,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #hcd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ad1 #bjai,mr4    
,br[n introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to enhance ! national      
/rategy = combat+ & elim9at+            
tub]culosis1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,compreh5sive ,,tb ,elim9ation ,act (   
#bjai4  #b4 ,national /rategy = combat+ 
& elim9at+ tub]culosis  7a7 ,9 g5]al    
,section #cag;,e ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#f7  
is am5d$-- 7#a7 9 subsection 7a7--  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 may 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 inc>c]at$1
 ,,hiv-tub]culosis co9fect$1 & m$ically 
und]s]v$ populations4  2  7#b7 9        
subsection 7b7-- 7,a7 9 p>agraph 7#c7-- 
7i7 9 subp>agraph 7,c71 by r$esignat+   
clauses 7i7 & 7ii7 z subclauses 7,i7 &  
7,,ii71 respectively1 & adju/+ ! m>g9s  
accord+ly2 &  7ii7 by r$esignat+        
subp>agraphs 7,a7 ?r\gh 7,f7 z clauses  
7i7 ?r\gh 7vi71 respectively1 & adju/+ !
 m>g9s accord+ly2  7,b7 by r$esignat+   
p>agraphs 7#a7 ?r\gh 7#h7 z subp>agraphs
 7,a7 ?r\gh 7,h71 respectively1 & adju/+
 ! m>g9s accord+ly2  7,c7 9 ! matt]     
prec$+ subp>agraph 7,a71 z s r$esignat$1
 by /rik+ ,) respect to & ins]t+ !      
foll[+3  7#a7 ,9 g5]al ,) respect to  2 
7,d7 by /rik+ subp>agraph 7,b71 z s     
r$esignat$1 & ins]t+ ! foll[+3  7,b7    
,rese>*1 inve/igations1 exp]im5ts1      
demon/rations1 & /udies 9 ! heal?       
sci5ces t are relat$ to--  7i7 !        
developm5t ( new tools1 includ+ vacc9es 
& antimicrobial drugs1 to prev5t & treat

 tub]culosis2  7ii7 novel !rapeutics =  
special populations1 includ+ p$iatric   
populations1 immunosuppress$            
individuals1 & pregnant wom52  7iii7 !  
developm5t or te/+ ( m$ical diagno/ics  
to detect tub]culosis2  7iv7 rese>* to  
address ! epidemiology1 me*anisms1 &    
pa?og5esis ( tub]culosis2  7v7 public   
heal? int]v5tions to address !          
prev5tion1 treatm5t1 & control (        
tub]culosis1 su* z directly obs]v$ !rapy
 & non-ph>maceutical int]v5tion2  7vi7  
me?ods to enhance detection & response  
to outbreaks ( tub]culosis1 includ+     
multidrug resi/ant tub]culosis2 &  7vii7
 o!r relevant rese>* areas4  2  7,e7 9  
subp>agraph 7,c71 z s r$esignat$--  7i7 
by r$esignat+ clause 7vi71 z s          
r$esignat$1 z clause 7vii72  7ii7 9     
clause 7v71 z s r$esignat$1 by /rik+ 2 &
 & ins]t+ 22 &  7iii7 by ins]t+ aft]    
clause 7v71 z s r$esignat$1 ! foll[+3   
7vi7 ! int5sification ( ef=ts to prev5t1
 detect1 & treat lat5t tub]culosis2 &  2
  7,f7 9 subp>agraph 7,d71 z s          

r$esignat$1 by ins]t+ be=e ! p]iod !    
foll[+3 1 includ+ public aw>5ess        
campaigns & developm5t ( educational1   
risk1 & m$ia communications42  7,g7 9   
subp>agraph 7,f71 z s r$esignat$1 by    
/rik+ p>agraphs 7#a7 ?r\gh 7#d7 & ins]t+
 subp>agraphs 7,a7 ?r\gh 7,d72 &  7,h7  
by add+ at ! end ! foll[+3  7#b7        
,selection ,9 c>ry+ out ! activities    
describ$ 9 p>agraph 7#a71 ! ,secret>y-- 
7,a7 is enc\rag$ to give priority to    
programmatically relevant rese>* s t new
 tools c be utiliz$ 9 public heal?      
practice2 &  7,b7 may seek input f !    
,biom$ical ,advanc$ ,rese>* &           
,developm5t ,au?ority 9 id5tify+ novel  
c&idates to utilize 9 ! ef=ts "u ?is    
subsection to prev5t1 diagnose1 &       
control tub]culosis4  2  7#c7 by        
r$esignat+ subsections 7c7 ?r\gh 7h7 z  
subsections 7d7 ?r\gh 7i71 respectively2
  7#d7 by ins]t+ aft] subsection 7b7 !  
foll[+--  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* ,/ates1 gov]nm5ts1 & c5t]s
 to ensure timely & appropriate         
prev5tion1 risk-bas$ scre5+1 diagnosis1 
& treatm5t ( lat5t & active 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  
2  7#e7 9 subsections 7d71 7e71 & 7f71 z
 s r$esignat$1 by /rik+ 7a7 or 7b7 ea*  
place x appe>s & ins]t+ 7a71 7b71 or    
7c72  7#f7 9 subsection 7g77#d71 z s    
r$esignat$1 by add+ at ! end ! foll[+3  
7,c7 ,report to ,congress ,! ,secret>y  
is enc\rag$ to make ! reports "u        
subp>agraph 7,a71 or o!r publications   
relevant to dome/ic tub]culosis         
surveillance1 publicly available on !   
int]net website ( ! ,c5t]s = ,disease   
,control & ,prev5tion & to dissem9ate   

su* in=mation to /akehold]s4  2  7#g7 9 
subsection 7h71 z s r$esignat$-- 7,a7 9 
p>agraph 7#a7--  7i7 by /rik+ rese>*    
into new tools "u subsection 7b77#b7 &  
ins]t+ ! rese>*1 inve/igations1         
exp]im5ts1 demon/rations1 & /udies 9    
heal? sci5ce "u subsection 7b77#a77;,b72
 &  7ii7 by ins]t+ ensur+ access to !   
products develop$ z a result ( su*      
rese>*1 inve/igations1 exp]im5ts1       
demon/rations1 & /udies & aft] advice   
reg>d+2 &  7,b7 9 p>agraph 7#c7-- 7i7 by
 r$esignat+ subp>agraphs 7,d7 & 7,e7 z  
subp>agraphs 7,e7 & 7,f71 respectively2 
&  7ii7 by ins]t+ aft] subp>agraph 7,c7 
! foll[+3  7,d7 memb]s ( ! ,biom$ical   
,advanc$ ,rese>* & ,developm5t          
,au?ority2  2 &  7#h7 9 subsection      
7i77#a77;,a71 z s r$esignat$1 by /rik+  
#bjj1jjj1jjj & all t foll[s ?r\gh !     
p]iod & ins]t+ #adb1bjj1jjj = fiscal ye>
 #bjbj1 #aie1gjj1jjj = fiscal ye> #bjba1
 #bbe1jjj1jjj = fiscal ye> #bjbb1       
#bcf1bej1jjj = fiscal ye> #bjbc1        
#bdh1jfb1ejj = fiscal ye> #bjbd1 &      

#bfj1dfe1fbe = fiscal ye> #bjbe44  7b7  
,,nih tub]culosis activities ,section   
#dbd;,c7b7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bhe;b-#g;c7b77 is  
am5d$ by /rik+ p>agraph 7#a7 & ins]t+ ! 
foll[+3  7#a7 enhanc+ basic1 cl9ical1 & 
op]ational rese>* on tub]culosis1       
includ+ ) respect to--  7,a7            
drug-resi/ant tub]culosis2  7,b7        
infection ) tub]culosis & lat5cy &      
progression ( tub]culosis2 &  7,c7      
p$iatric tub]culosis2  4  #c4 ,,gao /udy
 ,n lat] ?an #b ye>s aft] ! date (      
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all issue a   
report on ! coord9ation ( ef=ts 9 !     
,unit$ ,/ates to--  7#a7 prev5t1        
control1 & elim9ate tub]culosis2 &  7#b7
 implem5t ! activities "u section       
#cag;,e ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bdg;b-#f71 z am5d$ by   
?is ,act1 & ! ,national ,action ,plan = 
,combat+ ,multidrug-,resi/ant           
,tub]culosis1 issu$ 9 ,decemb] #bjae4