S 2076 — BOLD Infrastructure for Alzheimer's Act

[Congressional[115th BillsCongress 115thPublic Congress]Law 406] [From the U.S.

Government Publishing Office] [S.[[Page 5361]] BUILDING OUR LARGEST DEMENTIA INFRASTRUCTURE FOR ALZHEIMER'S ACT [[Page 132 STAT.

20765362]] EngrossedPublic inLaw Senate115-406 (ES)]115th <DOC>Congress 115thAn CONGRESSAct 2dTo Sessionamend S.the Public Health Service Act to authorize the expansion of activities related to Alzheimer's disease, cognitive decline, and brain health under the Alzheimer's Disease and Healthy Aging Program, and for other purposes.

2076<<NOTE: _______________________________________________________________________ AN ACT To amend the Public Health Service Act to authorize the expansion of activities related to Alzheimer's disease, cognitive decline, and brain health under the Alzheimer's Disease and Healthy Aging Program, and for other purposes.

BeDec. it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1.

SHORT31, TITLE.2018 - [S.

2076]>> Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, <<NOTE:

Building Our Largest Dementia Infrastructure for Alzheimer's Act.>> SECTION 1.

<<NOTE:

42 USC 201 note.>> SHORT TITLE.

``(a) Alzheimer's Disease and Related Dementias Public Health Centers of Excellence.-- ``(1) In general.--Thegeneral Secretary,<<NOTE: in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies as appropriate, shall award grants, contracts, or cooperative agreements to eligible entities, such as institutions of higher education, State, tribal, and local health departments, Indian tribes, tribal organizations, associations, or other appropriate entities for the establishment or support of regional centers to address Alzheimer's disease and related dementias by-- ``(A) advancing the awareness of public health officials, health care professionals, and the public, on the most current information and research related to Alzheimer's disease and related dementias, including cognitive decline, brain health, and associated health disparities;

Coordination.

Grants.

Contracts.>> .--The Secretary, in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies as appropriate, shall award grants, contracts, or cooperative agreements to eligible entities, such as institutions of higher education, State, tribal, and local health departments, Indian tribes, tribal organizations, associations, or other appropriate entities for the establishment or support of regional centers to address Alzheimer's disease and related dementias by-- [[Page 132 STAT.

5363]] ``(A) advancing the awareness of public health officials, health care professionals, and the public, on the most current information and research related to Alzheimer's disease and related dementias, including cognitive decline, brain health, and associated health disparities;

``(2) Requirements.--ToRequirements be<<NOTE: eligible to receive a grant, contract, or cooperative agreement under this subsection, an entity shall submit to the Secretary an application containing such agreements and information as the Secretary may require, including a description of how the entity will-- ``(A) coordinate, as applicable, with existing Federal, State, and tribal programs related to Alzheimer's disease and related dementias;

Application.>> .--To be eligible to receive a grant, contract, or cooperative agreement under this subsection, an entity shall submit to the Secretary an application containing such agreements and information as the Secretary may require, including a description of how the entity will-- ``(A) coordinate, as applicable, with existing Federal, State, and tribal programs related to Alzheimer's disease and related dementias;

``(3) Considerations.--In awarding grants, contracts, and cooperative agreements under this subsection, the Secretary shall consider, among other factors, whether the entity-- ``(A)[[Page provides132 servicesSTAT. to rural areas or other underserved populations;

5364]] ``(A) provides services to rural areas or other underserved populations;

``(5) Data reporting and program oversight.--Withoversight respect<<NOTE: to a grant, contract, or cooperative agreement awarded under this subsection, not later than 90 days after the end of the first year of the period of assistance, and annually thereafter for the duration of the grant, contract, or agreement (including the duration of any renewal period as provided for under paragraph (5)), the entity shall submit data, as appropriate, to the Secretary regarding-- ``(A) the programs and activities funded under the grant, contract, or agreement;

Deadline.>> .--With respect to a grant, contract, or cooperative agreement awarded under this subsection, not later than 90 days after the end of the first year of the period of assistance, and annually thereafter for the duration of the grant, contract, or agreement (including the duration of any renewal period as provided for under paragraph (5)), the entity shall submit data, as appropriate, to the Secretary regarding-- ``(A) the programs and activities funded under the grant, contract, or agreement;

``(b) Improving Data on State and National Prevalence of Alzheimer's Disease and Related Dementias.-- ``(1) In general.--Thegeneral Secretary<<NOTE: shall, as appropriate, improve the analysis and timely reporting of data on the incidence and prevalence of Alzheimer's disease and related dementias.

Analysis.>> .--The Secretary shall, as appropriate, improve the analysis and timely reporting of data on the incidence and prevalence of Alzheimer's disease and related dementias.

``(2) Eligibility.--ToEligibility be<<NOTE: eligible to receive a grant, contract, or cooperative agreement under this subsection, an entity shall be a public or nonprofit private entity, including institutions of higher education, State, local, and tribal health departments, and Indian tribes and tribal organizations, and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.

Application.>> .--To be eligible to receive a grant, contract, or cooperative agreement under this subsection, an entity shall be a public or nonprofit private entity, including institutions of higher education, State, local, and tribal health departments, and Indian tribes and tribal organizations, and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.

SEC.[[Page 132 STAT.

5365]] SEC.

``(a) In General.--TheGeneral Secretary,<<NOTE: in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies, as appropriate, shall award cooperative agreements to health departments of States, political subdivisions of States, and Indian tribes and tribal organizations, to address Alzheimer's disease and related dementias, including by reducing cognitive decline, helping meet the needs of caregivers, and addressing unique aspects of Alzheimer's disease and related dementias to support the development and implementation of evidence-based interventions with respect to-- ``(1) educating and informing the public, based on evidence-based public health research and data, about Alzheimer's disease and related dementias;

Coordination.>> .--The Secretary, in coordination with the Director of the Centers for Disease Control and Prevention and the heads of other agencies, as appropriate, shall award cooperative agreements to health departments of States, political subdivisions of States, and Indian tribes and tribal organizations, to address Alzheimer's disease and related dementias, including by reducing cognitive decline, helping meet the needs of caregivers, and addressing unique aspects of Alzheimer's disease and related dementias to support the development and implementation of evidence-based interventions with respect to-- ``(1) educating and informing the public, based on evidence- based public health research and data, about Alzheimer's disease and related dementias;

``(c) Eligibility.--ToEligibility be<<NOTE: eligible to receive a cooperative agreement under this section, an eligible entity (pursuant to subsection (a)) shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a plan that describes-- ``(1) how the applicant proposes to develop or expand, programs to educate individuals through partnership engagement, workforce development, guidance and support for programmatic efforts, and evaluation with respect to Alzheimer's disease and related dementias, and in the case of a cooperative agreement under this section, how the applicant proposes to support other relevant activities identified by the Secretary or Director of the Centers for Disease Control and Prevention, as appropriate.

``(2)Application. the manner in which the applicant will coordinate with Federal, tribal, and State programs related to Alzheimer's disease and related dementias, and appropriate State, tribal, and local agencies, as well as other relevant public and private organizations or agencies;

Plan.>> .--To be eligible to receive a cooperative agreement under this section, an eligible entity (pursuant to subsection (a)) shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a plan that describes-- ``(1) how the applicant proposes to develop or expand, programs to educate individuals through partnership engagement, workforce development, guidance and support for programmatic efforts, and evaluation with respect to Alzheimer's disease and related dementias, and in the case of a cooperative agreement under this section, how the applicant proposes to support other relevant activities identified by the Secretary or Director of the Centers for Disease Control and Prevention, as appropriate.

[[Page 132 STAT.

5366]] ``(2) the manner in which the applicant will coordinate with Federal, tribal, and State programs related to Alzheimer's disease and related dementias, and appropriate State, tribal, and local agencies, as well as other relevant public and private organizations or agencies;

``(e) Waiver Authority.--TheAuthority Secretary<<NOTE: may waive all or part of the matching requirement described in subsection (d) for any fiscal year for a health department of a State, political subdivision of a State, or Indian tribe and tribal organization (including those located in a rural area or frontier area), if the Secretary determines that applying such matching requirement would result in serious hardship or an inability to carry out the purposes of the cooperative agreement awarded to such health department of a State, political subdivision of a State, or Indian tribe and tribal organization.'';

Determination.>> .--The Secretary may waive all or part of the matching requirement described in subsection (d) for any fiscal year for a health department of a State, political subdivision of a State, or Indian tribe and tribal organization (including those located in a rural area or frontier area), if the Secretary determines that applying such matching requirement would result in serious hardship or an inability to carry out the purposes of the cooperative agreement awarded to such health department of a State, political subdivision of a State, or Indian tribe and tribal organization.'';

(5)[[Page in132 subsectionSTAT. (c) (as so redesignated)-- (A) in paragraph (1)-- (i) by striking ``each demonstration project for which a grant'' and inserting ``the activities for which an award'';

5367]] (5) in subsection (c) (as so redesignated)-- (A) in paragraph (1)-- (i) by striking ``each demonstration project for which a grant'' and inserting ``the activities for which an award'';

PassedApproved the Senate December 12,31, 2018.

Attest:LEGISLATIVE HISTORY--S.