Improve early detection and diagnosis of Alzheimer’s disease and related dementias by directing CMS to identify cognitive impairment detection tools that help clinicians detect cognitive decline and connect patients with follow-up care.

The CHANGE Act is designed to promote earlier detection and diagnosis of Alzheimer’s disease and related dementias by directing the Centers for Medicare & Medicaid Services (CMS) to identify cognitive impairment detection tools that can help clinicians more effectively detect cognitive decline and connect patients with appropriate follow-up care.

Bilirakis-backed legislation would direct CMS to identify cognitive impairment detection tools to promote earlier Alzheimer’s and dementia detection and follow-up care.

Bilirakis-Backed CHANGE Act to Improve Early Alzheimer’s Detection Advances Out of Committee | Congressman Gus Bilirakis
primary · press_release · model gpt-5.5

unverified · Source version 78272 · locator unknown

"SEC. 3. COGNITIVE IMPAIRMENT DETECTION BENEFIT IN THE MEDICARE ANNUAL WELLNESS VISIT AND INITIAL PREVENTIVE PHYSICAL EXAMINATION."

Unverified model/legacy excerpt; not proof. AI summary (separate from source): The September 2026 substitute to H.R. 6130 added the relevant CHANGE Act-style cognitive impairment detection provision, but this is proposed bill text rather than enacted law.

unresolved same_term A for effort

AINS-to-HR-6130.pdf
secondary · model gpt-5.5 · confidence 97%

unverified · Source version 78272 · locator unknown

"be performed using one of the cognitive assessment tools identified by the National Institute on Aging as meeting its criteria for selecting instruments to detect cognitive impairment"

Unverified model/legacy excerpt; not proof. AI summary (separate from source): The amended bill would require Medicare annual wellness visit cognitive detection to use identified assessment tools, with applicability beginning January 1, 2028 if enacted.

unresolved same_term A for effort

AINS-to-HR-6130.pdf
secondary · model gpt-5.5 · confidence 96%

unverified · Source version 78274 · locator unknown

"H.R. 6130 was ordered favorably reported to the House of Representatives as amended by a roll call vote of 40 yeas to 0 nays"

Unverified model/legacy excerpt; not proof. AI summary (separate from source): During the lookback window, Ways and Means unanimously ordered the amended H.R. 6130 reported; this is concrete legislative progress but not enactment.

unresolved same_term A for effort

07-HR-6130-FINAL-PASSAGE.pdf
secondary · model gpt-5.5 · confidence 98%

unverified · Source version 78276 · locator unknown

"This bipartisan legislation was led by Congressman Darin LaHood (IL-16), Congresswoman Linda Sánchez (CA-38), Congressman Gus Bilirakis (FL-12), and Congresswoman Doris Matsui (CA-07)."

Unverified model/legacy excerpt; not proof. AI summary (separate from source): An official congressional release ties Bilirakis to the CHANGE Act effort that advanced in committee in September 2026.

unresolved same_term A for effort

LaHood's CHANGE Act Passes out of the Ways and Means Committee | News | Congressman Darin LaHood
secondary · model gpt-5.5 · confidence 94%

unverified · Source version 78278 · locator unknown

"Ms. Sanchez (for herself, Mr. LaHood, Ms. Matsui, and Mr. Bilirakis) introduced the following bill"

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Bilirakis was an original House sponsor/cosponsor of H.R. 3501, the standalone 119th Congress bill addressing cognitive impairment detection in Medicare wellness and preventive visits.

unresolved same_term A for effort

H.R. 3501 Introduced in House
secondary · model gpt-5.5 · confidence 96%

unverified · Source version 78280 · locator unknown

"Assess cognitive function by direct observation or reported observations from the patient, family, friends, caregivers, and others. Consider using brief cognitive tests"

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Current CMS guidance still frames brief cognitive tests as something to consider, not the enacted mandatory use of identified tools contemplated by the commitment.

unresolved unknown

Annual Wellness Visit | CMS
secondary · model gpt-5.5 · confidence 90%