,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bdch  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #a1 #bjai ,mr4  
,m55dez 7= himself & ,mr4 ,"y7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,=eign        
,relations  ,a ,,bill  ,to prev5t1      
treat1 & cure tub]culosis globally4  #a4
 ,%ort title  ,?is ,act may be cit$ z ! 
,end ,tub]culosis ,n[ ,act ( #bjai4  #b4
 ,f9d+s ,congress makes ! foll[+ f9d+s3 
7#a7 ,tub]culosis is a prev5table1      
treatable1 & curable airborne infection2
 h[ev] m ?an #be ye>s aft] ! ,_w ,heal? 
,organization decl>$ tub]culosis a      
public heal? em]g5cy & call$ on c\ntries
 to make scal+ up tub]culosis control a 
priority1 tub]culosis /ill kills m p    
worldwide ?an any o!r infecti\s disease1
 & is ! lead+ kill] ( p liv+ )          
,,hiv_/,,aids4  7#b7 ,9 #bjag1          
#aj1jjj1jjj p became ill ) tub]culosis1 
#aj p]c5t ( :om 7 *ildr51 & #a1fjj1jjj p
 di$ f ! disease4 ,9 ord] to a*ieve !   
goals ( ! ,_w ,heal? ,organization ,end 

,,tb ,/rategy by #bjce1 new tools mu/ be
 develop$ & made available4  7#c7 ,ov]  
"o-?ird ( p :o become ill ) tub]culosis 
may be undiagnos$1 misdiagnos$1 or      
treat$ b n report$1 result+ 9 unnecess>y
 illness1 communicable infections1 &    
increas$ mortality4  7#d7 ,failure to   
prop]ly treat tub]culosis c cause       
treatm5t failure & dea?1 & exac]bates   
antimicrobial resi/ance1 increas+       
multi-drug-resi/ant tub]culosis         
7,,mdr-,,tb7 & ext5sively drug-resi/ant 
tub]culosis 7,,xdr-,,tb71 :i* are       
significantly co/li] & m difficult to   
treat ?an drug-s5sitive tub]culosis & c 
also be transmitt$ f p]son-to-p]son1    
increas+ ! likelihood t drug-resi/ant   
tub]culosis w spread to new geographic  
areas4  7#e7 ,globally1 only ab\t half (
 ! #ac1jjj1jjj1jjj requir$ annually z   
outl9$ 9 ! ,/op ,,tb ,p>tn]%ip's ,global
 ,plan to ,end ,,tb = tub]culosis       
prev5tion1 diagnosis1 & treatm5t is     
curr5tly available4  7#f7 ,!re is an    
annual #a1cjj1jjj1jjj gap 9 fund+ ne$$ =

 ! developm5t ( vacc9es1 additional     
rapid1 po9t-(-c>e diagno/ic te/s1 &     
%ort]1 less toxic treatm5ts :i* w\ld    
facilitate pati5t adh]5ce to treatm5t   
regim5s1 r$uce program co/s1 & mitigate 
! gr[+ ?reat ( drug-resi/ant            
tub]culosis4 ,! ,unit$ ,/ates ,gov]nm5t 
cont9ues to be a lead fund] ( global    
tub]culosis rese>* & developm5t1        
contribut+ #dj p]c5t ( ! total          
#ggb1jjj1jjj 9 global fund+ 9 #bjag1 & c
 catalyze m inve/m5ts f o!r c\ntries4   
7#g7 ,! rate ( new cases ( tub]culosis 9
 c\ntries t receive ,unit$ ,/ates       
bilat]al assi/ance = tub]culosis        
prev5tion1 treatm5t1 & control has fall5
 by "o qu>t] s9ce #bjjj demon/rat+ !    
effectiv5ess ( ,unit$ ,/ates programs & 
activities4  7#h7 ,9 ,septemb] #bjah1   
,unit$ ,nations ,memb] ,/ates 9 ! fir/  
,unit$ ,national ,high ,level ,meet+ on 
,tub]culosis committ$ to end+ ! epidemic
 9 all c\ntries1 & pl$ged to provide    
lead]%ip & to "w toge!r to accel]ate our
 national & global collective actions1  

inve/m5ts1 & innovations urg5tly to     
fight ?is prev5table & treatable        
disease1 z reflect$ 9 ,unit$ ,nations   
,g5]al ,assembly ,resolution            
,a_/,,res_/#gc_/c4  7#i7 ,on ,septemb]  
#bf1 #bjah1 ! ,unit$ ,nations conv5$ !  
fir/ ,high ,level ,meet+ on             
,tub]culosis1 :]e #abj c\ntries sign$ a 
,political ,decl>ation to accel]ate     
progress aga9/ tub]culosis1 includ+     
commitm5ts to increase fund+ =          
tub]culosis control & rese>* &          
developm5t programs1 z well z ambiti\s  
goals to successfully treat #dj1jjj1jjj 
p ) tub]culosis & prev5t at lea/        
#cj1jjj1jjj f becom+ ill betwe5 #bjah & 
#bjbb4  7#aj7 ,on ,septemb] #bf1 #bjah1 
! ,adm9i/rator = ! ,unit$ ,/ates ,ag5cy 
= ,int]national ,developm5t 7,,usaid7   
ann\nc$ a new bus9ess model to support !
 fight to end tub]culosis 7,,tb74 ,?r\gh
 #cj1jjj1jjj 9 fund+ & a new            
p]=mance-bas$ ,global ,accel]ator to    
,end ,,tb1 ,,usaid w catalyze inve/m5ts 
to meet ! t>get set by ! ,unit$ ,nations

 ,high-,level ,meet+ on tub]culosis (   
treat+ #dj1jjj1jjj p ) ! disease by     
#bjbb4 ,! ,accel]ator w increase support
 to gov]nm5ts & local p>tn]s z "p ( a   
multisectoral approa* to end+           
tub]culosis4  7#aa7 ,x is ess5tial t    
exi/+ fund+ = tub]culosis programs be   
allocat$ prud5tly1 & ) an emphasis on   
coord9ation1 to ensure t ef=ts among    
,unit$ ,/ates ag5cies1 p>tn] nations1   
int]national organizations1             
nongov]nm5tal organizations1 bo?        
fai?-bas$ & non-fai?-bas$1 ! private    
sector & o!r actors are complem5t>y & n 
duplicative4 ,improv$ data on           
tub]culosis1 access to s]vices1         
acc\ntability1 & program quality c help 
ensure fund+ gets to :]e x is mo/ ne$$4 
7#ab7 ,if progress does n accel]ate1 !  
global tub]culosis epidemic1 p>ticul>ly 
increas+ cases ( ,,mdr-,,tb &           
,,xdr-,,tb1 :]e _m cases are n curable &
 va/ly m co/ly to treat1 c\ld erase     
decades ( progress 9 global ef=ts to end
 bo? tub]culosis & ,,hiv_/,,aids1 mu* ( 

:i* has be5 a*iev$ ) ,unit$ ,/ates      
inve/m5t4  #c4 ,unit$ ,/ates ,gov]nm5t  
actions to end tub]culosis ,section     
#ajd;,b ( ! ,=eign ,assi/ance ,act (    
#aifa 7#bb ,u4,s4,c4 #baea;b-#c7;g77 is 
am5d$ by /rik+ subsections 7a7 ?r\gh 7h7
 & ins]t+ ! foll[+ new subsections3  7a7
 ,f9d+s ,congress makes ! foll[+ f9d+s3 
7#a7 ,congress recognizes ! cont9u+     
*all5ge ( ! int]national tub]culosis    
epidemic & ! deadly impact ( its cont9u$
 exi/5ce4  7#b7 ,! means exi/ to detect1
 treat1 prev5t1 & cure tub]culosis to a 
l>ge ext5t1 b n en\gh to ensure end+ x1 
due to inadequate means ( diagnosis1    
prev5tion1 & treatm5t4  7#c7 ,abs5t     
accel]at$ ef=ts to address tub]culosis &
 increas$ dome/ic mobilization (        
res\rces f high-burd5 tub]culosis       
c\ntries1 t>gets set =? 9 ! ,end ,,tb   
,/rategy w n be met4  7b7 ,policy ,x is 
a major objective ( ! =eign assi/ance   
program ( ! ,unit$ ,/ates to help end ! 
global tub]culosis epidemic ?r\gh       
actions to diagnose & treat all adults &

 *ildr5 ) all =ms ( tub]culosis1 includ+
 tub]culosis infection1 & to prev5t new 
tub]culosis infections 9 adults &       
*ildr54 ,9 all c\ntries 9 :i* ! ,unit$  
,/ates ,gov]nm5t has e/abli%$ developm5t
 programs1 p>ticul>ly 9 c\ntries ) !    
highe/ burd5 ( tub]culosis & o!r        
c\ntries ) high rates ( tub]culosis1 x  
is ! policy ( ! ,unit$ ,/ates to--  7#a7
 support ! objectives ( ! ,_w ,heal?    
,organization ,end ,,tb ,/rategy1       
includ+ goals to-- 7,a7 r$uce by #ie    
p]c5t tub]culosis dea?s by #bjce2  7,b7 
r$uce by #ij p]c5t ! tub]culosis        
incid5ce rate by #bjce2 &  7,c7 r$uce by
 #ajj p]c5t ! numb] ( families fac+     
cata/rophic heal? co/s due to           
tub]culosis by #bjce2  7#b7 support !   
,/op ,,tb ,p>tn]%ip's ,global ,plan to  
,end ,,tb #bjaf-bjbj1 includ+ support   
=-- 7,a7 developm5t & use ( innovative  
new te*nologies & !rapies to increase   
active case f9d+ to rapidly diagnose &  
treat *ildr5 & adults ) all =ms (       
tub]culosis1 alleviate suff]+1 & ensure 

tub]culosis treatm5t completion2  7,b7 !
 diagnosis & treatm5t ( lat5t           
tub]culosis infection1 9 support ( !    
global goal ( provid+ prev5tive !rapy to
 at lea/ #cj1jjj1jjj p1 includ+         
#d1jjj1jjj *ildr5 "u five ye>s ( age1   
#bj1jjj1jjj h\sehold contacts ( p       
affect$ by tub]culosis1 & #f1jjj1jjj p  
liv+ ) ,,hiv1 by #bjbb2  7,c7 /eps to   
ensure high-quality tub]culosis c>e by  
clos+ gaps 9 c>e cascades1 implem5t+    
cont9u\s quality improvem5t at all      
levels ( c>e1 & provid+ pati5t support2 
&  7,d7 su/a9able procurem5t (          
tub]culosis commodities1 to avoid       
int]ruptions 9 supply1 procurem5t (     
commodities ( unkn[n quality1 or paym5t 
( excessive commodity co/s 9 c\ntries   
impact$ by tub]culosis2  7#c7 ensure    
,unit$ ,/ates fund+ supports activities 
t simultane\sly emphasize-- 7,a7 !      
developm5t ( compreh5sive p]son-c5t]$   
programs :i* include diagnosis1         
treatm5t1 & prev5tion /rategies to      
ensure t ^? at high risk = infection are

 f\nd & treat$ ) prev5tive !rapies 9 a  
timely mann]2  7,b7 robu/ tub]culosis   
infection control practices 9 all       
congregate sett+s1 includ+ hospitals &  
prisons2  7,c7 ! deploym5t ( diagno/ic &
 treatm5t capacity 9 areas ) ! highe/   
tub]culosis burd5s1 z well z = highly   
at-risk & impov]i%$ populations1 includ+
 pati5t support2  7,d7 program monitor+ 
& evaluation bas$ on critical           
tub]culosis indicators1 includ+         
infection control1 ! numb]s ( pati5ts   
access+ tub]culosis treatm5t1 along )   
pati5t support1 & prev5tative !rapy = ^?
 at risk1 includ+ all close contacts1 z 
well z treatm5t completion = all =ms (  
tub]culosis2  7,e7 tra9+ heal? c>e      
work]s on ! use ( new diagno/ic tools & 
!rapies z !y become available2  7,f7    
coord9ation ) dome/ic ag5cies on an     
aggressive rese>* ag5da to develop      
vacc9es z well z new tools to diagnose1 
treat1 & prev5t tub]culosis globally2   
7,g7 l9kages ) ! private sector on      
improv$ diagnosis & treatm5t (          

tub]culosis1 tra9+ = heal?c>e           
pr(essionals on use ( ! mo/ effective   
diagno/ic & !rapeutic tools1 & rese>* 9 
! areas ( vacc9e developm5t z well z !  
developm5t ( !rapeutics & diagno/ic     
tools2  7,h7 ef=ts to address b>ri]s to 
pati5ts seek+ c>e includ+ /igma & co/s  
relat$ to diagnosis & treatm5t2  7,i7   
ef=ts to address human rights-relat$    
b>ri]s to tub]culosis s]vices1 includ+--
 7i7 tra9+ heal? work]s2  7ii7 s5sitiz+ 
policy mak]s2  7iii7 legal lit]acy &    
pati5t emp[]m5t campaigns2  7iv7 /r5g!n+
 legal s]vices2 &  7v7 monitor+ laws &  
policies2 &  7,j7 ! e/abli%m5t (        
indep5d5t acc\ntability me*anisms &     
inclusive c\ntry level sy/ems to measure
 progress & ensure t commitm5ts made by 
gov]nm5ts & relevant /akehold]s are met4
  7c7 ,au?orization ,to c>ry out ?is    
section & consi/5t ) section #ajd7;c71 !
 ,presid5t is au?oriz$ to furni%        
assi/ance1 on su* t]ms & conditions z ! 
,presid5t may det]m9e1 = ! prev5tion1   
treatm5t1 control1 & elim9ation (       

tub]culosis4  7d7 ,goals ,9 consultation
 ) ! appropriate congressional          
committees1 ! ,presid5t %all e/abli% new
 goals = ,unit$ ,/ates ef=ts1 bas$ on ! 
policy & indicators describ$ 9          
subsection 7b71 to rea*1 cure1 & prev5t 
all =ms ( tub]culosis globally ov] !    
#e-ye> p]iod foll[+ ! date ( ! enactm5t 
( ?is subsection by updat+ ! ,unit$     
,/ates ,gov]nm5t ,tub]culosis ,/rategy  
7#bjae-bjai7 & ! ,national ,action ,plan
 = ,combatt+ ,multidrug-,resi/ant       
,tub]culosis4  7e7 ,coord9ation  7#a7 ,9
 g5]al ,9 c>ry+ out ?is section1 !      
,presid5t %all coord9ate ) ! ,_w ,heal? 
,organization1 ! ,/op ,,tb ,p>tn]%ip1 ! 
,global ,fund to ,fight ,,aids1         
,tub]culosis1 & ,mal>ia1 & o!r          
organizations ) respect to ! developm5t 
& implem5tation ( a compreh5sive        
tub]culosis response program4  7#b7     
,bilat]al assi/ance ,9 provid+ bilat]al 
assi/ance "u ?is section1 ! ,presid5t1  
act+ ?r\gh ! ,adm9i/rator ( ! ,unit$    
,/ates ,ag5cy = ,int]national           

,developm5t1 %all--  7,a7 coord9ate &   
catalyze int5sifi$ int]national         
tub]culosis rese>* & developm5t1        
prev5tion1 diagnosis1 treatm5t1 &       
control ef=ts1 p>ticul>ly to r$uce !    
incid5ce (1 & mortality f1 all =ms (    
drug resi/ant tub]culosis2 &  7,b7      
ensure coord9ation among relevant ,unit$
 ,/ates ,gov]nm5t ag5cies & programs1   
includ+ ! ,c5t]s = ,disease ,control &  
,prev5tion1 ! ,national ,in/itutes (    
,heal?1 ! ,biom$ical ,advanc$ ,rese>* & 
,developm5t ,au?ority1 ! ,food & ,drug  
,adm9i/ration1 ! ,national ,sci5ce      
,f\ndation1 ! ,dep>tm5t ( ,def5se       
,congressionally ,direct$ ,m$ical       
,rese>* ,program1 & ! ,presid5t's       
,em]g5cy ,plan = ,,aids ,relief         
7,,pepf>71 t engage 9 int]national      
tub]culosis activities to ensure        
acc\ntability & transp>5cy1 r$uce       
duplication ( ef=ts1 ensure equitable   
%>es 9 dome/ic exp5diture & advancem5t  
on rese>* & developm5t1 & ensure        
appropriate integration & coord9ation ( 

tub]culosis s]vices into o!r ,unit$     
,/ates-support$ heal? programs4  7f7    
,priority to ,end ,,tb ,/rategy ,9      
furni%+ assi/ance "u subsection 7b71 !  
,presid5t %all give priority to-- 7#a7  
direct1 high-quality s]vices = all =ms (
 tub]culosis describ$ 9 int]national    
policies & guidel9es1 ) a pref]5ce =    
programs t implem5t a coord9at$ package 
( active case f9d+1 treatm5t ( all =ms (
 tub]culosis disease & infection1 pati5t
 support & tub]culosis prev5tion2  7#b7 
individuals infect$ ) bo? tub]culosis & 
,,hiv1 & o!r co-morbidities1 treatm5t = 
individuals ) ,,mdr-,,tb1 ,,xdr-,,tb1   
/r5g!n+ ( heal? sy/ems1 use ( ! late/   
,int]national ,/&>ds = ,tub]culosis ,c>e
 by all provid]s1 & emp[]+ individuals )
 tub]culosis2  7#c7 enabl+ & promot+    
tub]culosis rese>* to develop innovative
 new diagno/ics1 drug !rapies1 &        
vacc9es1 & program-bas$ op]ational      
rese>*2 &  7#d7 fund+ = ! ,/op          
,tub]culosis ,p>tn]%ip's ,global ,drug  
,facility ! ,/op ,tub]culosis ,p>tn]%ip1

 & ! ,global ,alliance = ,tub]culosis   
,drug ,developm5t4  7g7 ,assi/ance = !  
,_w ,heal? ,organization & ! ,/op       
,tub]culosis ,p>tn]%ip ,9 c>ry+ out ?is 
section1 ! ,presid5t1 act+ ?r\gh !      
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t1 is au?oriz$  
to provide increas$ res\rces to ! ,_w   
,heal? ,organization & ! ,/op           
,tub]culosis ,p>tn]%ip to improve !     
capacity ( c\ntries ) high rates (      
tub]culosis & o!r affect$ c\ntries to   
implem5t ! ,/op ,tub]culosis ,/rategy & 
specific /rategies relat$ to address+   
,,mdr-,,tb & ,,xdr-,,tb4  7h7 ,annual   
report on tub]culosis activities ,!     
,presid5t %all submit an annual report  
to ,congress t describes ! impact (     
,unit$ ,/ates =eign assi/ance on ef=ts  
to control tub]culosis1 includ+--  7#a7 
! numb] ( p ) active tub]culosis & !    
numb] ) tub]culosis infection diagnos$ &
 treat$1 includ+ ! rate ( treatm5t      
completion & ! numb] receiv+ pati5t     
support1 9 c\ntries receiv+ ,unit$      

,/ates bilat]al =eign assi/ance =       
tub]culosis control purposes2  7#b7 !   
numb] ( p]sons :o h be5 diagnos$ & />t$ 
treatm5t = ,,mdr-,,tb & ,,xdr-,,tb 9    
c\ntries receiv+ ,unit$ ,/ates bilat]al 
=eign assi/ance = tub]culosis control   
programs2  7#c7 a description ( !       
collaboration & coord9ation ( ,unit$    
,/ates anti-tub]culosis ef=ts ) ! ,_w   
,heal? ,organization1 ! ,global ,fund1 &
 o!r major public & private entities2   
7#d7 a description ( ! collaboration &  
coord9ation among ! ,unit$ ,/ates ,ag5cy
 = ,int]national ,developm5t & o!r      
,unit$ ,/ates ag5cies1 includ+ ! ,c5t]s 
= ,disease ,control & ! ,(fice ( !      
,global ,,aids ,coord9ator1 = ! purposes
 ( combatt+ tub]culosis2  7#e7 !        
con/ra9ts on implem5tation ( programs   
pos$ by heal? work=ce %ortages1 hea?    
sy/em limitations1 & o!r capacities2    
7#f7 ! numb]s ( p tra9$ by ! ,unit$     
,/ates ,gov]nm5t 9 tub]culosis          
surveillance & control2  7#g7 a breakd[n
 ( exp5ditures = direct pati5t          

tub]culosis s]vices1 drugs & o!r        
commodities1 drug managem5t1 tra9+ 9    
diagnosis & treatm5t1 heal? sy/ems      
/r5g!n+1 rese>*1 & support co/s2 &  7#h7
 = ea* c\ntry receiv+ bilat]al ,unit$   
,/ates assi/ance = ! purpose (          
tub]culosis prev5tion1 treatm5t1 &      
control--  7,a7 a description ( progress
 to adopt & implem5t ! mo/ rec5t ,_w    
,heal? ,organization guidel9es to       
improve diagnosis1 treatm5t1 & prev5tion
 ( tub]culosis = adults & *ildr51       
disaggregat$ by sex1 includ+ !          
proportion ( heal? facilities :i* h     
adopt$ ! late/ ,,:o guidel9es on /r5g!n+
 surveillance sy/ems & prev5tative1     
diagno/ic1 & !rapeutic me?ods1 includ+ !
 use ( rapid diagno/ic te/s & orally    
adm9i/]$ ,,tb treatm5t regim5s2  7,b7 ! 
rate ( tub]culosis incid5ce = adults &  
*ildr51 disaggregat$ by sex1 & a        
description ( progress 9 implem5t+      
measures to r$uce incid5ce1 includ+ !   
numb] ( adults & *ildr5 receiv+         
tub]culosis prev5tive !rapy1 includ+ p )

 ,,hiv & all close contacts1            
disaggregat$ by sex1 & ! e/abli%m5t (   
effective tub]culosis infection control 
9 all congregant sett+s1 includ+        
hospitals1 cl9ics1 & prisons2  7,c7 a   
description ( progress to exp&          
diagnosis1 prev5tion1 & treatm5t = all  
=ms ( tub]culosis1 includ+ 9 pregnant   
wom51 *ildr51 & o!r high-risk gr\ps :o  
are vuln]able or 9 vuln]able situations1
 su* z migrants1 prison]s1 m9]s1 & o!rs 
expos$ to silica1 & p liv+ )            
,,hiv_/,,aids1 disaggregat$ by sex2     
7,d7 ! rate ( successful completion (   
tub]culosis treatm5t = adults & *ildr51 
disaggregat$ by sex1 & ! numb] ( pati5ts
 receiv+ support = treatm5t completion2 
7,e7 ! numb] ( p1 disaggregat$ by sex1  
receiv+ treatm5t = ,,mdr-,,tb1 !        
proportion ( ^? treat$ ) ! late/ regim5s
 endors$ by ! ,_w ,heal? ,organization1 
any factors imp$+ scale up ( su*        
treatm5t1 & a description ( progress to 
exp& community-bas$ ,,mdr-,,tb c>e2     
7,f7 a description ( tub]culosis        

commodity procurem5t *all5ges1 includ+  
%ortages1 /ock\ts1 or fail$ t5d]s =     
tub]culosis drugs or o!r commodities2   
7,g7 ! proportion ( heal? facilities )  
specim5 ref]ral l9kages to ,gene,xpert  
te/+ sites1 & to ref]5ce labs = second  
l9e drug resi/ance te/+1 & a description
 ( ! turn>\nd "t = te/ results2  7,h7 ! 
numb] ( p tra9$ by ! ,unit$ ,/ates      
,gov]nm5t to deliv] high-quality        
tub]culosis surveillance1 laboratory    
s]vices1 prev5tion1 treatm5t1 & c>e2    
7,i7 a description ( activities t s]ve  
to coord9ate & lev]age c\ntries' dome/ic
 res\rces1 includ+ developm5t ( plans1  
proc$ures1 & disease e/imates t support 
effective use ( res\rces f ! ,global    
,fund to ,fight ,,aids1 ,tub]culosis1 & 
,mal>ia2 &  7,j7 ! full text ( any      
,/atem5t ( ,p>tn]%ip agre$ to by !      
m9i/ry ( heal? & ! ,unit$ ,/ates ,ag5cy 
= ,int]national ,developm5t to e/abli% a
 %>$ framework combatt+ tub]culosis4    
7i7 ,annual report on tub]culosis rese>*
 & developm5t ,! ,presid5t1 act+ ?r\gh !

 ,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy =
 ,int]national ,developm5t1 %all submit 
to ,congress an annual report1 to be    
prep>$ 9 coord9ation ) ! ,national      
,in/itutes ( ,heal?1 ! ,c5t]s = ,disease
 ,control & ,prev5tion1 ! ,biom$ical    
,advanc$ ,rese>* & ,developm5t ,au?ority
 7,,b>da71 ! ,food & ,drug              
,adm9i/ration1 ! ,national ,sci5ce      
,f\ndation1 ! ,dep>tm5t ( ,def5se       
,congressionally ,direct$ ,m$ical       
,rese>* ,program1 & ! ,presid5t's       
,em]g5cy ,plan = ,,aids ,relief         
7,,pepf>7--  7#a7 describ+ curr5t       
progress & *all5ges to ! developm5t (   
new tools = ! purpose ( tub]culosis     
prev5tion1 treatm5t1 & control2  7#b7   
id5tify+ critical gaps & em]g+          
priorities = rese>* & developm5t1       
includ+ = rapid & po9t-(-c>e diagno/ics1
 %ort5$ treatm5ts & prev5tion me?ods1 & 
vacc9es2 &  7#c7 describ+ rese>*        
inve/m5ts by type1 fund$ entities1 &    
level ( inve/m5t4  7j7 ,evaluation      
report  7#a7 ,9 g5]al ,n lat] ?an "o ye>

 aft] ! date ( ! enactm5t ( ?is         
subsection1 & e #e ye>s !reaft]1 !      
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ! ,adm9i/rator ( ! ,unit$
 ,/ates ,ag5cy = ,int]national          
,developm5t & ! appropriate             
congressional committees a report t     
evaluates ! p]=mance & impact on        
tub]culosis prev5tion1 diagnosis1       
treatm5t1 & c>e ef=ts t are support$ by 
,unit$ ,/ates bilat]al assi/ance fund+1 
includ+ recomm5dations = improv+ su*    
programs4  7#b7 ,=m ,! report requir$ "u
 p>agraph 7#a7 %all be submitt$ 9       
unclassifi$ =m1 b may conta9 a classifi$
 annex if necess>y4  7#c7 ,public       
availability ,! ,comptroll] ,g5]al %all 
publi% ! unclassifi$ portion ( ! report 
requir$ "u p>agraph 7#a7 on a publicly  
available website ( ! ,gov]nm5t         
,acc\ntability ,(fice4  7k7 ,def9itions 
,9 ?is section3 7#a7 ,appropriate       
congressional committees ,! t]m         
appropriate congressional committees    
means ! ,committee on ,=eign ,relations 

( ! ,s5ate & ! ,committee on ,=eign     
,affairs ( ! ,h\se ( ,repres5tatives4   
7#b7 ,global ,alliance = ,tub]culosis   
,drug ,developm5t ,! t]m ,global        
,alliance = ,tub]culosis ,drug          
,developm5t means ! public-private      
p>tn]%ip t br+ toge!r lead]s 9 heal?1   
sci5ce1 philan?ropy1 & private indu/ry  
to devise new approa*es to tub]culosis4 
7#c7 ,global ,tub]culosis ,drug         
,facility ,! t]m ,global ,tub]culosis   
,drug ,facility 7,,gdf7 means !         
initiative ( ! ,/op ,tub]culosis        
,p>tn]%ip to increase access to ! mo/   
advanc$1 af=dable1 quality-assur$       
tub]culosis drugs & diagno/ics4  7#d7   
,end ,,tb ,/rategy ,! t]m ,end ,,tb     
,/rategy means ! /rategy to elim9ate    
tub]culosis approv$ by ! ,_w ,heal?     
,assembly 9 ,may #bjad1 :i* is describ$ 
9 ,! ,end ,,tb ,/rategy3 ,global        
,/rategy & ,t>gets = ,tub]culosis       
,prev5tion1 ,c>e & ,control aft] #bjae4 
7#e7 ,/op ,tub]culosis ,p>tn]%ip ,! t]m 
,/op ,tub]culosis ,p>tn]%ip means !     

p>tn]%ip ( ! ,unit$ ,nations ,(fice =   
,project ,s]vices1 donors includ+ !     
,unit$ ,/ates1 high-burd5 tub]culosis   
c\ntries1 multilat]al ag5cies1 &        
nongov]nm5tal & te*nical ag5cies        
committ$ to %ort- & long-t]m measures   
requir$ to control & ev5tually elim9ate 
tub]culosis z a public heal? problem 9 !
 _w4  4