The Improving HOPE for Alzheimer's Act

For individuals living with Alzheimer's and their caregivers, care planning is essential to learning about medical and non-medical treatments, clinical trials, and support services available in their community. Accessing these services results in a higher quality of life.

People who receive dementia-specific care planning have fewer hospitalizations, fewer emergency room visits, and better medication management. Alzheimer's and related dementias complicate the management of other chronic conditions, and care planning is key to care coordination and managing those other conditions.

Thankfully, Medicare covers care planning for individuals with cognitive impairment. However, patients and medical providers are often not aware of this resource. AIM is working with bipartisan Congressional champions on the Improving HOPE for Alzheimer's Act (S. 880/H.R. 1873). The bill would educate clinicians on Alzheimer's and dementia care planning services through Medicare. This will give them the knowledge and tools to better help their patients and families living with dementia.

AIM is leading the way to advance policies to improve access to quality health care services for individuals living with Alzheimer's disease. The health care system, as it exists today, all too often fails both those living with dementia and their caregivers. Because of AIM’s efforts with the Alzheimer’s Association, addressing the shortcomings through better policies is now front and center on Capitol Hill and in federal agencies.

Specifically, the Improving HOPE for Alzheimer’s Act would require the Department of Health and Human Services (HHS) to:

  • Educate clinicians on care planning services available under Medicare and on the care planning billing code.
  • Report on the barriers to individuals receiving care planning services and how the rate of usage can be increased.

In December 2020 this bill was signed into law.

Victory for Alzheimer's Care Planning

AIM, the Alzheimer’s Association, and our advocates led the way on the HOPE for Alzheimer’s Act to provide Medicare coverage for comprehensive care planning services for those living with Alzheimer’s disease and other cognitive impairments. Because of our efforts, congressional cosponsorship numbers soared.

In November 2016, the Centers for Medicare & Medicaid Services (CMS) finalized a decision to pay for cognitive and functional assessments and care planning. Beginning in 2017, for the first time, people living with Alzheimer's have access to care planning with a medical professional covered by Medicare. In August 2017, the Department of Defense announced that TRICARE will also cover care planning services for military service members and their dependents with cognitive impairment. Learn more at

Ask your Members of Congress to enact policies that ensure individuals living with Alzheimer’s and their caregivers have the care and support they need to best contend with this disease.