I

107TH CONGRESS

1ST SESSION H. R. 1167

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

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

IN THE HOUSE OF REPRESENTATIVES

MARCH 22, 2001

Mr. BROWN of Ohio (for himself, Mrs. MORELLA, Mr. WAXMAN, Mr. GANSKE,

Mr. ANDREWS, Ms. MCKINNEY, Mr. BACA, Mr. MORAN of Virginia, Mr.

RODRIGUEZ, Mrs. TAUSCHER, Mr. OLVER, Mr. KILDEE, Mrs. CAPPS,

Mrs. WILSON, Mr. CARSON of Oklahoma, Mr. CAPUANO, Mr. GREEN of

Texas, Ms. BROWN of Florida, Ms. LOFGREN, Mr. SANDLIN, Mr. RANGEL, Ms. MCCARTHY of Missouri, Mr. FROST, and Mr. REYES) introduced the following bill; which was referred to the Committee on Energy

and Commerce

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,
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1 SECTION 1. SHORT TITLE.

2 This Act may be cited as the ‘‘Comprehensive Tuber3 culosis Elimination Act of 2001’’.

4 TITLE I—INTERAGENCY

5 COLLABORATION

6 SEC. 101. COMMITTEE ON INTERAGENCY COLLABORATION

7 FOR TUBERCULOSIS ELIMINATION.

8 (a) IN GENERAL.—The Secretary of Health and

9 Human Services shall provide for the ongoing operation

10 of a committee to be known as the Committee on Inter11 agency Collaboration for Tuberculosis Elimination.

12 (b) DUTIES.—

13 (1) IN GENERAL.—For the purpose of making

14 progress toward the goal of eliminating tuberculosis,

15 the Committee shall provide to the Secretary and

16 other appropriate Federal officials advice on coordi17 nating the activities of the Public Health Service

18 and other Federal agencies that relate to such dis19 ease and on efficiently utilizing the Federal re20 sources involved. In carrying out this subsection, the

21 Committee shall consider the recommendations of

22 the Institute of Medicine regarding the elimination

23 of tuberculosis.

24 (2) NATIONAL PLAN.—In carrying out para25 graph (1), the Committee, in consultation with ap26 propriate public and private entities, shall make rec-
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1 ommendations on the development and implementa2 tion of a national plan that, with respect to tuber3 culosis, provides for training and education for

4 health care workers, persons with or at-risk of such

5 disease, and the general public.

6 (3) GLOBAL ACTIVITIES.—In carrying out para7 graph (1), the Committee, in consultation with ap8 propriate public and private entities, shall make rec9 ommendations for the development and implementa10 tion of a plan to guide the involvement of the United

11 States in global tuberculosis-control activities, in12 cluding recommendations regarding policies, strate13 gies, objectives, and priorities. Such recommenda14 tions for the plan shall have a focus on high-burden

15 countries and on access to directly observed treat16 ment, short course (commonly known as DOTS).

17 (c) COMPOSITION.—The Committee shall be com18 posed of—

19 (1) representatives from the Centers for Dis20 ease Control and Prevention, the National Institutes

21 of Health, the Agency for Healthcare Research and

22 Quality, and all other Federal departments and

23 agencies that carry out activities relating to tuber24 culosis; and
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1 (2) members appointed from among individuals

2 who are not officers or employees of the Federal

3 Government.

4 (d) DEFINITIONS.—For purposes of this section:

5 (1) The term ‘‘Committee’’ means the Com6 mittee on Interagency Collaboration for Tuberculosis

7 Elimination.

8 (2) The term ‘‘Secretary’’ means the Secretary

9 of Health and Human Services.

10 TITLE II—CENTERS FOR DIS11 EASE CONTROL AND PREVEN12 TION

13 SEC. 201. NATIONAL PROGRAM FOR TUBERCULOSIS ELIMI14 NATION.

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

16 U.S.C. 247b–6) is amended—

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

18 inserting the following:

19 ‘‘NATIONAL PROGRAM FOR TUBERCULOSIS

20 ELIMINATION’’;

21 (2) by amending subsection (b) to read as fol22 lows:

23 ‘‘(b) RESEARCH, DEMONSTRATION PROJECTS, EDU24 CATION, AND TRAINING.—With respect to the prevention,

25 control, and elimination of tuberculosis, the Secretary
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1 may, directly or through grants to public or nonprofit pri2 vate entities, carry out the following:

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

4 concerning—

5 ‘‘(A) diagnosis and treatment of latent in6 fection of tuberculosis;

7 ‘‘(B) strains of tuberculosis resistant to

8 drugs;

9 ‘‘(C) cases of tuberculosis that affect cer10 tain populations; and

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

12 trials consortium.

13 ‘‘(2) Demonstration projects for—

14 ‘‘(A) the development of regional capabili15 ties for the prevention, control, and elimination

16 of tuberculosis; and

17 ‘‘(B) collaboration with the Immigration

18 and Naturalization Service to identify and treat

19 immigrants with active or latent tuberculosis in20 fection.

21 ‘‘(3) Public information and education pro22 grams.

23 ‘‘(4) Education, training and clinical skills im24 provement activities for health professionals, includ25 ing allied health personnel.
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1 ‘‘(5) Support of model centers to carry out ac2 tivities under paragraphs (1) through (4).

3 ‘‘(6) Collaboration with international organiza4 tions and foreign countries in carrying out such ac5 tivities, including coordinating activities through the

6 Committee on Interagency Collaboration for Tuber7 culosis Elimination.’’;

8 (3) in subsection (f), by adding at the end the

9 following:

10 ‘‘(4) ANNUAL REPORTS.—The Council shall an11 nually submit to the Congress and the Secretary a

12 report on the activities carried out under this sub13 section. The report shall include the opinion of the

14 Council on the extent to which the recommendations

15 of the Institute of Medicine regarding tuberculosis

16 have been implemented.’’; and

17 (4) by amending subsection (g) to read as fol18 lows:

19 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—For the

20 purpose of carrying out this section, there are authorized

21 to be appropriated $528,000,000 for fiscal year 2002, and

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

23 2003 through 2006.’’.
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1 TITLE III—NATIONAL

2 INSTITUTES OF HEALTH

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

4 BLOOD INSTITUTE.

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

6 Service Act (42 U.S.C. 285b et seq.) is amended by insert7 ing after section 424B the following section:

8 ‘‘TUBERCULOSIS

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

10 Institute shall expand, intensify, and coordinate research

11 and related activities of the Institute with respect to tuber12 culosis, including activities toward the goal of eliminating

13 such disease.

14 ‘‘(b) CERTAIN ACTIVITIES.—Activities under sub15 section (a) shall include—

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

17 tuberculosis; and

18 ‘‘(2) expanding research on the relationship be19 tween such disease and the human immunodeficiency

20 virus.

21 ‘‘(c) RESEARCH EDUCATION.—

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

23 Director of the Institute may provide awards to fac24 ulty of schools of medicine or osteopathic medicine

25 to assist such faculty in developing high quality cur-
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1 ricula in such schools designed to significantly in2 crease the opportunities for interested individuals,

3 including students of the school and practicing phy4 sicians and nurses, to learn the principles and prac5 tices of preventing, managing, and controlling tuber6 culosis.

7 ‘‘(2) TUBERCULOSIS/PULMONARY INFECTION

8 AWARDS.—The Director of the Institute may provide

9 awards to support the career development of clini10 cally trained professionals who are committed to re11 search regarding pulmonary infections and tuber12 culosis by providing for supervised study and re13 search.

14 ‘‘(3) AUTHORIZATION OF APPROPRIATIONS.—

15 ‘‘(A) TUBERCULOSIS ACADEMIC

16 AWARDS.—For the purpose of carrying out

17 paragraph (1), there are authorized to be ap18 propriated $5,000,000 for fiscal year 2002, and

19 such sums as may be necessary for each of the

20 fiscal years 2003 through 2006.

21 ‘‘(B) TUBERCULOSIS/PULMONARY INFEC22 TION AWARDS.—For the purpose of carrying

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

24 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 sub12 section:

13 ‘‘(b) TUBERCULOSIS.—

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

15 (a) with respect to tuberculosis, the Center shall ex16 pand, intensify, and coordinate international activi17 ties of the Center for research and training.

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

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

20 out an international training program regarding tu21 berculosis. Such program shall be modeled after the

22 international training program carried out by the

23 Center with respect to the human immunodeficiency

24 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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