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Leaders Engaged on Alzheimer's Disease
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Leaders Engaged on Alzheimer's Disease
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Our Activities

Quick Links 

  • National Legislative Initiatives
  • Federal Appropriations
  • Regulatory and Other Public Comments

As a leading national voice in dementia policy, LEAD Coalition member organizations and other allies often participate in public comments and sign-on letters to educate policymakers on critical issues facing our community and to advocate for change. Recent activities of the LEAD Coalition include:

  • Helping secure $2 billion in new funding for the National Institutes of Health, including an additional $425 million for dementia research programs through the Fiscal Year 2019 congressional appropriations process.
  • Leading federal advocacy for the 2017 National Research Summit on Care, Services, and Supports for Persons with Dementia and their Caregivers.
  • Advocating for legislation to expand Medicare and Medicaid support for people living with dementia and their caregivers and to strengthen the public health response to dementia.
  • Providing public comments to CMS on the 2017 Physician Fee Schedules Provision on “Assessment and Care Planning for Patients with Cognitive Impairment.”
  • Supporting the Alzheimer’s Caregiver Support Act and the Alzheimer’s Beneficiary and Caregiver Support Act.

National Legislative Initiatives

The LEAD Coalition educates and advises non-governmental organizations and Congress regarding legislation that would accelerate (or jeopardize) transformational progress in: (1) care and support to enrich the quality of life of those with dementia and their caregivers; (2) detection and diagnosis; and (3) research leading to prevention, effective treatment, and eventual cures. In recent years, the LEAD Coalition has been engaged in a wide variety of legislation including the 21st Century Cures Act (Pub.L. 114 – 255), the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act (Pub. L. 115 – 406), the Concentrating on High-Value Alzheimer’s Needs to Get to an End (CHANGE) Act (S. 2387/H.R.4957) , the Palliative Care and Hospice Education and Training (PCHETA) Act (H.R. 647), and the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Pub. L. 115 – 119).The LEAD Coalition is tracking these pieces of legislation relevant to the Alzheimer’s and dementia community. Details about these bills and additional legislation will be added periodically.

  • Geriatrics Workforce Improvement Act (S.299)
  • Family and Medical Insurance Leave Act (FAMILY Act) (S.463/H.R.1185)
  • Seniors Fraud Prevention Act of 2019 (S.512)
  • Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019 (S.548/H.R.3253)
  • Guardianship Accountability Act of 2019 (S.591)
  • Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (EMPOWER Care Act) (S.548/H.R.1342)
  • Senior and Disability Home Modification Assistance Initiative Act (S.702/H.R.1583)
  • Alzheimer’s Caregiver Support Act (S.740)
  • Improving HOPE for Alzheimer’s Act (S.880/H.R.1873)
  • Younger-Onset Alzheimer’s Disease Act (S.901/H.R.1903)
  • Supporting America’s Caregivers and Families Act (S.1017)
  • Concentrating on High-Value Alzheimer’s Needs to Get to an End (CHANGE) Act (S.1126/H.R.2283)
  • Palliative Care and Hospice Education and Training Act (PCHETA) (S. 2080/H.R.647)
  • Alzheimer’s Semipostal Stamp Act (S.1728/H.R.3113)
  • Nursing Home Reform Modernization Act of 2020 (S.4866)
  • Promoting Alzheimer’s Awareness to Prevent Elder Abuse Act (S. 3703/H.R. 6813)
  • Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020 (S. 4182)
  • Research Investment to Secure the Economy (RISE) Act (S. 4286 / H.R. 7308)
  • Alzheimer’s Semipostal Stamp Act (S.1728/H.R.3113)
  • Adult Day Center Enhancement Act (H.R.320)
  • Protecting Married Seniors from Impoverishment Act (H.R. 1343)
  • Medicare Diagnostic Radiopharmaceutical Payment Equity Act (H.R. 3772)
  • Alzheimer’s Research and Caregiving (ARC) Trust Fund Act (H.R.3453)
  • The Patient-Centered Outcomes Research Institute (PCORI) Reauthorization (introduction expected soon, see https://reauthorizepcori.org/resources/ for more information)
  • Older Americans Act Reauthorization Act (introduction expected soon, see https://www.n4a.org/oaa for more information )
  • The Safe Step Act (H.R.2279)

Federal Appropriations

Members of the LEAD Coalition and other allies have continued to push for increased federal funding to strengthen dementia care, support and science. As a result of our shared advocacy and remarkable bi-partisan support from Congress, NIH now devotes more than $2.3 billion annually to research focused on preventing and treating Alzheimer’s disease and other forms of dementia along with research to improve quality of life among people living with these diseases and their caregivers. Our advocacy — along with that of the broader health and aging community — helped produce significant increases in Fiscal Year 2018 funding for a variety of social safety net programs vital to the wellbeing of people living with dementia and the caregivers, programs such as home delivered meals, family caregiver respite, adult protective services, and programs to address wandering.

FY 2021 Appropriations (U.S House)
May 22, 2020 | Download

FY 2021 Appropriations (U.S Senate)
May 22, 2020 | Download

FY 2020 Appropriations (U.S House)
April 26, 2019 | Download

FY 2020 Appropriations (U.S Senate)
April 26, 2019 | Download

FY 2019 Appropriations (U.S House)
April 24, 2018 | Download

FY 2019 Appropriations (U.S Senate)
April 24, 2018 | Download

FY 2018 Appropriations (U.S House)
March 22, 2017 | Download

FY 2018 Appropriations (U.S. Senate)
March 22, 2017 | Download

FY 2017 Appropriations (U.S House)
November 11, 2016 | Download

FY 2017 Appropriations (U.S. Senate)
November 11, 2016 | Download

FY 2017 Appropriations (U.S House)
March 10, 2016 | Download

FY 2017 Appropriations (U.S. Senate)
March 10, 2016 | Download

FY 2016 Omnibus Appropriations Bill (U.S. House)
November 18, 2015 | Download

FY 2016 Omnibus Appropriations Bill (U.S. Senate)
November 18, 2015 | Download

FY 2016 Appropriations (U.S. House)
March 18, 2015 | Download

FY 2016 Appropriations (U.S. Senate)
March 18, 2015 | Download

Regulatory and Other Public Comments

LEAD Coalition urges FDA to apply regulatory flexibility in review of aducanumab 
January 20, 2021 | Download

LEAD Coalition urges CMS-CDC committee to align ICD-10 coding of mild cognitive impairment with clinical practice
November 9, 2020 | Download

LEAD Coalition urges USPSTF to upgrade its draft recommendation on cognitive screenings for people 65 and older
October 27, 2019 | Download

LEAD Coalition urges CMS to revise MedLearn instructions, improve cognitive impairment assessment
September 25, 2019 | Download

LEAD Coalition Encourages HHS to Strengthen Dementia Objectives in Healthy People 2030 Plan
January 17, 2019 | Download

LEAD Coalition Letters to Congress Supporting the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act
March 6, 2018 | Download

LEAD Coalition Comment on CMS Innovation Center Request for Information
November 20, 2017 | Download

LEAD Coalition Executive Director Response to HHS Draft Strategic Plan 2018-2022 (HHS)
October 26, 2017 | Download

LEAD Coalition Comment on the Proposed 2018 Physician Fee Schedule (CMS)
September 11, 2017 | Download

LEAD Coalition Executive Director Comments on Draft Research Plan for Cognitive Impairment in Older Adults: Screening (USPSTF)
July 26, 2017 | Download

LEAD Coalition Comment on the Proposed 2017 Physician Fee Schedule (CMS)
September 6, 2016 | Download

LEAD Coalition Comment on a Framework for an NIH-Wide Strategic Plan (NIH) 
August 19, 2015 | Download

LEAD Coalition Letter Proposing Dementia Care and Services Research Summit (HHS)
May 18, 2015 | Download

LEAD Coalition Letter Requesting U.S. Support at WHO Ministerial Meeting (HHS)
February 13, 2015 | Download

LEAD Coalition Letter to the 2015 White House Conference on Aging (The White House)
July 16, 2014 | Download

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