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Congress takes "BOLD" Step in Fight to Address Alzheimer's

Updated: May 29, 2020

The Building Our Largest Dementia Infrastructure (BOLD) for Alzheimer's Act Signed Into Law

WASHINGTON, D.C., January 1, 2019 – The Alzheimer's Association and the Alzheimer's Impact Movement (AIM) are celebrating the passage of the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act (S. 2076/H.R. 4256).

The Building Our Largest Dementia (BOLD) Infrastructure Act was signed into law on December 31, 2018, following near unanimous approval by Congress. The bill was introduced only a year ago, and passed swiftly thanks to strong grassroots action and effective lobbying by thousands of Alzheimer's advocates from across the country.

The bill recognizes Alzheimer’s as a public health emergency and instructs the Centers for Disease Control & Prevention to improve the nationwide response by advancing effective public health interventions in each state.

It also provides resources to state and local public health officials to increase early detection and diagnosis, reduce risk, prevent avoidable hospitalizations, reduce health disparities, support the needs of caregivers, and support care planning for people living with the disease.

We are proud that 11 of 12 Washington senators and representatives cosponsored the bill, as did 3 of 4 from Idaho.

The BOLD Infrastructure for Alzheimer's Act was introduced by Senators Susan Collins (R-Maine), Catherine Cortez Masto (D-Nev.), Shelley Moore Capito (R-W.Va.), Tim Kaine (D-Va.), and by Representatives Brett Guthrie (R-Ky.), Paul Tonko (D-N.Y.), Chris Smith (R-N.J.) and Maxine Waters (D-Calif.).

Developed in close partnership between the sponsors, the Alzheimer's Association and AIM, the bill quickly developed enormous bipartisan support. More than half of the 115th Congress — 58 Senators and 256 Representatives — cosponsored the bill. The bill unanimously passed in the Senate on December 12 and passed in the House 361-3 on December 19, 2018.

“The passage of the BOLD Infrastructure for Alzheimer's Act is an important step to address the growing Alzheimer's public health crisis,” said Harry Johns, Alzheimer's Association and AIM President and CEO. "We are thankful to the bill's bipartisan sponsors for their continued dedication and work to implement policies to improve the lives of all of those impacted by this devastating disease."

The BOLD Infrastructure for Alzheimer's Act will establish Alzheimer's Centers of Excellence in communities around the country to expand and promote effective Alzheimer's interventions, and issue funding to state and local public health departments to promote cognitive health, risk reduction, early detection and diagnosis, and the needs of caregivers.

Critically, the BOLD Infrastructure for Alzheimer's Act will also increase collection, analysis and timely reporting of data on cognitive decline and caregiving to inform future public health actions.

Today more than 5 million Americans are living with the disease and by 2050 this number is projected to rise to nearly 14 million. Alzheimer's is the most expensive disease in the country, costing an estimated $277 billion — including $186 billion in direct costs to Medicare and Medicaid — in 2018.

“Today is an historic day for the millions of families affected by Alzheimer's disease now that the BOLD Infrastructure for Alzheimer's Act has been signed in to law,” said Alzheimer's Association Chief Public Policy Officer, Robert Egge. “Thanks to all the elected officials who championed this legislation, the country will now be better able to fight this devastating disease as we continue to work towards our vision of a world without Alzheimer's.”

In 2005, the Alzheimer's Association and the Centers for Disease Control and Prevention (CDC) partnered to create and launch the Healthy Brain Initiative (HBI) and developed the Public Health Road Map. The HBI Road Map includes actions for state and local public health departments to promote cognitive functioning, address cognitive impairment and help meet the needs of caregivers. The passage of the BOLD Infrastructure for Alzheimer's Act will increase implementation of the HBI Road Map nationwide.

Alzheimer's Association® The Alzheimer's Association is the leading voluntary health organization in Alzheimer's care, support and research. Our mission is to eliminate Alzheimer's disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. Our vision is a world without Alzheimer's. For more information, visit

Alzheimer's Impact Movement The Alzheimer's Impact Movement (AIM) is the advocacy arm of the Alzheimer's Association. AIM works to develop and advance policies to overcome Alzheimer's disease through increased investment in research, enhanced care and improved support. For more information, visit

Article Submitted by: Carrie McBride, Director, Communications & Marketing

Alzheimer's Association, Washington State Chapter, Serving Washington & Northern Idaho

office: 206.529.3880|  cell: 206.729.3994 | |

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