BOLD Infrastructure for Alzheimer's Act

What to know

The Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act directs CDC to strengthen the U.S. public health infrastructure. Through BOLD, CDC is creating a strong public health infrastructure to support and promote dementia risk reduction, early detection and diagnosis, prevention of avoidable hospitalizations, and dementia caregiving.

Building Our Largest Dementia (BOLD) logo with blue capital letters and a brain graphic as the O.

The Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act directs CDC to strengthen the U.S. public health infrastructure. Through BOLD, CDC is creating a strong public health infrastructure to support and promote dementia risk reduction, early detection and diagnosis, prevention of avoidable hospitalizations, and dementia caregiving.

BOLD Infrastructure for Alzheimer's Act

The BOLD Infrastructure for Alzheimer's Act (P.L. 115-406) is designed to promote implementation of CDC's Healthy Brain Initiative State and Local Road Map for Public Health, 2023—2027 and the Healthy Brain Initiative Road Map for Indian Country.

It directs CDC to:

  • Establish Alzheimer's Disease and Related Dementias (ADRD) Public Health Centers of Excellence.
  • Provide funds to support public health departments.
  • Increase data analysis and timely reporting.

The activities outlined in BOLD are designed to create a strengthened national public health infrastructure with a focus on:

  • Reducing risk.
  • Increasing early detection and diagnosis.
  • Preventing avoidable hospitalizations.
  • Supporting dementia caregiving.

BOLD Recipients

To achieve these objectives, CDC funds multiple organizations through two major funding streams:

BOLD Public Health Programs to Address ADRD (CDC-RFA-DP23-0010)

  • Recipients increase awareness and understanding of ADRD among the general public, health care providers, and other professionals.
  • Recipients address ADRD topics through primary, secondary, and tertiary prevention.

BOLD Public Health Centers of Excellence (CDC-RFA-DP20-2005)

  • Recipients identify, translate, and disseminate promising scientific findings and evidence-informed best practices in three topic areas: (1) dementia risk reduction, (2) early detection of dementia, and (3) dementia caregiving.
  • Recipients use a nationwide, systematic public health approach to increase adoption of evidence-informed best practices by state, local, tribal, and other public health programs.
  • Read more: BOLD Public Health Centers of Excellence Award Recipients