,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ehce  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #aj1 #bjad   
,mr4 ,g5e ,gre5 ( ,texas introduc$ !    
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d ! ,f$]al ,food1 ,drug1 
& ,cosmetic ,act & ! ,public ,heal?     
,s]vice ,act ) respect to mak+ progress 
t[>d ! goal ( elim9at+ tub]culosis1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,compreh5sive ,,tb     
,elim9ation ,act ( #bjad4  #b4 ,f9d+s ,!
 ,congress f9ds z foll[s3  7#a7 ,ea* ye>
 approximately #i1jjj1jjj p become ill )
 active tub]culosis 7,,tb71 an airborne 
infecti\s disease1 & x is e/imat$ t     
#a1ejj1jjj ( ^? p die1 mak+ ,,tb !      
second lead+ global infecti\s disease   
kill]4  7#b7 ,!re is a global           
und]9ve/m5t 9 quality ,,tb control1 & 9 
! rese>* & developm5t ( new drugs1      
diagno/ics & a vacc9e1 z well z 9 !     
relation%ip betwe5 ,,tb & ,,hiv_/,,aids4
  7#c7 ,! increas+ occurr5ce (          

multi-drug resi/ant 7,,mdr7 ,,tb1       
includ+ ext5sively drug resi/ant 7,,xdr7
 ,,tb :i* is resi/ant to at lea/ two ( !
 recomm5d$ fir/-l9e drugs & ! recomm5d$ 
second-l9e m$ications1 is a s]i\s &     
em]g+ global heal? problem4  7#d7 ,cases
 ( ,,tb are report$ annually 9 e ,/ate  
)9 ! ,unit$ ,/ates1 ) a total ( #i1ehb  
cases ( active ,,tb report$ 9 ! ,unit$  
,/ates 9 #bjac4  7#e7 ,9 addition to ^? 
) active ,,tb1 an e/imat$ #h1jjj1jjj to 
#aj1jjj1jjj p 9 ! ,unit$ ,/ates are     
infect$ ) ! ,,tb bact]ia4  7#f7         
,drug-resi/ant ,,tb poses a p>ticul>    
*all5ge to dome/ic ,,tb control due to !
 high co/s ( treatm5t & int5sive heal?  
c>e res\rces requir$4 ,treatm5t co/s =  
,,mdr ,,tb range f #ajj1jjj to #cjj1jjj1
 :i* c cause a s]i\s /ra9 on ,/ate      
public heal? budgets4  7#g7 ,9 #bjac1 ! 
,unit$ ,/ates exp]i5c$ s]i\s %ortages ( 
fir/- & second-l9e ,,tb drugs &         
biologics1 includ+ isoniazid1 ! fir/-l9e
 ,,tb drug1 & tub]sol1 ! biologic us$ 9 
,,tb sk9 te/s4  7#h7 ,new tools are     

urg5tly ne$$ to m effectively prev5t1   
diagnose1 & treat ,,tb4 ,)9 ! la/ #dj   
ye>s1 only "o new ,,tb drug has be5     
develop$ & approv$ 9 ! ,unit$ ,/ates1 & 
! treatm5t regim5 = ,,mdr ,,tb rema9s   
excessively l5g?y1 toxic1 & difficult = 
pati5ts to tol]ate4 ,! exi/+ vacc9e1 :i*
 is n us$ 9 ! ,unit$ ,/ates1 conf]s no  
protection to adolesc5ts & adults1      
protect+ only aga9/ pulmon>y ,,tb 9     
infants & *ildr54  7#i7 ,! exp]tise 9   
id5tify+1 treat+1 & prev5t+ ,,tb is )9 !
 ,c5t]s = ,disease ,control & ,prev5tion
 & ! ,unit$ ,/ates public heal? sy/em4  
,! id5tification & prev5tive treatm5t ( 
! millions ( p 9 ! ,unit$ ,/ates ) ,,tb 
infection1 repres5t+ ! res]voir ( future
 active ,,tb cases1 is a key compon5t ( 
! /rategy to elim9ate ,,tb 9 ! ,unit$   
,/ates4  #c4 ,food & ,drug ,adm9i/ration
  ,clause 7i7 ( section                 
#ejf;,d7a77#a77;,b7 ( ! ,f$]al ,food1   
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cef;d7a77#a77;,b77 is am5d$ to read z  
foll[s3  7i7 plans = enhanc$ int]ag5cy &

 intra-ag5cy coord9ation1 communication1
 & decisionmak+1 includ+ by ensur+      
coord9ation betwe5 ! task =ce e/abli%$  
"u ?is section & ! ,f$]al ,tub]culosis  
,task ,=ce "u section #cag;,e7g7 ( !    
,public ,heal? ,s]vice ,act 9 !         
developm5t & implem5tation ( /rategies &
 sy/ems to prev5t & mitigate %ortages ( 
drugs us$ 9 connection ) tub]culosis2  4
  #d4 ,c5t]s = ,disease ,control &      
,prev5tion2 ,heal? ,res\rces & ,s]vices 
,adm9i/ration  7a7 ,prioritiz+ programs 
= high-,risk populations1 includ+       
=eign-,born1 homeless1 & un9sur$        
populations ,subsection 7a7 ( section   
#cag;,e ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bdg;b-#f7 is am5d$--    
7#a7 by /rik+ ,! ,secret>y & ins]t+ !   
foll[+3  7#a7 ,grants ,! ,secret>y  2 & 
7#b7 by add+ at ! end ! foll[+3  7#b7   
,priority ,9 mak+ grants "u ?is         
subsection1 ! ,secret>y %all give       
priority to aw>d+ grants to ,/ate heal? 
dep>tm5ts propos+ to focus on !         
prev5tion1 control1 & elim9ation (      

tub]culosis 9 high-risk populations1    
includ+ =eign-born1 homeless1 & un9sur$ 
populations4  4  7b7 ,grants =          
coord9ation ( programs & s]vices =      
prev5tion1 diagnosis1 & treatm5t  7#a7  
,grants ,section #cag;,e ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;b-#f7 is am5d$--  7,a7 by          
r$esignat+ subsections 7c7 ?r\gh 7h7 z  
subsections 7d7 ?r\gh 7i71 respectively2
 &  7,b7 by ins]t+ aft] subsection 7b7 !
 foll[+3  7c7 ,grants = coord9ation (   
programs & s]vices = prev5tion1         
diagnosis1 & treatm5t  7#a7 ,grants ,!  
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 may aw>d grants to ,/ate 
& local gov]nm5ts & ,f$]ally qualifi$   
heal? c5t]s = coord9at+ ! programs &    
s]vices ( su* gov]nm5ts & c5t]s to      
ensure timely & appropriate prev5tion1  
diagnosis1 & treatm5t ( tub]culosis4    
7#b7 ,def9ition ,9 ?is subsection1 ! t]m
 ,f$]ally qualifi$ heal? c5t] has !     
mean+ giv5 to su* t]m 9 section         

#ahfa7;aa7 ( ! ,social ,security ,act4  
4  7#b7 ,con=m+ *anges ,section #cag;,e 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bdg;b-#f7 is am5d$--  7,a7 9 
subsections 7d71 7e77#a71 7e77#c77;,a71 
& 7f77#a71 z r$esignat$1 by /rik+       
subsection 7a7 or 7b7 ea* place x appe>s
 & ins]t+ subsection 7a71 7b71 or 7c72 &
  7,b7 9 subsection 7e77#c77;,a71 z     
r$esignat$1 by ins]t+ 7subject to       
subsection 7a77#b77 aft] highe/         
priority4  7c7 ,f$]al ,tub]culosis ,task
 ,=ce ,p>agraph 7#a7 ( section          
#cag;,e7h7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;b-#f7;g771 z   
r$esignat$1 is am5d$ to read z foll[s3  
7#a7 ,duties ,! ,f$]al ,tub]culosis     
,task ,=ce 79 ?is subsection ref]r$ to z
 ! ,task ,=ce7 %all provide to !        
,secret>y & o!r appropriate ,f$]al      
(ficials advice on--  7,a7 rese>* into  
new tools "u subsection 7b77#b7 & ensur+
 access to su* new tools2 &  7,b7 !     
developm5t & implem5tation ( /rategies &
 sy/ems to prev5t & mitigate %ortages ( 

drugs us$ 9 connection ) tub]culosis4  4
  7d7 ,reau?orization ( national /rategy
 = combat+ & elim9at+ tub]culosis       
,section #cag;,e7i77#a77;,a7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bdg;b-#f7;h77#a77;,a77 is am5d$ by     
/rik+ #bdc1aja1bej = fiscal ye> #bjac & 
ins]t+ #bdc1aja1bej = ea* ( fiscal ye>s 
#bjac ?r\gh #bjai4  #e4 ,national       
,in/itutes ( ,heal?  ,p>agraph 7#a7 (   
section #dbd;,c7b7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bhe;b-#g;c7b77 is am5d$ to read z      
foll[s3  7#a7 enhanc+ basic1 cl9ical1 & 
op]ational rese>* on tub]culosis1       
includ+ ) respect to--  7,a7 drug       
resi/ant tub]culosis2  7,b7 infection )1
 & ! progression (1 tub]culosis2 &  7,c7
 p$iatric tub]culosis2  4