II Calendar No. 425 118th CONGRESS 2d Session S. 3775 IN THE SENATE OF THE UNITED STATES February 8 (legislative day, February 7), 2024 Ms. Collins (for herself, Ms. Cortez Masto , Mrs. Capito , Mr. Kaine , Mr. Tillis , Mr. Moran , Mrs. Hyde-Smith , Mr. Blumenthal , Ms. Stabenow , Mr. Wicker , Ms. Klobuchar , Ms. Murkowski , Mr. Sullivan , Mr. Reed , Mr. Whitehouse , Mr. Luján , Mr. Coons , Ms. Cantwell , Mr. Menendez , Mr. Booker , Mr. Lankford , Mrs. Fischer , Mr. Markey , Mr. Warnock , Mr. Crapo , Mr. Rounds , Mr. Mullin , Mr. Merkley , Mr. Marshall , Ms. Baldwin , and Ms. Smith ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions June 18, 2024 Reported by Mr. Sanders , with an amendment Strike out all after the enacting clause and insert the part printed in italic A BILL To amend the Public Health Service Act to reauthorize the BOLD Infrastructure for Alzheimer’s Act, and for other purposes.

1. Short title This Act may be cited as the Building Our Largest Dementia Infrastructure for Alzheimer's Reauthorization Act of 2024 or the BOLD Infrastructure for Alzheimer's Reauthorization Act of 2024 . 2. Extension of programs with respect to Alzheimer's disease and related dementias (a) Cooperative agreements to States and public health departments for Alzheimer’s disease and related dementias Section 398 of the Public Health Service Act ( 42 U.S.C. 280c–3 ) is amended— (1) in subsection (a)— (A) in the matter preceding paragraph (1), by striking in coordination with the Director of the Centers for Disease Control and Prevention and and inserting acting through the Director of the Centers for Disease Control and Prevention, and in coordination with ; and (B) in paragraph (7), by adding a period at the end; and (2) by transferring subsection (f) to appear after subsection (e). (b) Promotion of public health knowledge and awareness of Alzheimer’s disease and related dementias Section 398A(a) of the Public Health Service Act ( 42 U.S.C. 280c–4(a) ) is amended— (1) in paragraph (1), in the matter preceding subparagraph (A), by striking in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies as and inserting acting through the Director of the Centers for Disease Control and Prevention, and in coordination with the heads of other agencies, as ; and (2) in paragraph (2)(C)— (A) in clause (vii), by striking ; and and inserting a semicolon; (B) by redesignating clause (viii) as clause (ix); and (C) by inserting after clause (vii) the following: (viii) identifying and translating findings from clinical trials and other studies on Alzheimer's disease and related dementias, including studies on risk reduction, for application and integration into effective and sustained community-level evidence-based practices, interventions, and policies; and . (c) Reauthorization of programs Section 398B(e) of the Public Health Service Act ( 42 U.S.C. 280c–5(e) ) is amended by inserting , and $33,000,000 for each of fiscal years 2025 through 2029 before the period at the end.

1. Short title This Act may be cited as the Building Our Largest Dementia Infrastructure for Alzheimer's Reauthorization Act of 2024 or the BOLD Infrastructure for Alzheimer's Reauthorization Act of 2024 . 2. Extension of programs with respect to Alzheimer's disease and related dementias (a) Cooperative agreements to States and public health departments for Alzheimer’s disease and related dementias Section 398 of the Public Health Service Act ( 42 U.S.C. 280c–3 ) is amended— (1) in subsection (a)— (A) in the matter preceding paragraph (1)— (i) by striking in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies and inserting acting through the Director of the Centers for Disease Control and Prevention, and in coordination with the heads of other relevant Federal departments and agencies ; and (ii) by striking tribes and inserting Tribes ; (B) in paragraph (7), by striking or the Director of the Centers for Disease Control and Prevention, as appropriate and inserting , as appropriate. ; (2) in subsection (c)(1), by striking or Director of the Centers for Disease Control and Prevention ; (3) in subsection (e), by striking Indian tribe each place it appears and inserting Indian Tribe ; (4) by transferring subsection (f) to appear after subsection (e); and (5) by striking tribal each place it appears and inserting Tribal . (b) Promotion of public health knowledge and awareness of Alzheimer’s disease and related dementias Section 398A of the Public Health Service Act ( 42 U.S.C. 280c–4 ) is amended— (1) in subsection (a)— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies as and inserting acting through the Director of the Centers for Disease Control and Prevention, and in coordination with the heads of other relevant Federal departments and agencies, as ; and (B) in paragraph (2)(C)— (i) in clause (vii), by striking ; and and inserting a semicolon; (ii) in clause (viii), by striking or the Director of the Centers for Disease Control and Prevention ; (iii) by redesignating clause (viii) as clause (ix); and (iv) by inserting after clause (vii) the following: (viii) identifying and translating findings from clinical trials and other studies on Alzheimer's disease and related dementias, including studies related to reducing risk of cognitive decline or impairment, into evidence-based practices and interventions; and ; (2) by striking tribal each place it appears and inserting Tribal ; and (3) by striking Indian tribes each place it appears and inserting Indian Tribes . (c) Reauthorization of programs Section 398B of the Public Health Service Act ( 42 U.S.C. 280c–5 ) is amended— (1) in subsection (d)— (A) by striking tribe and inserting Tribe ; and (B) by striking tribal and inserting Tribal ; and (2) in subsection (e), by inserting , and $33,000,000 for each of fiscal years 2025 through 2029 before the period at the end.

June 18, 2024 Reported with an amendment