a high incidence of tuberculosis directly af-
fects the United States; and 
‘‘(ii) review the extent to which 
progress has been made toward eliminating 
tuberculosis. 
‘‘(4) BIENNIAL REPORT.— 
‘‘(A) IN GENERAL.—The Council shall sub-
mit a biennial report to the Secretary, as deter-
mined necessary by the Secretary, on the activi-
ties carried under this section. Each such re-
port shall include the opinion of the Council on 
the extent to which its recommendations re-
garding the elimination of tuberculosis have 
been implemented, including with respect to— 
‘‘(i) activities under subsection (b); 
and 
‘‘(ii) the national plan referred to in 
paragraph (3). 
‘‘(B) PUBLIC.—The Secretary shall make 
a report submitted under subparagraph (A) 
public. 
‘‘(5) COMPOSITION.—The Council shall be com-
posed of— 
‘‘(A) ex officio representatives from the 
Centers for Disease Control and Prevention, the
National Institutes of Health, the United States 
Agency for International Development, the 
Agency for Healthcare Research and Quality, 
the Health Resources and Services Administra-
tion, the United States-Mexico Border Health 
Commission, and other Federal departments 
and agencies that carry out significant activities 
related to tuberculosis; 
‘‘(B) State and local tuberculosis control 
and public health officials; 
‘‘(C) individuals who are scientists, physi-
cians, laboratorians, and other health profes-
sionals who represent disciplines relevant to tu-
berculosis elimination; and 
‘‘(D) members of national and inter-
national nongovernmental organizations estab-
lished to address the elimination of tuber-
culosis.’’. 
(b) RULE OF CONSTRUCTION REGARDING CURRENT 
MEMBERSHIP.—With respect to the advisory council 
under section 317E(f) of the Public Health Service Act, 
the amendments made by subsection (a) may not be con-
strued as terminating the membership on such council of 
any individual serving as such a member as of the day 
before the date of the enactment of this Act.
(c) FEDERAL TUBERCULOSIS TASK FORCE.—Section 
317E of the Public Health Service Act (42 U.S.C. 247b– 
6) is amended— 
(1) by redesignating subsection (g) as sub-
section (h); and 
(2) by inserting after subsection (f) the fol-
lowing subsection: 
‘‘(g) FEDERAL TUBERCULOSIS TASK FORCE.— 
‘‘(1) DUTIES.—The Federal Tuberculosis Task 
Force (in this subsection referred to as the ‘Task 
Force’) shall provide to the Secretary and other ap-
propriate Federal officials advice on research into 
new tools under subsection (b)(2), including advice 
regarding the efficient utilization of the Federal re-
sources involved. 
‘‘(2) COMPREHENSIVE PLAN FOR NEW TOOLS 
DEVELOPMENT.—In carrying out paragraph (1), the 
Task Force shall make recommendations on the de-
velopment of a comprehensive plan for the creation 
of new tools for the elimination of tuberculosis, in-
cluding drugs, diagnostics, and vaccines. 
‘‘(3) CONSULTATION.—In developing the com-
prehensive plan under paragraph (1), the Task 
Force shall consult with external parties including 
representatives from groups such as—
‘‘(A) scientists, physicians, laboratorians, 
and other health professionals who represent 
the specialties and disciplines relevant to the re-
search under consideration; 
‘‘(B) members from public-private partner-
ships, private entities, or foundations (or both) 
engaged in activities relevant to research under 
consideration; 
‘‘(C) members of national and inter-
national nongovernmental organizations estab-
lished to address tuberculosis elimination; 
‘‘(D) members from the general public who 
are knowledgeable with respect to tuberculosis 
including individuals who have or have had tu-
berculosis; and 
‘‘(E) scientists, physicians, laboratorians, 
and other health professionals who reside in a 
foreign country with a substantial incidence or 
prevalence of tuberculosis, and who represent 
the specialties and disciplines relevant to the re-
search under consideration.’’.
Subtitle C—Evaluation of Public 
Health Authorities 
SEC. 121. EVALUATION OF PUBLIC HEALTH AUTHORITIES. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of the Comprehensive Tuberculosis 
Elimination Act of 2008, the Secretary of Health and 
Human Services shall prepare and submit to the appro-
priate committees of Congress a report that evaluates and 
provides recommendations on changes needed to Federal 
and State public health authorities to address current dis-
ease containment challenges such as isolation and quar-
antine. 
(b) CONTENTS
OF EVALUATION.—The report de-
scribed in subsection (a) shall include— 
(1) an evaluation of the effectiveness of current 
policies to detain patients with active tuberculosis; 
(2) an evaluation of whether Federal laws 
should be strengthened to expressly address the 
movement of individuals with active tuberculosis; 
and 
(3) specific legislative recommendations for 
changes to Federal laws, if any. 
(c) UPDATE OF QUARANTINE REGULATIONS.—Not 
later than 240 days after the date of enactment of this 
Act, the Secretary of Health and Human Services shall
promulgate regulations to update the current interstate 
and foreign quarantine regulations found in parts 70 and 
71 of title 42, Code of Federal Regulations. 
Subtitle D—Authorization of 
Appropriations 
SEC. 131. AUTHORIZATIONS OF APPROPRIATIONS. 
Section 317E of the Public Health Service Act, as 
amended by section 111(c) of this Act, is amended by 
striking subsection (h) and inserting the following: 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) GENERAL PROGRAM.— 
‘‘(A) IN
GENERAL.—For the purpose of 
carrying out this section, there are authorized 
to be appropriated $200,000,000 for fiscal year 
2009, $210,000,000 for fiscal year 2010, 
$220,500,000 
for 
fiscal 
year 
2011, 
$231,525,000 
for 
fiscal 
year 
2012, 
and 
$243,101,250 for fiscal year 2013. 
‘‘(B) 
RESERVATION
FOR
EMERGENCY 
GRANTS.—Of the amounts appropriated under 
subparagraph (A) for a fiscal year, the Sec-
retary may reserve not more than 25 percent 
for emergency grants under subsection (a) for 
any geographic area, State, political subdivision 
of a State, or other public entity in which there
is, relative to other areas, a substantial number 
of cases of tuberculosis, multidrug resistant tu-
berculosis, or extensively drug resistant tuber-
culosis or a substantial rate of increase in such 
cases. 
‘‘(C) PRIORITY.—In allocating amounts 
appropriated under subparagraph (A), the Sec-
retary shall give priority to allocating such 
amounts for grants under subsection (a). 
‘‘(D) ALLOCATION OF FUNDS.— 
‘‘(i) REQUIREMENT OF FORMULA.—Of 
the amounts appropriated under subpara-
graph (A), not reserved under subpara-
graph (B), and allocated by the Secretary 
for grants under subsection (a), the Sec-
retary shall distribute a portion of such 
amounts to grantees under subsection (a) 
on the basis of a formula. 
‘‘(ii) RELEVANT FACTORS.—The for-
mula developed by the Secretary under 
clause (i) shall take into account the level 
of tuberculosis morbidity and case com-
plexity in the respective geographic area 
and may consider other factors relevant to 
tuberculosis in such area.
‘‘(iii) NO CHANGE TO FORMULA RE-
QUIRED.—This subparagraph does not re-
quire the Secretary to modify the formula 
that was used by the Secretary to dis-
tribute funds to grantees under subsection 
(a) for fiscal year 2009. 
‘‘(2) LIMITATION.—The authorization of appro-
priations established in paragraph (1) for a fiscal 
year is effective only if the amount appropriated 
under such paragraph for such year equals or ex-
ceeds the amount appropriated to carry out this sec-
tion for fiscal year 2009.’’. 
TITLE II—NATIONAL INSTITUTES 
OF HEALTH 
SEC. 201. RESEARCH AND DEVELOPMENT CONCERNING TU-
BERCULOSIS. 
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: 
‘‘SEC. 424C. TUBERCULOSIS. 
‘‘(a) IN GENERAL.—The Director of the National In-
stitutes of Health may expand, intensify, and coordinate 
research and development and related activities of the In-
stitutes with respect to tuberculosis including activities to-
ward the goal of eliminating such disease.
‘‘(b) CERTAIN ACTIVITIES.—Activities under sub-
section (a) may include— 
‘‘(1) enhancing basic and clinical research on 
tuberculosis, including drug resistant tuberculosis; 
‘‘(2) expanding research on the relationship be-
tween such disease and the human immunodeficiency 
virus; and 
‘‘(3) developing new tools for the elimination of 
tuberculosis, including public health interventions 
and methods to enhance detection and response to 
outbreaks of tuberculosis, including multidrug resist-
ant tuberculosis.’’. 
Passed the House of Representatives September 24, 
2008. 
Attest: 
Clerk.
110TH CONGRESS 
2D SESSION 
H. R. 1532 
AN ACT 
To amend the Public Health Service Act with re-
spect to making progress toward the goal of 
eliminating tuberculosis, and for other purposes.