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

This Act may be cited as the ''Tuberculosis Prevention and Control
Amendments of 1993''.

SEC. 2. FINDINGS.

Congress finds that--
(1) between 10,000,000 and 15,000,000 people in the United
States have been infected with tuberculosis, nearly 26,000 new
active cases are reported each year, and over 1,700
tuberculosis-related deaths occur each year;
(2) the number of reported cases of tuberculosis has risen
from 22,201 in 1985 to 26,673 in 1992, representing 51,000 more
cases than those that would have been expected since 1985;
(3) a recent national survey discovered that 14.4 percent
of all active tuberculosis cases were resistant to at least one
drug;
(4) drug resistant tuberculosis strains can cost more than
$150,000 to treat, and even then, between 40 and 60 percent of
the patients receiving such treatment die;
(5) in 1992, tuberculosis cases were reported to the
Centers for Disease Control and Prevention by all 50 States,
and cases resistant to one or more tuberculosis drugs were
reported in at least 36 States, the District of Columbia and
Puerto Rico;
(6) in 1992, 27 percent of the reported cases of
tuberculosis occurred in foreign born persons;
(7) one third of the world's population harbors
tuberculosis; and
(8) among infectious diseases tuberculosis is still the
number one killer in the world with an estimated 8,000,000 new
cases each year and 2,900,000 deaths.

SEC. 3. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION.

(a) Provision of Services for Prevention, Control, and
Elimination.--Section 317(j)(2) of the Public Health Service Act (42
U.S.C. 247b(j)(2)) is amended in the first sentence by striking ''and''
after ''1991,'' and all that follows through ''1995'' and inserting the
following: '', $104,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 through 1997''.
(b) State Tuberculosis Plan.--Section 317(j) of the Public Health
Service Act (42 U.S.C. 247b(j)) is amended by adding at the end thereof
the following new paragraph:
''(3)(A) With respect to an application submitted by a State for a
grant under this section for the prevention, control and elimination of
tuberculosis, such application shall contain a State plan that
demonstrates that amounts received under the grant will be expended in
a manner that ensures that tuberculosis services will be provided to
those at the highest risk of contracting tuberculosis, or in those
areas with the highest rates of tuberculosis infection.
''(B) Such plans shall demonstrate that the applicant will work
closely with and provide support to entities receiving funds under
sections 329, 330, 340, 340A, or titles V or XIX, and to correctional
facilities, and nongovernmental organizations such as community-based
organizations.
''(C) Such plans shall demonstrate that grant funds will be used
for directly observed therapy or other effective interventions with
respect to populations with the highest rates of active infection with
tuberculosis.''.
(c) Research, Demonstration Projects, Education, and Training.--
(1) In general.--Section 317(k)(2) of the Public Health
Service Act (42 U.S.C. 247b(k)(2)) is amended--
(A) by redesignating subparagraphs (A) through (D)
as clauses (i) through (iv), respectively;
(B) by inserting ''(A)'' after the paragraph
designation; and
(C) by adding at the end thereof the following new
subparagraphs:
''(B) In support of grants referred to in subparagraph (A), the
Secretary may conduct or support applied research and training
regarding the surveillance, diagnostic methodologies, prevention,
control, and treatment of tuberculosis, including intramural projects
and extramural projects.
''(C) For the purpose of carrying out subparagraph (A), there are
authorized to be appropriated $26,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years 1995 through
1997. The authorization of appropriations established in the preceding
sentence is in addition to the authorization of appropriations
established in subsection (j)(2) for carrying out this paragraph.''.
(2) Technical amendment.--Section 317(j)(2) of the Public
Health Service Act (42 U.S.C. 247b(j)(2)) is amended by
striking the last sentence.

SEC. 4. RESEARCH THROUGH NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES.

(a) Certain Duties.--
(1) In general.--Subpart 6 of part C of title IV of the
Public Health Service Act (42 U.S.C. 285f) is amended by
inserting after section 446 the following section:

''research and research training regarding tuberculosis

''Sec. 447. In carrying out section 446, the Director of the
Institute shall conduct or support basic research and research training
regarding the cause, diagnosis, early detection and treatment of
tuberculosis.''.
(2) Conforming amendment.--Section 446 of the Public Health
Service Act (42 U.S.C. 285f) is amended by inserting after
''Diseases'' the following: ''(hereafter in this subpart
referred to as the 'Institute')''.
(b) Authorization of Appropriations.--Section 408(a) of the Public
Health Service Act (42 U.S.C. 284c(a)) is amended by adding at the end
the following new paragraph:
''(3) For the purpose of carrying out section 447 (relating
to research on tuberculosis through the National Institute on
Allergy and Infectious Diseases), there are authorized to be
appropriated $46,000,000 for fiscal year 1994, and such sums as
may be necessary for each of the fiscal years 1995 through
1997. The authorization of appropriations established in the
preceding sentence may not be construed as terminating the
availability for such purpose of any other authorization of
appropriations.''.

SEC. 5. RESEARCH THROUGH THE FOOD AND DRUG ADMINISTRATION.

Chapter V of the Food, Drug and Cosmetic Act is amended by
inserting after section 512 (21 U.S.C. 360b) the following new section:

''SEC. 512A. TUBERCULOSIS DRUG AND DEVICE RESEARCH.

''(a) Authority.--The Commissioner of Food and Drugs shall
implement a tuberculosis drug and device research program under which
the Commissioner shall--
''(1) provide assistance to other Federal agencies for the
development of tuberculosis protocols;
''(2) review and evaluate medical devices designed for the
diagnosis and control of airborne tuberculosis; and
''(3) conduct research concerning drugs or devices to be
used in diagnosing, controlling and preventing tuberculosis.
''(b) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $5,000,000 for each fiscal
year.''.
A:
Tuberculosis Prevention and Control Amendments of 1993 - Amends the Public Health Service Act to authorize appropriations for: (1) the prevention, control, and elimination of tuberculosis; (2) research, demonstration projects, public information, and education concerning the prevention, control, and elimination of tuberculosis; and (3) research relating to tuberculosis through the National Institute on Allergy and Infectious Diseases.
Amends the Food, Drug, and Cosmetic Act to authorize appropriations for a tuberculosis drug and device research program.