IB Union Calendar No. 438 118th CONGRESS 2d Session H. R. 619 [Report No. 118–526] IN THE HOUSE OF REPRESENTATIVES January 30, 2023 Mr. Tonko (for himself, Mr. Smith of New Jersey , and Ms. Waters ) introduced 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. Barragán , Mr. Menendez , Ms. Wasserman Schultz , Mr. Blumenauer , Mr. Cartwright , Mr. Trone , Mr. Carter of Georgia , Ms. Castor of Florida , Mr. Huffman , Mr. Ruppersberger , Mr. Schneider , 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. 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. Thompson 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.

1. Short title This Act may be cited as the NAPA Reauthorization Act . 2. Extension of National Alzheimer’s project (a) Purpose of project Section 2(c) of the National Alzheimer’s Project Act ( 42 U.S.C. 11225(c) ) is amended— (1) in paragraph (2), by striking and coordination of and inserting on, and coordination of, ; (2) in paragraph (4)— (A) by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and (B) 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; ; (3) in paragraph (5)— (A) by inserting and other underserved populations, including individuals with developmental disabilities such as Down syndrome, after populations ; and (B) by striking ; and and inserting a semicolon; (4) by redesignating paragraph (6) as paragraph (7); and (5) 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 . (b) National plan Section 2(d)(2) of the National Alzheimer’s Project Act ( 42 U.S.C. 11225(d)(2) ) is amended— (1) by inserting , across public and private sectors, 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. (xii) A designee of the Social Security Administration. (xiii) A designee of the Federal Emergency 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 determined 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 inserting , including at least one researcher with demonstrated experience in recruitment and retention of underrepresented groups into research or clinical trials related to dementia; ; (iii) in clause (vi), by striking the period at the end and inserting ; and ; and (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 initial and inserting annual ; (C) in subparagraph (C)— (i) in the matter preceding clause (i), by striking initial and inserting annual ; and (ii) in clause (ii), by inserting and reduce disparities before the semicolon at the end; and (D) in subparagraph (D), by striking annually thereafter, an evaluation and inserting annual evaluations ; and (3) in paragraph (6), by striking 2025 and inserting 2035 . (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 evaluation and inserting the following: that includes— (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 .

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