This bill amends the Social Security Act to require the detection of cognitive impairment during Medicare annual wellness visits and initial preventive physical examinations. The legislation mandates that these assessments must be performed using specific tools identified by the National Institute on Aging that meet its criteria for use in primary care settings. This ensures a standardized and evidence-based approach to early detection. Furthermore, the bill stipulates that both the cognitive impairment detection tool used and the assessment results must be thoroughly documented in the individual's medical record. These provisions aim to facilitate earlier diagnosis, enabling timely access to care planning, treatments, and support services for beneficiaries. The amendments are scheduled to become effective for services furnished on or after January 1, 2026.