Public Policy


San Diego County Initiatives

The Alzheimer’s Project

Alzheimer’s San Diego has built an incredible movement to address the devastating toll of dementia locally through the County Alzheimer’s Project. As a key partner, we actively work to raise public awareness of Alzheimer’s disease and other forms of dementia, to provide guidance to local community and government leaders, and to fund Alzheimer’s research projects through Collaboration4Cure, a groundbreaking initiative accelerating local efforts to find a cure. In particular, County Supervisor Dianne Jacob has been instrumental in the Alzheimer’s Project and other local initiatives such as the Alzheimer’s Response Team. 

Alzheimer’s Response Team

In 2018, Alzheimer’s San Diego partnered with Grossmont Healthcare District and the County of San Diego to launch an innovative new pilot program: the Alzheimer’s Response Team (ART). This team is specially-trained to work with people with dementia in case of an emergency or crisis, and prevent them from unnecessarily ending up in the emergency room or jail. We are deeply encouraged by the success of the pilot program, which currently covers Santee, Lakeside, and unincorporated El Cajon, and will soon be expanded to other areas of the county. Click here to learn more about this innovative program.

Contact Local Representatives

The San Diego County Board of Supervisors are elected to four-year terms. New term limits were passed in 2010, limiting service to two terms. Two of the five supervisors have served since the 1990s and will term out after the next election in 2020. Click here to find your Supervisor to ask them to continue to make Alzheimer’s a priority in San Diego County.

State Initiatives

ab 453 bill advocacy

AB 453: Emergency medical services training

Status: PASSED
Thanks to this legislation, Emergency Medical Technicians (EMTs) will now receive training on how to effectively communicate with a person living with dementia, and how to engage family caregivers when responding to a medical emergency. Alzheimer’s San Diego, Alzheimer’s Los Angeles, and Alzheimer’s Orange County are proud to have cosponsored this bill. It was signed into law July 2019.

SB 228: Master Plan on Aging

Status: PASSED
This bill requires the Governor to appoint an Aging Czar and a 15-member Aging Task Force to develop a master plan for aging. The master plan will identify the policies and priorities that need to be implemented in California to prepare for the aging population. This bill will require the master plan to address how the state should accomplish specified goals – including expanding access to coordinated, integrated systems of care. It will also require the Aging Task Force to solicit input from stakeholders and gather information on the impact of California’s aging population.

AB 1128: Program of All-Inclusive Care for the Elderly

This bill will help keep more seniors in their homes by streamlining the licensing for new or expanding Program of All-Inclusive Care for the Elderly (PACE) facilities. If passed, AB 1128 would transfer the PACE clinical licensing functions from the Department of Public Health (DPH) to the Department of Health Care Services (DHCS), which currently administers all other PACE-related functions and issues. The transfer would occur by January 1, 2021.

AB 388: Alzheimer’s disease

This bill would implement the Healthy Brain Initiative and coordinate a statewide public awareness campaign to educate the public on the signs and symptoms of Alzheimer’s disease and other dementias and to reach consumers at risk of cognitive impairment. It would also create targeted outreach to populations at greater risk of developing dementia.

Contact State Representatives

The California State Legislature is the governing body for the state. It consists of 80 members of the Assembly and 40 members of the Senate, each representing specific local districts. Each elected official has an office in Sacramento and locally, where constituents can call or schedule in-person meetings to discuss state priorities. Members of the California Senate are elected to a four-year term and serve specific districts. Members of the California State Assembly are elected to a two-year term and serve specific districts. Click here to find your state representatives and ask them to support these bills.

Federal Initiatives

S.2076/H.R.4256: BOLD Infrastructure for Alzheimer’s Act

Status: PASSED
Alzheimer’s San Diego additionally supported the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act, which was passed in 2018. This bill amends the Public Health Service Act to authorize the expansion of activities related to Alzheimer’s disease, cognitive decline, and brain health under the Alzheimer’s Disease and Healthy Aging Program, and for other purposes.

S.880/H.R.1873: Improving HOPE for Alzheimer’s Act

This bill requires the Centers for Medicare & Medicaid Services (CMS) to inform health care practitioners about comprehensive care planning services that are available through Medicare for individuals with Alzheimer’s disease and other related dementias. The CMS must report its outreach efforts, the number of beneficiaries receiving these services, and any barriers to access.

H.R. 2077: Global Brain Health Act

This bill requires the Secretary of the U.S. Department of Health and Human Services (HHS) to work with the World Health Organization to develop a plan for addressing Alzheimer’s disease and other forms of dementia globally.


S. 1126/H.R. 2283: CHANGE Act

Alzheimer’s San Diego supported the CHANGE (Concentrating on High-Value Alzheimer’s Needs to Get to an End) Act when it was first introduced in 2018. This bill will provide better care and outcomes for Americans living with Alzheimer’s disease and other related dementias and their caregivers while also speeding up the progress toward prevention strategies, disease-modifying treatments, and a cure.

S.901/H.R.1903: Younger-Onset Alzheimer’s Disease Act

This bill will allow individuals under 60, who have been diagnosed with Younger-Onset Alzheimer’s Disease, to be eligible to access programs in the Older Americans Act, including nutritional programs and respite to family caregivers.


Contact Federal Lawmakers

The 116th US Congress, comprised of 100 Senators and 435 Representatives, convened on January 3, 2019 and will end on January 3, 2021. Any bills introduced during the 115th Congress and not yet passed must be re-introduced during the current Congress with a new bill number. Click here to find your Representative and Senators and ask them to support these bills.