AADAPT Act · Introduced in House (2025-06-05)

119th CONGRESS 1st Session

To amend the Public Health Service Act to reauthorize the Project ECHO Grant Program, to establish grants under such program to disseminate knowledge and build capacity to address Alzheimer’s disease and other dementias, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES · June 5, 2025 · Sponsor: Mr. Balderson · Committee: Committee on Energy and Commerce

SEC. 2. Reauthorization of Project ECHO Grant Program; Project ECHO grants for Alzheimer’s disease and related dementia care

(a) Definitions

Section 330N(a)(1) of the Public Health Service Act () is amended to read as follows: 42 U.S.C. 254c–20(a)(1)
- (1) Eligible entity
  - The term eligible entity means—
    - in the case of a grant under subsection (b)(1), an entity that provides, or supports the provision of, health care services in rural areas, frontier areas, health professional shortage areas, or medically underserved areas, or to medically underserved populations or Native Americans, including Indian Tribes, Tribal organizations, and urban Indian organizations, and which may include entities leading, or capable of leading, a technology-enabled collaborative learning and capacity building model or engaging in technology-enabled collaborative training of participants in such model; and
    - in the case of a grant under subsection (b)(2), a public or nonprofit private entity that is leading, or is capable of leading, a model described in subsection (b)(2)(A) for Alzheimer’s disease and related dementias.

(b) Grants

Section 330N(b) of the Public Health Service Act () is amended— 42 U.S.C. 254c–20(b)
- by striking and inserting
  - .—
  - (1) In general
    - The Secretary
  - (2) Project ECHO grants for Alzheimer’s disease and related dementia care
    - (A) In general
      - Not later than 1 year after the date of enactment of this paragraph, the Secretary shall award 1 or more grants to eligible entities to evaluate, develop, and, as appropriate, expand the use of technology-enabled collaborative learning and capacity building models for eligible health care professionals to improve retention of health care providers and to increase access to early and accurate diagnosis of Alzheimer’s disease and related dementias and quality dementia care.
    - (B) Eligible health care professional defined
      - In this paragraph, the term eligible health care professional means a health care professional who—
        
        (i) provides primary care services, including such services provided—
        
        in rural areas, frontier areas, health professional shortage areas, or medically underserved areas; or
        
        to medically underserved populations or Native Americans; and
        
        (ii) is licensed, registered, or certified in accordance with applicable law regarding the provision of such services.
- by adding at the end the following:

Section 330N(f) of the Public Health Service Act () is amended to read as follows: 42 U.S.C. 254c–20(f)
- (f) Application
  - An eligible entity that seeks to receive a grant under subsection (b) shall submit to the Secretary an application, at such time, in such manner, and containing such information as the Secretary may require. Such application shall include—
    - plans to assess the effect of technology-enabled collaborative learning and capacity building models on patient outcomes and health care providers; and
    - in the case of an application submitted for a grant under subsection (b)(2), assurances that funds received under such grant shall supplement and not supplant funds received from any other source.

(d) Reports

(1) By eligible entities
- Section 330N(e) of the Public Health Service Act () is amended— 42 U.S.C. 254c–20(e)
  - in the first sentence—
    - (i) by striking this sectionand inserting subsection (b)(1), and shall require entities awarded a grant under subsection (b)(2),; and
    - (ii) by striking subsection (b).and inserting subsection (b)(1).; and
  - by inserting after the first sentence the following: .
(2) By Secretary
- Section 330N(j) of the Public Health Service Act () is amended— 42 U.S.C. 254c–20(j)
  - in paragraph (2), by redesignating subparagraphs (A) through (C) as clauses (i) through (iii), respectively, and adjusting the margins accordingly;
  - by redesignating paragraphs (1) through (3) as subparagraphs (A) through (C), respectively, and adjusting the margins accordingly;
  - by striking and inserting the following:
    - (1) In general
      - Not later than 4 years after
    - (2) Update to report
      - Not later than 4 years after the date of enactment of subsection (b)(2), the Secretary shall prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, and post on the internet website of the Department of Health and Human Services, an updated version of the report described in paragraph (1).
  - by adding at the end the following:

(e) Authorization of appropriations

Section 330N(k) of the Public Health Service Act () is amended to read as follows: 42 U.S.C. 254c–20(k)
- (k) Authorization of appropriations
  - There are authorized to be appropriated to carry out this section—
    - other than with respect to grants under subsection (b)(2), $10,000,000 for each of fiscal years 2022 through 2032; and
    - with respect to grants under subsection (b)(2), $1,000,000 for each of fiscal years 2027 through 2032.

H.R. 3747

Table of contents

SEC. 1. Short title