US Codex
Bill
Notes

S. 133 — what changed

NAPA Reauthorization Act

From Reported in Senate to Engrossed in Senate. 1 section amended between Reported in Senate and Engrossed in Senate.

Sec. 2 Extension of project

Section 2 of the National Alzheimer's Project Act (42 U.S.C. 11225) is amended—

(1)
in subsection (c)—
(A)
in paragraph (2), by striking “and coordination of” and inserting “on, and coordination of,”;
(B)
in paragraph (4)—
(i)
by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and
(ii)
by inserting before subparagraph (B), as so redesignated, the following:

changed “(A) promotion of healthy aging and reduction and mitigation of risk factors for Alzheimer's;”

(C)
changed in paragraph (5), by striking “; and” and inserting a semicolon;(5)—
(i)
added by inserting “and other underserved populations, including individuals with developmental disabilities such as Down syndrome,” after “populations”; and
(ii)
added by striking “; and” and inserting a semicolon;
(D)
by redesignating paragraph (6) as paragraph (7); and
(E)
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”

(2)
in subsection (d)(2)—
(A)
by inserting “, across public and private sectors,” after “Nation's progress”; and
(B)
by inserting “, including consideration of public-private collaborations, as appropriate” before the period;
(3)
in subsection (e)—
(A)
in paragraph (2)—
(i)
in subparagraph (A), by adding at the end the following:

“(xi) A designee of the Department of Justice.

“(xii) A designee of the Federal Emergency Management Agency.

“(xiii) A designee of the Social Security Administration.

changed “(xiv) A designee of 2 or more other designees, as determined by the Office Secretary of Management Health and Budget.Human Services, at least one of whom has expertise in risk factors associated with the development or the progression of Alzheimer's.”

removed “(xv) 1 or more other designees of the Department of Health and Human Services, as determined by the Secretary of Health and Human Services.”

(ii)
in subparagraph (B)—
(I)
added in the matter preceding clause (i), by striking “12” and inserting “15”;
(II)
renumbered was (5)(2)(3)(2) in clause (v)—
(aa)
renumbered was (5)(2)(3)(2)(2) by striking “2 researchers” and inserting “3 researchers”; and
(bb)
added 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)
added in clause (vi), by striking the period and inserting a semicolon; and
(bb)
removed by striking “; and” and inserting “, including at least one researcher with demonstrated experience in recruitment and retention of diverse cohorts of trial participants;”;
(II)
removed in clause (vi), by striking the period and inserting “; and”; and
(IV)
renumbered was (5)(2)(3)(4) by adding at the end the following:

added “(vii) 1 individual with a diagnosis of Alzheimer's disease; and

added “(viii) 1 representative from a historically underserved population whose lifetime risk for developing Alzheimer's is markedly higher than that of other populations.”

removed “(vii) an individual with a diagnosis of Alzheimer's disease.”

(B)
in paragraph (5)—
(i)
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”;
(ii)
in subparagraph (B), by striking “initial”;
(iii)
in subparagraph (C)—
(I)
in the matter preceding clause (i), by striking “initial”; and
(II)
in clause (ii), by inserting “and reduce disparities” before the semicolon; and
(iv)
in subparagraph (D), by striking “annually thereafter, an evaluation” and inserting “annual evaluations”; and
(C)
in paragraph (6), by striking “2025” and inserting “2035”;
(4)
changed in subsection (g)(3)(A)(ii), by inserting “and reduce disparities” before the semicolon; and(g)—
(A)
added in paragraph (1)—
(i)
added by adding “and” after the semicolon;
(ii)
added by striking “that includes an evaluation” and inserting “that includes—

added “(A) an evaluation;”

(iii)
added by adding at the end the following:

added “(B) a summary of the Secretary's process for identifying and updating what conditions constitute Alzheimer's disease;”

(B)
added in paragraph (3)(A)(ii), by inserting “and reduce disparities” before the semicolon; and
(5)
in subsection (h), by striking “2025” and inserting “2035”.