IB 
Union Calendar No. 569 
110TH CONGRESS 
2D SESSION 
H. R. 1532 
[Report No. 110–873] 
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 15, 2007 
Mr. GENE GREEN of Texas (for himself, Mrs. WILSON of New Mexico, and 
Ms. BALDWIN) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
SEPTEMBER 23, 2008 
Additional sponsors: Mr. ENGEL, Mr. HOLT, Mr. MORAN of Virginia, Mr. 
WAXMAN, Ms. MCCOLLUM of Minnesota, Mrs. CAPPS, Mr. FILNER, Mr. 
RAHALL, Mrs. DAVIS of California, Ms. MOORE of Wisconsin, Ms. ZOE 
LOFGREN of California, Mr. RUSH, Mr. SMITH of Washington, Mr. 
ALLEN, Mr. GEORGE MILLER of California, Mr. HINOJOSA, Mr. PLATTS, 
Mr. GRIJALVA, Mr. SIRES, Mr. REYES, Mr. ETHERIDGE, Mr. SPRATT, 
Mr. LARSEN of Washington, Mr. HASTINGS of Florida, Mr. HONDA, Mrs. 
LOWEY, Mr. MARSHALL, Mr. YOUNG of Alaska, Mr. MCDERMOTT, Mr. 
FRANK of Massachusetts, Mrs. GILLIBRAND, Mr. KUCINICH, Mr. ORTIZ, 
Mr. BERMAN, Ms. LEE, Mr. DOGGETT, Mr. GONZALEZ, Mr. SERRANO, 
Ms. SCHAKOWSKY, Mr. PAYNE, Mr. MCNULTY, Mr. MCNERNEY, Mr. 
CARNEY, Ms. SLAUGHTER, Ms. ESHOO, Mr. STARK, Mr. BRADY of 
Texas, Mr. CARSON, Mr. GORDON of Tennessee, Mr. WELCH of Vermont, 
Mr. BILBRAY, Mrs. TAUSCHER, Ms. DEGETTE, Mr. LAMPSON, Mr. 
CUELLAR, and Mr. RODRIGUEZ 
SEPTEMBER 23, 2008 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
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[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on March 15, 2007] 
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; 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 CO-
ORDINATION 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; DEMONSTRATION 
PROJECTS; EDUCATION AND TRAINING.—With respect to 
the prevention, treatment, control, and elimination of tuber-
culosis, the Secretary may, directly or through grants to 
public or nonprofit private entities, carry out the following: 
‘‘(1) Research, with priority given to research 
and development concerning latent tuberculosis infec-
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tion, strains of tuberculosis resistant to drugs, and re-
search concerning cases of tuberculosis that affect cer-
tain 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 observed 
therapy and non-pharmaceutical intervention, and 
methods to enhance detection and response to out-
breaks of tuberculosis, including multidrug resistant 
tuberculosis. The Secretary is encouraged to give pri-
ority to programmatically relevant research so that 
new tools can be utilized in public health practice. 
‘‘(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; 
‘‘(C) the intensification of efforts to control 
tuberculosis along the United States-Mexico bor-
der and among United States-Mexico binational 
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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 depart-
ments; 
‘‘(D) the intensification of efforts to prevent, 
detect, and treat tuberculosis among foreign-born 
persons who are in the United States; 
‘‘(E) the intensification of efforts to prevent, 
detect, and treat tuberculosis among populations 
and settings documented as having a high risk 
for tuberculosis; and 
‘‘(F) tuberculosis detection, control, and 
prevention. 
‘‘(4) Public information and education activities. 
‘‘(5) Education, training, clinical skills improve-
ment activities, and workplace exposure prevention 
for health professionals, including allied health per-
sonnel and emergency response employees. 
‘‘(6) Support of Centers to carry out activities 
under paragraphs (1) through (4). 
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