H.R. 3747: AADAPT Act
Sponsor
Troy Balderson
Republican · OH-12
Bill Progress
Latest Action · May 21, 2026
Committee approved bill for floor consideration by the Yeas and Nays: 48 - 0.
Your local doctor needs better dementia training
Why it matters
$1,000,000 a year is what H.R. 3747 sets aside for dementia-focused provider training from 2027 through 2032. The bill aims to help primary care clinicians in rural, shortage, and underserved communities spot Alzheimer’s and related dementias earlier and deliver better care closer to home.
H.R. 3747 expands the federal Project ECHO model, which uses technology-enabled mentoring and case-based learning to help frontline clinicians manage complex conditions. Here, the focus is Alzheimer’s disease and related dementias.
The bill tells HHS to award one or more dementia-focused grants within 1 year of enactment. Those grants would go to public or nonprofit groups that can run or expand these training models for primary care professionals.
The target audience is narrow on purpose: clinicians providing primary care in rural areas, frontier areas, shortage areas, medically underserved areas, or to medically underserved populations or Native Americans. The idea is to bring dementia expertise to the places where specialist access is often weakest.
H.R. 3747 also adds measurement and reporting rules. Applicants have to explain how they will track effects on patient outcomes and providers, and dementia-track grantees must use federal money to add to existing funding rather than replace it.
On money, the bill keeps the broader Project ECHO program authorized at $10,000,000 a year through 2032 and creates a separate dementia-specific authorization of $1,000,000 a year from 2027 through 2032. That's $6,000,000 total for the dedicated dementia track over six years, assuming Congress later appropriates the full amount.
H.R. 3747 Bill Summary
What H.R. 3747 actually does.
Dementia training gets its own funding lane
H.R. 3747 authorizes $1,000,000 a year from 2027 through 2032 for grants focused specifically on Alzheimer’s disease and related dementias, instead of leaving that work entirely inside the general Project ECHO program.
Frontline clinicians get specialist-style support
The grants are meant to expand technology-enabled learning models that help primary care professionals improve early and accurate dementia diagnosis, quality of care, and provider retention.
Rural and underserved communities are the target
The bill focuses on primary care professionals serving rural areas, frontier areas, shortage areas, medically underserved areas, medically underserved populations, and Native Americans.
HHS has 1 year to start awarding grants
The department would have to award one or more dementia-focused grants within 1 year after enactment, putting a firm start-up clock on the program.
Only public and nonprofit groups can run the new track
For the dementia-specific grants, eligible applicants are limited to public entities and nonprofit private entities that lead or can lead these learning models.
Results must be measured and reported
Applicants must include plans to assess effects on patient outcomes and providers. Grant recipients also have to report information to the Advisory Council on Alzheimer’s Research, Care, and Services, and HHS must publish an updated report within 4 years.
Who benefits from H.R. 3747?
Families relying on primary care for answers
If you live far from a specialist, your first dementia concerns may land in a regular clinic visit. The bill is designed to help local primary care clinicians recognize Alzheimer’s and related dementias sooner.
Primary care clinicians in shortage areas
Doctors, nurse practitioners, physician assistants, and other licensed primary care professionals in rural, frontier, and medically underserved communities could get ongoing mentoring and training instead of handling dementia cases alone.
Native American communities
The bill specifically includes clinicians serving Native Americans and includes tribal and urban Indian organizations in the broader eligible-entity framework.
Public and nonprofit training organizations
Groups that can run dementia-focused Project ECHO models would have a dedicated federal grant opportunity, with awards required within 1 year if the bill becomes law.
Who is affected by H.R. 3747?
HHS
The department would need to stand up the dementia grant track, review applications, award grants within 1 year, and publish an updated report within 4 years.
Grant applicants
Organizations applying for the dementia-specific grants would have to show how they will measure effects on patients and providers, and certify that federal money adds to other funding rather than replacing it.
The Advisory Council on Alzheimer’s Research, Care, and Services
The council would receive reports from dementia-track grantees, giving it a clearer role in reviewing what the program produces.
Communities still outside the program's scope
The bill is aimed at primary care in rural, tribal, and other underserved settings. It does not create a direct patient benefit, new treatment coverage, or a nationwide specialist expansion.
Cost & Funding
Authorization
H.R. 3747 authorizes $10,000,000 a year for the broader Project ECHO program through 2032, plus $1,000,000 a year for dementia-specific grants from 2027 through 2032.
- The dementia-specific track totals $6,000,000 over six fiscal years if Congress appropriates the full authorized amount.
- The broader Project ECHO authorization remains much larger: $10,000,000 each year through 2032.
- The bill authorizes appropriations; it does not itself provide automatic spending.
- Dementia-track applicants must certify that federal funds supplement existing funding rather than replace it.
HR3747 Legislative Journey
House: Vote: 48-0
May 21, 2026
Ordered to be Reported by the Yeas and Nays: 48 - 0.
House: Vote Held
May 13, 2026
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
House: Committee Action
Jun 5, 2025
Referred to the Subcommittee on Health.
About the Sponsor
Troy Balderson
Republican, Ohio's 12th congressional district · 8 years in Congress
Committees: Energy and Commerce
View full profile →
Cosponsors (82)
This bill has 82 cosponsors: 61 Democrats, 21 Republicans, reflecting bipartisan support. Cosponsors represent 33 states: Alabama, Arizona, California, and 30 more.
Nanette Barragán
Democrat · CA
Darin LaHood
Republican · IL
Paul Tonko
Democrat · NY
Joe Wilson
Republican · SC
Debbie Wasserman Schultz
Democrat · FL
Donald Davis
Democrat · NC
Eleanor Norton
Democrat · DC
David Kustoff
Republican · TN
Robert Wittman
Republican · VA
Jefferson Shreve
Republican · IN
Seth Moulton
Democrat · MA
Salud Carbajal
Democrat · CA
Committee Sponsors
Energy and Commerce Committee
11 of 54 committee members cosponsored
26 Republicans across this committee haven't cosponsored yet. Mobilize their constituents
What laws does H.R. 3747 change?
2 changes
Sections Amended
Section 330N(f) of Public Health Service Act (42 U.S.C. 254c-20(f))
read as follows: ``(f) Application
Section 330N(k) of Public Health Service Act (42 U.S.C. 254c-20(k))
read as follows: ``(k) Authorization of Appropriations
H.R. 3747 Quick Facts
- Committee
- Energy and Commerce
- Chamber
- House
- Policy
- Health
- Introduced
- Jun 5, 2025
Committee approved bill for floor consideration by the Yeas and Nays: 48 - 0.
May 21, 2026
Official Sources
Official bill page with status, text, actions, and committee information for H.R. 3747.
This is the statute H.R. 3747 amends to reauthorize and expand the Project ECHO Grant Program.
The bill targets primary care professionals serving health professional shortage areas and other underserved communities.
The bill explicitly includes care for Native Americans and mentions Indian Tribes, Tribal organizations, and urban Indian organizations.
If the Congressional Budget Office publishes a cost estimate for H.R. 3747, it would appear in CBO’s official cost estimates collection.
H.R. 3747 Common Questions
What does H.R. 3747 actually do?
It creates a dedicated Project ECHO grant track for Alzheimer’s and dementia care, so primary care clinicians in rural and underserved areas can get more training and mentoring.
How much money is in the dementia grant program?
H.R. 3747 authorizes $1,000,000 a year from 2027 through 2032 for the dementia-specific grants. If fully funded, that's $6,000,000 total over six years.
Is this money separate from the main Project ECHO program?
Yes. The bill keeps the broader Project ECHO program authorized at $10,000,000 a year through 2032 and adds a separate $1,000,000-a-year dementia track.
Who could benefit from the training under H.R. 3747?
Primary care professionals serving rural areas, frontier areas, shortage areas, medically underserved communities, medically underserved populations, or Native Americans.
Would patients get direct benefits or payments?
No. H.R. 3747 is a provider-training bill. It funds clinician education and support, not direct checks, insurance coverage, or new treatment benefits for patients.
How fast would the grants have to go out?
HHS would have to award one or more dementia-focused grants within 1 year after the bill becomes law.
Can for-profit companies apply for the new dementia grants?
No. For the dementia-specific grant track, H.R. 3747 limits eligibility to public entities and nonprofit private entities.
Does the bill require proof that the training works?
Yes. Applicants must explain how they will measure effects on patient outcomes and health care providers, and HHS must later publish an updated report.
Based on H.R. 3747 bill text
H.R. 3747 Bill Text
“To amend the Public Health Service Act to reauthorize the Project ECHO Grant Program, to establish grants under such program to disseminate knowledge and build capacity to address Alzheimer’s disease and other dementias, and for other purposes.”
Source: U.S. Government Publishing Office
Get notified when H.R. 3747 moves
Committee votes, floor action, cosponsor changes — straight to your inbox.
Bill alerts + Legisletter's monthly briefing. Unsubscribe anytime.
Health Bills
9 related bills we're tracking
Give Kids a Chance Act of 2025
Motion to reconsider laid on the table Agreed to without objection.
Dec 1, 2025
Improving Seniors’ Timely Access to Care Act of 2025
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
May 20, 2025
CONNECT for Health Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jun 26, 2025
Right to Contraception Act
Referred to the House Committee on Energy and Commerce.
Feb 5, 2025
Medicare Patient Access and Practice Stabilization Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 31, 2025
Chiropractic Medicare Coverage Modernization Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jan 16, 2025
988 LGBTQ+ Youth Access Act of 2025
Referred to the House Committee on Energy and Commerce.
Sep 17, 2025
Ensuring Lasting Smiles Act
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
May 8, 2025
Pride In Mental Health Act of 2025
Referred to the House Committee on Energy and Commerce.
Jun 5, 2025
Trending Right Now
Bills gaining momentum across Congress
West Bank Violence Prevention Act of 2025
Referred to the Committee on Foreign Affairs, and in addition to the Committee on the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Apr 28, 2025
Generating Retirement Ownership through Long-Term Holding
Referred to the House Committee on Ways and Means.
Mar 11, 2025
Life at Conception Act
Referred to the House Committee on the Judiciary.
Jan 24, 2025
Tracking Health in Congress? Monitor bills, track cosponsor momentum, and launch advocacy campaigns — all from one advocacy platform.