms. CROCKETT, Mr. 
GOLDMAN of New York, Mr. MOSKOWITZ, Mr. SANTOS, Mr. HIMES, Mr. 
TORRES of New York, Mr. LANGWORTHY, Mr. FROST, Mr. VICENTE 
GONZALEZ of Texas, Mr. MOLINARO, Ms. BUDZINSKI, Mr. NEGUSE, Mr. 
BUCHANAN, Mr. STAUBER, Ms. SEWELL, Mr. SWALWELL, Mr. DELUZIO, 
Ms. OMAR, Mr. COSTA, Mr. RASKIN, Mr. PANETTA, Ms. LOFGREN, Mr. 
PAPPAS, Mrs. CHERFILUS-MCCORMICK, Ms. SPANBERGER, Mr. BERA, 
Mrs. KIGGANS of Virginia, Ms. ADAMS, Mr. SORENSEN, Ms. PETTERSEN, 
Ms. TLAIB, Mr. THOMPSON of California, Mr. THANEDAR, Ms. BALINT, 
Ms. KELLY of Illinois, Mr. ALLRED, Mr. DAVIS of North Carolina, Mr. 
LANDSMAN, Mr. PASCRELL, Mr. BARR, Ms. WILSON of Florida, Mr. 
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AUCHINCLOSS, Ms. JAYAPAL, Mr. RYAN, Ms. SCHOLTEN, Mr. VALADAO, 
Mr. NADLER, Ms. STEVENS, Mr. DUNCAN, Ms. STANSBURY, Ms. 
KUSTER, Mr. RESCHENTHALER, Mr. BILIRAKIS, Mr. DAVIS of Illinois, 
Mr. KELLY of Pennsylvania, Mr. NORCROSS, Ms. WILD, Mr. GRIJALVA, 
Ms. HOULAHAN, Mr. BOWMAN, Mr. BISHOP of Georgia, Mrs. HAYES, Mr. 
MOULTON, Ms. WILLIAMS of Georgia, Mrs. NAPOLITANO, Mr. LALOTA, 
Mr. PETERS, Ms. PORTER, Mr. MEEKS, Mr. KILMER, Ms. SLOTKIN, Mr. 
DUARTE, Ms. BONAMICI, Mr. PAYNE, Mr. FLEISCHMANN, Mr. LIEU, Mr. 
JACKSON of North Carolina, Mr. DAVID SCOTT of Georgia, Mr. THOMP-
SON of Pennsylvania, Mr. AMO, Ms. MCCLELLAN, Ms. CLARKE of New 
York, Ms. SCANLON, Mr. KEAN of New Jersey, Mr. MORELLE, Mr. 
MRVAN, Mr. CARSON, Mrs. MILLER of Illinois, and Mr. WILLIAMS of 
New York 
MAY 24, 2024 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on January 30, 2023] 
A BILL 
To extend the National Alzheimer’s Project. 
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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 ‘‘NAPA Reauthorization 
Act’’. 
SEC. 2. EXTENSION OF NATIONAL ALZHEIMER’S PROJECT. 
(a) PURPOSE OF PROJECT.—Section 2(c) of the Na-
tional Alzheimer’s Project Act (42 U.S.C. 11225(c)) is 
amended— 
(1) in paragraph (2), by striking ‘‘and coordina-
tion of’’ and inserting ‘‘on, and coordination of,’’; 
(2) in paragraph (4)— 
(A) by redesignating subparagraphs (A) 
and (B) as subparagraphs (B) and (C), respec-
tively; and 
(B) by inserting before subparagraph (B), 
as so redesignated, the following: 
‘‘(A) promotion of healthy aging and reduc-
tion and mitigation of risk factors for Alz-
heimer’s;’’; 
(3) in paragraph (5)— 
(A) by inserting ‘‘and other underserved 
populations, including individuals with develop-
mental disabilities such as Down syndrome,’’ 
after ‘‘populations’’; and 
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(B) by striking ‘‘; and’’ and inserting a 
semicolon; 
(4) by redesignating paragraph (6) as para-
graph (7); and 
(5) by inserting after paragraph (5) the fol-
lowing: 
‘‘(6) provide information on, and promote the 
adoption of, healthy behaviors that may reduce the 
risk of cognitive decline and promote and protect cog-
nitive health; and’’. 
(b) NATIONAL PLAN.—Section 2(d)(2) of the National 
Alzheimer’s Project Act (42 U.S.C. 11225(d)(2)) is amend-
ed— 
(1) by inserting ‘‘, across public and private sec-
tors,’’ after ‘‘Nation’s progress’’; and 
(2) by inserting ‘‘, including consideration of 
public-private collaborations, as appropriate’’ before 
the period at the end. 
(c) ADVISORY COUNCIL.—Section 2(e) of the National 
Alzheimer’s Project Act (42 U.S.C. 11225(e)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (A), by adding at the 
end the following: 
‘‘(xi) A designee of the Department of 
Justice. 
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‘‘(xii) A designee of the Social Security 
Administration. 
‘‘(xiii) A designee of the Federal Emer-
gency Management Agency. 
‘‘(xiv) 2 or more other designees of the 
Department 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 disease, as de-
termined by the Secretary of Health and 
Human Services.’’; and 
(B) in subparagraph (B)— 
(i) in the matter preceding clause (i), 
by striking ‘‘12’’ and inserting ‘‘14’’; 
(ii) in clause (v)— 
(I) by striking ‘‘2 researchers’’ 
and inserting ‘‘3 researchers’’; and 
(II) by striking ‘‘; and’’ and in-
serting ‘‘, including at least one re-
searcher with demonstrated experience 
in recruitment and retention of under-
represented groups into research or 
clinical trials related to dementia;’’; 
(iii) in clause (vi), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
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(iv) by adding at the end the following: 
‘‘(vii) 1 individual with a diagnosis of 
Alzheimer’s disease.’’; 
(2) in paragraph (5)— 
(A) 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’’; 
(B) in subparagraph (B), by striking ‘‘ini-
tial’’ and inserting ‘‘annual’’; 
(C) in subparagraph (C)— 
(i) in the matter preceding clause (i), 
by striking ‘‘initial’’ and inserting ‘‘an-
nual’’; and 
(ii) in clause (ii), by inserting ‘‘and 
reduce disparities’’ before the semicolon at 
the end; and 
(D) in subparagraph (D), by striking ‘‘an-
nually thereafter, an evaluation’’ and inserting 
‘‘annual evaluations’’; and 
(3) in paragraph (6), by striking ‘‘2025’’ and in-
serting ‘‘2035’’. 
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(d) ANNUAL REPORT.—Section 2(g) of the National 
Alzheimer’s Project Act (42 U.S.C. 11225(g)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘that includes an evalua-
tion’’ and inserting the following: ‘‘that in-
cludes— 
‘‘(A) an evaluation’’; 
(B) in subparagraph (A) (as so designated), 
by adding ‘‘and’’ at the end; and 
(C) 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 
(2) in paragraph (3)(A)(ii), by inserting ‘‘and 
reduce disparities’’ before the semicolon at the end. 
(e) SUNSET.—Section 2(h) of the National Alzheimer’s 
Project Act (42 U.S.C. 11225(h)) is amended by striking 
‘‘2025’’ and inserting ‘‘2035’’. 
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Union Calendar No. 438 
118TH CONGRESS 
2D SESSION 
H. R. 619 
[Report No. 118–526] 
A BILL 
To extend the National Alzheimer’s Project. 
MAY 24, 2024 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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