,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bfge  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bc1 #bjai,mr4 
,book] introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to au?orize ! ,secret>y (   
,heal? & ,human ,s]vices to c>ry out    
activities relat+ to neglect$ diseases (
 pov]ty4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,/udy1 ,treat1 ,obs]ve1 &   
,prev5t ,neglect$ ,diseases ( ,pov]ty   
,act or ! ,,/op ,neglect$ ,diseases (   
,pov]ty ,act4  #b4 ,f9d+s ,congress f9ds
 z foll[s3 7#a7 ,neglect$ diseases (    
pov]ty1 _m ( :i* are also kn[n z        
neglect$ tropical diseases1 are a gr\p (
 diseases t disproportionately affect   
vuln]able populations liv+ 9 extreme    
pov]ty4  7#b7 ,m ?an #a1jjj1jjj1jjj p   
worldwide are affect$ by neglect$       
diseases ( pov]ty4  7#c7 ,neglect$      
diseases ( pov]ty c be transmitt$--     
7,a7 ?r\gh contam9at$ food1 wat]1 &     
soil2  7,b7 ?r\gh p>asites1 insects1    

blood transfusion1 & organ transplant2 &
  7,c7 9 "s cases1 cong5itally4  7#d7   
,neglect$ diseases ( pov]ty h a high    
rate ( morbidity & mortality & c lead to
 heal? complications su* z he>t disease1
 epilepsy1 a/hma1 bl9dness1 developm5tal
 delays1 /illbir?1 l[ bir?weight1 &     
ga/ro9te/9al disord]s4  7#e7 ,"s        
neglect$ diseases ( pov]ty c be         
asymptomatic at ! outset1 b debilitat+  
or dang]\s symptoms c em]ge ov] "t or "u
 c]ta9 conditions1 su* z pregnancy4 ,x  
is e/imat$ t millions ( p are liv+ ) ^! 
diseases & are n aw>e t !y are infect$4 
7#f7 ,= t5s ( ?\s&s ( individuals1      
diseases ( pov]ty t are *ronic &        
neglect$ c manife/ into sev]e illness   
lat] 9 life4  7#g7 ,neglect$ diseases ( 
pov]ty place a significant f9ancial     
burd5 on affect$ individuals &          
communities due to ! heal? c>e co/s     
associat$ ) ^! diseases & because ^!    
diseases limit individuals' productivity
 & ability to be active contributors to 
_! communities4 ,?is burd5 c\ld l>gely  

be prev5t$ ?r\gh e>ly scre5+ & treatm5t1
 :i* are highly co/ effective4  7#h7    
,s9ce its inception 9 #bjjf1 ! ,neglect$
 ,tropical ,diseases ,program at !      
,unit$ ,/ates ,ag5cy = ,int]national    
,developm5t & its p>tn]s1 includ+ !     
,c5t]s = ,disease ,control & ,prev5tion1
 h deliv]$ m ?an #a1fjj1jjj1jjj         
treatm5ts to m ?an #gdc1jjj1jjj p4  7#i7
 ,due to ! support provid$ by ! ,unit$  
,/ates ,ag5cy = ,int]national           
,developm5t & its p>tn]s1 #adj1jjj1jjj p
 live 9 regions :]e !y are no long] at  
risk ( contract+ lymphatic fil>iasis1 & 
#fe1jjj1jjj p live 9 regions :]e !y are 
no long] at risk ( contract+ tra*oma4   
7#aj7 ,al?\gh ! exact preval5ce & burd5 
( ^! diseases 9 ! ,unit$ ,/ates is      
unkn[n because ( /igma & limit$ report+1
 surveillance1 & aw>5ess1 "o /udy       
e/imates t !re are #ab1jjj1jjj          
individuals liv+ ) a neglect$ disease ( 
pov]ty ?r\gh\t ! c\ntry4 ,^! diseases   
disproportionately affect racial & e?nic
 m9orities liv+ 9 pov]ty & 9 regions :]e

 wat] quality & sanitation are sub/&>d4 
7#aa7 ,! major neglect$ diseases (      
pov]ty 9 ! ,unit$ ,/ates t pr$om9antly  
occur among ^? liv+ 9 pov]ty are !      
foll[+3 ,toxoc>iasis1 cy/ic]cosis1      
,*agas disease1 toxoplasmosis1          
tri*omoniasis1 & ,d5gue ,fev]4  7#ab7   
,!re is a lack ( diagno/ic & treatm5t   
programs1 includ+ = e>ly diagnosis &    
treatm5t1 = neglect$ diseases ( pov]ty4 
,^! programs w\ld be highly co/         
effective & w\ld significantly r$uce !  
burd5 ( morbidity & mortality ( ^!      
diseases4  7#ac7 ,fund+ = rese>*1       
prev5tive /rategies1 & ! developm5t (   
treatm5ts & diagno/ic te/s = neglect$   
diseases ( pov]ty 9 ! ,unit$ ,/ates is  
limit$4  #c4 ,s5se ( ,congress ,x is !  
s5se ( ,congress t !re is a ne$ to /udy 
! preval5ce & incid5ce ( neglect$       
diseases ( pov]ty 9 ! ,unit$ ,/ates1    
id5tify prev5tive me?ods to combat      
neglect$ diseases ( pov]ty1 conduct     
rese>* t w lead to m treatm5ts &        
diagno/ic te/s = neglect$ diseases (    

pov]ty1 & supply heal? c>e provid]s1    
public heal? pr(essionals1 & affect$    
individuals & communities ) educational 
res\rces on neglect$ diseases ( pov]ty4 
#d4 ,def9ition ( neglect$ diseases (    
pov]ty ,9 ?is ,act1 ! t]m neglect$      
diseases ( pov]ty has ! mean+ giv5 su*  
t]m 9 section #cii,,oo7e7 ( ! ,public   
,heal? ,s]vice ,act1 z add$ by section  
#e4  #e4 ,programs relat+ to neglect$   
diseases ( pov]ty ,title ,,iii ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bda et seq47 is am5d$ by add+
 at ! end ! foll[+3  ,w ,programs relat+
 to neglect$ diseases ( pov]ty 9 !      
,unit$ ,/ates  #cii,,oo4 ,int]ag5cy     
,task ,=ce on ,neglect$ ,diseases (     
,pov]ty 9 ! ,unit$ ,/ates  7a7          
,e/abli%m5t ,n lat] ?an #ahj days aft] !
 date ( enactm5t ( ! ,/udy1 ,treat1     
,obs]ve1 & ,prev5t ,neglect$ ,diseases (
 ,pov]ty ,act1 ! ,secret>y %all e/abli% 
an ,int]ag5cy ,task ,=ce on ,neglect$   
,diseases ( ,pov]ty 9 ! ,unit$ ,/ates to
 provide advice & recomm5dations to !   

,secret>y & ,congress to prev5t1 treat1 
& diagnose neglect$ diseases ( pov]ty 9 
! ,unit$ ,/ates4  7b7 ,memb]s ,! task   
=ce %all be compris$ ( repres5tatives   
(-- 7#a7 ! ,dep>tm5t ( ,heal? & ,human  
,s]vices1 includ+ ! ,assi/ant ,secret>y 
= ,heal? & repres5tatives f ! ,c5t]s =  
,disease ,control & ,prev5tion1 ! ,food 
& ,drug ,adm9i/ration1 ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration1 !   
,national ,in/itutes ( ,heal?1 & !      
,biom$ical ,advanc$ ,rese>* &           
,developm5t ,au?ority2  7#b7 ! ,dep>tm5t
 ( ,/ate2  7#c7 ! ,unit$ ,/ates ,ag5cy =
 ,int]national ,developm5t2  7#d7 !     
,dep>tm5t ( ,agriculture2  7#e7 !       
,dep>tm5t ( ,h\s+ & ,urban ,developm5t2 
7#f7 ! ,environm5tal ,protection ,ag5cy2
 &  7#g7 any o!r ,f$]al ag5cy t has     
jurisdiction ov]1 or is affect$ by1     
neglect$ diseases ( pov]ty policies &   
projects1 z det]m9$ by ! ,secret>y4  7c7
 ,initial report  7#a7 ,9 g5]al ,n lat] 
?an #ahj days aft] ! date ( enactm5t ( !
 ,/udy1 ,treat1 ,obs]ve1 & ,prev5t      

,neglect$ ,diseases ( ,pov]ty ,act1 !   
task =ce %all submit a report to !      
,secret>y bas$ on a review ( relevant   
lit]ature to id5tify gaps 9 ef=ts1 &    
guide future ef=ts1 to prev5t1 id5tify1 
& treat neglect$ diseases ( pov]ty 9 !  
,unit$ ,/ates1 p>ticul>ly toxoc>iasis1  
cy/ic]cosis1 ,*agas disease1            
toxoplasmosis1 tri*omoniasis1 & ,d5gue  
,fev]4 ,! report %all include a summ>y (
 f9d+s ) respect to--  7,a7 e/imat$     
preval5ce ( neglect$ diseases ( pov]ty 9
 ! ,unit$ ,/ates2  7,b7 geographic      
di/ribution & major di/ribution r\tes ( 
neglect$ diseases ( pov]ty 9 ! ,unit$   
,/ates2  7,c7 disp>ities ) respect to ! 
burd5 ( neglect$ diseases ( pov]ty 9 !  
,unit$ ,/ates2  7,d7 risk factors =     
neglect$ diseases ( pov]ty 9 ! ,unit$   
,/ates2  7,e7 exi/+ tools =             
surveillance1 prev5tion1 diagnosis1 &   
treatm5t ( neglect$ diseases ( pov]ty 9 
! ,unit$ ,/ates2  7,f7 b>ri]s to access 
to in=mation & tools = surveillance1    
prev5tion1 diagnosis1 & treatm5t (      

neglect$ diseases ( pov]ty 9 ! ,unit$   
,/ates2  7,g7 comorbidities associat$ ) 
neglect$ diseases ( pov]ty 9 ! ,unit$   
,/ates2  7,h7 aw>5ess among heal? c>e   
provid]s & public heal? pr(essionals    
reg>d+ neglect$ diseases ( pov]ty 9 !   
,unit$ ,/ates2  7,i7 public aw>5ess (   
neglect$ diseases ( pov]ty 9 ! ,unit$   
,/ates1 p>ticul>ly among high-risk      
gr\ps2  7,j7 ! economic burd5 ( neglect$
 diseases ( pov]ty 9 ! ,unit$ ,/ates2 & 
7,k7 /rategies & lessons le>n$ f !      
,unit$ ,/ates ,ag5cy = ,int]national    
,developm5t ,neglect$ ,tropical         
,diseases ,program1 p>ticul>ly ^? t are 
mo/ applicable to ef=ts to prev5t1      
diagnose1 & treat neglect$ diseases (   
pov]ty 9 ! ,unit$ ,/ates4  7#b7         
,consultation ,9 develop+ ! initial     
report "u p>agraph 7#a71 ! task =ce %all
 consult ) appropriate ext]nal p>ties1  
includ+ ,/ates1 local communities1      
sci5ti/s1 rese>*]s1 heal? c>e provid]s &
 public heal? pr(essionals1 & national &
 int]national nongov]m5tal              

organizations4  7d7 ,duties ,! task =ce 
%all-- 7#a7 review & evaluate ! curr5t  
actions & future plans ( ea* applicable 
ag5cy repres5t$ on ! task =ce z describ$
 9 subsection 7b7 to prev5t1 diagnose1 &
 treat neglect$ diseases ( pov]ty 9 !   
,unit$ ,/ates2  7#b7 id5tify curr5t &   
pot5tial areas ( p>tn]%ip & coord9ation 
betwe5 ,f$]al ag5cies & develop a unifi$
 implem5tation plan to prev5t1 diagnose1
 & treat neglect$ diseases ( pov]ty 9 ! 
,unit$ ,/ates2  7#c7 make ef=ts to apply
 applicable /rategies & lessons le>n$ f 
! ,unit$ ,/ates ,ag5cy = ,int]national  
,developm5t ,neglect$ ,tropical         
,diseases ,program :5 develop+ !        
implem5tation plan "u p>agraph 7#b72    
7#d7 e/abli% specific goals )9 & across 
,f$]al ag5cies to prev5t1 diagnose1 &   
treat neglect$ diseases ( pov]ty 9 !    
,unit$ ,/ates1 includ+ metrics to assess
 progress t[>ds rea*+ ^? goals2  7#e7   
coord9ate plans to communicate rese>* & 
relevant accompli%m5ts across ,f$]al    
ag5cies & ) ,/ates & local communities  

relat+ to ! prev5tion1 diagnosis1 &     
treatm5t ( neglect$ diseases ( pov]ty2  
7#f7 develop cons5sus guidel9es = heal? 
c>e provid]s & public heal? pr(essionals
 = ! prev5tion1 diagnosis1 & treatm5t ( 
toxoc>iasis1 cy/ic]cosis1 ,*agas        
disease1 toxoplasmosis1 tri*omoniasis1  
,d5gue ,fev]1 & o!r neglect$ diseases ( 
pov]ty2  7#g7 biannually make           
recomm5dations to ,congress on /rategies
 = ! developm5t ( af=dable tools to     
prev5t1 diagnose1 & treat neglect$      
diseases ( pov]ty1 includ+ drugs1       
diagno/ics1 & vacc9es2 &  7#h7 9        
develop+ ! guidel9es & recomm5dations "u
 p>agraphs 7#f7 & 7#g71 consult )       
ext]nal p>ties1 includ+ ,/ates1 local   
communities1 sci5ti/s1 rese>*]s1 heal?  
c>e provid]s & public heal?             
pr(essionals1 national & int]national   
nongov]nm5tal organizations1 & c5t]s (  
excell5ce ) exp]tise 9 neglect$ diseases
 ( pov]ty1 includ+ ! c5t]s ( excell5ce  
describ$ 9 section #cii,,oo-#e4  7e7    
,def9ition ( neglect$ diseases ( pov]ty 

,9 ?is "p1 ! t]m neglect$ diseases (    
pov]ty-- 7#a7 means *ronic & disabl+    
diseases t are caus$ by p>asites1       
bact]ia1 & o!r pa?og5s & t prim>ily     
impact p liv+ 9 extreme pov]ty2 &  7#b7 
includes ! foll[+3 7,a7 ,*agas disease4 
7,b7 ,cy/ic]cosis4  7,c7 ,toxoc>iasis4  
7,d7 ,toxoplasmosis4  7,e7              
,tri*omoniasis4  7,f7 ,d5gue ,fev]4     
7,g7 ,o!r neglect$ tropical diseases1   
includ+ ^? def9$ by ! ,_w ,heal?        
,organization1 su* z ! foll[+3  7i7     
,buruli ulc]4  7ii7 ,*ikungunya4  7iii7 
,dracunculiasis4  7iv7 ,e*9ococcosis4   
7v7 ,foodborne trematodiases4  7vi7     
,human ,african trypanosomiasis4  7vii7 
,lei%maniases4  7viii7 ,leprosy4  7ix7  
,lymphatic fil>iasis4  7x7 ,mycetoma4   
7xi7 ,on*oc]ciasis4  7xii7 ,rabies4     
7xiii7 ,s*i/osomiasis4  7xiv7           
,soil-transmitt$ helm9?iases4  7xv7     
,ta5iasis & neurocystic]cosis4  7xvi7   
,tra*oma4  7xvii7 ,yaws4  #cii,,oo-#a4  
,surveillance reg>d+ neglect$ diseases (
 pov]ty 9 ! ,unit$ ,/ates  7a7 ,9 g5]al 

,! ,secret>y1 act+ ?r\gh ! ,director ( !
 ,c5t]s = ,disease ,control &           
,prev5tion1 %all aw>d grants to ,/ates  
to c>ry out activities relat+ to        
implem5t+ a surveillance sy/em to       
det]m9e ! preval5ce1 incid5ce1 &        
di/ribution ( neglect$ diseases (       
pov]ty1 p>ticul>ly ^? t mo/ impact      
individuals 9 ! ,unit$ ,/ates1 includ+  
toxoc>iasis1 cy/ic]cosis1 ,*agas        
disease1 toxoplasmosis1 tri*omoniasis1 &
 ,d5gue ,fev]4  7b7 ,consid]ations ,9   
aw>d+ grants "u subsection 7a71 !       
,secret>y %all use ! f9d+s 9 ! initial  
report ( ! ,int]ag5cy ,task ,=ce on     
,neglect$ ,diseases ( ,pov]ty 9 ! ,unit$
 ,/ates "u section #cii,,oo7c7 to       
id5tify & prioritize geographic         
locations & communities t h ! highe/    
e/imat$ preval5ce (1 or h populations at
 greate/ risk ( acquir+1 neglect$       
diseases ( pov]ty1 p>ticul>ly ^?        
describ$ 9 subsection 7a74  #cii,,oo-#b4
 ,support = individuals at risk =       
neglect$ diseases ( pov]ty  7a7 ,9 g5]al

 ,! ,secret>y1 act+ ?r\gh ! ,director ( 
! ,c5t]s = ,disease ,control &          
,prev5tion1 %all aw>d grants or         
coop]ative agreem5ts to ,f$]ally        
qualifi$ heal? c5t]s to implem5t &      
analyze ! guidel9es develop$ "u section 
#cii,,oo7d77#f74  7b7 ,initial aw>ds ,! 
,secret>y %all-- 7#a7 us+ ! f9d+s 9 !   
initial report ( ! ,int]ag5cy ,task ,=ce
 on ,neglect$ ,diseases ( ,pov]ty 9 !   
,unit$ ,/ates "u section #cii,,oo7c71   
id5tify ! geographic locations 9 !      
,unit$ ,/ates t h ! highe/ e/imat$      
preval5ce (1 or h populations at greate/
 risk ( acquir+1 neglect$ diseases (    
pov]ty1 p>ticul>ly ^? t mo/ impact      
individuals 9 ! ,unit$ ,/ates1 includ+  
toxoc>iasis1 cy/ic]cosis1 ,*agas        
disease1 toxoplasmosis1 tri*omoniasis1 &
 ,d5gue ,fev]2 &  7#b7 prioritize       
,f$]ally qualifi$ heal? c5t]s locat$ 9  
su* geographic locations 9 aw>d+ initial
 grants or coop]ative agreem5ts "u      
subsection 7a74  7c7 ,def9ition (       
f$]ally qualifi$ heal? c5t] ,9 ?is      

section1 ! t]m ,f$]ally qualifi$ heal?  
c5t] has ! mean+ giv5 ! t]m 9 section   
#ahfa7;aa7 ( ! ,social ,security ,act4  
#cii,,oo-#c4 ,education ( m$ical &      
public heal? p]sonnel & ! public reg>d+ 
neglect$ diseases ( pov]ty 9 ! ,unit$   
,/ates ,! ,secret>y %all consult ) !    
,assi/ant ,secret>y = ,heal?1 !         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & ! ,adm9i/rator ( !     
,heal? ,res\rces & ,s]vices             
,adm9i/ration1 pr(essional organizations
 & societies1 & su* o!r public heal?    
(ficials z may be necess>y1 includ+ !   
c5t]s ( excell5ce describ$ 9 section    
#cii,,oo-#e1 to--  7#a7 develop &       
implem5t educational programs to        
increase ! aw>5ess ( heal? c>e provid]s 
& public heal? pr(essionals ) respect to
 ! risk factors1 signs1 & symptoms (    
neglect$ diseases ( pov]ty & /rategies  
to prev5t1 diagnose1 & treat su*        
diseases2 &  7#b7 develop & implem5t    
educational programs to increase !      
aw>5ess ( ! public ) respect to ! risk  

factors1 signs1 & symptoms ( neglect$   
diseases ( pov]ty & /rategies to prev5t 
su* diseases4  #cii,,oo-#d4 ,rese>* &   
developm5t ( new drugs1 vacc9es1 &      
diagno/ics ,consi/5t ) ! recomm5dations 
( ! ,int]ag5cy ,task ,=ce on ,neglect$  
,diseases ( ,pov]ty 9 ! ,unit$ ,/ates   
e/abli%$ "u section #cii,,oo1 !         
,secret>y %all1 directly or ?r\gh aw>ds 
( grants or coop]ative agreem5ts to     
public or private entities1 provide = ! 
conduct ( rese>*1 inve/igations1        
exp]im5ts1 demon/rations1 & /udies1     
includ+ late-/age & translational       
rese>*1 9 ! heal? sci5ces t are relat$  
to--  7#a7 ! developm5t ( af=dable      
!rapeutics1 includ+ vacc9es1 aga9/      
neglect$ diseases ( pov]ty2 &  7#b7 !   
developm5t ( af=dable m$ical po9t-(-c>e 
diagno/ics to detect neglect$ diseases (
 pov]ty4  #cii,,oo-#e4 ,neglect$        
,diseases ( ,pov]ty ,c5t]s ( ,excell5ce 
7a7 ,e/abli%m5t ,! ,secret>y1 act+      
jo9tly ?r\gh ! ,director ( ! ,national  
,in/itutes ( ,heal?1 may ent] into      

coop]ative agreem5ts )1 & make grants   
to1 public or private nonpr(it entities 
to pay all or "p ( ! co/ ( plann+1      
e/abli%+1 or /r5g!n+1 & provid+ basic   
op]at+ support =1 "o or m c5t]s (       
excell5ce = rese>* into1 tra9+ 91 &     
developm5t ( diagnosis1 prev5tion1      
control1 & treatm5t me?ods = neglect$   
diseases ( pov]ty 9 ! ,unit$ ,/ates1    
includ+ tools to support prev5tion4  7b7
 ,eligibility ,to be eligible to receive
 a coop]ative agreem5t or grant "u      
subsection 7a71 an entity %all h a      
demon/rat$ record ( rese>* on neglect$  
diseases ( pov]ty4  7c7 ,coord9ation ,! 
,secret>y %all ensure t activities "u   
?is section are coord9at$ ) simil>      
activities ( ! ,f$]al ,gov]nm5t relat+  
to neglect$ diseases ( pov]ty1 includ+ !
 task =ce e/abli%$ "u section #cii,,oo4 
7d7 ,use ( funds ,a coop]ative agreem5t 
or grant aw>d$ "u subsection 7a7 may be 
us$ =-- 7#a7 /aff+1 adm9i/rative1 & o!r 
basic op]at+ co/s1 includ+ su* pati5t   
c>e co/s z are requir$ = rese>*2  7#b7  

cl9ical tra9+1 includ+ tra9+ = alli$    
heal? pr(essionals1 cont9u+ education = 
heal? pr(essionals & alli$ heal?        
pr(essions p]sonnel1 & in=mation        
programs = ! public ) respect to        
neglect$ diseases ( pov]ty2  7#c7 rese>*
 & developm5t programs1 includ+ !       
end-to-end rese>* & developm5t ( new    
treatm5ts1 diagno/ics1 & vacc9es2  7#d7 
epidemiological surveillance &          
transmission /udies capabilities2 &     
7#e7 heal? education programs to raise  
aw>5ess & r$uce /igma ( neglect$        
diseases ( pov]ty among high-risk       
populations4  7e7 ,p]iod ( ,support2    
,additional ,p]iods  7#a7 ,9 g5]al ,a   
coop]ative agreem5t or grant "u ?is     
section may be provid$ = a p]iod ( n m  
?an #e ye>s4  7#b7 ,ext5sions ,! p]iod  
specifi$ 9 p>agraph 7#a7 may be ext5d$  
by ! ,secret>y = additional p]iods ( n m
 ?an #e ye>s if--  7,a7 ! op]ations ( ! 
c5t] ( excell5ce involv$ h be5 review$  
by an appropriate te*nical & sci5tific  
pe] review gr\p2 &  7,b7 su* gr\p has   

recomm5d$ to ! ,secret>y t su* p]iod be 
ext5d$4  #cii,,oo-#f4 ,au?orization (   
appropriations ,to c>ry out ?is "p1 !re 
are au?oriz$ to be appropriat$ su* sums 
z may be necess>y = fiscal ye> #bjba &  
ea* fiscal ye> !reaft]4  4