,,ii #aah? ,,congress #a/ ,session ,s4 #cdfd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #ab1 #bjbc,mr4 ,kelly 7= himself & ,ms4 ,s9ema7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to support endemic fungal disease rese>*1 inc5tivize fungal vacc9e developm5t1 discov] new antifungal !rapies & diagno/ics1 & = o!r purposes4 #a4 ,%ort title2 table ( cont5ts 7a7 ,9 g5]al ,?is ,act may be cit$ z ! ,f9d+ ,orphan-disease ,rem$ies ,) ,antifungal ,rese>* & ,developm5t ,act ( #bjbc or ! ,,=w>d ,act ( #bjbc4 7b7 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4,sec4 #b4 ,cont9u+ support = rese>* on endemic fungal diseases4,sec4 #c4 ,endemic fungal disease work+ gr\p4,sec4 #d4 ,exp&+ tropical disease product priority review v\*] program to enc\rage prev5tion & treatm5t ( coccidioidomycosis4,sec4 #e4 ,combat+ antimicrobial resi/ance bioph>maceutical accel]ator program4 #b4 ,cont9u+ support = rese>* on endemic fungal diseases ,! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #ddg;,d ( su* ,act 7#db ,u4,s4,c4 #bhe;f-#e7 ! foll[+ new section3 #ddg;,e4 ,endemic fungal diseases 7a7 ,9 g5]al ,! ,director ( ! ,in/itute %all-- 7#a7 cont9ue to conduct or support basic1 translational1 & cl9ical rese>* relat$ to fungal diseases f\nd 9 ! ,unit$ ,/ates1 includ+ coccidioidomycosis 7commonly kn[n z & ref]r$ to 9 ?is section z ,valley ,fev]72 & 7#b7 subject to ! availability ( appropriations1 make grants to1 or ent] into contracts )1 public or nonpr(it private entities to conduct su* rese>*4 7b7 ,reports ,! ,director ( ! ,in/itute %all ensure t ea* tri5nial report "u section #djc includes in=mation on actions und]tak5 by ! ,national ,in/itutes ( ,heal? to c>ry out subsection 7a7 ) respect to su* fungal diseases1 includ+ coccidioidomycosis4 7c7 ,au?orization ( appropriations ,9 addition to o!r am\nts available = ! purposes ( c>ry+ out ?is section1 !re is au?oriz$ to be appropriat$ to c>ry out ?is section #bj1jjj1jjj = ea* ( fiscal ye>s #bjbd ?r\gh #bjbh = su* purpose4 4 #c4 ,endemic fungal disease work+ gr\p 7a7 ,e/abli%m5t ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all e/abli% a work+ gr\p1 to be kn[n z ! ,endemic ,fungal ,disease ,work+ ,gr\p 7ref]r$ to 9 ?is section z ! ,work+ ,gr\p71 compris$ ( repres5tatives ( appropriate ,f$]al ag5cies & o!r non-,f$]al entities-- 7#a7 to provide exp]tise & to review all ef=ts )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices relat$ to fungal disease 9 ! ,unit$ ,/ates2 7#b7 to help ensure int]ag5cy coord9ation & m9imize ov]lap ) respect to su* disease2 & 7#c7 to exam9e rese>* priorities ) respect to su* disease4 7b7 ,duties ,! ,work+ ,gr\p %all-- 7#a7 make recomm5dations to ! ,secret>y1 includ+ an updat$ /rategy relat$ to developm5t ( !rapeutics & vacc9es = endemic fungal diseases1 t %all-- 7,a7 take into acc\nt ongo+ fungal disease rese>*1 includ+ = animals1 t may be adapt$ = human use2 7,b7 id5tify gaps 9 endemic fungal disease rese>*1 includ+ basic1 cl9ical1 & translational rese>* relat$ to ! pa?og5esis1 prev5tion1 diagnosis1 & treatm5t ( su* diseases2 & 7,c7 include recomm5dations = congressional action to spur additional rese>* & product developm5t = fungal diseases2 & 7#b7 9 implem5t+ ?is subsection1 solicit input f ,/ates1 ,tribes1 localities1 & nongov]nm5tal entities1 includ+ organizations repres5t+ pati5ts1 heal? c>e provid]s1 rese>*]s1 & indu/ry reg>d+ sci5tific advances1 rese>* que/ions1 & surveillance activities4 7c7 ,memb]%ip ,! memb]s ( ! ,work+ ,gr\p %all repres5t a div]sity ( sci5tific discipl9es & %all be compos$ ( ! foll[+ memb]s3 7#a7 ,f$]al memb]s ,sev5 ,f$]al memb]s1 consi/+ ( "o or m repres5tatives ( ea* ( ! foll[+3 7,a7 ,! ,(fice ( ! ,assi/ant ,secret>y = ,heal?1 :o %all s]ve z ,*air4 7,b7 ,! ,food & ,drug ,adm9i/ration4 7,c7 ,! ,c5t]s = ,disease ,control & ,prev5tion4 7,d7 ,! ,national ,in/itutes ( ,heal?1 :o %all s]ve z ,vice ,*air4 7,e7 ,su* o!r ag5cies & (fices ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices z ! ,secret>y det]m9es appropriate4 7#b7 ,non-,f$]al public memb]s ,sev5 non-,f$]al public memb]s1 consi/+ ( repres5tatives ( ! foll[+ categories3 7,a7 ,physicians1 vet]9>ians1 & o!r m$ical provid]s ) exp]i5ce 9 diagnos+ & treat+ endemic fungal disease4 7,b7 ,sci5ti/s or rese>*]s ) exp]tise 9 endemic fungal disease4 7,c7 ,pati5ts :o h be5 diagnos$ ) an endemic fungal disease & family memb]s or c>egiv]s ( su* pati5ts1 z applicable4 7,d7 ,nonpr(it organizations t advocate = pati5ts ) respect to endemic fungal disease4 7,e7 ,o!r individuals ^: exp]tise is det]m9$ by ! ,secret>y to be b5eficial to ! function+ ( ! ,work+ ,gr\p4 7d7 ,meet+s ,! ,work+ ,gr\p %all meet n less frequ5tly ?an annually4 7e7 ,report+ ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft] until t]m9ation ( ! ,work+ ,gr\p pursuant to subsection 7g71 ! ,secret>y %all-- 7#a7 submit a report on recomm5dations receiv$ "u subsection 7b77#a7 to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives2 & 7#b7 make su* report publicly available on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices4 7f7 ,applicability ( ,,faca ,! ,work+ ,gr\p %all be treat$ z an advisory committee subject to ! ,f$]al ,advisory ,committee ,act 7#e ,u4,s4,c4 ,app474 7g7 ,sunset ,! ,work+ ,gr\p "u ?is section %all t]m9ate #e ye>s aft] ! date ( enactm5t ( ?is ,act4 7h7 ,endemic fungal disease def9$ ,9 ?is section1 ! t]m endemic fungal disease means bla/omycosis1 coccidioidomycosis1 hi/oplasmosis1 & sp>otri*osis4 #d4 ,exp&+ tropical disease product priority review v\*] program to enc\rage prev5tion & treatm5t ( coccidioidomycosis ,section #ebd7;a77#c7 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cfjn7a77#c77 is am5d$-- 7#a7 by r$esignat+ subp>agraph 7,s7 z subp>agraph 7,t72 & 7#b7 by ins]t+ aft] subp>agraph 7,r7 ! foll[+3 7,s7 ,coccidioidomycosis4 4 #e4 ,combat+ antimicrobial resi/ance bioph>maceutical accel]ator program ,p>agraph 7#d7 ( section #cai,l7c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7c77 is am5d$ by add+ at ! end ! foll[+3 7,h7 ,combat+ antimicrobial resi/ance bioph>maceutical accel]ator program 7i7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ,,b>da1 %all implem5t /rategic initiatives1 to be kn[n z ! ,combat+ ,antimicrobial ,resi/ance ,bioph>maceutical ,accel]ator ,program1 includ+ by build+ on exi/+ programs & by aw>d+ contracts1 grants1 & coop]ative agreem5ts1 or ent]+ into o!r transactions-- 7,i7 to optimize ! use ( antimicrobials 9 human heal? sett+s2 7,,ii7 to support innovative c&idate products 9 precl9ical & cl9ical developm5t t r$uce antimicrobial resi/ance2 & 7,,iii7 to support rese>* ) respect to infection prev5tion & control to sl[ ! spread ( resi/ant bact]ia1 fungi1 & viruses4 7ii7 ,ref]5ces ,except z o!rwise specifi$1 any ref]5ce to ! ,combat+ ,antibiotic ,resi/ant ,bact]ia ,bioph>maceutical ,accel]ator or ! ,,c>b-,x program 9 any /atute1 ,executive ord]1 rule1 regulation1 directive1 or o!r ,f$]al docum5t is deem$ to be a ref]5ce to ! ,combat+ ,antimicrobial ,resi/ance ,bioph>maceutical ,accel]ator ,program "u ?is subp>agraph4 7iii7 ,au?orization ( appropriations 7,i7 ,9 g5]al ,to c>ry out ! program "u clause 7i71 !re is au?oriz$ to be appropriat$ #ejj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbd ?r\gh #bjbh1 to rema9 available until exp5d$4 7,,ii7 ,requirem5t ,( ! am\nts made available to c>ry out ! program "u clause 7i7 = ! p]iod ( fiscal ye>s #bjbd ?r\gh #bjbh1 n less ?an #bj p]c5t %all be us$ to support antifungal product developm5t4 4