In 2011, the National Alzheimer’s Project Act (NAPA) was signed into law, making the fight against Alzheimer’s and other dementia a national priority. The bipartisan NAPA Reauthorization Act and the Alzheimer’s Accountability and Investment Act would build on the progress made over the last decade by continuing to promote rapid research and improve the delivery of clinical care and services for people living with Alzheimer’s.
Comprehensive dementia care has been shown to reduce costs while providing better quality care. Unfortunately, dementia care management programs have not developed within the current Medicare fee-for-service system. The bipartisan Comprehensive Care for Alzheimer's Act (S. 1125 / H.R. 2517) would ask the Center for Medicare and Medicaid Innovation (CMMI) to test a different payment structure for dementia care management.
In order to ensure that future treatments and means of prevention are effective in all populations, Alzheimer’s and dementia research must be reflective of the U.S. population. The bipartisan Equity in Neuroscience and Alzheimer’s Clinical Trials (ENACT) Act would increase the participation of underrepresented populations in clinical trials by expanding education and outreach to these populations, encouraging the diversity of clinical trial staff and reducing participation burden.
Alzheimer's is the most expensive disease in America, costing an estimated $321 billion in 2022. By mid-century, as the number of people living with the disease is set to nearly triple, the costs to our economy are projected to reach nearly $1 trillion, with two-thirds of these costs paid by Medicare and Medicaid. Congress has recently provided additional funding for Alzheimer's research at the National Institutes of Health (NIH), yet a greater investment is still needed. AIM and our advocates continue to grow bipartisan support for increased research funding. Congress must increase Alzheimer’s and dementia research funding by $226 million fiscal year 2023.
In December 2018, Congress overwhelmingly passed the bipartisan BOLD Infrastructure for Alzheimer's Act (P.L. 115-406). The law directs the Centers for Disease Control and Prevention (CDC) to strengthen the public health infrastructure across the country by implementing effective Alzheimer's interventions focused on public health issues such as increasing early detection and diagnosis, reducing risk, and preventing avoidable hospitalizations. The BOLD Infrastructure for Alzheimer's Act will accomplish this by establishing Alzheimer's and Related Dementias Public Health Centers of Excellence, providing funding to state, local, and tribal public health departments, and increasing data analysis and timely reporting. Congress must fund the BOLD Act at $30 million a year.
An estimated 11 million Americans are providing unpaid care to someone living with dementia, and they need our support. While providing this assistance can be rewarding it's also quite challenging for the caregiver to sustain. The bipartisan Alzheimer’s Caregiver Support Act (S. 56/H.R.1474) would provide much needed relief for our nation’s dementia caregivers.