To amend title XVIII of the Social Security Act to provide for certain cognitive impairment detection in the Medicare annual wellness visit and initial preventive physical examination.

This bill would amend the Medicare provisions (Title XVIII) to require cognitive impairment detection during two preventive healthcare visits: the Medicare annual wellness visit (AWV) and the initial preventive physical examination (IPPE). For the AWV, the bill would replace the current requirement with a mandate that the detection be performed using cognitive impairment tools identified by the National Institute on Aging (NIA) as meeting its criteria for use in primary care, and that the tool used and the results be documented in the patient’s medical record. For the IPPE, the bill adds the detection of cognitive impairment to the items that must be addressed in the patient agreement. The changes would apply to AWVs and IPPEs furnished on or after January 1, 2026. The measure emphasizes early diagnosis to improve care planning, access to treatments, and support services, and it highlights the substantial and growing burden of Alzheimer’s disease and other dementias.