‘‘(7) Collaboration with international organiza-
tions and foreign countries in carrying out such ac-
tivities. 
‘‘(8) Develop, enhance, and expand information 
technologies that support tuberculosis control includ-
ing surveillance and database management systems 
with cross-jurisdictional capabilities, which shall con-
form to the standards and implementation specifica-
tions for such information technologies as rec-
ommended by the Secretary.’’; and 
(3) in subsection (d), by adding at the end the 
following: 
‘‘(3) DETERMINATION
OF
AMOUNT
OF
NON-
FEDERAL CONTRIBUTIONS.— 
‘‘(A) PRIORITY.—In awarding grants under 
subsection (a) or (b), the Secretary shall give 
highest priority to an applicant that provides 
assurances that the applicant will contribute 
non-Federal funds to carry out activities under 
this section, which may be provided directly or 
through donations from public or private entities 
and may be in cash or in kind, including equip-
ment or services. 
‘‘(B) FEDERAL AMOUNTS NOT TO BE IN-
CLUDED AS CONTRIBUTIONS.—Amounts provided 
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by the Federal Government, or services assisted 
or subsidized to any significant extent by the 
Federal Government, may not be included in de-
termining the amount of non-Federal contribu-
tions as described in subparagraph (A).’’. 
Subtitle B—Interagency 
Collaboration 
SEC. 111. ADVISORY COUNCIL FOR ELIMINATION OF TUBER-
CULOSIS AND THE FEDERAL TUBERCULOSIS 
TASK FORCE. 
(a) IN GENERAL.—Section 317E(f) of the Public 
Health Service Act (42 U.S.C. 247b–6(f)) is amended— 
(1) by redesignating paragraph (5) as para-
graph (6); and 
(2) by striking paragraphs (2) through (4), and 
inserting the following: 
‘‘(2) DUTIES.—The Council shall provide advice 
and recommendations regarding the elimination of 
tuberculosis to the Secretary. In addition, the Council 
shall, with respect to eliminating such disease, pro-
vide to the Secretary and other appropriate Federal 
officials advice on— 
‘‘(A) coordinating the activities of the De-
partment of Health and Human Services and 
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other Federal agencies that relate to the disease, 
including activities under subsection (b); 
‘‘(B) responding rapidly and effectively to 
emerging issues in tuberculosis; and 
‘‘(C) efficiently utilizing the Federal re-
sources involved. 
‘‘(3) COMPREHENSIVE PLAN.— 
‘‘(A) IN GENERAL.—In carrying out para-
graph (2), the Council shall make or update rec-
ommendations on the development, revision, and 
implementation of a comprehensive plan to 
eliminate tuberculosis in the United States. 
‘‘(B) CONSULTATION.—In carrying out sub-
paragraph (A), the Council may consult with 
appropriate public and private entities, which 
may, subject to the direction or discretion of the 
Secretary, include— 
‘‘(i) individuals who are scientists, 
physicians, laboratorians, and other health 
professionals, who are not officers or em-
ployees of the Federal Government and who 
represent the disciplines relevant to tuber-
culosis elimination; 
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‘‘(ii) members of public-private part-
nerships or private entities established to 
address the elimination of tuberculosis; 
‘‘(iii) members of national and inter-
national 
nongovernmental 
organizations 
whose purpose is to eliminate tuberculosis; 
‘‘(iv) members from the general public 
who are knowledgeable with respect to tuber-
culosis elimination including individuals 
who have or have had tuberculosis; and 
‘‘(v) 
scientists, 
physicians, 
laboratorians, and other health professionals 
who reside in a foreign country with a sub-
stantial incidence or prevalence of tuber-
culosis, and who represent the specialties 
and disciplines relevant to the research 
under consideration. 
‘‘(C) CERTAIN COMPONENTS OF PLAN.—In 
carrying out subparagraph (A), the Council 
shall, subject to the direction or discretion of the 
Secretary— 
‘‘(i) consider recommendations for the 
involvement of the United States in con-
tinuing global and cross-border tuberculosis 
control activities in countries where a high 
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incidence of tuberculosis directly affects 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 report 
shall include the opinion of the Council on the 
extent to which its recommendations regarding 
the elimination of tuberculosis have been imple-
mented, 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 Cen-
ters for Disease Control and Prevention, the Na-
tional Institutes of Health, the United States 
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Agency for International Development, the Agen-
cy for Healthcare Research and Quality, the 
Health Resources and Services Administration, 
the United States-Mexico Border Health Com-
mission, and other Federal departments and 
agencies that carry out significant activities re-
lated 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 international 
nongovernmental organizations established to ad-
dress the elimination of tuberculosis.’’. 
(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 construed 
as terminating the membership on such council of any indi-
vidual serving as such a member as of the day before the 
date of the enactment of this Act. 
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(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 subsection 
(h); and 
(2) by inserting after subsection (f) the following 
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 re-
garding the efficient utilization of the Federal re-
sources involved. 
‘‘(2) COMPREHENSIVE PLAN FOR NEW TOOLS DE-
VELOPMENT.—In carrying out paragraph (1), the 
Task Force shall make recommendations on the devel-
opment of a comprehensive plan for the creation of 
new tools for the elimination of tuberculosis, includ-
ing drugs, diagnostics, and vaccines. 
‘‘(3) CONSULTATION.—In developing the com-
prehensive plan under paragraph (1), the Task Force 
shall consult with external parties including rep-
resentatives from groups such as— 
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‘‘(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 international 
nongovernmental organizations established to ad-
dress tuberculosis elimination; 
‘‘(D) members from the general public who 
are knowledgeable with respect to tuberculosis in-
cluding individuals who have or have had tuber-
culosis; 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.’’. 
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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 Elimi-
nation Act of 2008, the Secretary of Health and Human 
Services shall prepare and submit to the appropriate com-
mittees of Congress a report that evaluates and provides rec-
ommendations on changes needed to Federal and State pub-
lic health authorities to address current disease contain-
ment challenges such as isolation and quarantine. 
(b) CONTENTS OF EVALUATION.—The report described 
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 promul-
gate regulations to update the current interstate and foreign 
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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 strik-
ing subsection (h) and inserting the following: 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) GENERAL PROGRAM.— 
‘‘(A) IN GENERAL.—For the purpose of car-
rying out this section, there are authorized to be 
appropriated $300,000,000 for fiscal year 2009, 
$315,000,000 for fiscal year 2010, $330,750,000 
for fiscal year 2011, $347,287,500 for fiscal year 
2012, and $364,651,900 for fiscal year 2013. 
‘‘(B) 
RESERVATION
FOR
EMERGENCY 
GRANTS.—Of the amounts appropriated under 
subparagraph (A) for a fiscal year, the Secretary 
may reserve not more than 25 percent for emer-
gency grants under subsection (a) for any geo-
graphic 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 tuber-
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culosis, or extensively drug resistant tuberculosis 
or a substantial rate of increase in such cases. 
‘‘(C) PRIORITY.—In allocating amounts ap-
propriated 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 subparagraph 
(B), and allocated by the Secretary for 
grants under subsection (a), the Secretary 
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 complexity 
in the respective geographic area and may 
consider other factors relevant to tuber-
culosis in such area. 
‘‘(iii) NO
CHANGE
TO
FORMULA
RE-
QUIRED.—This subparagraph does not re-
quire the Secretary to modify the formula 
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