,,ii #aafth ,,congress #ast ,session ,s4 #hcd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #ad1 #bjai,mr4 ,brown introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to enhance the national strategy for combating and eliminating tuberculosis1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,comprehensive ,,tb ,elimination ,act of #bjai4 #b4 ,national strategy for combating and eliminating tuberculosis 7a7 ,in general ,section #cag;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#f7 is amended-- 7#a7 in subsection 7a7-- 7,a7 by striking ,the ,secretary and inserting the following3 7#a7 ,grants ,the ,secretary 2 and 7,b7 by adding at the end the following3 7#b7 ,priority ,in making grants under this subsection1 the ,secretary may give priority to awarding grants to ,state health departments proposing to focus on the prevention1 control1 and elimination of tuberculosis in high-risk populations1 including foreign-born1 homeless1 incarcerated1 ,,hiv-tuberculosis coinfected1 and medically underserved populations4 2 7#b7 in subsection 7b7-- 7,a7 in paragraph 7#c7-- 7i7 in subparagraph 7,c71 by redesignating clauses 7i7 and 7ii7 as subclauses 7,i7 and 7,,ii71 respectively1 and adjusting the margins accordingly2 and 7ii7 by redesignating subparagraphs 7,a7 through 7,f7 as clauses 7i7 through 7vi71 respectively1 and adjusting the margins accordingly2 7,b7 by redesignating paragraphs 7#a7 through 7#h7 as subparagraphs 7,a7 through 7,h71 respectively1 and adjusting the margins accordingly2 7,c7 in the matter preceding subparagraph 7,a71 as so redesignated1 by striking ,with respect to and inserting the following3 7#a7 ,in general ,with respect to 2 7,d7 by striking subparagraph 7,b71 as so redesignated1 and inserting the following3 7,b7 ,research1 investigations1 experiments1 demonstrations1 and studies in the health sciences that are related to-- 7i7 the development of new tools1 including vaccines and antimicrobial drugs1 to prevent and treat tuberculosis2 7ii7 novel therapeutics for special populations1 including pediatric populations1 immunosuppressed individuals1 and pregnant women2 7iii7 the development or testing of medical diagnostics to detect tuberculosis2 7iv7 research to address the epidemiology1 mechanisms1 and pathogenesis of tuberculosis2 7v7 public health interventions to address the prevention1 treatment1 and control of tuberculosis1 such as directly observed therapy and non-pharmaceutical intervention2 7vi7 methods to enhance detection and response to outbreaks of tuberculosis1 including multidrug resistant tuberculosis2 and 7vii7 other relevant research areas4 2 7,e7 in subparagraph 7,c71 as so redesignated-- 7i7 by redesignating clause 7vi71 as so redesignated1 as clause 7vii72 7ii7 in clause 7v71 as so redesignated1 by striking 2 and and inserting 22 and 7iii7 by inserting after clause 7v71 as so redesignated1 the following3 7vi7 the intensification of efforts to prevent1 detect1 and treat latent tuberculosis2 and 2 7,f7 in subparagraph 7,d71 as so redesignated1 by inserting before the period the following3 1 including public awareness campaigns and development of educational1 risk1 and media communications42 7,g7 in subparagraph 7,f71 as so redesignated1 by striking paragraphs 7#a7 through 7#d7 and inserting subparagraphs 7,a7 through 7,d72 and 7,h7 by adding at the end the following3 7#b7 ,selection ,in carrying out the activities described in paragraph 7#a71 the ,secretary-- 7,a7 is encouraged to give priority to programmatically relevant research so that new tools can be utilized in public health practice2 and 7,b7 may seek input from the ,biomedical ,advanced ,research and ,development ,authority in identifying novel candidates to utilize in the efforts under this subsection to prevent1 diagnose1 and control tuberculosis4 2 7#c7 by redesignating subsections 7c7 through 7h7 as subsections 7d7 through 7i71 respectively2 7#d7 by inserting after subsection 7b7 the following-- 7c7 ,grants for coordination of programs and services for prevention1 diagnosis1 and treatment 7#a7 ,grants ,the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 may award grants to ,state and local governments and ,federally qualified health centers for coordinating the programs and services of such ,states1 governments1 and centers to ensure timely and appropriate prevention1 risk-based screening1 diagnosis1 and treatment of latent and active tuberculosis4 7#b7 ,definition ,in this subsection1 the term ,federally qualified health center has the meaning given to such term in section #ahfa7;aa7 of the ,social ,security ,act4 2 7#e7 in subsections 7d71 7e71 and 7f71 as so redesignated1 by striking 7a7 or 7b7 each place it appears and inserting 7a71 7b71 or 7c72 7#f7 in subsection 7g77#d71 as so redesignated1 by adding at the end the following3 7,c7 ,report to ,congress ,the ,secretary is encouraged to make the reports under subparagraph 7,a71 or other publications relevant to domestic tuberculosis surveillance1 publicly available on the internet website of the ,centers for ,disease ,control and ,prevention and to disseminate such information to stakeholders4 2 7#g7 in subsection 7h71 as so redesignated-- 7,a7 in paragraph 7#a7-- 7i7 by striking research into new tools under subsection 7b77#b7 and inserting the research1 investigations1 experiments1 demonstrations1 and studies in health science under subsection 7b77#a77;,b72 and 7ii7 by inserting ensuring access to the products developed as a result of such research1 investigations1 experiments1 demonstrations1 and studies and after advice regarding2 and 7,b7 in paragraph 7#c7-- 7i7 by redesignating subparagraphs 7,d7 and 7,e7 as subparagraphs 7,e7 and 7,f71 respectively2 and 7ii7 by inserting after subparagraph 7,c7 the following3 7,d7 members of the ,biomedical ,advanced ,research and ,development ,authority2 2 and 7#h7 in subsection 7i77#a77;,a71 as so redesignated1 by striking #bjj1jjj1jjj and all that follows through the period and inserting #adb1bjj1jjj for fiscal year #bjbj1 #aie1gjj1jjj for fiscal year #bjba1 #bbe1jjj1jjj for fiscal year #bjbb1 #bcf1bej1jjj for fiscal year #bjbc1 #bdh1jfb1ejj for fiscal year #bjbd1 and #bfj1dfe1fbe for fiscal year #bjbe44 7b7 ,,nih tuberculosis activities ,section #dbd;,c7b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhe;b-#g;c7b77 is amended by striking paragraph 7#a7 and inserting the following3 7#a7 enhancing basic1 clinical1 and operational research on tuberculosis1 including with respect to-- 7,a7 drug-resistant tuberculosis2 7,b7 infection with tuberculosis and latency and progression of tuberculosis2 and 7,c7 pediatric tuberculosis2 4 #c4 ,,gao study ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall issue a report on the coordination of efforts in the ,united ,states to-- 7#a7 prevent1 control1 and eliminate tuberculosis2 and 7#b7 implement the activities under section #cag;,e of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b-#f71 as amended by this ,act1 and the ,national ,action ,plan for ,combating ,multidrug-,resistant ,tuberculosis1 issued in ,december #bjae4