This bill proposes amendments to Title XVIII of the Social Security Act, specifically targeting Medicare's preventive services. Its primary goal is to integrate mandatory cognitive impairment detection into both the annual wellness visit and the initial preventive physical examination for Medicare beneficiaries. Under the proposed changes, healthcare providers would be required to use cognitive impairment detection tools that meet criteria established by the National Institute on Aging for primary care settings. Furthermore, the specific tool utilized and the results of the assessment must be thoroughly documented in the patient's medical record. These provisions are designed to ensure a standardized and evidence-based approach to identifying cognitive issues early. The amendments are slated to become effective for visits and examinations furnished on or after January 1, 2026, aiming to improve early diagnosis and subsequent care planning for conditions like Alzheimer's disease.