In the nature of a substitute.

SA 3201. Ms. COLLINS proposed an amendment to the bill S. 133, to
extend the National Alzheimer's Project; as follows:

Strike all after the enacting clause and insert the
following:

SECTION 1. SHORT TITLE.

This Act may be cited as the ``NAPA Reauthorization Act''.

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:
``(A) promotion of healthy aging and reduction and
mitigation of risk factors for Alzheimer's;'';
(C) in paragraph (5)--
(i) by inserting ``and other underserved populations,
including individuals with developmental disabilities such as
Down syndrome,'' after ``populations''; and
(ii) 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.

[[Page S5607]]

``(xii) A designee of the Federal Emergency Management
Agency.
``(xiii) A designee of the Social Security Administration.
``(xiv) 2 or more other designees, as determined by the
Secretary 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.''; and
(ii) in subparagraph (B)--

(I) in the matter preceding clause (i), by striking ``12''
and inserting ``15'';
(II) in clause (v)--

(aa) by striking ``2 researchers'' and inserting ``3
researchers''; and
(bb) 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 and inserting
a semicolon; and
(IV) by adding at the end the following:

``(vii) 1 individual with a diagnosis of Alzheimer's
disease; and
``(viii) 1 representative from a historically underserved
population whose lifetime risk for developing Alzheimer's is
markedly higher than that of other populations.'';
(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) in subsection (g)--
(A) in paragraph (1)--
(i) by adding ``and'' after the semicolon;
(ii) by striking ``that includes an evaluation'' and
inserting ``that includes--
``(A) an evaluation;''; and
(iii) 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
(B) in paragraph (3)(A)(ii), by inserting ``and reduce
disparities'' before the semicolon; and
(5) in subsection (h), by striking ``2025'' and inserting
``2035''.
______