I 

116TH CONGRESS 

1ST SESSION H. R. 3080 

To amend the Public Health Service Act to enhance the national strategy 

for combating and eliminating tuberculosis, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 4, 2019 

Mr. ENGEL (for himself and Mr. YOUNG) introduced the following bill; which 

was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to enhance the 

national strategy for combating and 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 TB 

5 Elimination Act of 2019’’. 

6 SEC. 2. NATIONAL STRATEGY FOR COMBATING AND ELIMI7 NATING TUBERCULOSIS. 

8 (a) IN GENERAL.—Section 317E of the Public 

9 Health Service Act (42 U.S.C. 247b–6) is amended— 

10 (1) in subsection (a)— 


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1 (A) by striking ‘‘The Secretary’’ and in2 serting the following: 

3 ‘‘(1) GRANTS.—The Secretary’’; and 

4 (B) by adding at the end the following: 

5 ‘‘(2) PRIORITY.—In making grants under this 

6 subsection, the Secretary may give priority to award7 ing grants to State health departments, political 

8 subdivisions, and other public entities proposing to 

9 focus on the prevention, control, and elimination of 

10 tuberculosis in high-risk populations, including for11 eign-born, homeless, incarcerated, HIV-tuberculosis 

12 coinfected, and medically underserved populations.’’; 

13 (2) in subsection (b)— 

14 (A) in paragraph (3)— 

15 (i) in subparagraph (C), by redesig16 nating clauses (i) and (ii) as subclauses (I) 

17 and (II), respectively, and adjusting the 

18 margins accordingly; and 

19 (ii) by redesignating subparagraphs 

20 (A) through (F) as clauses (i) through (vi), 

21 respectively, and adjusting the margins ac22 cordingly; 

23 (B) by redesignating paragraphs (1) 

24 through (8) as subparagraphs (A) through (H), 


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1 respectively, and adjusting the margins accord2 ingly; 

3 (C) in the matter preceding subparagraph 

4 (A), as so redesignated, by striking ‘‘With re5 spect to’’ and inserting the following: 

6 ‘‘(1) IN GENERAL.—With respect to’’; 

7 (D) by striking subparagraph (B), as so 

8 redesignated, and inserting the following: 

9 ‘‘(B) Research, investigations, experiments, 

10 demonstrations, and studies in the health 

11 sciences that are related to— 

12 ‘‘(i) the development of new tools, in13 cluding vaccines and antimicrobial drugs, 

14 to prevent and treat tuberculosis; 

15 ‘‘(ii) novel therapeutics for special 

16 populations, including pediatric popu17 lations, immunosuppressed individuals, and 

18 pregnant women; 

19 ‘‘(iii) the development or testing of 

20 medical diagnostics to detect tuberculosis; 

21 ‘‘(iv) research to address the epidemi22 ology, mechanisms, and pathogenesis of tu23 berculosis; 

24 ‘‘(v) public health interventions to ad25 dress the prevention, treatment, and conVerDate Sep 11 2014 04:12 Jun 12, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H3080.IH H3080

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1 trol of tuberculosis, such as directly ob2 served therapy and non-pharmaceutical 

3 intervention; 

4 ‘‘(vi) methods to enhance detection 

5 and response to outbreaks of tuberculosis, 

6 including multidrug resistant tuberculosis; 

7 and 

8 ‘‘(vii) other relevant research areas.’’; 

9 (E) in subparagraph (C), as so redesig10 nated— 

11 (i) by redesignating clause (vi), as so 

12 redesignated, as clause (vii); 

13 (ii) in clause (v), as so redesignated, 

14 by striking ‘‘; and’’ and inserting ‘‘;’’; and 

15 (iii) by inserting after clause (v), as so 

16 redesignated, the following: 

17 ‘‘(vi) the intensification of efforts to 

18 prevent, detect, and treat latent tuber19 culosis; and’’; 

20 (F) in subparagraph (D), as so redesig21 nated, by inserting before the period the fol22 lowing: ‘‘, including public awareness campaigns 

23 and development of educational, risk, and 

24 media communications.’’; 


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1 (G) in subparagraph (F), as so redesig2 nated, by striking ‘‘paragraphs (1) through 

3 (4)’’ and inserting ‘‘subparagraphs (A) through 

4 (D)’’; and 

5 (H) by adding at the end the following: 

6 ‘‘(2) SELECTION.—In carrying out the activities 

7 described in paragraph (1), the Secretary— 

8 ‘‘(A) is encouraged to give priority to pro9 grammatically relevant research so that new 

10 tools can be utilized in public health practice; 

11 and 

12 ‘‘(B) may seek input from the Biomedical 

13 Advanced Research and Development Authority 

14 in identifying novel candidates to utilize in the 

15 efforts under this subsection to prevent, diag16 nose, and control tuberculosis.’’; 

17 (3) by redesignating subsections (c) through (h) 

18 as subsections (d) through (i), respectively; 

19 (4) by inserting after subsection (b) the fol20 lowing— 

21 ‘‘(c) GRANTS FOR COORDINATION OF PROGRAMS AND

22 SERVICES FOR PREVENTION, DIAGNOSIS, AND TREAT23 MENT.— 

24 ‘‘(1) GRANTS.—The Secretary, acting through 

25 the Administrator of the Health Resources and ServVerDate Sep 11 2014 04:12 Jun 12, 2019 Jkt 089200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H3080.IH H3080

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1 ices Administration, may award grants to State and 

2 local governments and Federally qualified health 

3 centers for coordinating the programs and services 

4 of such States, governments, and centers to ensure 

5 timely and appropriate prevention, risk-based screen6 ing, diagnosis, and treatment of latent and active tu7 berculosis. 

8 ‘‘(2) DEFINITION.—In this subsection, the term 

9 ‘Federally qualified health center’ has the meaning 

10 given to such term in section 1861(aa) of the Social 

11 Security Act.’’; 

12 (5) in subsections (d), (e), and (f), as so redes13 ignated, by striking ‘‘(a) or (b)’’ each place it ap14 pears and inserting ‘‘(a), (b), or (c)’’; 

15 (6) in subsection (g)(4), as so redesignated, by 

16 adding at the end the following: 

17 ‘‘(C) REPORT TO CONGRESS.—The Sec18 retary is encouraged to make the reports under 

19 subparagraph (A), or other publications rel20 evant to domestic tuberculosis surveillance, pub21 licly available on the internet website of the 

22 Centers for Disease Control and Prevention and 

23 to disseminate such information to stake24 holders.’’; 

25 (7) in subsection (h), as so redesignated— 


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1 (A) in paragraph (1)— 

2 (i) by striking ‘‘research into new 

3 tools under subsection (b)(2)’’ and insert4 ing ‘‘the research, investigations, experi5 ments, demonstrations, and studies in 

6 health science under subsection (b)(1)(B)’’; 

7 and 

8 (ii) by inserting ‘‘ensuring access to 

9 the products developed as a result of such 

10 research, investigations, experiments, dem11 onstrations, and studies and’’ after ‘‘advice 

12 regarding’’; and 

13 (B) in paragraph (3)— 

14 (i) by redesignating subparagraphs 

15 (D) and (E) as subparagraphs (E) and 

16 (F), respectively; and 

17 (ii) by inserting after subparagraph 

18 (C) the following: 

19 ‘‘(D) members of the Biomedical Advanced 

20 Research and Development Authority;’’; and 

21 (8) in subsection (i)(1)(A), as so redesignated, 

22 by striking ‘‘$200,000,000’’ and all that follows 

23 through the period and inserting ‘‘$142,200,000 for 

24 fiscal year 2020, $195,700,000 for fiscal year 2021, 

25 $225,000,000 for fiscal year 2022, $236,250,000 for 


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1 fiscal year 2023, $248,062,500 for fiscal year 2024, 

2 and $260,465,625 for fiscal year 2025.’’. 

3 (b) NIH TUBERCULOSIS ACTIVITIES.—Section 

4 424C(b) of the Public Health Service Act (42 U.S.C. 

5 285b–7c(b)) is amended by striking paragraph (1) and in6 serting the following: 

7 ‘‘(1) enhancing basic, clinical, and operational 

8 research on tuberculosis, including with respect to— 

9 ‘‘(A) drug-resistant tuberculosis; 

10 ‘‘(B) infection with tuberculosis and la11 tency and progression of tuberculosis; and 

12 ‘‘(C) pediatric tuberculosis;’’. 

13 SEC. 3. GAO STUDY. 

14 Not later than 2 years after the date of enactment 

15 of this Act, the Comptroller General of the United States 

16 shall issue a report on the coordination of efforts in the 

17 United States to— 

18 (1) prevent, control, and eliminate tuberculosis; 

19 and 

20 (2) implement the activities under section 317E 

21 of the Public Health Service Act (42 U.S.C. 247b– 

22 6), as amended by this Act, and the National Action 

23 Plan for Combating Multidrug-Resistant Tuber24 culosis, issued in December 2015. 

Æ 


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