Legislative News

For more information, contact AIM, www.alzimpact.org

BOLD –  S.2076/H.R.4256

Building Our Largest Dementia or the BOLD Infrastructure for Alzheimer’s Act

  • Introduced in Senate (11/06/2017)
  • Signed by the President (12/31/18)
  • Became law (12/31/2018)

BOLD is a bipartisan bill unanimously passed by the Senate Health, Education, Labor and Pensions Committee. The companion House bill (H.R. 4256)

It authorizes $20 million a year for five years ($100 million), to:

  • Create a public health infrastructure to combat Alzheimer’s disease and related dementias.
  • Create Public Health Centers of Excellence to:
    • Promote and educate the public and doctors on the importance of how to recognize and identify the early stages of dementia and Alzheimer’s disease.
      • Explain the differences in the decline of cognitive brain health.
    • How and where to find a doctor to help with an accurate diagnosis.
    • Implement a Road Map produced by the CDC on Healthy Aging.
  • Develop cooperation between the CDC and state health departments to:
    • Meet local needs to promote brain health that will help:
      • Reduce risks
      • Improve care
      • To help promote and meet local needs for other brain health activities
  • Support data grants to improve:
    •  The analysis and timely reporting of data on Alzheimer’s:
      • cognitive decline
      • care giver health
      • Disparities at the state and national levels

Senator Susan Collins (R-MA) – BOLD sponsor introduction:

“After decades of increasing investments in biomedical research for Alzheimer’s, we are ready for the next step: to extend that research into practice. The BOLD Act takes a multi-pronged public health approach that would create a modern infrastructure for the prevention, treatment and care of Alzheimer’s and related dementias,”

Senator Collins is the founder and Senate co-chair of the Congressional Task Force on Alzheimer’s Disease.


Some states are taking proactive steps to co-ordinate with federal funding by allotting state funds to complement BOLD to use:

  • The three-pronged approach to include:
    •  A public awareness campaign, promoting partnerships with local organizations and state resources
    • Making significant investments in pilot programs to encourage research and innovation.
    • Encourage and educate the public and clinicians (doctors) on making and receiving a formal diagnosis.