TASK DEFINITION: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``529 and ABLE Account Improvement Act 
of 2016''.

SEC. 2. EMPLOYER CONTRIBUTIONS TO QUALIFIED TUITION PROGRAMS AND 
              QUALIFIED ABLE PROGRAMS.

    (a) In General.--Subsection (a) of section 132 of the Internal 
Revenue Code of 1986 is amended by striking ``or'' at the end of 
paragraph (7), by striking the period at the end of paragraph (8) and 
inserting ``, or'', and by adding at the end the following new 
paragraph:
            ``(9) qualified tuition program and qualified ABLE program 
        contributions.''.
    (b) Qualified Tuition Program and Qualified ABLE Program 
Contributions Defined.--Section 132 of such Code is amended by 
redesignating subsection (o) as subsection (p) and inserting after 
subsection (n) the following new subsection:
    ``(o) Qualified Tuition Program and Qualified ABLE Program 
Contributions Defined.--
            ``(1) In general.--For purposes of this section, the term 
        `qualified tuition and qualified ABLE program contributions' 
        means contributions (including matching contributions) made by 
        an employer directly to a qualified tuition program (as 
        described in section 529) or qualified ABLE program (as 
        described in section 529A) designated by an employee if--
                    ``(A) such contribution is made to an account under 
                such program for which the designated beneficiary is 
                the employee or a member of the family of the employee 
                (within the meaning of section 529(e)(2)), and
                    ``(B) such contribution is made in connection with 
                a qualified payroll deduction contribution program 
                established by the employer.
            ``(2) Qualified payroll deduction contribution program.--
        For purposes of this subsection, the term `qualified payroll 
        deduction contribution program' means a program established by 
        an employer--
                    ``(A) under which employees may elect to make 
                contributions to accounts described in paragraph (1)(A) 
                which reduce the amount of wages received directly by 
                such employee by the amount of such contribution, and
                    ``(B) which is made available on substantially the 
                same terms to each member of a group of employees which 
                is defined under a reasonable classification set up by 
                the employer which does not discriminate in favor of 
                highly compensated employees (as defined in section 
                414(q)).
            ``(3) Limitation on exclusion.--The amount of qualified 
        tuition and qualified ABLE program contributions which may be 
        excluded from gross income under subsection (a)(9) with respect 
        to any employee shall not exceed $100 in any calendar year.
            ``(4) Nondiscrimination rule for employer contributions.--
        Subsection (a)(9) shall only apply to contributions provided 
        with respect to a highly compensated employee if such 
        contributions meet the requirements of paragraph (2)(B).
            ``(5) Inflation adjustment.--
                    ``(A) In general.--In the case of any taxable year 
                beginning in a calendar year after 2016, the $100 
                amount contained in paragraph (3) shall be increased by 
                an amount equal to--
                            ``(i) such dollar amount, multiplied by
                            ``(ii) the cost-of-living adjustment 
                        determined under section 1(f)(3) for the 
                        calendar year in which the taxable year begins, 
                        determined by substituting `calendar year 2015' 
                        for `calendar year 1992' in subparagraph (B) 
                        thereof.
                    ``(B) Rounding.--Any increase determined under 
                subparagraph (A) shall be rounded to the nearest 
                multiple of $25.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to contributions made after December 31, 2016.

SEC. 3. TAX CREDIT FOR SMALL EMPLOYER COSTS OF ESTABLISHING DIRECT 
              PAYROLL DEDUCTION INTO QUALIFIED TUITION PROGRAMS AND 
              QUALIFIED ABLE PROGRAMS.

    (a) In General.--Section 45E of the Internal Revenue Code of 1986 
is amended by adding at the end the following new subsection:
    ``(f) Application to Programs for Payroll Deduction Contributions 
to Qualified Tuition Programs and Qualified ABLE Programs.--In the case 
of a qualified payroll deduction contribution program (as defined in 
section 132(o)(2)) established by an employer--
            ``(1) such program shall be treated as an eligible employer 
        plan for purposes of this section,
            ``(2) this section (including the limitation of subsection 
        (b)) shall be applied separately with respect to such programs 
        and any other eligible employer plans of the employer, and
            ``(3) subsection (d)(1)(A)(ii) shall be applied by 
        substituting `education' for `retirement-related education'.''.
    (b) Clerical Amendments.--
            (1) The heading for section 45E of such Code is amended by 
        striking ``pension''.
            (2) The table of sections for subpart D of part IV of 
        subchapter A of chapter 1 of such Code is amended by striking 
        the item relating to section 45E and inserting the following 
        new item:

``Sec. 45E. Small employer plan startup costs.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to costs paid or incurred in taxable years beginning after the 
date of the enactment of this Act.

SEC. 4. EXEMPTIONS FROM ADDITIONAL TAX FOR CERTAIN DISTRIBUTIONS FROM 
              QUALIFIED TUITION PROGRAMS.

    (a) In General.--Section 529(c)(6) of the Internal Revenue Code of 
1986 is amended by striking the last sentence and inserting the 
following: ``This paragraph shall not apply to the extent that--
                    ``(A) a payment or distribution is contributed to 
                an individual retirement plan of the account owner or 
                the designated beneficiary with respect to the calendar 
                year in which the payment or distribution is received,
                    ``(B) a payment or distribution is used (within 90 
                days of the payment or distribution) to make a payment 
                of interest or principal on a qualified education loan 
                (as defined in section 222(d)(1)) on behalf of the 
                designated beneficiary or a member of the family of 
                such designated beneficiary within the meaning of 
                section 529(e)(2)), or
                    ``(C) the recipient of a payment or distribution 
                makes (within 90 days of the receipt of the payment or 
                distribution) a contribution to an organization 
                described in section 170(b)(1)(A) (other than any 
                organization described in section 509(a)(3) or any fund 
                or account described in section 4966(d)(2)), but only 
                if--
                            ``(i) a deduction for the entire payment or 
                        distribution is allowable under section 170, 
                        and
                            ``(ii) the total payments and distributions 
                        taken into account under this subparagraph with 
                        respect to such recipient for any taxable year 
                        does not exceed $1,000.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to distributions after the date of the enactment of this Act.

SEC. 5. CLARIFICATION REGARDING INVESTMENT DIRECTION IN QUALIFIED 
              TUITION PROGRAMS AND QUALIFIED ABLE PROGRAMS.

    (a) Investment Direction in Qualified Tuition Programs.--Paragraph 
(4) of section 529(b) of the Internal Revenue Code of 1986 is amended 
by adding at the end the following: ``For purposes of this paragraph, 
rebalancing investments among broad-based investment strategies 
established under the program shall not be treated as investment 
direction by a contributor or designated beneficiary unless the 
specific investments within those broad-based strategies are directed 
by the contributor or designated beneficiary.''.
    (b) Investment Direction in Qualified ABLE Programs.--Paragraph (4) 
of section 529A(b) of such Code is amended by adding at the end the 
following: ``For purposes of this paragraph, rebalancing investments 
among broad-based investment strategies established under the program 
shall not be treated as investment direction by a designated 
beneficiary unless the specific investments within those broad-based 
strategies are directed by the designated beneficiary.''.
    (c) Effective Date.--The amendments made by this section shall 
apply with respect to calendar years beginning after the date of the 
enactment of this Act.

SEC. 6. ROLLOVERS BETWEEN QUALIFIED TUITION PROGRAMS AND QUALIFIED ABLE 
              PROGRAMS.

    (a) Rollovers From Qualified Tuition Programs to Qualified ABLE 
Programs.--Clause (i) of section 529(c)(3)(C) of the Internal Revenue 
Code of 1986 is amended by striking ``or'' at the end of subclause (I), 
by striking the period at the end of subclause (II) and inserting ``, 
or'', and by adding at the end the following new subclause:
                                    ``(III) to an ABLE account (as 
                                defined in section 529A(e)(6)) of the 
                                designated beneficiary or a member of 
                                the family of the designated 
                                beneficiary.
                        Subclause (III) shall not apply to so much of a 
                        distribution which, when added to all other 
                        contributions made to the ABLE account for the 
                        taxable year, exceeds the limitation under 
                        section 529A(b)(2)(B).''.
    (b) Rollovers From Qualified ABLE Programs to Qualified Tuition 
Programs.--Clause (i) of section 529A(c)(1)(C) of such Code is 
amended--
            (1) by striking ``such payment or distribution, into 
        another'' and inserting ``such payment or distribution--
                                    ``(I) into another'';
            (2) by striking the period at the end and inserting ``, 
        or'', and
            (3) by adding at the end the following new subclause:
                                    ``(II) to a qualified tuition 
                                program (as described in section 529) 
                                for the benefit of the same designated 
                                beneficiary or a member of the family 
                                of such designated beneficiary.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to distributions after the date of the enactment of this Act.

SOLUTION: 529 and ABLE Account Improvement Act of 2016  This bill amends the Internal Revenue Code to modify the tax treatment of qualified tuition programs (known as 529 plans) and ABLE accounts. (Tax-favored ABLE [Achieving a Better Life Experience] accounts are designed to enable individuals with disabilities to save for and pay for disability-related expenses.)  The bill excludes from gross income a fringe benefit consisting of up to $100 per year (adjusted for inflation after 2016) of employer contributions to an employee's 529 or ABLE account. The employer contribution must be made: (1) to an account for which the designated beneficiary is the employee or a member of the employee's family, and (2) in connection with a payroll deduction contribution program established by the employer.  The bill also: (1) expands the tax credit for small employer pension plan startup costs to include the costs of establishing a payroll deduction contribution program for 529 plans and ABLE accounts;(2) permits 529 funds to be used for transfers to an Individual Retirement Account (IRA), education loan payments, or charitable contributions without being subject to the additional tax for distributions that are not used for qualified higher education expenses; and (3) permits tax-free rollovers of funds between 529 and ABLE accounts for the benefit of the same beneficiary or a family member of the beneficiary. For the purpose of current law restrictions on the frequency of investment directions that a beneficiary or contributor may provide for a 529 or ABLE account, rebalancing investments among broad-based investment strategies established under the program is not an investment direction unless the beneficiary or contributor directs the specific investments within the strategies. 

PROBLEM: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Urban Medicare-Dependent Hospitals 
Preservation Act of 2011''.

SEC. 2. CRITERIA AND PAYMENT FOR CERTAIN URBAN MEDICARE-DEPENDENT 
              HOSPITALS.

    (a) In General.--Section 1886(d)(5) of the Social Security Act (42 
U.S.C. 1395ww(d)(5)) is amended by adding at the end the following new 
subparagraph:
                    ``(M)(i) For cost reporting periods beginning on or 
                after October 1, 2011, and before October 1, 2014, in 
                the case of a subsection (d) hospital which is an urban 
                Medicare-dependent hospital, payment under paragraph 
                (1)(A) shall be equal to the sum of the amount 
                determined under clause (ii) and the amount determined 
                under paragraph (1)(A)(iii).
                    ``(ii) The amount determined under this clause is, 
                for discharges occurring during a cost reporting period 
                that begins on or after October 1, 2011, and before 
                October 1, 2014, 50 percent of the amount by which the 
                hospital's target amount for the cost reporting period 
                (as defined in subsection (b)(3)(L)) exceeds the amount 
                determined under paragraph (1)(A)(iii).
                    ``(iii) For purposes of this subparagraph, the term 
                `urban Medicare-dependent hospital' means, with respect 
                to any cost reporting period to which clause (i) 
                applies, any hospital--
                            ``(I) located in an urban area or 
                        reclassified to an urban area for wage index 
                        purposes;
                            ``(II) that does not receive payment--
                                    ``(aa) under subparagraph (C) as a 
                                rural referral center;
                                    ``(bb) under subparagraph (D) as a 
                                sole community hospital;
                                    ``(cc) under subparagraph (B) or 
                                under subsection (h); or
                                    ``(dd) under subparagraph (F);
                            ``(III) that is not a physician-owned 
                        hospital, as defined in section 489.3 of title 
                        42, Code of Federal Regulations (as in effect 
                        as of the date of the enactment of this 
                        subparagraph); and
                            ``(IV) for which not less than 60 percent 
                        of its inpatient days or discharges during the 
                        cost reporting period beginning in fiscal year 
                        2006, or two of the three most recently audited 
                        cost reporting periods for which the Secretary 
                        has a settled cost report, were attributable to 
                        inpatients entitled to benefits under part A 
                        and not enrolled in a Medicare Advantage plan 
                        under part C.''.
    (b) Target Payment Amount.--Section 1886(b)(3) of the Social 
Security Act (42 U.S.C. 1395ww(b)(3)) is amended--
            (1) in subparagraph (B)(iv), by striking ``and (D)'' and 
        inserting ``, (D), and (M)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(M) For cost reporting periods occurring on or 
                after October 1, 2011, and before October 1, 2014, in 
                the case of a hospital that is an urban Medicare-
                dependent hospital (as defined in subsection 
                (d)(5)(M)), the term `target amount' means--
                            ``(i) with respect to the first 12-month 
                        cost reporting period in which this 
                        subparagraph is applied to the hospital, the 
                        allowable operating costs of inpatient hospital 
                        services (as defined in subsection (a)(4)) 
                        recognized under this title for the hospital 
                        for the 12-month cost reporting period 
                        beginning during fiscal year 2002 or 2006 
                        (whichever results in a higher target amount), 
                        increased by the applicable percentage increase 
                        under subparagraph (B)(iv) for each of fiscal 
                        years 2003 through 2011 or 2007 through 2011, 
                        respectively; and
                            ``(ii) with respect to discharges occurring 
                        after the first 12-month cost reporting period 
                        in which this subparagraph is applied to the 
                        hospital, the target amount for the preceding 
                        year increased by the applicable percentage 
                        increase under subparagraph (B)(iv).''.

SOLUTION: Urban Medicare-Dependent Hospitals Preservation Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act, with respect to cost reporting periods beginning on or after October 1, 2011, and before October 1, 2014, to revise the criteria and payment formula for "subsection (d) hospitals" which are urban Medicare-dependent hospitals.

(Generally a subsection (d) hospital is an acute care hospital particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.)

PROBLEM: SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
    (a) Short Title.--This Act may be cited as the ``Comprehensive 
Tuberculosis Elimination Act of 2008''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.

 TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES IN COORDINATION WITH 
  THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND OTHER APPROPRIATE 
                                AGENCIES

Subtitle A--National Strategy for Combating and Eliminating Tuberculosis

Sec. 101. National strategy.

                  Subtitle B--Interagency Collaboration

Sec. 111. Advisory Council for Elimination of Tuberculosis and the 
          Federal Tuberculosis Task Force .

           Subtitle C--Evaluation of Public Health Authorities

Sec. 121. Evaluation of public health authorities.

               Subtitle D--Authorization of Appropriations

Sec. 131. Authorizations of appropriations.

                 TITLE II--NATIONAL INSTITUTES OF HEALTH

Sec. 201. Research and development concerning tuberculosis.

 TITLE I--DEPARTMENT OF HEALTH AND HUMAN SERVICES IN COORDINATION WITH 
 THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND OTHER APPROPRIATE 
                                AGENCIES
      Subtitle A--National Strategy for Combating and Eliminating 
                              Tuberculosis

    SEC. 101. NATIONAL STRATEGY.
    Section 317E of the Public Health Service Act (42 U.S.C. 247b-6) is 
amended--
        (1) by striking the heading for the section and inserting the 
    following: ``national strategy for combating and eliminating 
    tuberculosis'';
        (2) by amending subsection (b) to read as follows:
    ``(b) Research and Development; Demonstration Projects; Education 
and Training.--With respect to the prevention, treatment, control, and 
elimination of tuberculosis, the Secretary may, directly or through 
grants to public or nonprofit private entities, carry out the 
following:
        ``(1) Research, with priority given to research and development 
    concerning latent tuberculosis infection, strains of tuberculosis 
    resistant to drugs, and research concerning cases of tuberculosis 
    that affect certain populations at risk for tuberculosis.
        ``(2) Research and development and related activities to 
    develop new tools for the elimination of tuberculosis, including 
    drugs, diagnostics, vaccines, and public health interventions, such 
    as directly observed therapy and non-pharmaceutical intervention, 
    and methods to enhance detection and response to outbreaks of 
    tuberculosis, including multidrug resistant tuberculosis. The 
    Secretary is encouraged to give priority to programmatically 
    relevant research so that new tools can be utilized in public 
    health practice.
        ``(3) Demonstration projects for--
            ``(A) the development of regional capabilities to prevent, 
        control, and eliminate tuberculosis and prevent multidrug 
        resistant and extensively drug resistant strains of 
        tuberculosis;
            ``(B) the intensification of efforts to reduce health 
        disparities in the incidence of tuberculosis;
            ``(C) the intensification of efforts to control 
        tuberculosis along the United States-Mexico border and among 
        United States-Mexico binational populations, including through 
        expansion of the scope and number of programs that--
                ``(i) detect and treat binational cases of 
            tuberculosis; and
                ``(ii) treat high-risk cases of tuberculosis referred 
            from Mexican health departments;
            ``(D) the intensification of efforts to prevent, detect, 
        and treat tuberculosis among foreign-born persons who are in 
        the United States;
            ``(E) the intensification of efforts to prevent, detect, 
        and treat tuberculosis among populations and settings 
        documented as having a high risk for tuberculosis; and
            ``(F) tuberculosis detection, control, and prevention.
        ``(4) Public information and education activities.
        ``(5) Education, training, clinical skills improvement 
    activities, and workplace exposure prevention for health 
    professionals, including allied health personnel and emergency 
    response employees.
        ``(6) Support of Centers to carry out activities under 
    paragraphs (1) through (4).
        ``(7) Collaboration with international organizations and 
    foreign countries in carrying out such activities.
        ``(8) Develop, enhance, and expand information technologies 
    that support tuberculosis control including surveillance and 
    database management systems with cross-jurisdictional capabilities, 
    which shall conform to the standards and implementation 
    specifications for such information technologies as recommended by 
    the Secretary.''; and
        (3) in subsection (d), by adding at the end the following:
        ``(3) Determination of amount of nonfederal 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 
        equipment or services.
            ``(B) Federal amounts not to be included as 
        contributions.--Amounts provided by the Federal Government, or 
        services assisted or subsidized to any significant extent by 
        the Federal Government, may not be included in determining the 
        amount of non-Federal contributions as described in 
        subparagraph (A).''.

                 Subtitle B--Interagency Collaboration

    SEC. 111. ADVISORY COUNCIL FOR ELIMINATION OF TUBERCULOSIS 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 paragraph (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, provide to the Secretary and other 
    appropriate Federal officials advice on--
            ``(A) coordinating the activities of the Department of 
        Health and Human Services and 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 resources involved.
        ``(3) Comprehensive plan.--
            ``(A) In general.--In carrying out paragraph (2), the 
        Council shall make or update recommendations on the 
        development, revision, and implementation of a comprehensive 
        plan to eliminate tuberculosis in the United States.
            ``(B) Consultation.--In carrying out subparagraph (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 employees of the Federal Government and who 
            represent the disciplines relevant to tuberculosis 
            elimination;
                ``(ii) members of public-private partnerships or 
            private entities established to address the elimination of 
            tuberculosis;
                ``(iii) members of national and international 
            nongovernmental organizations whose purpose is to eliminate 
            tuberculosis;
                ``(iv) members from the general public who are 
            knowledgeable with respect to tuberculosis 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 
            substantial incidence or prevalence of tuberculosis, 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 continuing global and cross-border 
            tuberculosis control activities in countries where a high 
            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 submit a biennial 
        report to the Secretary, as determined necessary by the 
        Secretary, on the activities 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 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 composed 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 Administration, 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, physicians, 
        laboratorians, and other health professionals who represent 
        disciplines relevant to tuberculosis elimination; and
            ``(D) members of national and international nongovernmental 
        organizations established to address 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 
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 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 appropriate Federal officials advice on 
    research into new tools under subsection (b)(2), including advice 
    regarding the efficient utilization of the Federal resources 
    involved.
        ``(2) Comprehensive plan for new tools development.--In 
    carrying out paragraph (1), the Task Force shall make 
    recommendations on the development of a comprehensive plan for the 
    creation of new tools for the elimination of tuberculosis, 
    including drugs, diagnostics, and vaccines.
        ``(3) Consultation.--In developing the comprehensive 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 research under consideration;
            ``(B) members from public-private partnerships, private 
        entities, or foundations (or both) engaged in activities 
        relevant to research under consideration;
            ``(C) members of national and international nongovernmental 
        organizations established to address tuberculosis elimination;
            ``(D) members from the general public who are knowledgeable 
        with respect to tuberculosis including individuals who have or 
        have had tuberculosis; 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 
        research 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 appropriate committees of Congress a report that evaluates and 
provides recommendations on changes needed to Federal and State public 
health authorities to address current disease containment 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 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 
        Secretary 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 tuberculosis, or 
        extensively drug resistant tuberculosis or a substantial rate 
        of increase in such cases.
            ``(C) Priority.--In allocating amounts appropriated under 
        subparagraph (A), the Secretary 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 subparagraph (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 formula 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 tuberculosis in such area.
                ``(iii) No change to formula required.--This 
            subparagraph does not require the Secretary to modify the 
            formula that was used by the Secretary to distribute funds 
            to grantees under subsection (a) for fiscal year 2009.
        ``(2) Limitation.--The authorization of appropriations 
    established in paragraph (1) for a fiscal year is effective only if 
    the amount appropriated under such paragraph for such year equals 
    or exceeds the amount appropriated to carry out this section for 
    fiscal year 2009.''.

                TITLE II--NATIONAL INSTITUTES OF HEALTH

    SEC. 201. RESEARCH AND DEVELOPMENT CONCERNING TUBERCULOSIS.
    Subpart 2 of part C of title IV of the Public Health Service Act 
(42 U.S.C. 285b et seq.) is amended by inserting after section 424B the 
following section:
``SEC. 424C. TUBERCULOSIS.
    ``(a) In General.--The Director of the National Institutes of 
Health may expand, intensify, and coordinate research and development 
and related activities of the Institutes with respect to tuberculosis 
including activities toward the goal of eliminating such disease.
    ``(b) Certain Activities.--Activities under subsection (a) may 
include--
        ``(1) enhancing basic and clinical research on tuberculosis, 
    including drug resistant tuberculosis;
        ``(2) expanding research on the relationship between 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 resistant tuberculosis.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.

SOLUTION:
Comprehensive Tuberculosis Elimination Act of 2008 - Title I: Department of Health and Human Services in Coordination with the Centers for Disease Control and Prevention and Other Appropriate Agencies - Subtitle A: National Strategy for Combating and Eliminating Tuberculosis - (Sec. 101) Amends the Public Health Service Act to revise the grant program through which the Secretary of Health and Human Services is authorized to carry out programs with respect to the prevention, treatment, control, and elimination of tuberculosis.

Includes research on latent tuberculosis infection within such program.

Includes within such program research and development and related activities to develop new tools for the elimination of tuberculosis and new methods to enhance detection and response to tuberculosis outbreaks. Encourages the Secretary to give priority to programmatically relevant research so that new tools can be utilized in public health practice.

 Includes among demonstration projects the Secretary may carry out as part of such program projects for the development of regional capabilities to prevent, control, and eliminate tuberculosis and prevent multidrug resistant and extensively drug resistant strains of tuberculosis and projects for the intensification of efforts to: (1) reduce health disparities in the incidence of tuberculosis; (2) control tuberculosis along the U.S.-Mexico border; (3) prevent, detect, and treat tuberculosis among foreign-born persons who are in the United States; and (4) prevent, detect, and treat tuberculosis in high-risk populations and settings.

Allows the Secretary, as part of such program, to develop, enhance, and expand information technologies that support tuberculosis control, including surveillance and database management systems with cross-jurisdictional capabilities.

Requires the Secretary, in awarding grants for such tuberculosis programs, to give highest priority to applicants that will contribute nonfederal funds to carry out such activities.

Subtitle B: Interagency Collaboration - (Sec. 111) Expands the duties for the Advisory Council for the Elimination of Tuberculosis to include providing to the Secretary and other appropriate federal officials advice on: (1) coordinating the activities of the Department of Health and Human Services (HHS) and other federal agencies; (2) responding rapidly and effectively to emerging issues in tuberculosis; and (3) efficiently utilizing the federal resources involved. Requires the Council to make or update recommendations on the comprehensive plan to eliminate tuberculosis in the United States. Sets forth reporting requirements for the Council.

Requires the Federal Tuberculosis Task Force to: (1) provide to the Secretary and other appropriate federal officials advice on research into new tools; and (2) make recommendations on the development of a comprehensive plan for the creation of new tools for the elimination of tuberculosis.

Subtitle C: Evaluation of Public Health Authorities - (Sec. 121) Requires the Secretary to: (1) report to the appropriate congressional committees on changes needed to federal and state public health authorities to address current disease containment challenges; and (2) promulgate regulations to update current interstate and foreign quarantine regulations.

Subtitle D: Authorization of Appropriations - (Sec. 131) Authorizes appropriations for FY2009-FY2013. Requires the Secretary to allocate a portion of grant funds on the basis of a formula that takes into account the level of tuberculosis morbidity and case complexity in the respective geographic area.

Title II: National Institutes of Health - (Sec. 201) Allows the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate research and development and related NIH activities with respect to tuberculosis. Authorizes such activities to include: (1) enhancing basic and clinical research on tuberculosis, including drug resistant tuberculosis; (2) expanding research on the relationship between tuberculosis 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.