I 
108TH CONGRESS 
1ST SESSION H. R. 2068
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 
MAY 13, 2003
Mr. BROWN of Ohio (for himself and Mrs. WILSON of New Mexico) 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 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,
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Comprehensive Tuber-
culosis Elimination Act of 2003’’.
TITLE I—INTERAGENCY 
COLLABORATION 
SEC. 101. ADVISORY COUNCIL FOR THE ELIMINATION OF 
TUBERCULOSIS. 
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.—For the purpose of making 
progress toward the goal of eliminating tuberculosis 
from the United States, the Council shall provide to 
the Secretary and other appropriate Federal officials 
advice on coordinating the activities of the Public 
Health Service and other Federal agencies that re-
late to such disease and on efficiently utilizing the 
Federal resources involved. 
‘‘(3) NATIONAL PLAN.—In carrying out para-
graph (2), the Council, in consultation with appro-
priate public and private entities, shall make rec-
ommendations on the development, revision, and im-
plementation of a national plan to eliminate tuber-
culosis in the United States. In carrying out this 
paragraph, the Council shall—
‘‘(A) consider the recommendations of the 
Institute of Medicine regarding the elimination 
of tuberculosis; 
‘‘(B) address the development and applica-
tion of new technologies; and 
‘‘(C) review the extent to which progress 
has been made toward eliminating tuberculosis. 
‘‘(4) GLOBAL
ACTIVITIES.—In carrying out 
paragraph (2), the Council, in consultation with ap-
propriate public and private entities, shall make rec-
ommendations for the development and implementa-
tion of a plan to guide the involvement of the United 
States in global and cross border tuberculosis-control 
activities, including recommendations regarding poli-
cies, strategies, objectives, and priorities. Such rec-
ommendations for the plan shall have a focus on 
countries where a high incidence of tuberculosis di-
rectly affects the United States, such as Mexico, and 
on access to a comprehensive package of tuberculosis 
control measures, as defined by the World Health 
Organization directly observed treatment, short 
course strategy (commonly known as DOTS). 
‘‘(5) COMPOSITION.—The Council shall be com-
posed of—
‘‘(A) representatives from the Centers for 
Disease Control and Prevention, the National 
Institutes of Health, the Agency for Healthcare 
Research and Quality, the Health Resources 
and Services Administration, the U.S.-Mexico 
Border Health Commission, and other Federal 
departments and agencies that carry out signifi-
cant activities relating to tuberculosis; and 
‘‘(B) members appointed from among indi-
viduals who are not officers or employees of the 
Federal Government.’’. 
TITLE 
II—CENTERS 
FOR 
DIS-
EASE CONTROL AND PREVEN-
TION 
SEC. 201. NATIONAL PROGRAM FOR TUBERCULOSIS ELIMI-
NATION. 
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 PROGRAM FOR TUBERCULOSIS 
ELIMINATION’’; 
(2) by amending subsection (b) to read as fol-
lows: 
‘‘(b) RESEARCH, DEMONSTRATION PROJECTS, EDU-
CATION, AND TRAINING.—With respect to the prevention,
control, and elimination of tuberculosis, the Secretary 
may, directly or through grants to public or nonprofit pri-
vate entities, carry out the following: 
‘‘(1) Research, with priority given to research 
concerning—
‘‘(A) diagnosis and treatment of latent in-
fection of tuberculosis; 
‘‘(B) strains of tuberculosis resistant to 
drugs; 
‘‘(C) cases of tuberculosis that affect cer-
tain populations; and 
‘‘(D) clinical trials, including a tuberculosis 
trials consortium. 
‘‘(2) Demonstration projects for—
‘‘(A) the development of regional capabili-
ties for the prevention, control, and elimination 
of tuberculosis; and 
‘‘(B) collaboration with the Immigration 
and Naturalization Service to identify and treat 
immigrants with active or latent tuberculosis in-
fection. 
‘‘(3) Public information and education pro-
grams.
‘‘(4) Education, training and clinical skills im-
provement activities for health professionals, includ-
ing allied health personnel.
‘‘(5) Support of model centers to carry out ac-
tivities under paragraphs (1) through (4). 
‘‘(6) Collaboration with international organiza-
tions and foreign countries in carrying out such ac-
tivities, including coordinating activities through the 
Committee on Interagency Collaboration for Tuber-
culosis Elimination.’’; 
(3) in subsection (f), by adding at the end the 
following: 
‘‘(4) ANNUAL REPORTS.—The Council shall an-
nually submit to the Congress and the Secretary a 
report on the activities carried out under this sub-
section. The report shall include the opinion of the 
Council on the extent to which the recommendations 
of the Institute of Medicine regarding tuberculosis 
have been implemented.’’; and 
(4) by amending subsection (g) to read as fol-
lows: 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $528,000,000 for fiscal year 2004, and
such sums as may be necessary for each of the fiscal years 
2005 through 2008.’’. 
TITLE III—NATIONAL 
INSTITUTES OF HEALTH 
SEC. 301. ACTIVITIES OF NATIONAL HEART, LUNG, AND 
BLOOD INSTITUTE. 
Subpart 2 of part C of title IV of the Public Health 
Service Act (42 U.S.C. 285b et seq.) is amended by insert-
ing after section 424B the following section: 
‘‘TUBERCULOSIS 
‘‘SEC. 424C. (a) IN GENERAL.—The Director of the 
Institute shall expand, intensify, and coordinate research 
and related activities of the Institute with respect to tuber-
culosis, including activities toward the goal of eliminating 
such disease. 
‘‘(b) CERTAIN ACTIVITIES.—Activities under sub-
section (a) shall include—
‘‘(1) enhancing basic and clinical research on 
tuberculosis; and 
‘‘(2) expanding research on the relationship be-
tween such disease and the human immunodeficiency 
virus. 
‘‘(c) RESEARCH EDUCATION.—
‘‘(1) TUBERCULOSIS ACADEMIC AWARDS.—The 
Director of the Institute may provide awards to fac-
ulty of schools of medicine or osteopathic medicine