burden in half by 2015 and thus eliminate tuber-
culosis as a global health problem by 2050. 
(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 Centers for Disease Control and Pre-
vention (CDC) is actively involved with global tuber-
culosis control efforts since the global tuberculosis 
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epidemic directly impacts tuberculosis in the United 
States, and because Congress has strongly urged the 
CDC each year to increase its involvement with 
international tuberculosis control efforts. 
(17) The CDC is assisting countries with a high 
burden of tuberculosis to— 
(A) implement the World Health Organiza-
tion-recommended control strategies by improv-
ing the capacity to diagnose and cure individ-
uals with tuberculosis; 
(B) improve the capacity to diagnose, 
treat, and prevent tuberculosis in HIV-infected 
individuals and individuals with multi-drug re-
sistant tuberculosis and extensively drug resist-
ant tuberculosis; and 
(C) 
conduct 
programmatically-relevant 
clinical and operational research to identify and 
evaluate new diagnostics, treatment regimes, 
and interventions to control tuberculosis. 
SEC. 3. ASSISTANCE TO COMBAT TUBERCULOSIS. 
(a) POLICY.—Section 104B(b) of the Foreign Assist-
ance Act of 1961 (22 U.S.C. 2151b–3(b)) is amended to 
read as follows: 
‘‘(b) POLICY.—It is a major objective of the foreign 
assistance program of the United States to control tuber-
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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.—Section 104B(c) of the For-
eign Assistance Act of 1961 (22 U.S.C. 2151b–3(c)) 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.—Section 
104B(e) of the Foreign Assistance Act of 1961 (22 U.S.C. 
2151b–3(e)) 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.—Section 104B of the Foreign 
Assistance Act of 1961 (22 U.S.C. 2151b–3) is amend-
ed— 
(1) by redesignating subsection (f) as sub-
section (g); and 
(2) by inserting after subsection (e) the fol-
lowing new subsection: 
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‘‘(f) ASSISTANCE FOR WHO AND THE STOP TUBER-
CULOSIS PARTNERSHIP.—In carrying out this section, the 
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.—Section 104B(g) of the Foreign 
Assistance Act of 1961, 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, treatment, and monitoring of 
tuberculosis, as well as a reliable drug supply, and 
a management strategy for public health systems, 
with health system strengthening, promotion of the 
use of the International Standards for Tuberculosis 
Care by all care providers, bacteriology under an ex-
ternal quality assessment framework, short-course 
chemotherapy, and sound reporting and recording 
systems’’; and 
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