HR 1567 PCS
(A) Pursuing high-quality expansion and 
enhancement of DOTS coverage. 
(B) Implementing tuberculosis and HIV 
collaborative activities, preventing and control-
ling multi-drug resistant tuberculosis, and ad-
dressing other special challenges. 
(C) Contributing to the strengthening of 
health systems. 
(D) Engaging all health care providers, in-
cluding promotion of the International Stand-
ards for Tuberculosis Care. 
(E) Empowering individuals with tuber-
culosis and communities. 
(F) Enabling and promoting research to 
develop new diagnostics, drugs, vaccines, and 
program-based operational research relating to 
tuberculosis. 
(12) The Global Plan to Stop TB 2006–2015: 
Actions for Life is a comprehensive plan developed 
by the Stop TB Partnership that sets out the ac-
tions necessary to achieve the millennium develop-
ment goal of cutting tuberculosis deaths and disease 
burden in half by 2015 and thus eliminate tuber-
culosis as a global health problem by 2050. 
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(13) While innovations such as the Global Tu-
berculosis Drug Facility have enabled low-income 
countries to treat a standard case of tuberculosis 
with drugs that cost as little as $16 for a full course 
of treatment, there are still millions of individuals 
with no access to effective treatment. 
(14) As the global resource investment in fight-
ing tuberculosis increases, partner nations and inter-
national institutions must commit to a cor-
responding increase in the technical and program as-
sistance necessary to ensure that the most effective 
and efficient tuberculosis treatments are provided. 
(15) The Global Fund to Fight AIDS, Tuber-
culosis and Malaria is an important global partner-
ship established to combat these three infectious dis-
eases that together kill millions of people a year. Ex-
pansion of effective tuberculosis treatment programs 
constitutes a major component of Global Fund in-
vestment, along with integrated efforts to address 
HIV and tuberculosis in areas of high prevalence. 
(16) The United States Agency for Inter-
national Development and the Centers for Disease 
Control and Prevention are actively involved with 
global tuberculosis control efforts. Because the glob-
al tuberculosis epidemic directly impacts tuberculosis 
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HR 1567 PCS
in the United States, Congress has urged the Cen-
ters for Disease Control and Prevention each year to 
increase its involvement with international tuber-
culosis control efforts. 
(17) The United States Agency for Inter-
national Development is the lead United States Gov-
ernment agency for international tuberculosis ef-
forts, working in close partnership with the Centers 
for Disease Control and Prevention and with the 
President’s Emergency Plan for HIV/AIDS Relief. 
The goal of the United States Agency for Inter-
national Development is to contribute to the global 
reduction of morbidity and mortality associated with 
tuberculosis by building country capacity to prevent 
and cure tuberculosis and achieve global targets of 
70 percent case detection and 85 percent treatment 
success rates. The United States Agency for Inter-
national Development provides support for tuber-
culosis programs in countries that have a high bur-
den of tuberculosis, a high prevalence of tuberculosis 
and HIV, and a high risk of MDR–TB. 
SEC. 3. ASSISTANCE TO COMBAT TUBERCULOSIS. 
(a) POLICY.—Subsection (b) of section 104B of the 
Foreign Assistance Act of 1961 (22 U.S.C. 2151b–3) is 
amended to read as follows: 
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‘‘(b) POLICY.—It is a major objective of the foreign 
assistance program of the United States to control tuber-
culosis. In all countries in which the Government of the 
United States has established development programs, par-
ticularly in countries with the highest burden of tuber-
culosis and other countries with high rates of tuberculosis, 
the United States Government should prioritize the 
achievement of the following goals by not later than De-
cember 31, 2015: 
‘‘(1) Reduce by half the tuberculosis death and 
disease burden from the 1990 baseline. 
‘‘(2) Sustain or exceed the detection of at least 
70 percent of sputum smear-positive cases of tuber-
culosis and the cure of at least 85 percent of those 
cases detected.’’. 
(b) AUTHORIZATION.—Subsection (c) of such section 
is amended— 
(1) in the heading, by striking ‘‘AUTHORIZA-
TION’’ and inserting ‘‘ASSISTANCE REQUIRED’’; and 
(2) by striking ‘‘is authorized to’’ and inserting 
‘‘shall’’. 
(c) PRIORITY TO STOP TB STRATEGY.—Subsection 
(e) of such section is amended— 
(1) in the heading, to read as follows: ‘‘PRI-
ORITY TO STOP TB STRATEGY.—’’; 
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(2) in the first sentence, by striking ‘‘In fur-
nishing’’ and all that follows through ‘‘, including 
funding’’ and inserting the following: 
‘‘(1) PRIORITY.—In furnishing assistance under 
subsection (c), the President shall give priority to— 
‘‘(A) activities described in the Stop TB 
Strategy, including expansion and enhancement 
of DOTS coverage, treatment for individuals in-
fected with both tuberculosis and HIV and 
treatment for individuals with multi-drug resist-
ant tuberculosis (MDR–TB), strengthening of 
health systems, use of the International Stand-
ards for Tuberculosis Care by all providers, em-
powering individuals with tuberculosis, and ena-
bling and promoting research to develop new 
diagnostics, drugs, and vaccines, and program- 
based operational research relating to tuber-
culosis; and 
‘‘(B) funding’’; and 
(3) in the second sentence— 
(A) by striking ‘‘In order to’’ and all that 
follows through ‘‘not less than’’ and inserting 
the following: 
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‘‘(2) AVAILABILITY OF AMOUNTS.—In order to 
meet the requirements of paragraph (1), the Presi-
dent— 
‘‘(A) shall ensure that not less than’’; 
(B) by striking ‘‘for Directly Observed 
Treatment Short-course (DOTS) coverage and 
treatment of multi-drug resistant tuberculosis 
using DOTS–Plus,’’ and inserting ‘‘to imple-
ment the Stop TB Strategy; and’’; and 
(C) by striking ‘‘including’’ and all that 
follows and inserting the following: 
‘‘(B) should ensure that not less than 
$15,000,000 of the amount made available to 
carry out this section for a fiscal year is used 
to make a contribution to the Global Tuber-
culosis Drug Facility.’’. 
(d) ASSISTANCE FOR WHO AND THE STOP TUBER-
CULOSIS PARTNERSHIP.—Such section is further amend-
ed— 
(1) by redesignating subsection (f) as sub-
section (g); and 
(2) by inserting after subsection (e) the fol-
lowing new subsection: 
‘‘(f) ASSISTANCE FOR WHO AND THE STOP TUBER-
CULOSIS PARTNERSHIP.—In carrying out this section, the 
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President, acting through the Administrator of the United 
States Agency for International Development, is author-
ized to provide increased resources to the World Health 
Organization (WHO) and the Stop Tuberculosis Partner-
ship to improve the capacity of countries with high rates 
of tuberculosis and other affected countries to implement 
the Stop TB Strategy and specific strategies related to 
addressing extensively drug resistant tuberculosis (XDR– 
TB).’’. 
(e) DEFINITIONS.—Subsection (g) of such section, as 
redesignated by subsection (d)(1), is amended— 
(1) in paragraph (1), by adding at the end be-
fore the period the following: ‘‘, including low cost 
and effective diagnosis and evaluation of treatment 
regimes, vaccines, and monitoring of tuberculosis, as 
well as a reliable drug supply, and a management 
strategy for public health systems, with health sys-
tem strengthening, promotion of the use of the 
International Standards for Tuberculosis Care by all 
care providers, bacteriology under an external qual-
ity assessment framework, short-course chemo-
therapy, and sound reporting and recording sys-
tems’’; and 
(2) by adding after paragraph (5) the following 
new paragraph: 
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‘‘(6) STOP TB STRATEGY.—The term ‘Stop TB 
Strategy’ means the six-point strategy to reduce tu-
berculosis developed by the World Health Organiza-
tion. The strategy is described in the Global Plan to 
Stop TB 2007–2016: Actions for Life, a comprehen-
sive plan developed by the Stop Tuberculosis Part-
nership that sets out the actions necessary to 
achieve the millennium development goal of cutting 
tuberculosis deaths and disease burden in half by 
2016.’’. 
(f) ANNUAL
REPORT.—Clause (iii) of section 
104A(e)(2)(C) of the Foreign Assistance Act of 1961 (22 
U.S.C. 2151b–2(e)(2)(C)) is amended by adding at the 
end before the semicolon the following: ‘‘, including the 
percentage of such United States foreign assistance pro-
vided for diagnosis and treatment of individuals with tu-
berculosis in countries with the highest burden of tuber-
culosis, as determined by the World Health Organization 
(WHO)’’. 
(g) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There are authorized to be 
appropriated to the President not more than 
$400,000,000 for fiscal year 2008 and not more 
than $550,000,000 for fiscal year 2009 to carry out 
section 104B of the Foreign Assistance Act of 1961 
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(22 U.S.C. 2151b–3), as amended by subsections (a) 
through (e) of this section. 
(2) FUNDING FOR CDC.—Of the amounts ap-
propriated pursuant to the authorization of appro-
priations under paragraph (1), not more than 
$70,000,000 for fiscal year 2008 and not more than 
$100,000,000 for fiscal year 2009 shall be made 
available for the purpose of carrying out global tu-
berculosis activities through the Centers for Disease 
Control and Prevention. 
(3) ADDITIONAL PROVISIONS.—Amounts appro-
priated pursuant to the authorization of appropria-
tions under paragraph (1) and amounts made avail-
able pursuant to paragraph (2)— 
(A) are in addition amounts otherwise 
made available for such purposes; and 
(B) are authorized to remain available 
until expended. 
Passed the House of Representatives November 5, 
2007. 
Attest: 
LORRAINE C. MILLER, 
Clerk. 
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