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National Alzheimer's Project Act (NAPA)

In recognition of the impact of Alzheimer’s disease and related dementias (ADRD) on the American people, Congress passed NAPA (Public Law 111-375) in late 2010, and it was signed into law on January 4, 2011. NAPA established a coordinated federal effort to address ADRD. The Act required the Secretary of the U.S. Department of Health and Human Services (HHS) to:

  • Create and maintain an integrated national plan to overcome Alzheimer's disease
  • Coordinate research on and services for Alzheimer's disease across all federal agencies
  • Accelerate the development of treatments that would prevent, halt, or reverse the course of Alzheimer's disease
  • Improve the promotion of healthy aging, the reduction and mitigation of risk factors for Alzheimer’s disease, and support for early diagnosis, care coordination, and treatment of Alzheimer's disease
  • Ensure that populations at higher risk for developing Alzheimer’s disease or least likely to receive care are included in clinical, research, and service efforts to reduce differences in disease occurrence and care
  • Coordinate with international bodies to fight Alzheimer's disease globally

The law also establishes a public-private Advisory Council on Alzheimer's Research, Care and Services. The Advisory Council makes recommendations to HHS for priority actions to expand, coordinate, and condense programs in order to improve the health outcomes of people living with ADRD and reduce the financial burden of these conditions on them, their families, and society.

NAPA creates an important opportunity to build upon and leverage HHS programs and other federal efforts to help change the trajectory of ADRD.

In order to inform the National Plan to Address ADRD, HHS has partnered with the U.S. Department of Veterans Affairs, the National Science Foundation, the U.S. Department of War, U.S. Department of Justice, Social Security Administration, and the Federal Emergency Management Agency, to convene an Interagency Group on ADRD. The group includes HHS representatives from the Office of the Assistant Secretary for Planning and Evaluation, Administration for Community Living, Agency for Healthcare Research and Quality, Centers for Disease Control and Prevention, Centers for Medicare & Medicaid Services, Food and Drug Administration, Health Resources and Services Administration, Indian Health Service, National Institute on Aging, and Substance Abuse and Mental Health Services Administration. The Interagency Group is working to carry out NAPA's charges to coordinate research and services across agencies, accelerate the development of ADRD treatments, improve early diagnosis and coordination of care, reduce differences in how ADRD affects people, and coordinate with international efforts to fight these conditions. The Plan this group developed was presented to the Advisory Council for review, and updated annually.

Comments and questions, or alerts to broken links, should be sent to napa@hhs.gov.

Join the NAPA Listserv

To receive alerts when new NAPA information is available, send an email from the address where you would like to receive information to listserv@list.nih.gov and include the name of the person subscribing in the email body: subscribe NAPA-L [your name].

Reports

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Research Brief

Medicare Hospice Use Patterns Among Patients With Alzheimer’s Disease or Related Dementias Compared to Those With Other Terminal Diagnoses

This study examined how people with Alzheimer’s disease and related dementias (ADRD) use hospice compared with patients who have other terminal diagnoses, as well as how hospice characteristics shape those care patterns.
ASPE Issue Brief

Bridging Healthcare and Social Services for People Living with Dementia and Their Caregivers

People living with dementia often have complex health and social support needs that can best be met by health care and community-based providers working together. This brief examines promising practices for bridging community-based organizations and health care systems in the providing comprehensive dementia care.
Report

Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia

Inpatient psychiatric facilities (IPFs) stabilize patients in a mental health crisis and provide services to patients with serious mental illnesses and those who may cause harm to themselves or others, including people living with dementia who have severe behavioral and psychological symptoms.
ASPE Issue Brief

Federal Efforts to Address Racial and Ethnic Disparities in Alzheimer’s Disease and Related Dementias

The National Alzheimer’s Project Act (NAPA) requires “the inclusion of ethnic and racial populations at higher risk for Alzheimer's or least likely to receive care, in clinical, research, and service efforts with the purpose of decreasing health disparities in Alzheimer's”.1 In order to meet this requirement, in 2020 the Advisory Council on Alzheimer’s Research, Care, and Services recommended t