ASSISTANCE TO COMBAT TUBERCULOSIS.

SEC. 302. ASSISTANCE TO COMBAT TUBERCULOSIS.(a) Policy.—Section 104B(b) of the Foreign Assistance Act of 1961 (22 U.S.C. 2151b–3(b)) is amended to read as follows:“(b) Policy.—It is a major objective of the foreign assistance program of the United States to control tuberculosis. In all countries in which the Government of the United States has established development programs, particularly in countries with the highest burden of tuberculosis and other countries with high rates of tuberculosis, the United States should support the objectives of the Global Plan to Stop TB, including through achievement of the following goals:“(1) Reduce by half the tuberculosis death and disease burden from the 1990 baseline.“(2) Sustain or exceed the detection of at least 70 percent of sputum smear-positive cases of tuberculosis and the successful treatment of at least 85 percent of the cases detected in countries with established United States Agency for International Development tuberculosis programs.“(3) In support of the Global Plan to Stop TB, the President shall establish a comprehensive, 5-year United States strategy to expand and improve United States efforts to combat tuberculosis globally, including a plan to support—122 STAT. 2958 “(A) the successful treatment of 4,500,000 new sputum smear tuberculosis patients under DOTS programs by 2013, primarily through direct support for needed services, commodities, health workers, and training, and additional treatment through coordinated multilateral efforts; and“(B) the diagnosis and treatment of 90,000 new multiple drug resistant tuberculosis cases by 2013, and additional treatment through coordinated multilateral efforts.”.(b) Priority To Stop TB Strategy.—Section 104B(e) of such Act is amended to read as follows:“(e) Priority To Stop TB Strategy.—In furnishing assistance under subsection (c), the President shall give priority to—“(1) direct services described in the Stop TB Strategy, including expansion and enhancement of Directly Observed Treatment Short-course (DOTS) coverage, rapid testing, treatment for individuals infected with both tuberculosis and HIV, and treatment for individuals with multi-drug resistant tuberculosis (MDR–TB), strengthening of health systems, use of the International Standards for Tuberculosis Care by all providers, empowering individuals with tuberculosis, and enabling and promoting research to develop new diagnostics, drugs, and vaccines, and program-based operational research relating to tuberculosis; and“(2) funding for the Global Tuberculosis Drug Facility, the Stop Tuberculosis Partnership, and the Global Alliance for TB Drug Development.”.(c) Assistance for the World Health Organization and the Stop Tuberculosis Partnership.—Section 104B of such Act is amended—(1) by redesignating subsection (f) as subsection (h); and(2) by inserting after subsection (e) the following:“(f) Assistance for the World Health Organization and the Stop Tuberculosis Partnership.—In carrying out this section, the President, acting through the Administrator of the United States Agency for International Development, is authorized to provide increased resources to the World Health Organization and the Stop Tuberculosis Partnership to improve the capacity of countries with high rates of tuberculosis and other affected countries to implement the Stop TB Strategy and specific strategies related to addressing multiple drug resistant tuberculosis (MDR–TB) and extensively drug resistant tuberculosis (XDR–TB).”.(d) Annual Report.—Section 104B of such Act is amended by inserting after subsection (f), as added by subsection (c) of this section, the following:“(g) Annual Report.—The President shall submit an annual report to Congress that describes the impact of United States foreign assistance on efforts to control tuberculosis, including—“(1) the number of tuberculosis cases diagnosed and the number of cases cured in countries receiving United States bilateral foreign assistance for tuberculosis control purposes;“(2) a description of activities supported with United States tuberculosis resources in each country, including a description of how those activities specifically contribute to increasing the number of people diagnosed and treated for tuberculosis;“(3) in each country receiving bilateral United States foreign assistance for tuberculosis control purposes, the percentage provided for direct tuberculosis services in countries receiving 122 STAT. 2959 United States bilateral foreign assistance for tuberculosis control purposes;“(4) a description of research efforts and clinical trials to develop new tools to combat tuberculosis, including diagnostics, drugs, and vaccines supported by United States bilateral assistance;“(5) the number of persons who have been diagnosed and started treatment for multidrug-resistant tuberculosis in countries receiving United States bilateral foreign assistance for tuberculosis control programs;“(6) a description of the collaboration and coordination of United States anti-tuberculosis efforts with the World Health Organization, the Global Fund, and other major public and private entities within the Stop TB Strategy;“(7) the constraints on implementation of programs posed by health workforce shortages and capacities;“(8) the number of people trained in tuberculosis control; and“(9) a breakdown of expenditures for direct patient tuberculosis services, drugs and other commodities, drug management, training in diagnosis and treatment, health systems strengthening, research, and support costs.”.(e) Definitions.—Section 104B(h) of such Act, as redesignated by subsection (c), is amended—(1) in paragraph (1), by striking the period at the end and inserting the following: “including—“(A) low-cost and effective diagnosis, treatment, and monitoring of tuberculosis;“(B) a reliable drug supply;“(C) a management strategy for public health systems;“(D) health system strengthening;“(E) promotion of the use of the International Standards for Tuberculosis Care by all care providers;“(F) bacteriology under an external quality assessment framework;“(G) short-course chemotherapy; and“(H) sound reporting and recording systems.”; and(2) by redesignating paragraph (5) as paragraph (6); and(3) by inserting after paragraph (4) the following:“(5) Stop tb strategy.—The term ‘Stop TB Strategy’ means the 6-point strategy to reduce tuberculosis developed by the World Health Organization, which is described in the Global Plan to Stop TB 2006–2015: Actions for Life, a comprehensive plan developed by the Stop TB Partnership that sets out the actions necessary to achieve the millennium development goal of cutting tuberculosis deaths and disease burden in half by 2015.”.(f) Authorization of Appropriations.—Section 302 (b) of the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (22 U.S.C. 7632(b)) is amended—(1) in paragraph (1), by striking “such sums as may be necessary for each of the fiscal years 2004 through 2008” and inserting “a total of $4,000,000,000 for the 5-year period beginning on October 1, 2008.”; and(2) in paragraph (3), by striking “fiscal years 2004 through 2008” and inserting “fiscal years 2009 through 2013.”.122 STAT. 2960