#aac? ,,congress #b;d ,session ,h4 ,r4 #dgja ,,an ,,act ,to provide = rese>* ) respect to ,lyme disease & o!r tick-borne diseases1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,tick-,borne ,disease ,rese>* ,acc\ntability & ,transp>5cy ,act ( #bjad4 #b4 ,lyme disease & o!r tick-borne diseases ,title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda et seq47 is am5d$ by add+ at ! end ! foll[+ new "p3 ,w ,lyme disease & o!r tick-borne diseases #cii,,oo4 ,rese>* 7a7 ,9 g5]al ,! ,secret>y %all conduct or support epidemiological1 basic1 translational1 & cl9ical rese>* reg>d+ ,lyme disease & o!r tick-borne diseases4 7b7 ,bi5nial reports ,! ,secret>y %all ensure t ea* bi5nial report "u section #djc includes in=mation on actions und]tak5 by ! ,national ,in/itutes ( ,heal? to c>ry out subsection 7a7 ) respect to ,lyme disease & o!r tick-borne diseases1 includ+ an assessm5t ( ! progress made 9 improv+ ! outcomes ( ,lyme disease & su* o!r tick-borne diseases4 #cii,,oo-#a4 ,work+ ,gr\p 7a7 ,e/abli%m5t ,! ,secret>y %all e/abli% a p]man5t work+ gr\p1 to be kn[n z ! ,int]ag5cy ,lyme & ,tick-,borne ,disease ,work+ ,gr\p 79 ?is section & section #cii,,oo-#b ref]r$ to z ! ,work+ ,gr\p71 to review all ef=ts )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices conc]n+ ,lyme disease & o!r tick-borne diseases to ensure int]ag5cy coord9ation1 m9imize ov]lap1 & exam9e rese>* priorities4 7b7 ,responsibilities ,! ,work+ ,gr\p %all-- 7#a7 n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is "p1 & e #bd mon?s !reaft]1 develop or update a summ>y (-- 7,a7 ongo+ ,lyme disease & o!r tick-borne disease rese>* relat$ to causes1 prev5tion1 treatm5t1 surveillance1 diagnosis1 diagno/ics1 duration ( illness1 int]v5tion1 & access to s]vices & supports = individuals ) ,lyme disease or o!r tick-borne diseases2 7,b7 advances made pursuant to su* rese>*2 7,c7 ! engagem5t ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices ) p]sons t p>ticipate at ! public meet+s requir$ by p>agraph 7#e72 & 7,d7 ! comm5ts receiv$ by ! ,work+ ,gr\p at su* public meet+s & ! ,secret>y's response to su* comm5ts2 7#b7 ensure t a broad spectrum ( sci5tific viewpo9ts is repres5t$ 9 ea* su* summ>y2 7#c7 monitor ,f$]al activities ) respect to ,lyme disease & o!r tick-borne diseases2 7#d7 make recomm5dations to ! ,secret>y reg>d+ any appropriate *anges to su* activities2 & 7#e7 ensure public input by hold+ annual public meet+s t address sci5tific advances1 rese>* que/ions1 surveillance activities1 & em]g+ /ra9s 9 species ( pa?og5ic organisms4 7c7 ,memb]%ip 7#a7 ,9 g5]al ,! ,work+ ,gr\p %all be compos$ ( a total ( #ad memb]s z foll[s3 7,a7 ,f$]al memb]s ,sev5 ,f$]al memb]s1 consi/+ ( "o or m repres5tatives ( ea* (-- 7i7 ! ,(fice ( ! ,assi/ant ,secret>y = ,heal?2 7ii7 ! ,food & ,drug ,adm9i/ration2 7iii7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7iv7 ! ,national ,in/itutes ( ,heal?2 & 7v7 su* o!r ag5cies & (fices ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices z ! ,secret>y det]m9es appropriate4 7,b7 ,non-,f$]al public memb]s ,sev5 non-,f$]al public memb]s1 consi/+ ( repres5tatives ( ! foll[+ categories3 7i7 ,physicians & o!r m$ical provid]s ) exp]i5ce 9 diagnos+ & treat+ ,lyme disease & o!r tick-borne diseases4 7ii7 ,sci5ti/s or rese>*]s ) exp]tise4 7iii7 ,pati5ts & _! family memb]s4 7iv7 ,nonpr(it organizations t advocate = pati5ts ) respect to ,lyme disease & o!r tick-borne diseases4 7v7 ,o!r individuals ^: exp]tise is det]m9$ by ! ,secret>y to be b5eficial to ! function+ ( ! ,work+ ,gr\p4 7#b7 ,appo9tm5t ,! memb]s ( ! ,work+ ,gr\p %all be appo9t$ by ! ,secret>y1 except t ( ! non-,f$]al public memb]s "u p>agraph 7#a77;,b7-- 7,a7 "o %all be appo9t$ by ! ,speak] ( ! ,h\se ( ,repres5tatives2 & 7,b7 "o %all be appo9t$ by ! ,majority ,lead] ( ! ,s5ate4 7#c7 ,div]sity ( sci5tific p]spectives ,9 mak+ appo9tm5ts "u p>agraph 7#b71 ! ,secret>y1 ! ,speak] ( ! ,h\se ( ,repres5tatives1 & ! ,majority ,lead] ( ! ,s5ate %all ensure t ! non-,f$]al public memb]s ( ! ,work+ ,gr\p repres5t a div]sity ( sci5tific p]spectives4 7#d7 ,t]ms ,! non-,f$]al public memb]s ( ! ,work+ ,gr\p %all ea* be appo9t$ to s]ve a #d-ye> t]m & may be reappo9t$ at ! end ( su* t]m4 7d7 ,meet+s ,! ,work+ ,gr\p %all meet z (t5 z necess>y1 z det]m9$ by ! ,secret>y1 b n less ?an twice ea* ye>4 7e7 ,applicability ( ,,faca ,! ,work+ ,gr\p %all be treat$ z an advisory committee subject to ! ,f$]al ,advisory ,committee ,act4 7f7 ,report+ ,n lat] ?an #bd mon?s aft] ! date ( enactm5t ( ?is "p1 & e #bd mon?s !reaft]1 ! ,work+ ,gr\p-- 7#a7 %all submit a report on its activities1 includ+ an up-to-date summ>y "u subsection 7b77#a7 & any recomm5dations "u subsection 7b77#d71 to ! ,secret>y1 ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 & ! ,committee on ,heal?1 ,education1 ,labor & ,p5sions ( ! ,s5ate2 7#b7 %all make ea* su* report publicly available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#c7 %all all[ any memb] ( ! ,work+ ,gr\p to include 9 any su* report m9ority views4 #cii,,oo-#b4 ,/rategic plan ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is section1 & e #e ye>s !reaft]1 ! ,secret>y %all submit to ! ,congress a /rategic plan1 in=m$ by ! mo/ rec5t summ>y "u section #cii,,oo-#a7;b77#a71 = ! conduct & support ( ,lyme disease & tick-borne disease rese>*1 includ+-- 7#a7 propos$ budget>y requirem5ts2 7#b7 a plan = improv+ outcomes ( ,lyme disease & o!r tick-borne diseases1 includ+ progress relat$ to *ronic or p]si/5t symptoms & *ronic or p]si/5t infection & co-infections2 7#c7 a plan = improv+ diagnosis1 treatm5t1 & prev5tion2 7#d7 appropriate b5*m>ks to measure progress on a*iev+ ! improvem5ts describ$ 9 p>agraphs 7#b7 & 7#c72 & 7#e7 a plan to dissem9ate ea* summ>y "u section #cii,,oo-#a7;b77#a7 & o!r relevant in=mation develop$ by ! ,work+ ,gr\p to ! public1 includ+ heal? c>e provid]s1 public heal? dep>tm5ts1 & o!r relevant m$ical gr\ps4 4 #c4 ,no additional au?orization ( appropriations ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ?is ,act & ! am5dm5t made by ?is ,act1 & ?is ,act & su* am5dm5t %all be c>ri$ out us+ am\nts o!rwise available = su* purpose4 ,pass$ ! ,h\se ( ,repres5tatives ,septemb] #i1 #bjad4;,cl]k4