; findings. Sec. 2. Cognitive impairment detection benefit in the Medicare annual wellness visit and initial preventive physical examination. Sec. 3. Test of care delivery models offering a continuum of comprehensive care, and caregiver support services, for patients with Alzheimer’s disease and other dementias. Sec. 4. State innovation models for family caregivers of patients with Alzheimer’s and related dementias. Sec. 5. Medicare quality payment program. Sec. 6. Report to Congress on implementation of this Act. Sec. 7. Study and report on regulatory and legislative changes or refinements that would accelerate Alzheimer’s disease research progress. (c) Findings Congress finds as follows: (1) The number of individuals in the United States with Alzheimer's disease and related dementias has more than doubled since 1980 and, based on the trajectory of Alzheimer's, as many as 14 to 16 million individuals in the United States will have Alzheimer’s by 2050. (2) Alzheimer's is the only disease among the top 10 causes of death in the United States without an effective means of prevention, treatment, or cure. (3) In 2017, Alzheimer’s care will cost Medicare and Medicaid an estimated $175,000,000,000 and by 2050, Alzheimer’s disease will cost Medicare and Medicaid as much as $758,000,000,000. (4) Alzheimer’s exacts an emotional and physical toll on caregivers, resulting in higher incidence of heart disease, cancer, depression, and other health consequences. (5) Alzheimer’s disease disproportionately impacts women and people of color. Women are twice as likely to develop Alzheimer's as they are breast cancer. African Americans are about two times more likely than White Americans to have Alzheimer's disease and other dementias. Latinos are about one and one-half times more likely than White Americans to have Alzheimer’s disease and other dementias. This higher prevalence translates into a higher death rate: Alzheimer's deaths increased 55 percent among all Americans between 1999 and 2014, while the number was 107 percent