[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2068 Introduced in House (IH)]
108th CONGRESS
1st Session
H. R. 2068
To amend the Public Health Service Act with respect to making progress
toward the goal of eliminating tuberculosis, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 13, 2003
Mr. Brown of Ohio (for himself and Mrs. Wilson of New Mexico)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To amend the Public Health Service Act with respect to making progress
toward the goal of eliminating tuberculosis, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Comprehensive Tuberculosis
Elimination Act of 2003''.
TITLE I--INTERAGENCY COLLABORATION
SEC. 101. ADVISORY COUNCIL FOR THE ELIMINATION OF TUBERCULOSIS.
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.--For the purpose of making progress toward
the goal of eliminating tuberculosis from the United States,
the Council shall provide to the Secretary and other
appropriate Federal officials advice on coordinating the
activities of the Public Health Service and other Federal
agencies that relate to such disease and on efficiently
utilizing the Federal resources involved.
``(3) National plan.--In carrying out paragraph (2), the
Council, in consultation with appropriate public and private
entities, shall make recommendations on the development,
revision, and implementation of a national plan to eliminate
tuberculosis in the United States. In carrying out this
paragraph, the Council shall--
``(A) consider the recommendations of the Institute
of Medicine regarding the elimination of tuberculosis;
``(B) address the development and application of
new technologies; and
``(C) review the extent to which progress has been
made toward eliminating tuberculosis.
``(4) Global activities.--In carrying out paragraph (2),
the Council, in consultation with appropriate public and
private entities, shall make recommendations for the
development and implementation of a plan to guide the
involvement of the United States in global and cross border
tuberculosis-control activities, including recommendations
regarding policies, strategies, objectives, and priorities.
Such recommendations for the plan shall have a focus on
countries where a high incidence of tuberculosis directly
affects the United States, such as Mexico, and on access to a
comprehensive package of tuberculosis control measures, as
defined by the World Health Organization directly observed
treatment, short course strategy (commonly known as DOTS).
``(5) Composition.--The Council shall be composed of--
``(A) representatives from the Centers for Disease
Control and Prevention, the National Institutes of
Health, the Agency for Healthcare Research and Quality,
the Health Resources and Services Administration, the
U.S.-Mexico Border Health Commission, and other Federal
departments and agencies that carry out significant
activities relating to tuberculosis; and
``(B) members appointed from among individuals who
are not officers or employees of the Federal
Government.''.
TITLE II--CENTERS FOR DISEASE CONTROL AND PREVENTION
SEC. 201. NATIONAL PROGRAM FOR TUBERCULOSIS ELIMINATION.
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 program for tuberculosis elimination'';
(2) by amending subsection (b) to read as follows:
``(b) Research, Demonstration Projects, Education, and Training.--
With respect to the prevention, 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
concerning--
``(A) diagnosis and treatment of latent infection
of tuberculosis;
``(B) strains of tuberculosis resistant to drugs;
``(C) cases of tuberculosis that affect certain
populations; and
``(D) clinical trials, including a tuberculosis
trials consortium.
``(2) Demonstration projects for--
``(A) the development of regional capabilities for
the prevention, control, and elimination of
tuberculosis; and
``(B) collaboration with the Immigration and
Naturalization Service to identify and treat immigrants
with active or latent tuberculosis infection.
``(3) Public information and education programs.
``(4) Education, training and clinical skills improvement
activities for health professionals, including allied health
personnel.
``(5) Support of model centers to carry out activities
under paragraphs (1) through (4).
``(6) Collaboration with international organizations and
foreign countries in carrying out such activities, including
coordinating activities through the Committee on Interagency
Collaboration for Tuberculosis Elimination.'';
(3) in subsection (f), by adding at the end the following:
``(4) Annual reports.--The Council shall annually submit to
the Congress and the Secretary a report on the activities
carried out under this subsection. The report shall include the
opinion of the Council on the extent to which the
recommendations of the Institute of Medicine regarding
tuberculosis have been implemented.''; and
(4) by amending subsection (g) to read as follows:
``(g) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated $528,000,000
for fiscal year 2004, and such sums as may be necessary for each of the
fiscal years 2005 through 2008.''.
TITLE III--NATIONAL INSTITUTES OF HEALTH
SEC. 301. ACTIVITIES OF NATIONAL HEART, LUNG, AND BLOOD INSTITUTE.
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:
``tuberculosis
``Sec. 424C. (a) In General.--The Director of the Institute shall
expand, intensify, and coordinate research and related activities of
the Institute with respect to tuberculosis, including activities toward
the goal of eliminating such disease.
``(b) Certain Activities.--Activities under subsection (a) shall
include--
``(1) enhancing basic and clinical research on
tuberculosis; and
``(2) expanding research on the relationship between such
disease and the human immunodeficiency virus.
``(c) Research Education.--
``(1) Tuberculosis academic awards.--The Director of the
Institute may provide awards to faculty of schools of medicine
or osteopathic medicine to assist such faculty in developing
high quality curricula in such schools designed to
significantly increase the opportunities for interested
individuals, including students of the school and practicing
physicians and nurses, to learn the principles and practices of
preventing, managing, and controlling tuberculosis.
``(2) Tuberculosis/pulmonary infection awards.--The
Director of the Institute may provide awards to support the
career development of clinically trained professionals who are
committed to research regarding pulmonary infections and
tuberculosis by providing for supervised study and research.
``(3) Authorization of appropriations.--
``(A) Tuberculosis academic awards.--For the
purpose of carrying out paragraph (1), there are
authorized to be appropriated $5,000,000 for fiscal
year 2004, and such sums as may be necessary for each
of the fiscal years 2005 through 2008.
``(B) Tuberculosis/pulmonary infection awards.--For
the purpose of carrying out paragraph (2), there are
authorized to be appropriated $5,000,000 for fiscal
year 2004, and such sums as may be necessary for each
of the fiscal years 2005 through 2008.''.
SEC. 302. ACTIVITIES OF NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS
DISEASES.
Section 447A of the Public Health Service Act (42 U.S.C. 285f-2) is
amended--
(1) by redesignating subsection (b) as subsection (c);
(2) by inserting after subsection (a) the following
subsection:
``(b) Activities under subsection (a) shall include activities to
develop a tuberculosis vaccine. Such activities shall be carried out in
accordance with the blueprint for tuberculosis vaccine development
described in the report prepared pursuant to the workshop convened in
March 1998 by the Advisory Council for Elimination of Tuberculosis, the
Director of the National Vaccine Program, and the Director of the
Institute.''; and
(3) in subsection (c) (as so redesignated), in the first
sentence--
(A) by striking ``and'' after ``1994,''; and
(B) by inserting before the period the following:
``, $240,000,000 for fiscal year 2004, and such sums as
may be necessary for each of the fiscal years 2005
through 2008''.
SEC. 303. JOHN E. FOGARTY INTERNATIONAL CENTER FOR ADVANCED STUDY IN
THE HEALTH SCIENCES.
Section 482 of the Public Health Service Act (42 U.S.C. 287b) is
amended--
(1) by inserting ``(a) In General.--'' before ``The general
purpose'';
(2) in subsection (a) (as so designated), by inserting
after ``Health Sciences'' the following: ``(in this subpart
referred to as the `Center')''; and
(3) by adding at the end the following subsection:
``(b) Tuberculosis.--
``(1) In general.--In carrying out subsection (a) with
respect to tuberculosis, the Center shall expand, intensify,
and coordinate international activities of the Center for
research and training.
``(2) International training program.--In carrying out
paragraph (1), the Center shall carry out an international
training program regarding tuberculosis. Such program shall be
modeled after the international training program carried out by
the Center with respect to the human immunodeficiency virus.''.
SEC. 304. LOAN REPAYMENT PROGRAMS REGARDING RESEARCH ON TUBERCULOSIS.
Part G of title IV of the Public Health Service Act (42 U.S.C. 288
et seq.) is amended--
(1) by redesignating the second section 487F as section
487G; and
(2) by inserting after section 487G (as so redesignated)
the following section:
``loan repayments regarding research on tuberculosis
``Sec. 487H. In carrying out sections 487C, 487E, and 487F, the
Secretary shall seek to ensure that, for fiscal year 2004 and
subsequent fiscal years, a portion of amounts appropriated to carry out
such sections is reserved for the purpose of entering into contracts
under which (in accordance with the section involved) individuals will
conduct research on tuberculosis.''.
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