In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Native American Education
Opportunity Act''.

SEC. 2. NATIVE AMERICAN EDUCATION OPPORTUNITY PROGRAM.

(a) In General.--Part B of title XI of the Education Amendments of
1978 (25 U.S.C. 2000 et seq.) is amended--
(1) by redesignating section 1141 as section 1142; and
(2) by inserting after section 1140 the following:

''SEC. 1141. BUREAU FUNDING OF TRIBAL-BASED EDUCATION SAVINGS ACCOUNT
PROGRAMS.

''(a) Program Authorized.--
''(1) Bureau disbursements.--At the request of Tribes, the
Secretary of the Interior shall, for the 2018-2019 school year
and each subsequent school year, disburse not more than 90
percent of the amounts made available under sections 1127 and
1130 for the school year to such Tribes that administer
education savings account programs to enable the Tribes to
award grants to education savings accounts for ESA eligible
students for such school year, in accordance with subsection
(b).
''(2) Applicability.--This section shall apply with respect
to ESA eligible students who have submitted their application
for participation under this section to the Tribe of which the
student is an enrolled member on or after January 1, 2018.
''(3) Account administration.--
''(A) In general.--A Tribe may enter into an
agreement with a nonprofit entity for the
administration of the accounts created through the
Tribe's education savings account program.
''(B) Nonprofit entity defined.--In this paragraph,
the term 'nonprofit entity' means an entity that is
described in section 501(c)(3) of the Internal Revenue
Code of 1986 and is exempt from taxation under section
501(a) of such Code.
''(4) Use of funds.--Funds disbursed to a Tribe under this
section may be used for--
''(A) private school tuition and fees;
''(B) textbooks, curriculum, and instructional
materials;
''(C) academic, Native language, or cultural
tutoring;
''(D) educational services and therapies for
students with special needs;
''(E) tuition and fees for a non-public online
learning program;
''(F) educational technology;
''(G) examination fees; or
''(H) transportation to and from a school not to
exceed $2,000 per year, per ESA eligible student.
''(b) Disbursements.--
''(1) Amount.--The amount disbursed by the Secretary of the
Interior under subsection (a) to a Tribe shall be, with respect
to each ESA eligible student for which the Tribe awards a grant
under this section for a school year, the lesser of--
''(A) the amount of the grant provided by the Tribe
to the education savings account of the ESA eligible
student for the applicable school year; and
''(B) 90 percent of the amount that the Secretary
would provide to a Bureau-funded school on behalf of
such student for the applicable school year under
sections 1127 and 1130.
''(2) Quarterly disbursements.--A Tribe that receives a
disbursement amount under subsection (a) shall make quarterly
grant distributions of such amount to education savings
accounts for ESA eligible students.
''(3) Limitation.--A Tribe shall allocate not more than 15
percent of the amount received per pupil under this section to
the administration of the education savings account programs of
the Tribe.
''(4) Roll over and remaining funds in an account.--Not
more than 50 percent of an ESA eligible student's total grant
amount for a school year made under this section may roll over
for use to the following school year.
''(c) Effect on Allotments.--For purposes of any calculation
regarding the total number of eligible Indian students under section
1127, the Secretary shall include all ESA eligible students who
participate in an education savings account program under this section.
''(d) Rule of Construction.--A grant awarded to an ESA eligible
student under this section shall be considered assistance to the
student and shall not be considered assistance to a school that enrolls
the ESA eligible student or any other educational service provider from
which the ESA eligible student receives services.
''(e) Definitions.--In this section:
''(1) ESA eligible student.--
''(A) In general.--The term 'ESA eligible student'
means an individual who--
''(i) is--
''(I) an elementary school or
secondary school student who attended a
Bureau-funded school in the semester
preceding the date on which the student
first applies for participation in an
education savings account program; or
''(II) a child who will be eligible
to attend a Bureau-funded school for
kindergarten or any other elementary
school grade in the next semester that
will start after the date on which the
student first applies for participation
in an education savings account
program;
''(ii) will not be attending a Bureau-
funded school, receiving an education savings
account from another Tribe, or attending a
public elementary school or secondary school,
while the student is participating in an
education savings account program of a Tribe;
and
''(iii) meets any eligibility requirements
of the education savings account program of the
Tribe in which the student applies to
participate.
''(B) Period of eligibility.--A student who meets
the requirements of clauses (i) and (iii) of
subparagraph (A) for a school year and who was an
enrolled member of the Tribe to which the student
submitted an application for participation in the
education savings account program of the Tribe at the
time of submitting the application to the Tribe shall
be deemed to meet the requirements of such clauses
until the date on which the student graduates high
school or reaches the age of 21 years, whichever occurs
first.
''(2) Education savings account program.--The term
'education savings account program' means a program
administered by a Tribe in which the Tribe awards a grant to an
account controlled by a parent of an elementary school or
secondary school student from which the parent may purchase
goods and services needed for the education of the student.
''(3) Parent.--The term 'parent' means a parent, guardian,
custodian, or other person with the authority to act on behalf
of an ESA eligible student.
''(4) Tribe.--The term 'Tribe' means any recognized Indian
tribe included on the current list published by the Secretary
of the Interior under section 104 of the Federally Recognized
Indian Tribe Act of 1994 (25 U.S.C. 5131).''.
(b) Conforming Amendment.--Section 1126(c) of the Education
Amendments of 1978 (25 U.S.C. 2006(c)) is amended by striking ''section
1141(12)'' and inserting ''section 1142(12)''.
(c) GAO Study.--Not later than 3 years after the date of enactment
of this Act, the Comptroller General of the United States shall--
(1) conduct a review of the implementation of the
amendments made by this Act during the preceding 3-year period,
including any factors impacting increased participation in
education savings account programs established pursuant to the
amendments made by this Act;
(2) submit a report describing the results of the review
under paragraph (1) to--
(A) the Committee on Indian Affairs of the Senate;
and
(B) the Subcommittee on Indian, Insular and Alaska
Native Affairs of the Committee on Natural Resources of
the House of Representatives; and
(3) publish the report under paragraph (2).

A: Native American Education Opportunity Act This bill amends the Education Amendments of 1978 to require the Bureau of Indian Affairs (BIA), at the request of a federally recognized Indian tribe, to provide funds for tribal education savings account programs to make grants to education savings accounts for students who: (1)attended or will be eligible to attend a BIA-funded school; (2) will not be attending a BIA-funded school, receiving an education savings account from another tribe, or attending public elementary or secondary school while participating in the program; and (3) meet program eligibility requirements. Funds may be used for: private school tuition and fees; textbooks, curriculum, and instructional materials; academic, Native language, or cultural tutoring; educational services and therapies for students with special needs; tuition and fees for a private online learning program; educational technology; examination fees; or transportation to and from school. Three years after this bill's enactment, the Government Accountability Office must review the implementation of the bill, including any factors impacting increased participation in education savings account programs.
****
Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Safe Roads for America Act of
2011''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) An individual who is 65 years of age needs 4 times the
amount of light to see at night as compared to an individual
who is 25 years of age.
(2) The AAA Foundation for Traffic Safety projects that by
2030 1 in every 4 drivers will be 65 years of age or older.
(3) Increasing the retroreflectivity and size of traffic
signs provides added decision time for older drivers.
(4) Increasing the retroreflectivity and size of traffic
signs also provides for faster response time by emergency
medical technicians and police and fire personnel by increasing
their ability to read and understand signs and reduce travel
time to a site.
(5) More than 50 percent of traffic accidents resulting in
fatalities occur at night, and increased retroreflectivity of
traffic signs addresses this issue.
(6) In 2007, the following deadlines were established in
the Manual on Uniform Traffic Control Devices in response to a
statutory requirement from Congress:
(A) By January 22, 2012, roadway owners must adopt
a plan to ensure that their signs meet minimum levels
of retroreflectivity.
(B) By January 22, 2015, regulatory and warning
signs and post-mounted signs must meet minimum levels
of retroreflectivity.
(C) By January 22, 2018, overhead and street name
signs must meet minimum levels of retroreflectivity.
(7) The Federal Highway Administration has estimated that
the cost for making these retroreflectivity improvements for
signage throughout the United States is $37,000,000 over a 10-
year period.
(8) At no point must a roadway owner replace a sign that
meets the minimum levels of retroreflectivity.
(9) The United States is currently experiencing the worst
economic conditions since the Great Depression.
(10) As a result, local governments across the United
States are experiencing one of the most economically
challenging times in history, with available revenues unable to
match the costs of services demanded by the public.
(11) To compensate for depressed revenue collections during
the economic downturn, counties and cities are adopting severe
cost-cutting measures, such as laying off and furloughing
employees (including public safety personnel), cancelling or
postponing planned capital improvements, deferring necessary
maintenance, cutting equipment inventories, and in some cases
declaring bankruptcy.
(12) The costs of employee benefits continue to rise and
local governments have to devote more resources to keep up with
inflation.
(13) States are passing along the costs of services to
local governments as a method to balance their budgets.
(14) The outlook for recovery appears to be at least 5
years away given that, even when the economy recovers, local
governments experience a delay in increased tax collections due
to the nature of property tax collections.

SEC. 3. RETROREFLECTIVITY LEVEL STANDARDS APPLICABLE TO TRAFFIC SIGNS.

(a) In General.--The Secretary of Transportation shall modify the
target compliance dates for minimum retroreflectivity level standards
set forth in section 2A.08 of the Manual on Uniform Traffic Control
Devices for Streets and Highways, 2009 Edition (incorporated by
reference in subpart F of part 655 of title 23, Code of Federal
Regulations) so that the following target compliance dates apply:
(1) A target compliance date of January 22, 2012, for
implementation and continued use of an assessment or management
method that is designed to maintain traffic sign
retroreflectivity at or above the established minimum levels.
(2) A target compliance date of January 22, 2018, for
replacement of regulatory, warning, and post-mounted guide
(except street name) signs that are identified using the
assessment or management method as failing to meet the
established minimum levels.
(3) A target compliance date of January 22, 2021, for
replacement of street name signs and overhead guide signs that
are identified using the assessment or management method as
failing to meet the established minimum levels.
(b) Effect on Proposed Regulations.--The Secretary shall revise the
notice of proposed amendments published in the Federal Register on
August 31, 2011 (76 Fed. Reg. 54156), to incorporate the target
compliance dates specified in subsection (a).
(c) Funding.--The Secretary may use funds available to the
Secretary to carry out this section notwithstanding any funding
limitation enacted before the date of enactment of this Act.

SEC. 4. HIGHWAY SAFETY IMPROVEMENT PROGRAM.

(a) Highway Signs and Pavement Markings.--Section 148(a)(3)(B)(xi)
of title 23, United States Code, is amended to read as follows:
''(xi) Installation, replacement, and
upgrade of highway signs and pavement markings,
including any upgrade of materials and the
implementation of any assessment or management
method designed to meet a State-established
performance standard, Federal regulation, or
requirement contained in the Manual on Uniform
Traffic Control Devices relating to minimum
levels of retroreflectivity.''.
(b) Maintaining Minimum Levels of Retroreflectivity.--
(1) Definition.--Section 148(a) of such title is amended by
adding at the end the following:
''(7) Project to maintain minimum levels of
retroreflectivity.--The term 'project to maintain minimum
levels of retroreflectivity' means a project undertaken
pursuant to the Manual on Uniform Traffic Control Devices
requiring public agencies to use an assessment or management
method that is designed to maintain highway sign or pavement
marking retroreflectivity at or above prescribed minimum
levels.''.
(2) Eligible projects.--Section 148(d)(1) of such title is
amended--
(A) by striking ''or'' at the end of subparagraph
(A);
(B) by redesignating subparagraph (B) as
subparagraph (C); and
(C) by inserting after subparagraph (A) the
following:
''(B) any project to maintain minimum levels of
retroreflectivity on a public road, whether or not such
project is included in the State strategic highway
safety plan; or''.
(3) Increased federal share.--The first sentence of section
120(c)(1) of such title is amended by inserting ''maintaining
minimum levels of retroreflectivity of highway signs or
pavement markings,'' after ''signalization,''.
(c) Standards for Projects To Upgrade Highway Signs and Pavement
Markings.--Section 148 of such title is amended by adding at the end
the following:
''(i) Standards for Projects To Upgrade Highway Signs and Pavement
Markings.--The Secretary shall issue standards for the use of funds
apportioned to a State under section 104(b)(5) for highway safety
improvement projects to upgrade highway signs and pavement markings in
order to meet or exceed minimum maintained levels of retroreflectivity.
Such standards shall ensure that the projects are carried out so as to
meet defined criteria, consistent with other safety upgrades, using a
systematic approach. Such standards shall permit the use of the funds
for an initial upgrade of highway signs and pavement markings in the
State, but shall prohibit the funds from being used for maintenance
activities.''.

A: Safe Roads for America Act of 2011 - Requires the Secretary of Transportation to modify the target compliance dates for the following minimum retroreflectivity level standards: (1) implementation and continued use of an assessment or management method that is designed to maintain traffic sign retroreflectivity at or above the established minimum levels; (2) replacement of regulatory, warning, and post-mounted guide (except street name) signs identified using the assessment or management method as failing to meet the established minimum levels; and (3) replacement of street name signs and overhead guide signs that are identified using the assessment or management method as failing to meet the established minimum levels.

Requires the Secretary to revise the notice of proposed amendments published in the Federal Register on August 31, 2011, to incorporate the new target compliance dates.

Includes measures designed to meet a state-established performance standard, federal regulation, or requirement contained in the Manual on Uniform Traffic Control Devices relating to minimum levels of retroreflectivity as projects for purposes of the highway safety improvement program.

Allows a maximum 100% federal share of the costs of construction related to maintaining minimum levels of retroreflectivity of highway signs or pavement markings.

Directs the Secretary to issue standards for the use of funds apportioned to a state for highway safety improvement projects to upgrade highway signs and pavement markings in order to meet or exceed minimum maintained levels of retroreflectivity. Requires such standards to prohibit fund use for maintenance activities.
****
Q: 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.

A:
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.
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