(4) TERM
OF
APPOINTMENT.—The term of 
service for each member of the Committee appointed 
under paragraph (1) shall be 4 years. 
(5) VACANCY.—A vacancy in the membership of 
the Committee shall be filled in the same manner as 
the original appointment. Any member appointed to 
fill a vacancy for an unexpired term shall be ap-
pointed for the remainder of that term. Members 
may serve after the expiration of their terms until 
their successors have taken office. 
(d) MEETINGS.—The Committee shall hold public 
meetings, except as otherwise determined by the Sec-
retary, after providing notice to the public of such meet-
ings, and shall meet at least twice a year with additional 
meetings subject to the call of the co-chairpersons. Agenda 
items with respect to such meetings may be added at the 
request of the members of the Committee, including the 
co-chairpersons. Meetings shall be conducted, and records 
of the proceedings shall be maintained, as required by ap-
plicable law and by regulations of the Secretary. 
(e) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, and annually thereafter, the 
Committee, through the Director of the Centers for Dis-
ease Control and Prevention and the Director of the Na-
tional Institutes of Health, shall submit a report to the 
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Secretary. Each such report shall contain, at a min-
imum— 
(1) a description of the Committee’s functions; 
(2) a list of the Committee’s members and their 
affiliations; and 
(3) a summary of the Committee’s activities 
and recommendations during the previous year, in-
cluding any significant issues regarding the func-
tioning of the Committee. 
(f) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated $250,000 for each of fiscal years 2010 
through 2014. Amounts appropriated under the preceding 
sentence shall be used for the expenses and per diem costs 
incurred by the Committee under this section in accord-
ance with the Federal Advisory Committee Act, except 
that no voting member of the Committee shall be a perma-
nent salaried employee. 
SEC. 4. FEDERAL ACTIVITIES RELATED TO THE DIAGNOSIS, 
SURVEILLANCE, 
PREVENTION, 
AND 
RE-
SEARCH OF LYME AND OTHER TICK-BORNE 
DISEASES. 
(a) IN GENERAL.—The Secretary, acting as appro-
priate through the Director of the Centers for Disease 
Control and Prevention, the Director of the National Insti-
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tutes of Health, the Commissioner of Food and Drugs, 
and the Director of the Agency for Healthcare Research 
and Quality, as well as additional Federal agencies as the 
Secretary determines to be appropriate, and in consulta-
tion with the Tick-Borne Diseases Advisory Committee, 
shall provide for— 
(1) the conduct or support of activities de-
scribed in paragraphs (1) through (4) of subsection 
(b); and 
(2) the coordination of all Federal programs 
and activities related to Lyme disease and other 
tick-borne diseases. 
(b) ACTIVITIES.—The activities to be conducted or 
supported under subsection (a) include the following: 
(1) DEVELOPMENT OF DIAGNOSTIC TESTS.— 
(A) The development of sensitive and more 
accurate diagnostic tools and tests, including a 
direct detection test for Lyme disease capable 
of distinguishing active infection from past in-
fection. 
(B) Improving the efficient utilization of 
diagnostic testing currently available to account 
for the multiple clinical manifestations of both 
acute and chronic Lyme disease. 
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