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North Dakota reports the fourth highest mortality rate for Alzheimer’s disease in the United States (U.S.) at 52.9 per 100,000 North Dakota residents. The rate for the U.S. is 37 per 100,000 residents. Although leading in mortality, North Dakota is one of a few states with a State Plan for Alzheimer’s and Dementia over 12 years old. This plan was written in July of 2007 and is less than two pages. Although it does mention Alzheimer’s and other other dementias, it does not specifically outline a plan to address services for those living with, or supporting those living with, dementia in North Dakota. This current state plan, developed in 2021, reviewed existing data, involved stakeholders and community members, and identified strengths in the current plan as well as opportunities to reach the following vision: Create an inclusive community and health system that understands, respects, and supports persons who are at-risk of or diagnosed with Alzheimer’s and other dementias, and their caregivers.