1. Short title This Act may be cited as the Building Our Largest Dementia Infrastructure for Alzheimer’s Act or the BOLD Infrastructure for Alzheimer’s Act . 2. Findings Congress finds as follows: (1) According to former Surgeon General and Director of the Centers for Disease Control and Prevention, Dr. David Satcher, Alzheimer’s is the most under-recognized threat to public health in the 21st century. . (2) Deaths from Alzheimer’s disease increased 55 percent between 1999 and 2014 in the United States, according to data from the Centers for Disease Control and Prevention. (3) More than 5,000,000 people in the United States are living with Alzheimer’s disease and, without significant efforts to change the current trajectory, as many as 16,000,000 people in the United States will have Alzheimer’s disease by 2050. This explosive growth will cause costs associated with Alzheimer’s disease to increase from an estimated $259,000,000,000 in 2017 to more than $1,100,000,000,000 in 2050 (in 2017 dollars). (4) Among individuals living with Alzheimer’s disease and other dementias, evidence indicates as many as 50 percent have not been diagnosed. Among individuals diagnosed with Alzheimer’s disease, only 33 percent are aware of the diagnosis. Early detection and diagnosis of Alzheimer’s disease and other dementias allow people to access available treatments, build a care team, participate in support services, and enroll in clinical trials. Early detection can help physicians better manage a patient’s comorbid conditions and avoid prescribing medications that may worsen cognition or function. (5) Among individuals living with Alzheimer’s disease and other dementias, 25.3 percent experience a preventable hospitalization, and such preventable hospitalizations cost the Medicare program nearly $2,600,000,000 in 2013. (6) African Americans are about 2 times more likely than White Americans to have Alzheimer’s disease and other dementias. Hispanics are about one and one-half times more likely than White Americans to have