,,ii  #aag? ,,congress  #a/ ,session    
,s4 #cchf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ad1 #bjba,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 ( #bjba4  #b4
 ,f9d+s ,congress makes ! foll[+ f9d+s3 
7#a7 ,m ?an #be ye>s aft] ! ,_w ,heal?  
,organization decl>$ ,tub]culosis       
7ref]r$ to 9 ?is ,act z ,,tb7 a public  
heal? em]g5cy & call$ on c\ntries to    
make scal+ up tub]culosis control a     
priority1 ,,tb rema9s a deadly heal?    
?reat despite ! fact t ,,tb is a        
prev5table1 treatable1 & curable        
disease4  7#b7 ,9 #bjai alone1 an       
e/imat$ #aj1jjj1jjj p became ill ) ,,tb1
 #aj p]c5t ( :om 7 *ildr51 & #a1djj1jjj 
( :om di$4 ,9 ord] to a*ieve by #bjce ! 
goals ( ! ,political ,decl>ation ( !    
,high-,level ,meet+ ( ! ,g5]al ,assembly

 on ! ,fight ,aga9/ ,tub]culosis1 adopt$
 by ! ,unit$ ,nations ,g5]al ,assembly  
,octob] #aj1 #bjah1 & ( ! ,_w ,heal?    
,organization ,end ,,tb ,/rategy1 adopt$
 by ! ,_w ,heal? ,assembly 9 #bjad1 new 
tools mu/ be develop$ & made available4 
7#c7 ,ov] #a_/c ( p :o become ill ) ,,tb
 may be undiagnos$ or misdiagnos$1      
result+ 9 unnecess>y illness1           
communicable infections1 & increas$     
mortality4  7#d7 ,s9ce ,m>* #bjbj1 !    
,,covid-#ai p&emic has sev]ely disrupt$ 
,,tb responses 9 l[- & middle-income    
c\ntries1 /all+ & rev]s+ ye>s ( progress
 made aga9/ ,,tb1 ) detection dropp+ by 
#ej p]c5t & an e/imat$ #a1jjj1jjj few] p
 w be diagnos$ & enroll$ on ,,tb        
treatm5t4  7#e7 ,9 ,may #bjbj1 a model+ 
/udy conduct$ by ! ,/op ,tub]culosis    
,p>tn]%ip 7ref]r$ to 9 ?is ,act z ! ,/op
 ,,tb ,p>tn]%ip7 9 collaboration ) !    
,unit$ ,/ates ,ag5cy = ,int]national    
,developm5t 7ref]r$ to 9 ?is ,act z     
,,usaid7 & p>tn]s e/imat$ t a #c-mon?   
global lockd[n foll[$ by a protract$    

#aj-mon? re/oration c\ld lead to an     
additional #f1cjj1jjj cases ( ,,tb      
betwe5 #bjbj & #bjbe & an additional    
#a1djj1jjj ,,tb dea?s dur+ ?is p]iod1   
caus+ a setback ( at lea/ #e to #h ye>s 
9 ! fight aga9/ ,,tb4  7#f7 ,f9d+s      
releas$ by ! ,/op ,,tb ,p>tn]%ip on ,m>*
 #ah1 #bjba1 f\nd t ,,tb diagnosis &    
enrolm5t on treatm5t 9 #bjbj decl9$ by  
an e/imat$ total ( #a1jjj1jjj cases 9 #i
 c\ntries t collectively repres5t #fj   
p]c5t ( ! global ,,tb caseload1 pu%+ !  
,,tb response back to #bjjh levels 9    
t]ms ( p diagnos$ & treat$4  7#g7       
,failure to prop]ly diagnose & treat    
,,tb c lead to dea? & c exac]bate       
antimicrobial resi/ance1 a key          
contributor to ris+ cases (             
multi-drug-resi/ant tub]culosis1 &      
ext5sively drug-resi/ant tub]culosis1 & 
increas+ ! probability ( ! introduction 
( resi/ant ,,tb into new geographic     
areas4  7#h7 ,,tb programs h play$ a    
c5tral role 9 respond+ to ,,covid-#ai1  
includ+ ?r\gh lev]ag+ ! exp]tise (      

m$ical /aff ) exp]tise 9 ,,tb & lung    
diseases1 ! repurpos+ ( ,,tb hospitals1 
& ! use ( ! ,,tb rapid molecul> te/+    
plat=ms & ,x-,ray equipm5t = multiple   
purposes1 includ+ ,,covid-#ai4  7#i7 ,) 
suffici5t res\rc+1 ,,tb program         
exp]tise1 infection control1 laboratory 
capacity1 active case f9d+ & contact    
inve/igation1 c s]ve z a plat=m =       
respiratory p&emic response aga9/ exi/+ 
& new infecti\s respiratory disease )\t 
su* a response necessitat+ ! disruption 
( ongo+ ,,tb programs & activities4     
7#aj7 ,globally1 only ab\t #a_/b ( !    
#ac1jjj1jjj1jjj requir$ annually outl9$ 
9 ! ,/op ,,tb ,p>tn]%ip's ,global ,plan 
to ,end ,,tb = tub]culosis prev5tion1   
diagnosis1 & treatm5t is curr5tly       
available4  7#aa7 ,an e/imat$ additional
 #c1ejj1jjj1jjj w be ne$$ dur+ #bjba =  
,,tb programs 9 c\ntries eligible =     
,global ,fund = ,,aids1 ,tub]culosis1 & 
,mal>ia programm+ to recov] f ! negative
 impacts ( ,,covid-#ai1 ) a total annual
 gap ( at lea/ #h1jjj1jjj1jjj = ,,tb    

diagnosis1 prev5tion1 & treatm5t 9 su*  
c\ntries4  7#ab7 ,on ,septemb] #bf1     
#bjah1 ! ,unit$ ,nations conv5$ ! fir/  
,high-,level ,meet+ ( ! ,g5]al ,assembly
 on ! ,fight ,aga9/ ,tub]culosis1 at :i*
 #abj c\ntries-- 7,a7 sign$ a ,political
 ,decl>ation to accel]ate progress aga9/
 ,,tb1 includ+ commitm5ts to increase   
fund+ = ,,tb control & rese>* &         
developm5t programs1 & ambiti\s goals to
 successfully treat #dj1jjj1jjj p )     
tub]culosis & prev5t at lea/ #cj1jjj1jjj
 f becom+ ill ) ,,tb betwe5 #bjah &     
#bjbb2 &  7,b7 committ$ to end+ !       
epidemic 9 all c\ntries1 & pl$ged to    
provide lead]%ip & to "w toge!r to      
accel]ate our national & global         
collective actions1 inve/m5ts &         
innovations urg5tly to fight ?is        
prev5table & treatable disease1 z       
reflect$ 9 ,unit$ ,nations ,g5]al       
,assembly ,resolution ,a_/,,res_/#gc_/c4
  7#ac7 ,! ,unit$ ,/ates ,gov]nm5t      
cont9ues to be a lead fund] ( global    
,,tb rese>* & developm5t1 contribut+ #dd

 p]c5t ( ! total #ija1jjj1jjj 9 global  
fund+ 9 #bjai1 & c catalyze m inve/m5ts 
f o!r c\ntries4  7#ad7 ,work+ )         
gov]nm5ts & p>tn]s ar\nd ! _w1 ! ,,tb   
ef=ts by ,,usaid h sav$ #fj1jjj1jjj     
lives1 demon/rat+ ! effectiv5ess (      
,unit$ ,/ates programs & activities4    
7#ae7 ,on ,septemb] #bf1 #bjah1 !       
,,usaid ,adm9i/rator ann\nc$ a new      
p]=mance-bas$ ,global ,accel]ator to    
,end ,,tb1 aim$ at catalyz+ inve/m5ts to
 meet ! t>get set by ! ,unit$ ,nations  
,high-,level ,meet+ on tub]culosis (    
treat+ #dj1jjj1jjj p ) ! disease by     
#bjbb1 fur!r demon/rat+ ! critical role 
t ,unit$ ,/ates lead]%ip & assi/ance    
plays 9 ! fight to elim9ate ,,tb4  7#af7
 ,x is ess5tial to ensure t ef=ts among 
,unit$ ,/ates ,gov]nm5t ag5cies1 p>tn]  
nations1 int]national organizations1    
nongov]nm5tal organizations1 ! private  
sector1 & o!r actors are complem5t>y & n
 duplicative 9 ord] to a*ieve ! goal (  
end+ ! ,,tb epidemic 9 all c\ntries4    
#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 is am5d$ to read z
 foll[s3  #ajd;,b4 ,assi/ance to combat 
tub]culosis  7a7 ,f9d+s ,congress makes 
! foll[+ f9d+s3 7#a7 ,congress          
recognizes ! cont9u+ *all5ge ( !        
int]national spread ( tub]culosis1 & !  
deadly impact ( ! cont9u$ exi/5ce (     
,,tb4  7#b7 ,additional tools & res\rces
 are requir$ to effectively diagnose1   
prev5t1 & treat tub]culosis4  7#c7      
,effectively res\rc$ tub]culosis        
programs c s]ve z a critical plat=m =   
respiratory p&emic response aga9/ exi/+ 
& new infecti\s respiratory disease4    
7b7 ,policy ,x is a major objective ( ! 
=eign assi/ance program ( ! ,unit$      
,/ates to help end ! global tub]culosis 
p&emic ?r\gh actions to support !       
diagnosis & treatm5t ( all adults &     
*ildr5 ) all =ms ( tub]culosis1 & 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-- 7#a7 to support ! objectives ( 
! ,_w ,heal? ,organization ,end ,,tb    
,/rategy1 includ+ goals-- 7,a7 to r$uce 
by #ie p]c5t tub]culosis dea?s by #bjce2
  7,b7 to r$uce by #ij p]c5t !          
tub]culosis incid5ce rate by #bjce2 &   
7,c7 to r$uce by #ajj p]c5t ! numb] (   
families fac+ cata/rophic heal? co/s due
 to tub]culosis by #bjce2  7#b7 to      
support ! ,/op ,,tb ,p>tn]%ip's ,global 
,plan to ,end ,,tb #bjah-bjbb1 & any    
foll[ up plan1 includ+ support =-- 7,a7 
develop+ & us+ 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 provid+      
diagnosis & treatm5t ) ! goal (         
successfully treat+ #dj1jjj1jjj p )     
tub]culosis by #bjbb1 includ+ #c1ejj1jjj

 *ildr51 & #a1ejj1jjj p ) drug-resi/ant 
tub]culosis 9 support ( ! t>get set by !
 ,political ,decl>ation ( ! ,high-,level
 ,meet+ ( ! ,g5]al ,assembly on ! ,fight
 ,aga9/ ,tub]culosis2  7,c7 diagnos+ &  
treat+ lat5t tub]culosis infection1 9   
support ( ! global goal ( provid+       
prev5tive !rapy to at lea/ #cj1jjj1jjj  
p1 includ+ #d1jjj1jjj *ildr5 "u #e ye>s 
( age1 #bj1jjj1jjj h\sehold contacts ( p
 affect$ by tub]culosis1 & #f1jjj1jjj p 
liv+ ) ,,hiv1 by #bjbb2  7,d7 ensur+    
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,e7       
su/a9ably procur+ tub]culosis           
commodities 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 to ensure t ,unit$ 
,/ates fund+ supports activities t      
simultane\sly emphasize-- 7,a7 !        
developm5t ( compreh5sive p]son-c5t]$   

programs1 includ+ diagnosis1 treatm5t1 &
 prev5tion /rategies to ensure t-- 7i7  
all p sick ) tub]culosis receive quality
 diagnosis & treatm5t ?r\gh active case 
f9d+2 &  7ii7 p at high risk =          
tub]culosis infection are f\nd & treat$ 
) prev5tive !rapies 9 a timely mann]2   
7,b7 robu/ tub]culosis infection control
 practices are implem5t$ 9 all          
congregate sett+s1 includ+ hospitals &  
prisons2  7,c7 ! deploym5t ( diagno/ic &
 treatm5t capacity-- 7i7 9 areas ) !    
highe/ tub]culosis burd5s2 &  7ii7 =    
highly at-risk & impov]i%$ populations1 
includ+ pati5t support2  7,d7 program   
monitor+ & evaluation bas$ on critical  
tub]culosis indicators1 includ+         
indicators relat+ to infection control1 
! numb]s ( pati5ts access+ tub]culosis  
treatm5t1 along ) pati5t support        
s]vices1 & prev5tative !rapy = ^? at    
risk1 includ+ all close contacts1 &     
treatm5t outcomes = all =ms (           
tub]culosis2  7,e7 tra9+ & engagem5t (  
heal? c>e work]s on ! use ( new         

diagno/ic tools & !rapies z !y become   
available1 & increas$ support = tra9+   
frontl9e heal? c>e work]s to support    
exp&$ tub]culosis active case f9d+1     
contact trac+ & pati5t support2  7,f7   
coord9ation ) dome/ic ag5cies &         
organizations 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-- 7i7 rese>* &        
developm5t ( a vacc9e1 & on new tools = 
diagnosis & treatm5t ( tub]culosis2     
7ii7 improv+ curr5t tools = diagnosis & 
treatm5t ( tub]culosis2 &  7iii7 tra9+  
heal?c>e pr(essionals on use ( ! newe/ &
 mo/ effective diagno/ic & !rapeutic    
tools2  7,h7 ! r$uction ( b>ri]s to c>e1
 includ+ /igma & treatm5t & diagnosis   
co/s1 ?r\gh-- 7i7 tra9+ = heal? work]s2 
7ii7 s5sitiz+ ( policy mak]s2  7iii7    
requirem5ts = access & af=dability      
provisions 9 all grants & fund+         
agreem5ts2  7iv7 education & emp[]m5t   
campaigns = tub]culosis pati5ts reg>d+  

local tub]culosis s]vices2  7v7 monitor+
 b>ri]s to access+ tub]culosis s]vices2 
&  7vi7 increas$ support = pati5t-l$ &  
community-l$ tub]culosis outrea* ef=ts2 
&  7,i7 support = c\ntry-level1         
su/a9able acc\ntability me*anisms &     
capacity to measure progress & ensure t 
commitm5ts made by gov]nm5ts & relevant 
/akehold]s are met4  7c7 ,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 ,end ,,tb /rategy ,! t]m ,end ,,tb 
,/rategy means ! /rategy to elim9ate    
tub]culosis t 0 approv$ by ! ,_w ,heal? 
,assembly 9 ,may #bjad1 & is describ$ 9 
,! ,end ,,tb ,/rategy3 ,global /rategy &
 t>gets = tub]culosis prev5tion1 c>e &  
control aft] #bjae4  7#c7 ,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#d7 ,global tub]culosis drug facility  
,! t]m ,global ,tub]culosis ,drug       
,facility 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#e7 ,,mdr-,,tb ,! t]m     
,,mdr-,,tb means multi-drug-resi/ant    
tub]culosis4  7#f7 ,/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    
tub]culosis burd5 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  7#g7 ,,xdr-,,tb ,! t]m 
,,xdr-,,tb means ext5sively             
drug-resi/ant tub]culosis4  7d7         
,au?orization ,to c>ry out ?is section1 

! ,presid5t is au?oriz$1 consi/5t )     
section #ajd7;c71 to furni% assi/ance1  
on su* t]ms & conditions z ! ,presid5t  
may det]m9e1 = ! prev5tion1 treatm5t1   
control1 & elim9ation ( tub]culosis4    
7e7 ,goals ,9 consultation ) !          
appropriate congressional committees1 ! 
,presid5t %all e/abli% goals1 bas$ on ! 
policy & indicators describ$ 9          
subsection 7b71 = ,unit$ ,/ates         
tub]culosis programs to detect1 cure &  
prev5t all =ms ( tub]culosis globally = 
! p]iod betwe5 #bjbc & #bjcj t is align$
 ) ! ,end ,,tb ,/rategy's #bjcj t>gets1 
by updat+ ! ,unit$ ,/ates ,gov]nm5t     
,tub]culosis ,/rategy 7#bjae-bjai7 & !  
,national ,action ,plan = ,combat+      
,multidrug-,resi/ant ,tub]culosis4  7f7 
,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 global 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  
catalyze support = rese>* & developm5t (
 new tools to prev5t1 diagnose1 treat1 &
 control tub]culosis worldwide1         
p>ticul>ly to r$uce ! incid5ce (1 &     
mortality f1 all =ms ( drug-resi/ant    
tub]culosis2  7,b7 ensure ,unit$ ,/ates 
programs & activities aim$ at rea*+ ^?  
infect$ ) tub]culosis provide quality   
diagnosis & treatm5t1 & rea* ^? at high 
risk ) prev5tive !rapy2 &  7,c7 ensure  
coord9ation among relevant ,unit$ ,/ates
 ,gov]nm5t ag5cies1 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 7?r\gh
 its ,congressionally ,direct$ ,m$ical  

,rese>* ,program71 & o!r ,f$]al ag5cies 
t engage 9 int]national tub]culosis     
activities to ensure acc\ntability &    
transp>5cy1 r$uce duplication ( ef=ts & 
ensure appropriate integration &        
coord9ation ( tub]culosis s]vices into  
o!r ,unit$ ,/ates-support$ heal?        
programs4  7g7 ,priority ,to ,end ,,tb  
,/rategy ,9 furni%+ assi/ance "u        
subsection 7d71 ! ,presid5t %all give   
priority to-- 7#a7 build+ & /r5g!n+     
tub]culosis programs to diagnose & treat
 all p sick ) ,,tb1 & ensur+ ev]yone :o 
is sick ) tub]culosis h access to       
quality diagnosis & treatm5t2  7#b7     
direct1 high-quality integrat$ s]vices =
 all =ms ( tub]culosis1 z describ$ by ! 
,_w ,heal? ,organization1 :i* call = !  
coord9ation ( active case f9d+1 treatm5t
 ( all =ms ( tub]culosis disease &      
infection1 pati5t support1 & tub]culosis
 prev5tion2  7#c7 individuals co-infect$
 ) ,,hiv & o!r co-morbidities1 & o!r    
individuals ) tub]culosis :o may be at  
risk ( /igma2  7#d7 /r5g!n+ ! capacity (

 heal? sy/ems to detect1 prev5t1 & treat
 tub]culosis1 includ+ ,,mdr-,,tb &      
,,xdr-,,tb1 z describ$ 9 ! ,int]national
 ,/&>ds = ,tub]culosis ,c>e1 & ! late/  
int]national guidance relat$ to         
tub]culosis2  7#e7 rese>* & developm5t (
 innovative diagno/ics1 drug !rapies1 & 
vacc9es1 & program-bas$ op]ational      
rese>*2  7#f7 ! ,/op ,tub]culosis       
,p>tn]%ip's ,global ,drug ,facility1 & !
 ,global ,alliance = ,tub]culosis ,drug 
,developm5t1 & o!r organizations promot+
 ! developm5t ( new products & drugs =  
tub]culosis2 &  7#g7 ensur+ tub]culosis 
programs c s]ve z key plat=ms = support+
 national respiratory p&emic response   
aga9/ exi/+ & new infecti\s respiratory 
disease4  7h7 ,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 burd5s or rates (       
tub]culosis & o!r affect$ c\ntries to   
implem5t ! ,end ,,tb ,/rategy1 ! ,/op   
,,tb ,global ,plan to ,end ,,tb1 _! own 
national /rategies & plans1 o!r global  
ef=ts to control ,,mdr-,,tb &           
,,xdr-,,tb4  7i7 ,annual report on      
tub]culosis activities ,n lat] ?an      
,decemb] #ae ( ea* ye> until ! goals    
specifi$ 9 subsection 7b77#a7 are met1 !
 ,presid5t %all submit an annual report 
to ! appropriate congressional          
committees t describes ,unit$ ,/ates    
=eign assi/ance to control tub]culosis &
 ! impact ( su* ef=ts1 includ+-- 7#a7 ! 
numb] ( individuals ) active tub]culosis
 disease t 7 diagnos$ & treat$1 includ+ 
! rate ( treatm5t completion & ! numb]  
receiv+ pati5t support2  7#b7 ! numb] ( 
p]sons ) ,,mdr-,,tb & ,,xdr-,,tb t 7    
diagnos$ & treat$1 includ+ ! rate (     
completion1 9 c\ntries receiv+ ,unit$   
,/ates bilat]al =eign assi/ance =       
tub]culosis control programs2  7#c7 !   

numb]s ( p tra9$ by ! ,unit$ ,/ates     
,gov]nm5t 9 tub]culosis surveillance &  
control2  7#d7 ! numb] ( individuals )  
active ,,tb disease id5tifi$ z a result 
( engagem5t ) ! private sector & o!r    
nongov]nm5tal p>tn]s 9 c\ntries receiv+ 
,unit$ ,/ates bilat]al =eign assi/ance =
 tub]culosis control programs2  7#e7 a  
description ( ! collaboration &         
coord9ation ( ,unit$ ,/ates             
anti-tub]culosis ef=ts ) ! ,_w ,heal?   
,organization1 ! ,/op ,,tb ,p>tn]%ip1 ! 
,global ,fund to ,fight ,,aids1         
,tub]culosis & ,mal>ia1 & o!r major     
public & private entities2  7#f7 a      
description ( ! collaboration &         
coord9ation among ! ,unit$ ,/ates ,ag5cy
 = ,int]national ,developm5t & o!r      
,unit$ ,/ates ag5cies1 includ+ ! ,c5t]s 
= ,disease ,control & ,prev5tion & !    
,(fice ( ! ,global ,,aids ,coord9ator1 =
 ! purposes ( combat+ tub]culosis2  7#g7
 ! con/ra9ts on implem5tation ( programs
 pos$ by heal? work=ce %ortages1 heal?  
sy/em limitations1 o!r compon5ts (      

successful implem5tation1 & /rategies to
 address su* con/ra9ts2  7#h7 a breakd[n
 ( exp5ditures = pati5t s]vices support+
 ,,tb diagnosis1 treatm5t1 & prev5tion1 
includ+ procurem5t ( drugs & o!r        
commodities1 drug managem5t1 tra9+ 9    
diagnosis & treatm5t1 heal? sy/ems      
/r5g!n+ t directly impacts provision (  
,,tb s]vices1 & rese>*2 &  7#i7 = 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 t h adopt$
 ! late/ ,_w ,heal? ,organization       
guidel9es on /r5g!n+ surveillance sy/ems
 & prev5tative1 diagno/ic1 & !rapeutic  
me?ods1 includ+ ! use ( rapid diagno/ic 
te/s & orally adm9i/]$ tub]culosis      
treatm5t regim5s2  7,b7 ! numb] ( adults

 & *ildr5 receiv+ tub]culosis prev5tive 
!rapy1 includ+ p ) ,,hiv & all close    
contacts1 disaggregat$ by sex &1 z      
possible1 income or weal? qu9tile1 & !  
e/abli%m5t ( effective tub]culosis      
infection control 9 all relevant        
congregant sett+s1 includ+ hospitals1   
cl9ics1 & prisons2  7,c7 a description (
 progress 9 implem5t+ measures to r$uce 
tub]culosis incid5ce1 includ+ actions-- 
7i7 to exp& active case f9d+ & contact  
trac+ to id5tify & rea* vuln]able gr\ps2
 &  7ii7 to exp& tub]culosis prev5tive  
!rapy1 engagem5t ( ! private sector1 &  
diagno/ic capacity2  7,d7 a description 
( progress to exp& diagnosis1 prev5tion1
 & treatm5t = all =ms ( tub]culosis1    
includ+ 9 pregnant wom51 *ildr51 & o!r  
high-risk individuals & gr\ps at great] 
risk ( ,,tb1 includ+ migrants1 prison]s1
 m9]s1 p expos$ to silica1 & p liv+ )   
,,hiv_/,,aids1 disaggregat$ by sex2     
7,e7 ! rate ( successful completion (   
tub]culosis treatm5t = adults & *ildr51 
disaggregat$ by sex1 & ! numb] (        

individuals receiv+ support = treatm5t  
completion2  7,f7 ! 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,g7 a description (   
tub]culosis commodity procurem5t        
*all5ges1 includ+ %ortages1 /ock\ts1 or 
fail$ t5d]s = tub]culosis drugs or o!r  
commodities2  7,h7 ! 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,i7 ! numb] ( p tra9$ by !   
,unit$ ,/ates ,gov]nm5t to deliv]       
high-quality tub]culosis surveillance1  
laboratory s]vices1 prev5tion1 treatm5t1
 & c>e2  7,j7 a description ( h[        
support$ activities are coord9at$ )--   
7i7 c\ntry national ,,tb plans &        
/rategies2 &  7ii7 tub]culosis control  

ef=ts support$ by ! ,global ,fund to    
,fight ,,aids1 ,tub]culosis1 & ,mal>ia1 
& o!r int]national assi/ance funds1     
includ+ 9 ! areas ( program developm5t &
 implem5tation2 &  7,k7 = ! fir/ #c ye>s
 ( ! report requir$ "u ?is subsection1 a
 section t describes ! progress 9       
recov]+ f ! negative impact (           
,,covid-#ai on tub]culosis1 includ+ :e!r
 !re has be5 ! developm5t &             
implem5tation ( a compreh5sive plan to  
ensure tub]culosis activities recov] f  
div]sion ( res\rces1 ! cont9u$ use (    
bidirectional ,,tb-,,covid te/+1 &      
progress on increas$ diagnosis &        
treatm5t ( active tub]culosis4  7j7     
,annual report on tub]culosis rese>* &  
developm5t ,! ,presid5t1 act+ ?r\gh !   
,adm9i/rator ( ! ,unit$ ,/ates ,ag5cy = 
,int]national ,developm5t1 & 9          
coord9ation ) ! ,national ,in/itutes (  
,heal?1 ! ,c5t]s = ,disease ,control &  
,prev5tion1 ! ,biom$ical ,advanc$       
,rese>* & ,developm5t ,au?ority1 ! ,food
 & ,drug ,adm9i/ration1 ! ,national     

,sci5ce ,f\ndation1 & ! ,(fice ( !      
,global ,,aids ,coord9ator1 %all submit 
an annual report to ,congress t-- 7#a7  
describes curr5t progress & *all5ges to 
! developm5t ( new tools = ! purpose (  
tub]culosis prev5tion1 treatm5t1 &      
control2  7#b7 id5tifies critical gaps &
 em]g+ priorities = rese>* & developm5t1
 includ+ = rapid & po9t-(-c>e           
diagno/ics1 %ort5$ treatm5ts & prev5tion
 me?ods1 & vacc9es2 &  7#c7 describes   
rese>* inve/m5ts by type1 fund$         
entities1 & level ( inve/m5t4  7k7      
,evaluation report ,n lat] ?an #b ye>s  
aft] ! date ( ! enactm5t ( ! ,end       
,tub]culosis ,n[ ,act ( #bjba1 & e #e   
ye>s !reaft] until #bjcf1 ! ,comptroll] 
,g5]al ( ! ,unit$ ,/ates %all submit a  
report to ! appropriate congressional   
committees 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  4