H.R. 619House118th Congress (2023-2025)In Committee

NAPA Reauthorization Act

Sponsored by Paul TonkoRep. Paul Tonko (D-NY)
Introduced January 30, 2023

AI-Generated Summary

Updated January 20, 2026 at 2:44 AM UTC

The NAPA Reauthorization Act extends the National Alzheimer’s Project through 2035 and broadens its mission. It adds a focus on healthy aging, risk‑factor reduction, and inclusion of underserved groups such as people with developmental disabilities. The bill also updates the advisory council, reporting, and evaluation requirements to improve coordination across public and private sectors.

Key Provisions

  • Extends the project’s authorization period from 2025 to 2035.
  • Adds promotion of healthy aging and mitigation of Alzheimer’s risk factors as a project goal.
  • Expands target populations to include underserved groups, including individuals with developmental disabilities like Down syndrome.
  • Adds new advisory council members: designees from the Departments of Justice, Social Security Administration, FEMA, and additional HHS experts with risk‑factor expertise.
  • Increases required researchers to three and mandates inclusion of at least one researcher experienced with underrepresented groups in dementia studies.
  • Requires annual evaluations and expands activities to cover research, risk reduction, public health, and clinical work while aiming to reduce disparities.
  • Updates the annual report to include an evaluation, a summary of how Alzheimer’s disease criteria are identified and updated, and a focus on reducing disparities.

Legislative Activity

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8 earlier actions
HouseCalendars Latest Action

Placed on the Union Calendar, Calendar No. 438.

May 24, 2024

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HouseIntro Referral

Introduced in House

January 30, 2023

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

January 30, 2023

HouseCommittee

Referred to the Subcommittee on Health.

February 10, 2023

HouseCommittee

Subcommittee Consideration and Mark-up Session Held

March 12, 2024

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 26 - 0.

March 12, 2024

HouseCommittee

Committee Consideration and Mark-up Session Held

March 20, 2024

HouseCommittee

Ordered to be Reported (Amended) by the Yeas and Nays: 43 - 0.

March 20, 2024

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-526.

May 24, 2024

HouseCalendars

Placed on the Union Calendar, Calendar No. 438.

May 24, 2024

Floor Debate

4 members

What members said about H.R. 619 on the floor

2 Republicans2 Democrats
Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Sep 23, 2024

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of S. 133, the NAPA Reauthorization Act, which would reauthorize the National Alzheimer's Project Act through…

Larry Bucshon
Rep. Larry BucshonR-IN-8 · Sep 23, 2024

Mr. Speaker, I move to suspend the rules and pass the bill (S. 133) to extend the National Alzheimer's Project. Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in…

Timothy M. Kennedy
Rep. Timothy M. KennedyD-NY-26 · Jun 28, 2024

Mr. Speaker, I rise to commemorate the recently passed Longest Day, marked annually by the Alzheimer's Association on the Summer Solstice. For the Alzheimer's Association, the Summer Solstice-- the…

Timothy M. Kennedy
Rep. Timothy M. KennedyD-NY-26 · Jun 28, 2024

Madam Speaker, I rise to commemorate the recently passed The Longest Day, marked annually by the Alzheimer's Association on the summer solstice. For the Alzheimer's Association, the summer solstice,…

Earl L. "Buddy" Carter
Rep. Earl L. "Buddy" CarterR-GA-1 · Sep 23, 2024

Mr. Speaker, I thank the gentleman for yielding. Mr. Speaker, I am proud to join my colleagues in supporting the National Alzheimer's Project Reauthorization Act. This legislation reauthorizes the…

Bill Text

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Reported in HouseIssued May 24, 2024

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