,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bhh  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #g1 #bjbc,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 ( #bjbc4  #b4
 ,f9d+s ,congress makes ! foll[+ f9d+s3 
7#a7 ,tub]culosis 7ref]r$ to 9 ! ,act z 
,,tb7 is a prev5table1 treatable1 &     
curable disease1 yet m ?an #be ye>s aft]
 ! ,_w ,heal? ,organization decl>$ x to 
be a public heal? em]g5cy & call$ on    
c\ntries to make scal+ up ,,tb control a
 priority1 ,,tb rema9s a deadly heal?   
?reat4  7#b7 ,9 #bjba alone1 an e/imat$ 
#aj1fjj1jjj p became ill ) ,,tb1 #aa    
p]c5t ( :om 7 *ildr51 & an e/imat$      
#a1fjj1jjj ( ^! p di$ f ! illness4 ,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 & exi/+   
tools mu/ be develop$ & scal$-up4  7#c7 
,m ?an #a_/c ( p :o become ill ) ,,tb   
may be undiagnos$ 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/ ,,tb4 ,accord+ to ! ,_w     
,heal? ,organization1 f #bjai to #bjbj--
 7,a7 global detection ( ,,tb dropp$ by 
#ah p]c5t2  7,b7 an e/imat$ #a1cjj1jjj  
few] p 7 diagnos$ & enroll$ on ,,tb     
treatm5t2 &  7,c7 9 "s c\ntries1 ,,tb   
case notifications dropp$ by up to #da  
p]c5t1 sett+ progress back by up to #ab 
ye>s4  7#e7 ,failure to prop]ly diagnose
 & treat ,,tb c lead to dea?1 c         
exac]bate antimicrobial resi/ance 7a key

 contributor to ris+ cases (            
multi-drug-resi/ant ,,tb & ext5sively   
drug-resi/ant ,,tb71 & c increase !     
probability ( ! introduction ( resi/ant 
,,tb into new geographic areas4  7#f7   
,,tb programs h play$ a c5tral role 9   
respond+ to ,,covid-#ai1 includ+ ?r\gh  
lev]ag+ ! exp]tise ( m$ical /aff )      
exp]tise 9 ,,tb & lung diseases1 !      
repurpos+ ( ,,tb hospitals1 & ! use ( ! 
,,tb rapid molecul> te/+ plat=ms & x-ray
 equipm5t = multiple purposes1 includ+ !
 treatm5t ( ,,covid-#ai4  7#g7 ,)       
suffici5t res\rc+1 ,,tb program         
exp]tise1 infection control1 laboratory 
capacity1 active case f9d+1 & contact   
inve/igation c s]ve z plat=ms =         
respiratory p&emic response aga9/ exi/+ 
& new infecti\s respiratory disease )\t 
disrupt+ ongo+ ,,tb programs &          
activities4  7#h7 ,globally1 only ab\t  
#a_/b ( ! #ac1jjj1jjj1jjj requir$       
annually1 z outl9$ 9 ! ,/op ,,tb        
,p>tn]%ip's ,global ,plan to ,end ,,tb1 
is curr5tly available4  7#i7 ,accord+ to

 e/imates by ! ,global ,fund = ,,aids1  
,tub]culosis1 & ,mal>ia1 an additional  
#c1ejj1jjj1jjj 0 ne$$ dur+ #bjba = ,,tb 
programs 9 eligible c\ntries 9 ord] to  
recov] f ! negative impacts (           
,,covid-#ai4  7#aj7 ,on ,septemb] #bf1  
#bjah1 ! ,unit$ ,nations conv5$ ! fir/  
,high-,level ,meet+ ( ! ,g5]al ,assembly
 on ! ,fight ,aga9/ ,tub]culosis1 dur+  
:i* #abj c\ntries-- 7,a7 sign$ a        
,political ,decl>ation to accel]ate     
progress aga9/ ,,tb1 includ+ ?r\gh      
commitm5ts to increase fund+ = ,,tb     
prev5tion1 diagnosis1 treatm5t1 & rese>*
 & developm5t programs1 & to set        
ambiti\s goals to successfully treat    
#dj1jjj1jjj p ) active ,,tb & 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 #gc_/c4  7#aa7 ,! 
,unit$ ,/ates ,gov]nm5t cont9ues to be a
 lead fund] ( global ,,tb rese>* &      
developm5t1 contribut+ #dd p]c5t ( !    
total #iae1jjj1jjj 9 global fund+ 9     
#bjbj1 & c catalyze m inve/m5ts f o!r   
c\ntries4  7#ab7 ,work+ ) gov]nm5ts &   
p>tn]s ar\nd ! _w1 ,,usaid's ,,tb       
programm+ has sav$ an e/imat$           
#gd1jjj1jjj lives1 demon/rat+ !         
effectiv5ess ( ,unit$ ,/ates programs & 
activities aga9/ ! illness4  7#ac7 ,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 ! treatm5t
 t>get set by ! ,unit$ ,nations         
,high-,level ,meet+1 fur!r demon/rat+ ! 
critical role t ,unit$ ,/ates lead]%ip &
 assi/ance plays 9 ! fight to elim9ate  
,,tb4  7#ad7 ,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 assi/ance to combat    
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 ,! int]national    
spread ( tub]culosis 7ref]r$ to 9 ?is   
section z ,,tb7 & ! deadly impact (     
,,tb's cont9u$ exi/5ce con/itutes a     
cont9u+ *all5ge4  7#b7 ,additional tools
 & res\rces are requir$ to effectively  
diagnose1 prev5t1 & treat ,,tb4  7#c7   
,effectively res\rc$ ,,tb programs c    
s]ve z a critical plat=m = prev5t+ &    
respond+ to future infecti\s respiratory
 disease p&emics4  7b7 ,policy  7#a7 ,9 
g5]al ,x is a major objective ( ! =eign 
assi/ance program ( ! ,unit$ ,/ates to  
help end ! ,,tb public heal? em]g5cy    
?r\gh accel]at$ actions-- 7,a7 to       

support ! diagnosis & treatm5t ( all    
adults & *ildr5 ) all =ms ( ,,tb2 &     
7,b7 to prev5t new ,,tb infections f    
occurr+4  7#b7 ,support = global plans &
 objectives ,9 c\ntries 9 :i* ! ,unit$  
,/ates ,gov]nm5t has e/abli%$ =eign     
assi/ance programs "u ?is ,act1         
p>ticul>ly 9 c\ntries ) ! highe/ burd5 (
 ,,tb & o!r c\ntries ) high rates (     
infection & transmission ( ,,tb1 x is ! 
policy ( ! ,unit$ ,/ates-- 7,a7 to      
support ! objectives ( ! ,_w ,heal?     
,organization ,end ,,tb ,/rategy1       
includ+ its goals-- 7i7 to r$uce ,,tb   
dea?s by #ie p]c5t by #bjce2  7ii7 to   
r$uce ! ,,tb incid5ce rate by #ij p]c5t 
by #bjce2 &  7iii7 to r$uce ! numb] (   
families fac+ cata/rophic heal? co/s due
 to ,,tb by #ajj p]c5t by #bjce2  7,b7  
to support ! ,/op ,,tb ,p>tn]%ip's      
,global ,plan to ,end ,,tb #bjbc-bjcj1  
includ+ by provid+ support =-- 7i7      
develop+ & us+ innovative new           
te*nologies & !rapies to increase active
 case f9d+ & rapidly diagnose & treat   

*ildr5 & adults ) all =ms ( ,,tb1       
alleviate suff]+1 & ensure ,,tb treatm5t
 completion2  7ii7 exp&+ diagnosis &    
treatm5t 9 l9e ) ! goals e/abli%$ by !  
,political ,decl>ation ( ! ,high-,level 
,meet+ ( ! ,g5]al ,assembly on ! ,fight 
,aga9/ ,tub]culosis1 includ+-- 7,i7     
successfully treat+ #dj1jjj1jjj p )     
active ,,tb by #bjbc1 includ+ #c1ejj1jjj
 *ildr51 & #a1ejj1jjj p ) drug-resi/ant 
,,tb2 &  7,,ii7 diagnos+ & treat+ lat5t 
tub]culosis infection1 9 support ( !    
global goal ( provid+ prev5tive !rapy to
 at lea/ #cj1jjj1jjj p by #bjbc1 includ+
 #d1jjj1jjj *ildr5 y\ng] ?an #e ye>s (  
age1 #bj1jjj1jjj h\sehold contacts ( p  
affect$ by ,,tb1 & #f1jjj1jjj p liv+ )  
,,hiv2  7iii7 ensur+ high-quality ,,tb  
c>e by clos+ gaps 9 c>e cascades1       
implem5t+ cont9u\s quality improvem5t at
 all levels ( c>e1 & provid+ relat$     
pati5t support2 &  7iv7 su/a9able       
procurem5ts ( ,,tb commodities to avoid 
int]ruptions 9 supply1 ! procurem5t (   
commodities ( unkn[n quality1 or paym5t 

( excessive commodity co/s 9 c\ntries   
impact$ by ,,tb2 &  7,c7 to ensure1 to !
 greate/ ext5t practicable1 t ,unit$    
,/ates fund+ supports activities t      
simultane\sly emphasize-- 7i7 !         
developm5t ( compreh5sive p]son-c5t]$   
programs1 includ+ diagnosis1 treatm5t1 &
 prev5tion /rategies to ensure t-- 7,i7 
all p sick ) ,,tb receive quality       
diagnosis & treatm5t ?r\gh active case  
f9d+2 &  7,,ii7 p at high risk = ,,tb   
infection are f\nd & treat$ ) prev5tive 
!rapies 9 a timely mann]2  7ii7 robu/   
,,tb infection control practices are    
implem5t$ 9 all congregate sett+s1      
includ+ hospitals & prisons2  7iii7 !   
deploym5t ( diagno/ic & treatm5t        
capacity-- 7,i7 9 areas ) ! highe/ ,,tb 
burd5s2 &  7,,ii7 = highly at-risk &    
impov]i%$ populations1 includ+ pati5t   
support s]vices2  7iv7 program monitor+ 
& evaluation bas$ on critical ,,tb      
indicators1 includ+ indicators relat+ to
 infection control1 ! numb]s ( pati5ts  
access+ ,,tb treatm5t & pati5t support  

s]vices1 & prev5tative !rapy = ^? at    
risk1 includ+ all close contacts1 &     
treatm5t outcomes = all =ms ( ,,tb2  7v7
 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&$ ,,tb active case f9d+1    
contact trac+1 & pati5t support s]vices2
  7vi7 coord9ation ) dome/ic ag5cies &  
organizations to support an aggressive  
rese>* ag5da to develop vacc9es z well z
 new tools to diagnose1 treat1 & prev5t 
,,tb globally2  7vii7 l9kages ) !       
private sector on-- 7,i7 rese>* &       
developm5t ( a vacc9e1 & on new tools = 
diagnosis & treatm5t ( ,,tb2  7,,ii7    
improv+ curr5t tools = diagnosis &      
treatm5t ( ,,tb1 includ+ teleheal?      
solutions = prev5tion & treatm5t2 &     
7,,iii7 tra9+ heal?c>e pr(essionals on  
use ( ! newe/ & mo/ effective diagno/ic 
& !rapeutic tools2  7viii7 ! r$uction ( 
b>ri]s to c>e1 includ+ /igma & treatm5t 
& diagnosis co/s1 includ+ ?r\gh-- 7,i7  

tra9+ heal? work]s2  7,,ii7 s5sitiz+    
policy mak]s2  7,,iii7 requir+ t all    
relevant grants & fund+ agreem5ts       
include access & af=dability provisions2
  7,,iv7 support+ education & emp[]m5t  
campaigns = ,,tb pati5ts reg>d+ local   
,,tb s]vices2  7,v7 monitor+ b>ri]s to  
access+ ,,tb s]vices2 &  7,,vi7 increas+
 support = pati5t-l$ & community-l$ ,,tb
 outrea* ef=ts2  7ix7 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 met2 &  7x7  
support = ! integration ( ,,tb          
diagnosis1 treatm5t1 & prev5tion        
activities into prim>y heal? c>e1 z     
appropriate4  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 ,,tb 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 ,,tb4  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$1 af=dable1 quality-assur$ ,,tb  
drugs & diagno/ics4  7#e7 ,,mdr-,,tb ,! 
t]m ,,mdr-,,tb means multi-drug-resi/ant
 ,,tb4  7#f7 ,/op tub]culosis p>tn]%ip  
,! t]m ,/op ,tub]culosis ,p>tn]%ip means
 ! p>tn]%ip ( #a1fjj organizations      
7includ+ int]national & te*nical        
organizations1 gov]nm5t programs1 rese>*
 & fund+ ag5cies1 f\ndations1           

nongov]nm5tal organizations1 civil      
society & community gr\ps1 & ! private  
sector71 donors1 includ+ ! ,unit$       
,/ates1 high ,,tb burd5 c\ntries1       
multilat]al ag5cies1 & nongov]nm5tal &  
te*nical ag5cies1 :i* is gov]n$ by !    
,/op ,,tb ,p>tn]%ip ,coord9at+ ,bo>d &  
ho/$ by a ,unit$ ,nations entity1       
committ$ to %ort- & long-t]m measures   
requir$ to control & ev5tually elim9ate 
,,tb z a public heal? problem 9 ! _w4   
7#g7 ,,xdr-,,tb ,! t]m ,,xdr-,,tb means 
ext5sively drug-resi/ant ,,tb4  7d7     
,au?orization ,to c>ry out ?is section1 
! ,presid5t is au?oriz$1 consi/5t )     
section #ajd7;c71 to furni% assi/ance1  
on su* t]ms & conditions z ! ,presid5t  
may det]m9e1 = ! prev5tion1 treatm5t1   
control1 & elim9ation ( ,,tb4  7e7      
,goals ,9 consultation ) ! appropriate  
congressional committees1 ! ,presid5t   
%all e/abli% goals1 bas$ on ! policy &  
indicators describ$ 9 subsection 7b71   
=-- 7#a7 ,unit$ ,/ates ,,tb programs to 
detect1 cure1 & prev5t all =ms ( ,,tb   

globally = ! p]iod betwe5 #bjbc & #bjcj 
t are align$ ) ! ,end ,,tb ,/rategy's   
#bjcj t>gets & ! ,,usaid's ,global      
,tub]culosis 7,,tb7 ,/rategy #bjbc-bjcj2
 &  7#b7 updat+ ! ,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 
,,tb 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 ,,tb worldwide1 p>ticul>ly to 
r$uce ! incid5ce (1 & mortality f1 all  
=ms ( drug-resi/ant ,,tb2  7,b7 ensure  
,unit$ ,/ates programs & activities     

focus on f9d+ individuals ) active ,,tb 
disease & provide quality diagnosis &   
treatm5t1 includ+ ?r\gh digital heal?   
solutions1 & rea*+ ^? at high risk )    
prev5tive !rapy2 &  7,c7 ensure         
coord9ation among relevant ,unit$ ,/ates
 ,gov]nm5t ag5cies1 includ+ ! ,dep>tm5t 
( ,/ate1 ! ,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$ical  
,rese>* ,programs71 & o!r relevant      
,f$]al dep>tm5ts & ag5cies t engage 9   
int]national ,,tb activities-- 7i7 to   
ensure acc\ntability & transp>5cy2  7ii7
 to r$uce duplication ( ef=ts2 &  7iii7 
to ensure appropriate integration &     
coord9ation ( ,,tb s]vices into o!r     
,unit$ ,/ates-support$ heal? programs4  
7g7 ,priority ,to ,end ,,tb /rategy ,9  
furni%+ assi/ance "u subsection 7d71 !  
,presid5t %all prioritize-- 7#a7 build+ 

& /r5g!n+ ,,tb programs-- 7,a7 to       
increase ! diagnosis & treatm5t (       
ev]yone :o is sick ) ,,tb2 &  7,b7 to   
ensure t su* individuals h access to    
quality diagnosis & treatm5t2  7#b7     
direct1 high-quality integrat$ s]vices =
 all =ms ( ,,tb1 z describ$ by ! ,_w    
,heal? ,organization1 :i* call = !      
coord9ation ( active case f9d+1 treatm5t
 ( all =ms ( ,,tb disease & infection1  
pati5t support1 & ,,tb prev5tion2  7#c7 
treat+ individuals co-infect$ ) ,,hiv & 
o!r co-morbidities1 & o!r individuals ) 
,,tb :o may be at risk ( /igma2  7#d7   
/r5g!n+ ! capacity ( heal? sy/ems to    
detect1 prev5t1 & treat ,,tb1 includ+   
,,mdr-,,tb & ,,xdr-,,tb1 z describ$ 9 ! 
late/ int]national guidance relat$ to   
,,tb2  7#e7 rese>*+ & develop+          
innovative diagno/ics1 drug !rapies1 &  
vacc9es1 & program-bas$ rese>*2  7#f7   
support = ! ,/op ,tub]culosis           
,p>tn]%ip's ,global ,drug ,facility1 !  
,global ,alliance = ,tub]culosis ,drug  
,developm5t1 & o!r organizations promot+

 ! developm5t ( new products & drugs =  
,,tb2 &  7#g7 ensur+ t ,,tb 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$-- 7#a7 to      
provide res\rces to ! ,_w ,heal?        
,organization & ! ,/op ,tub]culosis     
,p>tn]%ip to improve ! capacity (       
c\ntries ) high burd5s or rates ( ,,tb &
 o!r affect$ 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-,,tb2 &  7#b7
 to lev]age ! contributions ( o!r donors
 = ! activities describ$ 9 p>agraph     
7#a74  7i7 ,annual report on ,,tb       
activities ,n lat] ?an ,decemb] #ae (   
ea* ye> until ! e>li] ( ! date on :i* ! 

goals specifi$ 9 subsection 7b77#b77;,a7
 are met or ! la/ day ( #bjcj1 !        
,presid5t %all submit an annual report  
to ! appropriate congressional          
committees t describes ,unit$ ,/ates    
=eign assi/ance to control ,,tb & !     
impact ( su* ef=ts1 includ+-- 7#a7 !    
numb] ( individuals ) active ,,tb       
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 = ,,tb  
control programs2  7#c7 ! numb] ( p     
tra9$ by ! ,unit$ ,/ates ,gov]nm5t 9    
,,tb 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 = ,,tb control 
programs2  7#e7 a description ( !       
collaboration & coord9ation ( ,unit$    

,/ates anti-,,tb 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 dep>tm5ts & ag5cies1      
includ+ ! ,c5t]s = ,disease ,control &  
,prev5tion & ! ,(fice ( ! ,global ,,aids
 ,coord9ator1 = ! purposes ( combat+    
,,tb &1 z appropriate1 its integration  
into prim>y c>e2  7#g7 ! con/ra9ts on   
implem5tation ( programs pos$ by heal?  
work=ce %ortages1 heal? sy/em           
limitations1 b>ri]s to digital heal?    
implem5tation1 o!r *all5ges to          
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\ntry1 & :5 practicable1 ea* project   
site receiv+ bilat]al ,unit$ ,/ates     
assi/ance = ! purpose ( ,,tb prev5tion1 
treatm5t1 & control-- 7,a7 a description
 ( progress t[>d ! adoption &           
implem5tation ( ! mo/ rec5t ,_w ,heal?  
,organization guidel9es to improve      
diagnosis1 treatm5t1 & prev5tion ( ,,tb 
= adults & *ildr51 disaggregat$ by sex1 
includ+ ! proportion ( heal? facilities 
t h adopt$ ! late/ ,_w ,heal?           
,organization guidel9es on /r5g!n+      
monitor+ sy/ems & prev5tative1          
diagno/ic1 & !rapeutic me?ods1 includ+ !
 use ( rapid diagno/ic te/s & orally    
adm9i/]$ ,,tb treatm5t regim5s2  7,b7 ! 
numb] ( individuals scre5$ = ,,tb       
disease & ! numb] evaluat$ = ,,tb       
infection us+ active case f9d+ outside (
 heal? facilities2  7,c7 ! numb] (      
individuals ) active ,,tb disease t 7   
diagnos$ & treat$1 includ+ ! rate (     
treatm5t completion & ! numb] receiv+   

pati5t support2  7,d7 ! numb] ( adults &
 *ildr51 includ+ p ) ,,hiv & close      
contacts1 :o are evaluat$ = ,,tb        
infection1 ! numb] ( adults & *ildr5    
/>t$ on treatm5t = ,,tb infection1 & !  
numb] ( adults & *ildr5 complet+ su*    
treatm5t1 disaggregat$ by sex &1 z      
possible1 income or weal? qu9tile2  7,e7
 ! e/abli%m5t ( effective ,,tb infection
 control 9 all relevant congregant      
sett+s1 includ+ hospitals1 cl9ics1 &    
prisons2  7,f7 a description ( progress 
9 implem5t+ measures to r$uce ,,tb      
incid5ce1 includ+ actions-- 7i7 to exp& 
active case f9d+ & contact trac+ to rea*
 vuln]able gr\ps2 &  7ii7 to exp& ,,tb  
prev5tive !rapy1 engagem5t ( ! private  
sector1 & diagno/ic capacity2  7,g7 a   
description ( progress to exp&          
diagnosis1 prev5tion1 & treatm5t = all  
=ms ( ,,tb1 includ+ 9 pregnant wom51    
*ildr51 & individuals & gr\ps at great] 
risk ( ,,tb1 includ+ migrants1 prison]s1
 m9]s1 p expos$ to silica1 & p liv+ )   
,,hiv_/,,aids1 disaggregat$ by sex2     

7,h7 ! rate ( successful completion (   
,,tb treatm5t = adults & *ildr51        
disaggregat$ by sex1 & ! numb] (        
individuals receiv+ support = treatm5t  
completion2  7,i7 ! numb] ( p1          
disaggregat$ by sex1 receiv+ treatm5t = 
,,mdr-,,tb1 ! proportion ( ^? treat$ ) !
 late/ regim5s endors$ by ! ,_w ,heal?  
,organization1 factors imp$+ scale up ( 
su* treatm5t1 & a description ( progress
 to exp& community-bas$ ,,mdr-,,tb c>e2 
7,j7 a description ( ,,tb commodity     
procurem5t *all5ges1 includ+ %ortages1  
/ock\ts1 or fail$ t5d]s = ,,tb drugs or 
o!r commodities2  7,k7 ! proportion (   
heal? facilities ) specim5 ref]ral      
l9kages to quality diagno/ic networks1  
includ+ e/abli%$ te/+ sites & ref]5ce   
labs1 to ensure maximum access & ref]ral
 = second l9e drug resi/ance te/+1 & a  
description ( ! turn>\nd "t = te/       
results2  7,l7 ! numb] ( p tra9$ by !   
,unit$ ,/ates ,gov]nm5t to deliv]       
high-quality ,,tb diagno/ic1            
prev5tative1 monitor+1 treatm5t1 & c>e  

s]vices2  7,m7 a description ( h[       
support$ activities are coord9at$ )--   
7i7 c\ntry national ,,tb plans &        
/rategies2 &  7ii7 ,,tb control ef=ts   
support$ by ! ,global ,fund to ,fight   
,,aids1 ,tub]culosis1 & ,mal>ia1 & o!r  
int]national assi/ance programs & funds1
 includ+ 9 ! areas ( program developm5t 
& implem5tation2 &  7,n7 = ! fir/ #c    
ye>s ( ! report requir$ "u ?is          
subsection1 a description ( ! progress 9
 recov]+ f ! negative impact (          
,,covid-#ai on ,,tb1 includ+-- 7i7 :e!r 
!re has be5 ! developm5t & implem5tation
 ( a compreh5sive plan to recov] ,,tb   
activities f div]sion ( res\rces2  7ii7 
! cont9u$ use ( bidirectional           
,,tb-,,covid te/+2 &  7iii7 progress on 
increas$ diagnosis & treatm5t ( active  
,,tb4  7j7 ,annual report on ,,tb 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 
to ! appropriate congressional          
committees until #bjcj an annual report 
t-- 7#a7 describes ! curr5t progress &  
*all5ges to ! developm5t ( new tools = !
 purpose ( ,,tb 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 teleheal? solutions = prev5tion
 & treatm5t1 & vacc9es2 &  7#c7         
describes rese>* inve/m5ts by type1     
fund$ entities1 & level ( inve/m5t4  7k7
 ,evaluation report ,n lat] ?an #c ye>s 
aft] ! date ( ! enactm5t ( ! ,end       
,tub]culosis ,n[ ,act ( #bjbc1 & #e ye>s
 !reaft]1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all submit a report to ! 
appropriate congressional committees t  
evaluates ! p]=mance & impact on ,,tb   

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