HR 3747 United States House · 119th Congress

Accelerating Access to Dementia and Alzheimer’s Provider Training Act

The AADAPT Act reauthorizes and expands Project ECHO grants to improve Alzheimer’s and dementia care through technology-enabled training. It specifically funds grants for healthcare providers in rural, frontier, or medically underserved areas to enhance early diagnosis, quality care, and provider retention for dementia patients. The bill authorizes $1 million annually (2027-2032) for these dementia-focused training programs, requiring funds to supplement - not replace - existing resources. This directly supports primary care providers licensed to serve underserved communities, using collaborative online learning to address care gaps.
Bill status passed 3 of 5 stages cleared
Introduction
Jun 2025
Committee Review
Jul 2026
House Passage
Jul 2026
Senate Passage
President
Introduced Jun 5, 2025 Last action Jul 21, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced in House Engrossed in House · 5 edits · Jul 20, 2026
MODERATE
The AADAPT Act was dramatically simplified between introduction and engrossment. The original version created an entirely new Alzheimer's-specific grant program under Project ECHO with detailed definitions, reporting requirements, and a separate $1 million annual funding line for FY2027-2032. The engrossed version strips all of that out and instead makes two small amendments to the existing Project ECHO program: adding 'dementia care' to the list of covered services and broadening eligible entities, while shifting the authorization period from FY2022-2026 to FY2027-2031.
Scope change
The bill's scope was significantly narrowed. Instead of establishing a new, standalone Alzheimer's disease grant program with its own funding, definitions, and reporting structure, the engrossed version simply expands the existing Project ECHO program to include dementia care as a covered service and extends its authorization period. The approach shifts from creating new infrastructure to making incremental modifications to an existing program.
SCOPE

The entire new Alzheimer's-specific grant program was removed, including its own definitions of eligible entity and eligible health care professional, a requirement for grants to be awarded within 1 year of enactment, supplement-not-supplant requirements, and separate reporting obligations to the Advisory Council on Alzheimer's Research, Care, and Services.

The existing Project ECHO grant program is expanded to cover 'dementia care' as an additional service area alongside palliative care, rather than creating a separate Alzheimer's-specific program.

FISCAL

The separate authorization of $1,000,000 per year for FY2027-2032 specifically for Alzheimer's-related dementia care grants was removed. The general $10,000,000 per year authorization for FY2022-2032 was also removed and replaced with a single amended authorization.

ELIGIBILITY

The eligible entity definition in Section 330N(a)(1) is amended to explicitly include 'a public or nonprofit private entity,' broadening who can apply for Project ECHO grants.

TIMELINE

The authorization of appropriations period is shifted from fiscal years 2022 through 2026 to fiscal years 2027 through 2031, effectively extending the program's funding window by five years into the future.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
16
Key actions
5
Committee
7
Amendments
2
Jul 21, 2026
Committee
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
upper
Jul 20, 2026
Introduced
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4644)
lower
Jul 20, 2026
Lower · Passed
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4644)
lower
Jul 20, 2026
Introduced
Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
lower
Jul 2, 2026
Lower · Passed
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-723.
lower
May 21, 2026
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
May 13, 2026
Lower · Passed
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
lower
May 13, 2026
Lower · Passed
Subcommittee Consideration and Mark-up Session Held
lower
Jun 5, 2025
Committee
Referred to the Subcommittee on Health.
lower
Jun 5, 2025
Committee
Referred to the House Committee on Energy and Commerce.
lower
Jun 5, 2025
Introduced
Introduced in House
lower
1 primary · 97 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Troy Balderson
Troy Balderson
RRepublican
OH
12
Co
Photo of Angie Craig
Angie Craig
DDemocratic
MN
2
Co
Photo of April McClain Delaney
April McClain Delaney
DDemocratic
MD
6
Co
Photo of Betty McCollum
Betty McCollum
DDemocratic
MN
4
Co
Photo of Brian K. Fitzpatrick
Brian K. Fitzpatrick
RRepublican
PA
1
Co
Photo of Brittany Pettersen
Brittany Pettersen
DDemocratic
CO
7
Co
Photo of Chris Pappas
Chris Pappas
DDemocratic
NH
1
Co
Photo of Chrissy Houlahan
Chrissy Houlahan
DDemocratic
PA
6
Co
Photo of Christopher H. Smith
Christopher H. Smith
RRepublican
NJ
4
Co
Photo of Christopher R. Deluzio
Christopher R. Deluzio
DDemocratic
PA
17
Co
Photo of Daniel S. Goldman
Daniel S. Goldman
DDemocratic
NY
10