full consultation with Indian tribes and tribal organiza-
tions, promulgate regulations to carry out this section. 
‘‘(e) DEFINITIONS OF INDIAN TRIBE; TRIBAL ORGA-
NIZATIONS.—In this section, the terms ‘Indian tribe’ and 
‘tribal organization’ have the meanings given those terms 
in subsections (e) and (l) of section 4 of the Indian Self-
Determination and Education Assistance Act (25 U.S.C. 
450b), respectively.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on the date of enactment of this 
Act without regard to regulations to implement such 
amendments being promulgated by such date. 
SEC. 11. DEMONSTRATION PROGRAM TO ALLOW INDIAN 
TRIBES TO DETERMINE ELIGIBILITY FOR 
THE FOOD STAMP, MEDICAID, AND STATE 
CHILDREN’S 
HEALTH 
INSURANCE 
PRO-
GRAMS. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, the Secretary of Health and Human Services, 
in consultation with the Secretary of Agriculture, shall 
conduct a demonstration program under which, not more 
than 10 Indian tribes (as defined in section 4 of the Indian 
Self-Determination and Education Assistance Act (25 
U.S.C. 450b)) with an approved tribal family assistance 
plan under part A of title IV of the Social Security Act
(42 U.S.C. 601 et seq.) (or the participating Indian tribes 
of an intertribal consortium with such an approved plan) 
shall be authorized to—
(1) determine the eligibility of Indian families 
for—
(A) benefits under the food stamp program 
under the Food Stamp Act of 1977 (7 U.S.C. 
2011 et seq.); 
(B) medical assistance under the medicaid 
program under title XIX of the Social Security 
Act (42 U.S.C. 1396 et seq.); and 
(C) child health assistance under the State 
children’s health insurance program under title 
XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.); 
(2) administer the provision of benefits or as-
sistance under any or all of such programs to Indian 
families; or 
(3) carry out both of the activities described in 
paragraphs (1) and (2). 
(b) REQUIREMENTS.—
(1) CONSISTENCY WITH STATE OPERATION OF 
PROGRAMS.—Except as provided in paragraph (2), 
an activity may not be authorized to be carried out 
by an Indian tribe (or consortium) under subsection
(a) unless the activity will be conducted in a manner 
that is consistent with the operation of such activity 
by any State in which the tribe (or consortium) is 
located. 
(2) WAIVER OF MATCHING REQUIREMENTS.—
The Secretary of Health and Human Services and 
the Secretary of Agriculture may waive such applica-
ble matching requirements under the programs re-
ferred to in subsection (a)(1) as may be necessary 
for a tribe or consortium to carry out an activity au-
thorized under the demonstration program con-
ducted under this section. 
(3) NO WAIVER OF PROGRAM INTEGRITY RE-
QUIREMENTS.—The Secretary of Health and Human 
Services and the Secretary of Agriculture may not 
waive any requirement under a program referred to 
in subsection (a)(1) that is related to ensuring the 
integrity of an activity authorized under the dem-
onstration program conducted under this section, in-
cluding any financial penalty for violation of such a 
requirement. 
(c) REPORTS.—The Secretary of Health and Human 
Services and the Secretary of Agriculture jointly shall sub-
mit periodic reports to Congress on the demonstration 
program conducted under this section.
SEC. 12. TRIBAL CHILD SUPPORT ENFORCEMENT PRO-
GRAMS. 
Not later than 1 year after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall—
(1) promulgate final regulations for making di-
rect payments to Indian tribes and tribal organiza-
tions under section 455(f) of the Social Security Act 
(42 U.S.C. 655(f)); and 
(2) submit a report to Congress on the most 
appropriate methods of including tribal child support 
programs in the methodology used for child support 
incentive payments under section 458 of the Social 
Security Act (42 U.S.C. 658). 
SEC. 13. BREAK THE CYCLE DEMONSTRATION GRANTS. 
(a) AUTHORITY TO AWARD GRANTS.—
(1) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Secretary 
of Education, shall award grants to up to 10 Indian 
tribes (as defined in section 4 of the Indian Self-De-
termination and Education Assistance Act (25 
U.S.C. 450b)) to carry out the activities described in 
subsection (b). 
(2) APPLICATION.—An Indian tribe desiring a 
grant under this section shall submit—
(A) an application to the Secretary of 
Health and Human Services, at such time, in 
such manner, and containing such information 
as the Secretary may require; and 
(B) a plan outlining how the tribe intends 
to use funds made available under the grant to 
carry out activities described in subsection (b) 
to help children of Indian families receiving as-
sistance under the temporary assistance to 
needy families program under part A of title IV 
of the Social Security Act (42 U.S.C. 601 et 
seq.) (in this section referred to as ‘‘TANF’’) 
obtain a secondary school diploma or its recog-
nized equivalent. 
(3) CRITERIA FOR AWARDING GRANTS.—
(A) 
CONSULTATION
WITH
INDIAN 
TRIBES.—The Secretary of Health and Human 
Services shall consult with Indian tribes regard-
ing the establishment of criteria for awarding 
grants under this section. 
(B) PRIORITY.—The criteria established 
under subparagraph (A) shall require the Sec-
retary of Health and Human Services to give 
priority to awarding grants to those Indian 
tribes applying that have the highest percent-