Texas State Alzheimer’s Plan Overview
In March 2009, the Texas Council on Alzheimer’s Disease and Related Disorders and the Texas Department of State Health Services Alzheimer’s Disease Program formed a steering committee charged with developing the state's response to Alzheimer’s disease. Working with a statewide partnership, representatives from the health care sector, community organizations, academia, state agencies, businesses and families impacted by Alzheimer’s drafted Putting the Pieces Together: A Comprehensive Plan for Addressing the Burden of Alzheimer’s Disease in Texas 2010-2015. The plan was published in September 2010. As a result of Senate Bill 999 passed in 2019, the Texas Department of State Health Services was required to collaborate with stakeholders to develop a new five-year state plan. In 2019, the Texas Department of State Health Services released the 2019-2023 State Plan for Alzheimer’s Disease.
Texas 2025 Policy Priorities
Spread Dementia Awareness Across Texas
During the past two biennium, the Texas legislature increased its commitment to Alzheimer’s care and support by appropriating $2.75 million per year to the Alzheimer’s Disease Program (ADP) within the Texas Department of Health Services (DSHS). The ADP works to provide substantial support for Texans affected by Alzheimer’s and other dementia. The Alzheimer’s Association is calling on state lawmakers to support an investment of $20 million over the biennium for Alzheimer’s care and support at the Texas Department of Health Services with an emphasis on increasing the early detection and diagnosis of Alzheimer’s disease and other dementia and enhancing dementia care collaboration among health systems in Texas.
Requiring Dementia-Specific Training for Guardians and Conservators
Due to the impact of dementia on a person’s ability to make decisions and in the absence of other advanced directives, people with Alzheimer’s and other dementia may need the assistance of a guardian or conservator. To better protect the rights, values and preferences of people living with dementia who are under guardianship or conservatorship, the Alzheimer’s Association is calling on state lawmakers to update guardianship and conservatorship statutes to require those who are serving people living with dementia to have dementia-specific training. Training topics may include common signs of aging, warning signs of dementia and effective communication strategies for communicating with a person living with dementia.
Medicaid Reimbursement for Care Planning and Cognitive Assessments
Only 33% of Texans living with Alzheimer’s are aware they have the disease. Early intervention can provide individuals living with dementia more time to plan for the future, adopt lifestyle changes, participate in clinical trials, and live more fully with a higher quality of life for as long as possible. Medicare beneficiaries in Texas have access to a billing code that covers cognitive assessments and care planning. However, individuals under 65 relying on Medicaid do not have access to this critical service. With current promising treatments only effective in the early stages of Alzheimer’s disease, getting an early diagnosis is more important than ever. The Alzheimer’s Association is calling on state lawmakers to establish a pathway for reimbursement on Medicaid with CPT Billing Code 99483, which would reimburse providers for care planning and cognitive assessments for patients not enrolled in Medicare.
Texas State Advocacy Day
Join your fellow Texas advocates at the Texas Capitol in Austin on Tuesday, May 6, 2025 to meet with your state legislators to encourage them to take action on the issues facing families impacted by Alzheimer’s and other dementia in Texas. Raise your voice as we advocate for solutions during the 89th Texas Legislature in 2025.
Sign Up to Learn About Advocacy Opportunities in Texas
Find My Chapter
Together, we’re making an impact. Find an Alzheimer’s Association chapter in your community for more ways to engage.
459,300
people living with Alzheimer’s in Texas
1 Million
Texans are providing unpaid care
$3.2 Billion
Medicaid cost of caring for people living with Alzheimer’s (2020)
227.8%
increase in Alzheimer’s deaths 2000-2021
22%
in hospice with a primary diagnosis of dementia
276.9%
increase of geriatricians in Texas needed to meet the demand in 2050
Resources to Drive Change in Texas
The following resources developed by AIM and the Alzheimer’s Association will help you learn more about the issues impacting people living with Alzheimer’s and their caregivers, how Texas policymakers are addressing these gaps, and how you can help drive change.