II

107TH CONGRESS

1ST SESSION S. 1115

To amend the Public Health Service Act with respect to making progress

toward the goal of eliminating tuberculosis, and for other purposes.

IN THE SENATE OF THE UNITED STATES

JUNE 27, 2001

Mr. KENNEDY (for himself, Mr. STEVENS, Mr. INOUYE, Mrs. HUTCHISON,

and Mr. CORZINE) introduced the following bill; which was read twice and

referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To amend the Public Health Service Act with respect to

making progress toward the goal of eliminating tuberculosis, and for other purposes.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Comprehensive Tuber5 culosis Elimination Act of 2001’’.
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1 TITLE I—PREVENTIVE HEALTH

2 SERVICES

3 SEC. 101. ADVISORY COUNCIL FOR THE ELIMINATION OF

4 TUBERCULOSIS.

5 Section 317E(f) of the Public Health Service Act (42

6 U.S.C. 247b–6(f)) is amended—

7 (1) by redesignating paragraph (5) as para8 graph (6);

9 (2) by striking paragraphs (2) through (4), and

10 inserting the following:

11 ‘‘(2) DUTIES.—For the purpose of making

12 progress toward the goal of eliminating tuberculosis,

13 the Council shall provide to the Secretary and other

14 appropriate Federal officials advice on coordinating

15 the activities of the Public Health Service and other

16 Federal agencies that relate to such disease and on

17 efficiently utilizing the Federal resources involved.

18 ‘‘(3) NATIONAL PLAN.—In carrying out para19 graph (2), the Council, in consultation with appro20 priate public and private entities, shall make rec21 ommendations on the development and implementa22 tion of a national plan to eliminate tuberculosis in

23 the United States. In carrying out this paragraph,

24 the Council shall—
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1 ‘‘(A) consider the recommendations of the

2 Institute of Medicine regarding the elimination

3 of tuberculosis;

4 ‘‘(B) address the development and applica5 tion of new technologies; and

6 ‘‘(C) review the extent to which progress

7 has been made toward eliminating tuberculosis.

8 ‘‘(4) GLOBAL ACTIVITIES.—In carrying out

9 paragraph (2), the Council, in consultation with ap10 propriate public and private entities, shall make rec11 ommendations for the development and implementa12 tion of a plan to guide the involvement of the United

13 States in global tuberculosis-control activities, in14 cluding recommendations regarding policies, strate15 gies, objectives, and priorities. Such recommenda16 tions for the plan shall have a focus on high inci17 dence countries and on access to a comprehensive

18 package of tuberculosis control measures, as defined

19 by the World Health Organization directly observed

20 treatment, short course strategy (commonly known

21 as DOTS).

22 ‘‘(5) COMPOSITION.—The Council shall be com23 posed of—

24 ‘‘(A) representatives from the Centers for

25 Disease Control and Prevention, the National
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1 Institutes of Health, the Agency for Healthcare

2 Research and Quality, the U.S.-Mexico Border

3 Health Commission, and other Federal depart4 ments and agencies that carry out significant

5 activities relating to tuberculosis; and

6 ‘‘(B) members appointed from among indi7 viduals who are not officers or employees of the

8 Federal Government.’’; and

9 (3) by adding at the end the following:

10 ‘‘(7) APPLICABILITY OF FACA.—The Council

11 shall be subject to the Federal Advisory Committee

12 Act (5 U.S.C. App.).’’.

13 TITLE II—CENTERS FOR DIS14 EASE CONTROL AND PREVEN15 TION

16 SEC. 201. NATIONAL PROGRAM FOR TUBERCULOSIS ELIMI17 NATION.

18 Section 317E of the Public Health Service Act (42

19 U.S.C. 247b–6) is amended—

20 (1) by striking the heading for the section and

21 inserting the following:

22 ‘‘NATIONAL PROGRAM FOR TUBERCULOSIS

23 ELIMINATION’’;

24 (2) by amending subsection (b) to read as fol25 lows:
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1 ‘‘(b) RESEARCH, DEMONSTRATION PROJECTS, EDU2 CATION, AND TRAINING.—With respect to the prevention,

3 control, and elimination of tuberculosis, the Secretary

4 may, directly or through grants to public or nonprofit pri5 vate entities, carry out the following:

6 ‘‘(1) Research, with priority given to research

7 concerning—

8 ‘‘(A) diagnosis and treatment of latent in9 fection of tuberculosis;

10 ‘‘(B) strains of tuberculosis resistant to

11 drugs;

12 ‘‘(C) cases of tuberculosis that affect cer13 tain populations; and

14 ‘‘(D) clinical trials, including a tuberculosis

15 trials consortium.

16 ‘‘(2) Demonstration projects, including for—

17 ‘‘(A) the development of regional capabili18 ties for the prevention, control, and elimination

19 of tuberculosis; and

20 ‘‘(B) collaboration with the Immigration

21 and Naturalization Service to identify and treat

22 immigrants with active or latent tuberculosis in23 fection.

24 ‘‘(3) Public information and education pro25 grams.
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1 ‘‘(4) Education, training and clinical skills im2 provement activities for health professionals, includ3 ing allied health personnel.

4 ‘‘(5) Support of model centers to carry out ac5 tivities under paragraphs (2) through (4).

6 ‘‘(6) Collaboration with international organiza7 tions and foreign countries in carrying out such ac8 tivities, including coordinating activities through the

9 Advisory Council for the Elimination of Tuber10 culosis.’’; and

11 (3) by striking subsection (g) and inserting the

12 following:

13 ‘‘(g) REPORTS.—The Secretary, acting through the

14 Director of the Centers for Disease Control and Preven15 tion and in consultation with the Advisory Council for the

16 Elimination of Tuberculosis, shall biennially prepare and

17 submit to the Committee on Health, Education, Labor,

18 and Pensions of the Senate and the Committee on Energy

19 and Commerce of the House of Representatives, a report

20 on the activities carried out under this section. Each re21 port shall include the opinion of the Council on the extent

22 to which the recommendations of the Institute of Medicine

23 regarding tuberculosis have been implemented.’’; and

24 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the

25 purpose of carrying out this section, there are authorized
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1 to be appropriated $528,000,000 for fiscal year 2002, and

2 such sums as may be necessary for each of the fiscal years

3 2003 through 2006.’’.

4 TITLE III—NATIONAL

5 INSTITUTES OF HEALTH

6 SEC. 301. ACTIVITIES OF NATIONAL HEART, LUNG, AND

7 BLOOD INSTITUTE.

8 Subpart 2 of part C of title IV of the Public Health

9 Service Act (42 U.S.C. 285b et seq.) is amended by insert10 ing after section 424B the following:

11 ‘‘TUBERCULOSIS

12 ‘‘SEC. 424C. (a) IN GENERAL.—The Director of the

13 Institute shall expand, intensify, and coordinate research

14 and related activities of the Institute with respect to tuber15 culosis, including activities toward the goal of eliminating

16 such disease.

17 ‘‘(b) CERTAIN ACTIVITIES.—Activities under sub18 section (a) shall include—

19 ‘‘(1) enhancing basic and clinical research on

20 tuberculosis; and

21 ‘‘(2) expanding research on the relationship be22 tween such disease and the human immunodeficiency

23 virus.

24 ‘‘(c) RESEARCH EDUCATION.—

25 ‘‘(1) TUBERCULOSIS ACADEMIC AWARDS.—The

26 Director of the Institute may provide awards to fac-
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1 ulty of schools of medicine, nursing, or osteopathic

2 medicine for information and education programs,

3 including the development of curricula, to signifi4 cantly increase the opportunities for students and

5 for practicing providers to learn the principles and

6 practices of preventing, managing, and controlling

7 tuberculosis.

8 ‘‘(2) TUBERCULOSIS/PULMONARY INFECTION

9 AWARDS.—The Director of the Institute may provide

10 awards to support the career development of clini11 cally trained professionals who are committed to re12 search regarding pulmonary infections, including tu13 berculosis, by providing for supervised study and re14 search.

15 ‘‘(3) AUTHORIZATION OF APPROPRIATIONS.—

16 ‘‘(A) TUBERCULOSIS ACADEMIC

17 AWARDS.—For the purpose of carrying out

18 paragraph (1), there are authorized to be ap19 propriated $5,000,000 for fiscal year 2002, and

20 such sums as may be necessary for each of the

21 fiscal years 2003 through 2006.

22 ‘‘(B) TUBERCULOSIS/PULMONARY INFEC23 TION AWARDS.—For the purpose of carrying

24 out paragraph (2), there are authorized to be

25 appropriated $5,000,000 for fiscal year 2002,
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1 and such sums as may be necessary for each of

2 the fiscal years 2003 through 2006.’’.

3 SEC. 302. ACTIVITIES OF NATIONAL INSTITUTE OF AL4 LERGY AND INFECTIOUS DISEASES.

5 Section 447A of the Public Health Service Act (42

6 U.S.C. 285f–2) is amended—

7 (1) by redesignating subsection (b) as sub8 section (c);

9 (2) by inserting after subsection (a) the fol10 lowing subsection:

11 ‘‘(b) Activities under subsection (a) shall include ac12 tivities to develop a tuberculosis vaccine. Such activities

13 shall be carried out in accordance with the blueprint for

14 tuberculosis vaccine development described in the report

15 prepared pursuant to the workshop convened in March

16 1998 by the Advisory Council for Elimination of Tuber17 culosis, the Director of the National Vaccine Program,

18 and the Director of the Institute.’’; and

19 (3) in subsection (c) (as so redesignated), in the

20 first sentence—

21 (A) by striking ‘‘and’’ after ‘‘1994,’’; and

22 (B) by inserting before the period the fol23 lowing: ‘‘, $240,000,000 for fiscal year 2002,

24 and such sums as may be necessary for each of

25 the fiscal years 2003 through 2006’’.
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1 SEC. 303. JOHN E. FOGARTY INTERNATIONAL CENTER FOR

2 ADVANCED STUDY IN THE HEALTH

3 SCIENCES.

4 Section 482 of the Public Health Service Act (42

5 U.S.C. 287b) is amended—

6 (1) by inserting ‘‘(a) IN GENERAL.—’’ before

7 ‘‘The general purpose’’;

8 (2) in subsection (a) (as so designated), by in9 serting after ‘‘Health Sciences’’ the following: ‘‘(in

10 this subpart referred to as the ‘Center’)’’; and

11 (3) by adding at the end the following:

12 ‘‘(b) TUBERCULOSIS.—

13 ‘‘(1) IN GENERAL.—In carrying out subsection

14 (a) with respect to tuberculosis, the Center shall ex15 pand, intensify, and coordinate international activi16 ties of the Center for research and training. In par17 ticular, the Center shall expand its activities to in18 clude support for clinical, operational, and health

19 services research and training.

20 ‘‘(2) INTERNATIONAL TRAINING PROGRAM.—In

21 carrying out paragraph (1), the Center shall carry

22 out an international training program regarding tu23 berculosis. Such program shall be modeled after the

24 international training program carried out by the

25 Center with respect to the human immunodeficiency

26 virus.’’.
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1 SEC. 304. LOAN REPAYMENT PROGRAMS REGARDING RE2 SEARCH ON TUBERCULOSIS.

3 Part G of title IV of the Public Health Service Act

4 (42 U.S.C. 288 et seq.) is amended—

5 (1) by redesignating the second section 487F as

6 section 487G; and

7 (2) by inserting after section 487G (as so re8 designated) the following section:

9 ‘‘LOAN REPAYMENTS REGARDING RESEARCH ON

10 TUBERCULOSIS

11 ‘‘SEC. 487H. In carrying out sections 487C, 487E,

12 and 487F, the Secretary shall seek to ensure that, for fis13 cal year 2002 and subsequent fiscal years, a portion of

14 amounts appropriated to carry out such sections is re15 served for the purpose of entering into contracts under

16 which (in accordance with the section involved) individuals

17 will conduct research on tuberculosis.’’.

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