II 
110TH CONGRESS 
2D SESSION 
H. R. 1532 
IN THE SENATE OF THE UNITED STATES 
SEPTEMBER 25 (legislative day, SEPTEMBER 17), 2008 
Received 
AN ACT 
To amend the Public Health Service Act with respect to 
making progress toward the goal of eliminating tuber-
culosis, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Comprehensive Tuberculosis Elimination Act of 2008’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—DEPARTMENT OF HEALTH AND HUMAN SERVICES IN 
COORDINATION WITH THE CENTERS FOR DISEASE CONTROL 
AND PREVENTION AND OTHER APPROPRIATE AGENCIES 
Subtitle A—National Strategy for Combating and Eliminating Tuberculosis 
Sec. 101. National strategy. 
Subtitle B—Interagency Collaboration 
Sec. 111. Advisory Council for Elimination of Tuberculosis and the Federal Tu-
berculosis Task Force . 
Subtitle C—Evaluation of Public Health Authorities 
Sec. 121. Evaluation of public health authorities. 
Subtitle D—Authorization of Appropriations 
Sec. 131. Authorizations of appropriations. 
TITLE II—NATIONAL INSTITUTES OF HEALTH 
Sec. 201. Research and development concerning tuberculosis. 
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TITLE 
I—DEPARTMENT 
OF 
HEALTH AND HUMAN SERV-
ICES IN COORDINATION WITH 
THE CENTERS FOR DISEASE 
CONTROL AND PREVENTION 
AND 
OTHER 
APPROPRIATE 
AGENCIES 
Subtitle A—National Strategy for 
Combating and Eliminating Tu-
berculosis 
SEC. 101. NATIONAL STRATEGY. 
Section 317E of the Public Health Service Act (42 
U.S.C. 247b–6) is amended— 
(1) by striking the heading for the section and 
inserting the following: ‘‘NATIONAL STRATEGY FOR 
COMBATING AND ELIMINATING TUBERCULOSIS’’; 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) RESEARCH AND DEVELOPMENT; DEMONSTRA-
TION PROJECTS; EDUCATION AND TRAINING.—With re-
spect to the prevention, treatment, control, and elimi-
nation of tuberculosis, the Secretary may, directly or 
through grants to public or nonprofit private entities, 
carry out the following: 
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‘‘(1) Research, with priority given to research 
and development concerning latent tuberculosis in-
fection, strains of tuberculosis resistant to drugs, 
and research concerning cases of tuberculosis that 
affect certain populations at risk for tuberculosis. 
‘‘(2) Research and development and related ac-
tivities to develop new tools for the elimination of tu-
berculosis, including drugs, diagnostics, vaccines, 
and public health interventions, such as directly ob-
served therapy and non-pharmaceutical intervention, 
and methods to enhance detection and response to 
outbreaks of tuberculosis, including multidrug resist-
ant tuberculosis. The Secretary is encouraged to give 
priority to programmatically relevant research so 
that new tools can be utilized in public health prac-
tice. 
‘‘(3) Demonstration projects for— 
‘‘(A) the development of regional capabili-
ties to prevent, control, and eliminate tuber-
culosis and prevent multidrug resistant and ex-
tensively drug resistant strains of tuberculosis; 
‘‘(B) the intensification of efforts to reduce 
health disparities in the incidence of tuber-
culosis; 
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‘‘(C) the intensification of efforts to con-
trol tuberculosis along the United States-Mexico 
border and among United States-Mexico bina-
tional populations, including through expansion 
of the scope and number of programs that— 
‘‘(i) detect and treat binational cases 
of tuberculosis; and 
‘‘(ii) treat high-risk cases of tuber-
culosis referred from Mexican health de-
partments; 
‘‘(D) the intensification of efforts to pre-
vent, detect, and treat tuberculosis among for-
eign-born persons who are in the United States; 
‘‘(E) the intensification of efforts to pre-
vent, detect, and treat tuberculosis among pop-
ulations and settings documented as having a 
high risk for tuberculosis; and 
‘‘(F) tuberculosis detection, control, and 
prevention. 
‘‘(4) Public information and education activi-
ties. 
‘‘(5) Education, training, clinical skills improve-
ment activities, and workplace exposure prevention 
for health professionals, including allied health per-
sonnel and emergency response employees. 
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‘‘(6) Support of Centers to carry out activities 
under paragraphs (1) through (4). 
‘‘(7) Collaboration with international organiza-
tions and foreign countries in carrying out such ac-
tivities. 
‘‘(8) Develop, enhance, and expand information 
technologies that support tuberculosis control includ-
ing surveillance and database management systems 
with cross-jurisdictional capabilities, which shall con-
form to the standards and implementation specifica-
tions for such information technologies as rec-
ommended by the Secretary.’’; and 
(3) in subsection (d), by adding at the end the 
following: 
‘‘(3) DETERMINATION
OF
AMOUNT
OF
NON-
FEDERAL CONTRIBUTIONS.— 
‘‘(A) 
PRIORITY.—In 
awarding 
grants 
under subsection (a) or (b), the Secretary shall 
give highest priority to an applicant that pro-
vides assurances that the applicant will con-
tribute non-Federal funds to carry out activities 
under this section, which may be provided di-
rectly or through donations from public or pri-
vate entities and may be in cash or in kind, in-
cluding equipment or services. 
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‘‘(B) FEDERAL AMOUNTS NOT TO BE IN-
CLUDED
AS
CONTRIBUTIONS.—Amounts pro-
vided by the Federal Government, or services 
assisted or subsidized to any significant extent 
by the Federal Government, may not be in-
cluded in determining the amount of non-Fed-
eral contributions as described in subparagraph 
(A).’’. 
Subtitle B—Interagency 
Collaboration 
SEC. 111. ADVISORY COUNCIL FOR ELIMINATION OF TU-
BERCULOSIS AND THE FEDERAL TUBER-
CULOSIS TASK FORCE. 
(a) IN GENERAL.—Section 317E(f) of the Public 
Health Service Act (42 U.S.C. 247b–6(f)) is amended— 
(1) by redesignating paragraph (5) as para-
graph (6); and 
(2) by striking paragraphs (2) through (4), and 
inserting the following: 
‘‘(2) DUTIES.—The Council shall provide advice 
and recommendations regarding the elimination of 
tuberculosis to the Secretary. In addition, the Coun-
cil shall, with respect to eliminating such disease, 
provide to the Secretary and other appropriate Fed-
eral officials advice on— 
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‘‘(A) coordinating the activities of the De-
partment of Health and Human Services and 
other Federal agencies that relate to the dis-
ease, including activities under subsection (b); 
‘‘(B) responding rapidly and effectively to 
emerging issues in tuberculosis; and 
‘‘(C) efficiently utilizing the Federal re-
sources involved. 
‘‘(3) COMPREHENSIVE PLAN.— 
‘‘(A) IN GENERAL.—In carrying out para-
graph (2), the Council shall make or update 
recommendations on the development, revision, 
and implementation of a comprehensive plan to 
eliminate tuberculosis in the United States. 
‘‘(B) CONSULTATION.—In carrying out 
subparagraph (A), the Council may consult with 
appropriate public and private entities, which 
may, subject to the direction or discretion of 
the Secretary, include— 
‘‘(i) individuals who are scientists, 
physicians, laboratorians, and other health 
professionals, who are not officers or em-
ployees of the Federal Government and 
who represent the disciplines relevant to 
tuberculosis elimination; 
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‘‘(ii) members of public-private part-
nerships or private entities established to 
address the elimination of tuberculosis; 
‘‘(iii) members of national and inter-
national 
nongovernmental 
organizations 
whose purpose is to eliminate tuberculosis; 
‘‘(iv) members from the general public 
who are knowledgeable with respect to tu-
berculosis elimination including individuals 
who have or have had tuberculosis; and 
‘‘(v) 
scientists, 
physicians, 
laboratorians, and other health profes-
sionals who reside in a foreign country 
with a substantial incidence or prevalence 
of tuberculosis, and who represent the spe-
cialties and disciplines relevant to the re-
search under consideration. 
‘‘(C) CERTAIN COMPONENTS OF PLAN.—In 
carrying out subparagraph (A), the Council 
shall, subject to the direction or discretion of 
the Secretary— 
‘‘(i) consider recommendations for the 
involvement of the United States in con-
tinuing global and cross-border tuber-
culosis control activities in countries where 
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a high incidence of tuberculosis directly af-
fects the United States; and 
‘‘(ii) review the extent to which 
progress has been made toward eliminating 
tuberculosis. 
‘‘(4) BIENNIAL REPORT.— 
‘‘(A) IN GENERAL.—The Council shall sub-
mit a biennial report to the Secretary, as deter-
mined necessary by the Secretary, on the activi-
ties carried under this section. Each such re-
port shall include the opinion of the Council on 
the extent to which its recommendations re-
garding the elimination of tuberculosis have 
been implemented, including with respect to— 
‘‘(i) activities under subsection (b); 
and 
‘‘(ii) the national plan referred to in 
paragraph (3). 
‘‘(B) PUBLIC.—The Secretary shall make 
a report submitted under subparagraph (A) 
public. 
‘‘(5) COMPOSITION.—The Council shall be com-
posed of— 
‘‘(A) ex officio representatives from the 
Centers for Disease Control and Prevention, the 
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National Institutes of Health, the United States 
Agency for International Development, the 
Agency for Healthcare Research and Quality, 
the Health Resources and Services Administra-
tion, the United States-Mexico Border Health 
Commission, and other Federal departments 
and agencies that carry out significant activities 
related to tuberculosis; 
‘‘(B) State and local tuberculosis control 
and public health officials; 
‘‘(C) individuals who are scientists, physi-
cians, laboratorians, and other health profes-
sionals who represent disciplines relevant to tu-
berculosis elimination; and 
‘‘(D) members of national and inter-
national nongovernmental organizations estab-
lished to address the elimination of tuber-
culosis.’’. 
(b) RULE OF CONSTRUCTION REGARDING CURRENT 
MEMBERSHIP.—With respect to the advisory council 
under section 317E(f) of the Public Health Service Act, 
the amendments made by subsection (a) may not be con-
strued as terminating the membership on such council of 
any individual serving as such a member as of the day 
before the date of the enactment of this Act. 
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