(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Purposes. 
Sec. 3. Findings. 
Sec. 4. Sense of Congress. 
Sec. 5. Definitions. 
Sec. 6. Advance appropriations. 
Sec. 7. Sequestration exemption. 
Sec. 8. Office of Management and Budget Office of Native Nations. 
Sec. 9. GAO audit of crosscutting information. 
Sec. 10. White House Council for Native Nations. 
Sec. 11. Deputy Secretary for Native Nations in the Department of the Inte-
rior. 
Sec. 12. Tribal consultation by Federal agencies. 
Sec. 13. Interagency working group on data collection. 
TITLE I—CRIMINAL JUSTICE AND PUBLIC SAFETY 
Sec. 101. Findings. 
Sec. 102. Sense of Congress. 
Sec. 103. Full Tribal criminal jurisdiction. 
Sec. 104. Bureau of Prisons tribal prisoner program. 
Sec. 105. Tribal justice systems. 
Sec. 106. Grants to Indian tribes under public safety and community policing 
grant program. 
Sec. 107. Bureau of Indian Affairs law enforcement and detention. 
Sec. 108. Written consent of an Indian tribe prior to an execution of a tribal 
member by the United States. 
Sec. 109. Indian victims of crime. 
Sec. 110. Victim advocates for Native Americans. 
Sec. 111. Special Tribal criminal jurisdiction. 
Sec. 112. National Indian Country Clearinghouse on Sexual Assault. 
Sec. 113. Tribal access program. 
Sec. 114. Tiwahe Initiative. 
Sec. 115. Reviews on Native Hawaiian interactions with law enforcement. 
TITLE II—HEALTH CARE 
Sec. 201. Findings. 
Sec. 202. Sense of Congress. 
Sec. 203. Mandatory funding for Indian Health Service. 
Sec. 204. Sanitation facilities construction program. 
Sec. 205. Special diabetes programs for Indians. 
Sec. 206. Special diabetes program for Native Hawaiians. 
Sec. 207. Permanent extension of full Federal medical assistance percentage to 
urban Indian organizations. 
Sec. 208. Qualified Indian provider services. 
Sec. 209. Remove limitation on payment for services furnished by Indian 
Health Care Providers outside a clinic facility. 
Sec. 210. Native Hawaiian health care. 
Sec. 211. Funding for tribal epidemiology centers. 
Sec. 212. State option to provide medical assistance for residential addiction 
treatment facility services. 
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Sec. 213. Conferring with urban Indian organizations. 
Sec. 214. Medicaid work requirement exemption. 
Sec. 215. Medicaid program policies for members of Indian tribes. 
TITLE III—EDUCATION 
Sec. 301. Findings. 
Sec. 302. Sense of Congress. 
Sec. 303. Mandatory funding for Tribal Colleges and Universities. 
Sec. 304. Expanding instruction and outreach by Tribal Colleges and Univer-
sities and other amendments. 
Sec. 305. Endowment funds of Tribal Colleges and Universities. 
Sec. 306. Full funding for operation of Bureau-funded schools. 
Sec. 307. Bureau of Indian Education school construction, modernization, and 
repair. 
Sec. 308. Tribal College and University construction, modernization, and re-
pair. 
Sec. 309. Support for Native students and educators in Native-serving schools. 
Sec. 310. Johnson-O’Malley funding. 
Sec. 311. Native languages. 
Sec. 312. Culturally inclusive education. 
Sec. 313. Alaska Native education programs. 
Sec. 314. Every Student Succeeds Act implementation. 
Sec. 315. Funding for local Tribal educational agencies and Tribal education 
offices. 
Sec. 316. Graduate opportunities at Tribal Colleges and Universities. 
TITLE IV—HOUSING 
Sec. 401. Findings. 
Sec. 402. Sense of Congress. 
Sec. 403. Indian housing block grant program. 
Sec. 404. Native Hawaiian housing block grant program. 
Sec. 405. Set-aside of USDA rural housing funding for Indian tribes. 
Sec. 406. Restoring authority of Indian tribes and tribally designated housing 
entities in certain housing programs. 
Sec. 407. Indian community development block grants. 
Sec. 408. Loan guarantees for Indian housing. 
Sec. 409. Loan guarantees for Native Hawaiian housing. 
Sec. 410. Direct housing loans for Native American veterans program. 
Sec. 411. Tribal HUD–VASH program. 
Sec. 412. Housing improvement program, Bureau of Indian Affairs. 
Sec. 413. Tribal uninhabitable housing improvement program. 
Sec. 414. Coordinated Environmental Review Process Workgroup. 
TITLE V—ECONOMIC DEVELOPMENT 
Sec. 501. Findings. 
Sec. 502. Sense of Congress. 
Subtitle A—Economic Development, Infrastructure, and Investments 
Sec. 511. Tribal transportation program. 
Sec. 512. Tribal high priority projects program. 
Sec. 513. Bureau of Indian Affairs road maintenance program. 
Sec. 514. Tribal transit program. 
Sec. 515. Tribal transportation technical assistance program. 
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Sec. 516. Rural development tribal technical assistance program. 
Sec. 517. Native American community development financial institutions assist-
ance program. 
Sec. 518. Tribal revolving funds. 
Sec. 519. Tribal water pollution control. 
Sec. 520. Rural utilities service water and waste disposal program. 
Sec. 521. Funding for Claims Resolution Act of 2010. 
Subtitle B—Spectrum Sovereignty and Broadband Deployment on Tribal 
Lands 
Sec. 531. Tribal Broadband Fund. 
Sec. 532. Office of Native Affairs and Policy, Federal Communications Com-
mission. 
Sec. 533. Immediate deployment of broadband service on Tribal lands. 
Sec. 534. FCC Tribal spectrum market. 
Sec. 535. E-rate. 
Sec. 536. ReConnect Program. 
Sec. 537. USDA Office of Tribal Relations. 
Sec. 538. Annual reporting requirements. 
Sec. 539. Definitions. 
SEC. 2. PURPOSES. 
The purposes of this Act are— 
(1) to acknowledge the chronic failure of the 
Federal Government— 
(A) to fulfill its trust responsibilities to 
American Indians, Alaska Natives, and Indian 
tribes; and 
(B) to respect its special political and legal 
relationship with Native Hawaiians; 
(2) to acknowledge the treaty obligations of the 
Federal Government to American Indians, Alaska 
Natives, and Indian tribes, which have never been 
fulfilled; 
(3) to ensure progress toward the fulfillment of 
trust and treaty obligations of the Federal Govern-
ment; 
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(4) to ensure progress toward adequate funding 
for programs for American Indians, Alaska Natives, 
Native Hawaiians, and Indian tribes; 
(5) to reaffirm and uphold Tribal sovereignty 
and self-governance; and 
(6) to acknowledge the broken promises of the 
Federal Government to Indian tribes and Native 
Hawaiians, as embodied by— 
(A) the failure to uphold treaty obligations; 
(B) the failure to fund programs that 
should have been fully funded in exchange for 
the loss of life and indigenous homelands; 
(C) the ceded land and stolen natural re-
sources from Tribal lands; and 
(D) the acts taken to extinguish Native 
American culture and the traditions of Amer-
ican Indians, Alaska Natives, and Native Ha-
waiians. 
SEC. 3. FINDINGS. 
Congress finds that— 
(1) in December 2018, the United States Com-
mission on Civil Rights issued a report entitled 
‘‘Broken Promises: Continuing Federal Funding 
Shortfall for Native Americans’’, which made a num-
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ber of important findings, which are related to the 
findings described in paragraphs (2) through (8); 
(2) the unique government-to-government rela-
tionship between the Federal Government and In-
dian tribes, and the trust responsibility and obliga-
tions of the Federal Government to American Indi-
ans, Alaska Natives, and Indian tribes, are— 
(A) enumerated in the United States Con-
stitution, Acts of Congress, Executive orders, 
Supreme Court precedent, and Federal policies 
and regulations; and 
(B) as applicable, established in Indian 
treaties signed by the United States; 
(3) Congress has also passed more than 150 
laws that promote the welfare of Native Hawaiians 
and affirm a special political and legal relationship 
with Native Hawaiians arising out of their status as 
Indigenous, Native people; 
(4) Federal programs designed to support the 
social and economic well-being of American Indians, 
Alaska Natives, Native Hawaiians, and Indian tribes 
remain chronically underfunded and sometimes inef-
ficiently structured, which— 
(A) leaves many basic obligations of the 
Federal Government in rural and urban areas 
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with large populations of Native Americans 
unmet; and 
(B) contributes to the inequities observed 
in Native American communities; 
(5) woefully inadequate Federal funding for 
Native American programs often comes with restric-
tions that hamper access to funds, including indirect 
allocations of Federal funding to State governments 
to be provided to Tribal governments and Native 
American communities at the State’s discretion, 
which further diminishes the direct government-to- 
government relationship between the Federal Gov-
ernment and Indian tribes and other funding mecha-
nisms for Native American communities; 
(6) Congress often provides funding for Native 
American programs in a manner that makes effi-
cient long-term planning and budgeting impossible 
or exceedingly difficult for Tribal governments, trib-
al organizations, urban Indian organizations, and 
Native American communities; 
(7) the Federal Government continues to fail to 
keep accurate, consistent, and comprehensive records 
of Federal spending for Native American programs, 
either for a given fiscal year or for longer time peri-
ods, making monitoring of Federal spending to meet 
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the trust responsibility and obligations of the Fed-
eral Government difficult; and 
(8)(A) the Federal Government continues to in-
sufficiently track Native American populations and 
use outdated or incomplete data points, contributing 
to the lack of adequate funding provided for nec-
essary resources; 
(B) there is a critical need for more accurate 
and current data collection for American Indians, 
Alaska Natives, and Native Hawaiians, including 
disaggregated data on those populations; and 
(C) inaccurate and undercounted data can neg-
atively impact Federal funds and services received 
by American Indian, Alaska Native, and Native Ha-
waiian communities. 
SEC. 4. SENSE OF CONGRESS. 
It is the sense of Congress that— 
(1) Indian tribes are distinct sovereigns that 
have a government-to-government relationship with 
the Federal Government; 
(2)(A) the Federal Government has trust and 
treaty obligations to Indian tribes that are estab-
lished in treaties signed by the United States and 
enumerated in the Constitution of the United States, 
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Acts of Congress, Executive orders, Supreme Court 
precedent, and Federal policies and regulations; and 
(B) those treaties, like all treaties made under 
the authority of the United States, are the supreme 
law of the land, as recognized in article VI of the 
Constitution of the United States; 
(3)(A) the Federal Government has historically 
failed to carry out its promises and trust and treaty 
obligations to American Indians, Alaska Natives, In-
dian tribes, and, as applicable, Native Hawaiians; 
and 
(B) those failures— 
(i) are ongoing, as the Federal Government 
continually fails to adequately support the so-
cial and economic well-being of American Indi-
ans, Alaska Natives, Native Hawaiians, and In-
dian tribes; and 
(ii) have created a civil rights crisis; 
(4) the historical failures of the Federal Gov-
ernment described in paragraph (3) include— 
(A) federally mandated depopulation of 
Native Americans, including— 
(i) numerous massacres carried out by 
the United States; and 
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(ii) the forced relocation efforts and 
genocide practices carried out by the 
United States; 
(B) successive oppressive government poli-
cies, such as the allotment and assimilation, 
termination, and relocation eras; 
(C) suppression, assimilation, and cultural 
annihilation practices carried out against the 
United States Indigenous peoples; and 
(D) an ongoing failure to acknowledge that 
the lands that make up the United States are 
indigenous lands; 
(5) the Federal Government must do far more 
to live up to its trust and treaty obligations to 
American Indians and Alaska Natives and Indian 
tribes, for just as the United States expects all na-
tions to live up to their own treaty obligations, the 
United States should live up to its own promises; 
(6) the Federal Government can empower 
American Indians, Alaska Natives, and Native Ha-
waiians to realize enormous potential by honoring its 
promises and obligations through the enactment of 
legislation; and 
(7) American Indians, Alaska Natives, and Na-
tive Hawaiians have long demonstrated remarkable 
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strength, resilience, and revitalization despite the 
broken promises of the Federal Government and 
failure to acknowledge their contributions to the 
United States. 
SEC. 5. DEFINITIONS. 
In this Act: 
(1) HAWAIIAN HOME LANDS.—The term ‘‘Ha-
waiian home lands’’ means land held in trust for 
Native Hawaiians by the State of Hawaii pursuant 
to the Hawaiian Homes Commission Act, 1920 (42 
Stat. 108, chapter 42). 
(2) INDIAN COUNTRY.—The term ‘‘Indian coun-
try’’ has the meaning given the term in section 1151 
of title 18, United States Code. 
(3) INDIAN TRIBE.—The term ‘‘Indian tribe’’ 
means the governing body of any individually identi-
fied and federally recognized Indian or Alaska Na-
tive tribe, band, nation, pueblo, village, community, 
affiliated Tribal group, or component reservation in-
cluded on the list published pursuant to section 
104(a) of the Federally Recognized Indian Tribe 
List Act of 1994 (25 U.S.C. 5131(a)). 
(4) NATIVE HAWAIIAN ORGANIZATION.— 
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(A) IN GENERAL.—The term ‘‘Native Ha-
waiian organization’’ means any private non-
profit entity— 
(i) that serves the best interests of 
Native Hawaiians; 
(ii) in which Native Hawaiians serve 
in substantive and policymaking positions; 
(iii) that has as a primary and stated 
purpose the provision of services to Native 
Hawaiians; and 
(iv) that has expertise in Native Ha-
waiian affairs. 
(B) INCLUSIONS.—The term ‘‘Native Ha-
waiian organization’’ includes— 
(i) the Native Hawaiian Health Care 
System; and 
(ii) the Office of Hawaiian Affairs. 
(5) TRIBAL LANDS.— 
(A) IN
GENERAL.—The term ‘‘Tribal 
lands’’ has the meaning given the term in sec-
tion 73.7000 of title 47, Code of Federal Regu-
lations (as in effect on the date of enactment of 
this Act). 
(B) 
INCLUSIONS.—The 
term 
‘‘Tribal 
lands’’ includes— 
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(i) Indian country; 
(ii) fee simple and restricted fee land 
held by an Indian tribe; and 
(iii) Hawaiian home lands. 
(6) TRIBAL ORGANIZATION.—The term ‘‘tribal 
organization’’ has the meaning given the term in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
(7) URBAN INDIAN ORGANIZATION.—The term 
‘‘urban Indian organization’’ has the meaning given 
the term in section 4 of the Indian Health Care Im-
provement Act (25 U.S.C. 1603). 
SEC. 6. ADVANCE APPROPRIATIONS. 
(a) ADVANCE APPROPRIATIONS.— 
(1) DEFINITIONS.—In this subsection: 
(A) APPLICABLE
SECRETARY.—The term 
‘‘applicable Secretary’’ means— 
(i) with respect to actions involving 
the covered accounts described in subpara-
graph (B)(i), the Secretary of the Interior; 
and 
(ii) with respect to actions involving 
the covered accounts described in subpara-
graph (B)(ii), the Secretary of Health and 
Human Services. 
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(B) COVERED ACCOUNT.—The term ‘‘cov-
ered account’’ means the following: 
(i) The following accounts of the De-
partment of the Interior: 
(I) Operation of Indian Pro-
grams. 
(II) Operation of Indian Edu-
cation Programs. 
(III) Contract Support Costs. 
(IV) Payments for Tribal Leases. 
(V) Bureau of Indian Affairs 
Construction. 
(VI) Bureau of Indian Education 
Construction. 
(VII) Indian Guaranteed Loan 
Program Account. 
(ii) The Indian Health Service ac-
count of the Department of Health and 
Human Services. 
(iii) The Native Hawaiian Health 
Care account of the Primary Health Care 
account of the Health Resources and Serv-
ices Administration of the Department of 
Health and Human Services that provides 
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annual appropriations to the Native Ha-
waiian Health care program. 
(C) UNFUNDED FISCAL YEAR.—The term 
‘‘unfunded fiscal year’’, with respect to a cov-
ered account, means a fiscal year for which 
amounts are not made available under this Act 
for the covered account. 
(2) ADVANCE APPROPRIATIONS.—For the first 
unfunded fiscal year with respect to a covered ac-
count, and each fiscal year thereafter, new budget 
authority provided in an appropriation Act for the 
covered account shall— 
(A) be made available for that fiscal year; 
and 
(B) include, for the covered account, ad-
vance new budget authority that first becomes 
available for the first fiscal year after the fiscal 
year described in subparagraph (A). 
(3) ESTIMATES REQUIRED.—If the fiscal year 
for which the budget of the President is submitted 
pursuant to section 1105 of title 31, United States 
Code, is an unfunded fiscal year with respect to a 
covered account, the applicable Secretary shall in-
clude in documents submitted to Congress in sup-
port of the budget detailed estimates of the funds 
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necessary for the covered account for the fiscal year 
following the fiscal year for which the budget is sub-
mitted. 
(b) 
INFORMATION
ON
APPROPRIATIONS
ESTI-
MATES.—Section 1105(a) of title 31, United States Code, 
is amended by adding at the end the following: 
‘‘(40) information on estimates of appropria-
tions for the fiscal year following the fiscal year for 
which the budget is submitted for each covered ac-
count for which the fiscal year for which the budget 
is submitted is an unfunded fiscal year, as such 
terms are defined in section 6(a) of the Honoring 
Promises to Native Nations Act.’’. 
SEC. 7. SEQUESTRATION EXEMPTION. 
(a) IN GENERAL.—Section 255 of the Balanced 
Budget and Emergency Deficit Control Act of 1985 (2 
U.S.C. 905) is amended— 
(1) by redesignating subsection (k) as sub-
section (l); and 
(2) by inserting after subsection (j) the fol-
lowing: 
‘‘(k) INDIAN HEALTH SERVICE AND OTHER INDIAN 
PROGRAMS AND ACCOUNTS.—The following programs and 
accounts shall be exempt from reduction under any order 
issued under this part: 
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‘‘United States Department of the Interior, In-
dian Affairs. 
‘‘United States Department of Health and 
Human Services, Indian Health Service. 
‘‘Native Hawaiian Health Care Program. 
‘‘Native Hawaiian Education Program. 
‘‘Alaska Native Education Program. 
‘‘Indian Education Program. 
‘‘All programs under the Native American 
Housing Assistance and Self-Determination Act of 
1996 (25 U.S.C. 4101 et seq.). 
‘‘Any account for which amounts were made 
available under the Honoring Promises to Native 
Nations Act. 
‘‘Any account designated as significant to In-
dian Tribes and Native Hawaiian organizations by 
the Administrator of the Office of Native Nations in 
the Office of Management and Budget under section 
8 of the Honoring Promises to Native Nations 
Act.’’. 
(b) TECHNICAL AND CONFORMING AMENDMENT.— 
Section 256(e) of the Balanced Budget and Emergency 
Deficit Control Act of 1985 (2 U.S.C. 906(e)) is amend-
ed— 
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(1) in the subsection heading, by striking ‘‘IN-
DIAN HEALTH SERVICES AND FACILITIES,’’; and 
(2) in paragraph (2)— 
(A) by striking subparagraphs (C) and 
(D); and 
(B) by redesignating subparagraph (E) as 
subparagraph (C). 
SEC. 8. OFFICE OF MANAGEMENT AND BUDGET OFFICE OF 
NATIVE NATIONS. 
(a) ESTABLISHMENT.—There is established in the 
Office of Management and Budget the Office of Native 
Nations. 
(b) ADMINISTRATOR.— 
(1) IN GENERAL.—The Office of Native Na-
tions shall be headed by an Administrator, who shall 
be known as the Administrator of Native Nations 
(referred to in this section as the ‘‘Administrator’’). 
(2) CAREER POSITION.—The position of Admin-
istrator shall be a career position in the Office of the 
Director of Management and Budget. 
(3) ADMINISTRATIVE
AND
SUPPORT
SERV-
ICES.—The Director of the Office of Management 
and Budget shall provide the Administrator with 
such administrative and support services as are nec-
essary to ensure that the Administrator carries out 
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the duties of the Administrator under this section in 
an efficient and expeditious manner. 
(c) DUTIES.—The Director of the Office of Manage-
ment and Budget shall delegate to the Administrator re-
sponsibility for— 
(1) coordinating with the rest of the Office of 
Management and Budget and the rest of the Execu-
tive branch on matters of funding for Federal pro-
grams and policy affecting American Indians, Alaska 
Natives, and Native Hawaiians; 
(2) compiling authoritative data on all Federal 
funding for Federal programs affecting American 
Indians, Alaska Natives, and Native Hawaiians; 
(3) ensuring that the budget requests of the In-
dian Health Service and the Bureau of Indian Af-
fairs indicate— 
(A) how much Federal funding is needed 
for Federal programs affecting American Indi-
ans, Alaska Natives, and Native Hawaiians to 
be fully funded, including how much funding is 
needed to perform Federal or non-divisible du-
ties; and 
(B) how far the Federal Government is 
from achieving that full funding; 
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(4) ensuring that personnel from the Office of 
Native Nations accompany Office of Management 
and Budget examiners to meetings with Federal 
agencies during the budget development process; 
(5) issuing to Federal agencies budget develop-
ment guidance that would fully fund Federal pro-
grams affecting American Indians, Alaska Natives, 
and Native Hawaiians; and 
(6) carrying out the additional responsibilities 
described in subsections (d) through (g). 
(d) ANNUAL CROSSCUTTING DOCUMENT.— 
(1) IN GENERAL.—Each fiscal year, the Admin-
istrator shall prepare a crosscutting document con-
taining detailed information, based on data from all 
Federal agencies, on the amount of Federal funding 
that is reaching Indian tribes, tribal organizations, 
Native Hawaiian organizations, and urban Indian 
organizations, which data shall be provided by the 
Federal agencies at the most granular level prac-
ticable. 
(2) REQUIREMENTS.—The document prepared 
under paragraph (1) shall— 
(A) be provided at the most granular level 
practicable, including with respect to the alloca-
tion of Federal funds that are set aside for In-
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dian tribes, tribal organizations, Native Hawai-
ian organizations, and urban Indian organiza-
tions; 
(B) indicate how funding is obligated, such 
as by grant or by formula; 
(C) indicate any determinative factors that 
are used to award an Indian tribe, tribal orga-
nization, or urban Indian organization competi-
tive grant funding in cases in which multiple 
Indian tribes, tribal organizations, and urban 
Indian organizations are competing for the 
same pool of funds; 
(D) indicate the amount of Federal funds 
that are allocated to State governments to sub-
sequently provide— 
(i) Federal funding to Indian tribes, 
tribal organizations, Native Hawaiian or-
ganizations, or urban Indian organizations, 
including whether the provision of the Fed-
eral funding by each State is mandatory or 
discretionary; and 
(ii) services for the benefit of Indian 
tribes, tribal organizations, Native Hawai-
ian organizations, or urban Indian organi-
zations; and 
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(E) specify— 
(i) whether Indian tribes, tribal orga-
nizations, Native Hawaiian organizations, 
and urban Indian organizations are com-
peting against States or units of local gov-
ernment for competitive grant funding; 
(ii) how much pass-through funding is 
allocated to Indian tribes; 
(iii) how much pass-through funding 
is successfully transferred to Indian tribes 
after Federal funds are allocated to Indian 
tribes; and 
(iv)(I) whether the grant funding re-
ceived by Indian tribes, tribal organiza-
tions, Native Hawaiian organizations, and 
urban Indian organizations is allocated 
from the same pool of funds from which 
States and units of local government re-
ceive grant funding; and 
(II) if so, what percentage of the pool 
of the allocated funds were disbursed to 
the Indian tribes, tribal organizations, Na-
tive Hawaiian organizations, and urban In-
dian organizations. 
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(3) ANNUAL IMPROVEMENT PROCESS.—In ac-
cordance with the Tribal consultation policy devel-
oped pursuant to subsection (f), the Administrator 
shall consult with Indian tribes, collaborate with Na-
tive Hawaiian organizations, and confer with urban 
Indian organizations not less frequently than annu-
ally to ascertain how the document prepared under 
paragraph (1) can be modified to make the docu-
ment more useful to Indian tribes, Native Hawaiian 
organizations, and urban Indian organizations. 
(4) PUBLIC AVAILABILITY.—The document pre-
pared under paragraph (1) shall be made publicly 
available. 
(e) ADDITION TO OMB ANALYTICAL PERSPECTIVES 
VOLUME OF BUDGET.—The Administrator shall ensure 
that the Analytical Perspectives volume prepared by the 
Office of Management and Budget for the budget of the 
President each fiscal year includes provisions on the sub-
ject of aid to Tribal governments, which shall include the 
information contained in the annual crosscutting docu-
ment required under subsection (d) for that fiscal year. 
(f) OMB TRIBAL CONSULTATION POLICY.— 
(1) IN GENERAL.—The Administrator, in con-
sultation with Indian tribes and in collaboration with 
Native Hawaiian organizations, shall develop a Trib-
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al consultation policy applicable to the Office of 
Management and Budget that governs— 
(A) the interactions of the Office of Man-
agement and Budget with Indian tribes and 
Native Hawaiian organizations; and 
(B) the work of the Office of Management 
and Budget that has an impact on Indian tribes 
and Native Hawaiian organizations. 
(2) APPROVAL.— 
(A) IN GENERAL.—The Tribal consultation 
policy developed under paragraph (1) shall take 
effect only on the approval of the Director of 
the Office of Management and Budget. 
(B) DEADLINE.—Not later than 30 days 
after receipt of the Tribal consultation policy 
developed under paragraph (1), the Director of 
the Office of Management and Budget shall ap-
prove or disapprove the Tribal consultation pol-
icy. 
(g) REPORT.—Not later than 1 year after the date 
of enactment of this Act, the Administrator shall publish 
a report— 
(1) detailing what percentage of Federal fund-
ing for programs affecting American Indians, Alaska 
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Natives, and Native Hawaiians is provided to States 
for pass-through funding to Indian tribes; and 
(2) presenting options for Congress and the Ex-
ecutive branch to ensure that funds received by 
States and local entities for the benefit of American 
Indians, Alaska Natives, and Native Hawaiians are 
used for the intended purpose of the funds, includ-
ing options— 
(A) to eliminate or reduce the prevalence 
of State pass-through funding; and 
(B) instead to provide direct funding to In-
dian tribes and Native Hawaiian organizations. 
(h) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$2,000,000 for fiscal year 2023 and each fiscal year there-
after. 
SEC. 9. GAO AUDIT OF CROSSCUTTING INFORMATION. 
(a) IN GENERAL.—Not later than 1 year after the 
date on which the Administrator of Native Nations issues 
the first crosscutting document under section 8(d), and 
not less frequently than once every 3 years thereafter, the 
Comptroller General of the United States, in consultation 
with Indian tribes, in collaboration with Native Hawaiian 
organizations, and in conference with urban Indian orga-
nizations, shall conduct, and submit to Congress a report 
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describing the results of, an audit of the extent to which 
the processes designed and implemented by the Adminis-
trator of Native Nations accurately produce the informa-
tion contained in the crosscutting document. 
(b) INCLUSIONS.—Each audit conducted under sub-
section (a) shall review all Federal funding that is reach-
ing, or is intended for the benefit of, Indian tribes, tribal 
organizations, urban Indian organizations, and Native 
Hawaiian organizations. 
SEC. 10. WHITE HOUSE COUNCIL FOR NATIVE NATIONS. 
(a) IN GENERAL.—The provisions of Executive Order 
13647 (78 Fed. Reg. 39539 (July 1, 2013)) (as in effect 
on June 26, 2013) are enacted into law. 
(b) PUBLICATION.—In publishing this Act in slip 
form and in the United States Statutes at Large pursuant 
to section 112 of title 1, United States Code, the Archivist 
of the United States shall include after the date of ap-
proval at the end an appendix setting forth the text of 
the Executive order referred to in subsection (a) (as in 
effect on June 26, 2013). 
(c) MEMBERSHIP.— 
(1) IN GENERAL.—The White House Council 
on Native American Affairs (as established pursuant 
to subsection (a)) (referred to in this section as the 
‘‘Council’’) shall be known as the ‘‘White House 
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Council for Native Nations’’ and shall be composed 
of the following members: 
(A) 2 members shall be appointed by the 
President from among elected Tribal leaders 
from each of the 12 regions of the Bureau of 
Indian Affairs. 
(B) 2 members shall be appointed by the 
President from among persons who are rep-
resentatives of Native Hawaiian organizations. 
(C) 1 member shall be appointed by the 
President pro tempore of the Senate, on the 
recommendation of the Majority and Minority 
Leaders of the Senate, from among Members of 
the Committee on Indian Affairs of the Senate, 
which appointment shall be made, as applica-
ble— 
(i) for the first appointment, not later 
than 30 days after the date on which the 
first new Congress after the date of enact-
ment of this Act convenes; and 
(ii) for any vacancy, not later than 30 
days after the date on which the position 
becomes vacant. 
(D) 1 member shall be appointed by the 
Speaker of the House of Representatives, in 
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consultation with the Minority Leader of the 
House of Representatives, from among the 
Members of the Subcommittee for Indigenous 
Peoples of the United States of the Committee 
on Natural Resources of the House of Rep-
resentatives, which appointment shall be made, 
as applicable— 
(i) for the first appointment, not later 
than 30 days after the date on which the 
first new Congress after the date of enact-
ment of this Act convenes; and 
(ii) for any vacancy, not later than 30 
days after the date on which the position 
becomes vacant. 
(E) The members described in clauses (i) 
through (xxx) of section 3(a) of the Executive 
order referred to in subsection (a) (as in effect 
on June 26, 2013). 
(F) 1 member from each of the following: 
(i) The Office of the Deputy Secretary 
for Native Nations of the Department of 
the Interior. 
(ii) The Office of the Assistant Sec-
retary of Indian Affairs of the Department 
of the Interior. 
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(iii) The Office of Justice Services of 
the Bureau of Indian Affairs. 
(iv) The Indian Health Service. 
(v) The Office of Tribal Justice of the 
Department of Justice. 
(vi) The Office of Justice Programs of 
the Department of Justice. 
(vii) The Indian Resources Section of 
the Environment and Natural Resource 
Division of the Department of Justice. 
(viii) The Administration for Native 
Americans of the Department of Health 
and Human Services. 
(ix) The Office of Native Affairs and 
Policy of the Federal Communications 
Commission. 
(x) The Federal Bureau of Investiga-
tion. 
(xi) The Office on Violence Against 
Women of the Department of Justice. 
(xii) The Office of Insular Affairs of 
the Department of the Interior. 
(xiii) The Department of the Navy. 
(xiv) The Department of the Army. 
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(xv) The Administration for Children 
and Families of the Department of Health 
and Human Services. 
(xvi) The Health Resources and Serv-
ices Administration for the Department of 
Health and Human Services. 
(xvii) The Office of Public and Indian 
Housing of the Department of Housing 
and Urban Development. 
(xviii) The Chair of the United States 
Commission on Civil Rights. 
(xix) A Commissioner of the Federal 
Communications Commission. 
(G) The heads of such other Executive de-
partments, agencies, and offices as the Chair-
person may from time to time designate. 
(2) CHAIRPERSON.—The Secretary of the Inte-
rior shall serve as Chairperson of the Council. 
(d) ADDITIONAL
SUBCOMMITTEES.—The Council 
shall establish the following additional subcommittees re-
lating to Native American affairs: 
(1) A subcommittee on sacred land. 
(2) A subcommittee on children, youth, families, 
education, and housing. 
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(3) A subcommittee on health care, mental 
health care, and suicide prevention. 
(4) A subcommittee on energy, economic devel-
opment, and jobs. 
(5) A subcommittee on law enforcement, Tribal 
justice systems, and jurisdiction. 
(6) A subcommittee on environment. 
(7) A subcommittee on connectivity, Tribal 
spectrum management, and affordable broadband. 
(8) Such other subcommittees as the Council 
determines necessary. 
SEC. 11. DEPUTY SECRETARY FOR NATIVE NATIONS IN THE 
DEPARTMENT OF THE INTERIOR. 
(a) ESTABLISHMENT.—There is established in the 
Department of the Interior (referred to in this section as 
the ‘‘Department’’) the position of Deputy Secretary for 
Native Nations, who shall— 
(1) report immediately to the Secretary of the 
Interior; and 
(2) be equal with the Deputy Secretary of the 
Interior. 
(b) DUTIES.—The Secretary of the Interior shall del-
egate to the Deputy Secretary for Native Nations respon-
sibility for— 
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(1) honoring Indian treaty obligations and the 
trust responsibility of the United States to American 
Indians and Alaska Natives, supporting self-deter-
mination, promoting self-sufficiency, and overseeing 
all affairs related to American Indians, Alaska Na-
tives, Native Hawaiians, and Indian tribes under the 
jurisdiction of the Department; 
(2) coordinating with Cabinet-level officials to 
ensure the effective provision of Federal support for 
Tribal self-government and programs for American 
Indians, Alaska Natives, Native Hawaiians, and In-
dian tribes and services under the Department; and 
(3) implementing Indian treaties, statutes, reg-
ulations, Executive and Secretarial orders, pro-
grams, policies, and other powers related to Amer-
ican Indians, Alaska Natives, Native Hawaiians, and 
Indian tribes. 
(c) AUTHORITY.— 
(1) IN GENERAL.—The Deputy Secretary for 
Native Nations shall oversee the following offices 
and functions: 
(A) Assistant Secretary for Indian Affairs. 
(B) Bureau of Indian Affairs, including 
the Office of Justice Services. 
(C) Bureau of Indian Education. 
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(D) Office of the Special Trustee for 
American Indians. 
(E) Office of Self-Governance. 
(2) ADDITIONAL
AUTHORITY.—The Deputy 
Secretary for Native Nations shall coordinate the 
Native Nations affairs and activities of the White 
House Council on Native Nations for the President, 
Vice President, and Cabinet-level officials, subject to 
the immediate direction of the Secretary of the Inte-
rior. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to the Dep-
uty Secretary for Native Nations to carry out the re-
sponsibilities of the Deputy Secretary for Native Na-
tions under this section such sums as are necessary. 
SEC. 12. TRIBAL CONSULTATION BY FEDERAL AGENCIES. 
(a) PURPOSES.—The purposes of this section are— 
(1) to enumerate a non-exhaustive set of prin-
ciples to inform a codification of how Federal agen-
cies should engage in meaningful and timely Tribal 
consultation; 
(2) to underscore the importance of Tribal con-
sultation in the fulfilment of the trust and treaty ob-
ligations of the Federal Government; 
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(3) to affirm Tribal consultation and the prin-
ciple of free, prior, and informed consent as rights 
of Indian tribes, predicated on Tribal sovereignty 
and self-determination; and 
(4) to affirm the need for the entire Federal 
Government to recognize the importance of ‘‘regular 
and meaningful consultation and collaboration with 
tribal officials in the development of Federal policies 
that have tribal implications, to strengthen the 
United States government-to-government relation-
ships with Indian tribes, and to reduce the imposi-
tion of unfunded mandates upon Indian tribes,’’ as 
quoted in Executive Order 13175 and elaborated in 
the Presidential Memorandum of January 26, 2021. 
(b) FINDINGS.—Congress finds that— 
(1) as of January 2021, there existed more 
than 27 directives, handbooks, plans, policies, or-
ders, and similar documents implementing various 
Tribal consultation policies, totaling more than 300 
pages; 
(2) the current lack of centralization in Federal 
agencies’ Tribal consultation policies results in a 
large number of policies with which Indian tribes are 
expected to be familiar in order to engage in con-
sultation; 
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(3) the current lack of centralization in Federal 
agencies’ Tribal consultations— 
(A) results in a number of challenges, in-
cluding scheduling conflicts and unsustainable 
drains on the resources of Indian tribes and the 
time of Tribal leaders; and 
(B) reflect a lack of respect for Tribal 
leaders; 
(4) Federal agency consultation policies take 
dramatically different views on the purpose of Tribal 
consultation, resulting in significantly different expe-
riences for Indian tribes attempting to engage in 
meaningful nation-to-nation dialogue; and 
(5) history demonstrates that the Federal Gov-
ernment best serves Native American communities 
when Tribal governments are empowered to lead 
their own communities. 
(c) SENSE OF CONGRESS.—It is the sense of Con-
gress that— 
(1) consultation is a right between sovereigns, 
and the responsibilities and privileges associated 
with it cannot be delegated to other actors; 
(2) the purpose of Tribal consultation should be 
for the Federal Government to obtain the free, prior, 
and informed consent of affected Indian tribes; 
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(3) Tribal consultation— 
(A) is both a right of Indian tribes and a 
process; 
(B) should occur when any Federal rule-
making, legislation, policy, guidance, oper-
ational activity, grant or funding formula 
change, or other action may have a substantial 
direct effect on Indian tribes; 
(C) requires dialogue, which should often 
take place through formal face-to-face meetings, 
but may also occur through telephonic, elec-
tronic, or printed means; 
(D) should be used to empower Tribal gov-
ernments to lead their own communities; 
(E)(i) should be a collaborative process; 
(ii) should be built upon the exchange of 
information; and 
(iii) should promote enhanced communica-
tion that emphasizes trust, respect, and shared 
responsibility; 
(F) should involve individuals with deci-
sion-making authority; and 
(G) in its current form is inadequate and 
requires far more from the Federal Govern-
ment; 
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(4) the records resulting from consultations be-
tween the Federal Government and Tribal govern-
ments should be maintained and published, subject 
to the condition that sensitive Tribal information 
should be protected; 
(5) for Tribal consultation to be effective, both 
Indian tribes and the Federal Government should 
have the capacity to engage effectively in the con-
sultation process; 
(6) any legislation or policy attempting to pre-
scribe the conditions of Tribal consultation should be 
preceded by the gathering of Tribal input with the 
goal of reaching a consensus on the proposed legisla-
tion; and 
(7) Indian tribes— 
(A) should be involved in the Tribal con-
sultation process on their request or as early as 
practicable; 
(B) should have a meaningful remedy for 
violations of their right to Tribal consultation; 
(C) should be entitled to a codified, formal 
dispute resolution process to provide the Indian 
tribes with a potential remedy when their rights 
as sovereigns are violated by the Federal Gov-
ernment; and 
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(D) should receive adequate notice, and 
sufficient information, about any Tribal con-
sultation sessions. 
SEC. 13. INTERAGENCY WORKING GROUP ON DATA COL-
LECTION. 
(a) IN GENERAL.—Not later 180 days after the date 
of enactment of this Act, the Deputy Secretary for Native 
Nations shall establish a working group, to be known as 
the ‘‘Interagency Working Group on Data Collection for 
Native Populations’’ (referred to in this section as the 
‘‘Working Group’’). 
(b) PURPOSES.—The purposes of the Working Group 
are to develop and improve systems and methodologies for 
the collection of accurate and disaggregated data for 
American Indian, Alaska Native, and Native Hawaiian 
populations. 
(c) CHAIRPERSON; MEMBERSHIP.— 
(1) IN GENERAL.—The Deputy Secretary for 
Native Nations shall serve as the Chairperson of the 
Working Group. 
(2) MEMBERSHIP.— 
(A) IN GENERAL.—After engaging in Trib-
al consultation, the Deputy Secretary for Native 
Nations, in collaboration with the Director of 
the Bureau of the Census, shall appoint the 
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members of the Working Group in accordance 
with subparagraph (B). 
(B) REQUIREMENTS.—In appointing mem-
bers of the Working Group under subparagraph 
(A), the Deputy Secretary for Native Nations, 
in collaboration with the Director of the Bureau 
of the Census, shall include— 
(i) Tribal leaders representing each of 
the 12 regions of the Bureau of Indian Af-
fairs; 
(ii) Tribal data experts; 
(iii) representatives of urban Indian 
organizations; 
(iv) representatives of Native Hawai-
ian organizations; and 
(v) other members, as the Deputy 
Secretary determines to be necessary. 
(d) MEETINGS.—The Working Group shall meet at 
the call of the Chairperson. 
(e) DUTIES.—The duties of the Working Group shall 
be the following: 
(1) Provide a public report at least every 2 
years, and more often if the Working Group decides 
it is necessary, which shall be published on a pub-
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licly available website established by the Working 
Group, on the following: 
(A) How to improve the quality and accu-
racy of data relied on by Federal agencies re-
garding American Indian, Alaska Native, and 
Native Hawaiian populations, including how to 
achieve appropriate disaggregation from other 
populations. 
(B) Making recommendations to develop 
and improve systems and methodologies that 
Federal agencies can replicate for the collection 
of accurate data on the populations referred to 
in subparagraph (A). 
(C) How to protect and uphold Tribal data 
sovereignty in the collection and use of the data 
described in subparagraph (B). 
(2) To receive input from Indian tribes, tribal 
organizations, urban Indian organizations, Native 
Hawaiian organizations, and Federal agencies, on an 
ongoing basis, about instances in which the accuracy 
and quality of the data described in paragraph 
(1)(B) requires improvement, to research how to 
achieve those improvements, and to make rec-
ommendations based on the findings of that re-
search. 
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(f) REPORT.—Not later than 1 year after the date 
of enactment of this Act, the Chairperson of the Working 
Group shall submit an initial report to the Committees 
on the Budget, Health, Education, Labor, and Pensions, 
and Indian Affairs of the Senate and the Committee on 
the Budget, the Subcommittee on Health of the Com-
mittee on Energy and Commerce, and the Subcommittee 
for Indigenous Peoples of the United States of the Com-
mittee on Natural Resources of the House of Representa-
tives. 
(g) TRIBAL CONSULTATION.—The Deputy Secretary 
for Native Nations, in collaboration with the Director of 
the Bureau of the Census, shall ensure that the Working 
Group engages in robust Tribal consultation with respect 
to the work of the Working Group. 
(h) TRIBAL DATA SOVEREIGNTY.—The Working 
Group shall conduct all its work respect for Tribal data 
sovereignty. 
(i) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section. 
TITLE I—CRIMINAL JUSTICE 
AND PUBLIC SAFETY 
SEC. 101. FINDINGS. 
Congress finds that— 
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(1) Tribal law enforcement agencies in Amer-
ican Indian and Alaska Native communities have 
fewer officers per capita than other law enforcement 
agencies nationwide, leaving residents of Indian 
country and Alaska Native Villages less safe and 
subject to higher rates of crime; 
(2) Native Americans are killed during police 
encounters at a higher rate than any other group; 
(3) Native Americans suffer as victims of vio-
lent crime at a rate that is 2.5 times the national 
average; 
(4) Native American women are 10 times more 
likely to be murdered and 2 times more likely to ex-
perience rape or experience sexual assault crimes; 
(5) the criminal justice system in its current 
form creates structural barriers and fails to recog-
nize Tribal sovereignty and inherent Tribal criminal 
jurisdiction on Tribal lands; 
(6) some Indian tribes established Tribal courts 
before some State courts; 
(7) for example, the Cherokee Nation opened its 
Supreme Court in 1822, 23 years before the State 
of Georgia opened its own Supreme Court; 
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(8) Indian tribes historically exercised criminal 
jurisdiction over non-Indians who committed crimes 
on Tribal lands; 
(9) for example, in 1825, the Muscogee (Creek) 
Nation passed a law criminalizing rape against 
women on Creek lands, which applied to all ‘‘per-
sons’’, regardless of Tribal citizenship status, and 
the Muscogee (Creek) Nation prosecuted non-Indian 
and Indian men who raped women on Creek lands; 
(10) the history of inadequate Federal funding 
for public safety on Tribal lands and complex legal 
jurisdiction on Tribal lands negatively impacts ac-
cess to counsel in Tribal courts; 
(11) in Oliphant v. Suquamish Indian Tribe, 
435 U.S. 191, 212 (1978), the Supreme Court con-
cluded that whether Indian tribes should ‘‘be author-
ized to try non-Indians’’ is a consideration ‘‘for Con-
gress to weigh’’; 
(12) the Supreme Court recently affirmed this 
holding in June 2021, in United States v. Cooley, 
141 S. Ct. 1638, 1643 (2021), concluding once 
again that ‘‘tribal authority remains subject to the 
plenary authority of Congress’’; 
(13) existing successful Federal and Tribal self- 
governance programs working to combat the inequi-
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ties described in this section face chronic under-
funding; and 
(14) the special Tribal criminal jurisdiction ex-
ercised by Indian tribes pursuant to section 204 of 
Public Law 90–284 (25 U.S.C. 1304) (commonly 
known as the ‘‘Indian Civil Rights Act of 1968’’) 
has been a success. 
SEC. 102. SENSE OF CONGRESS. 
It is the sense of Congress that— 
(1) Congress should provide more resources for 
public safety and other programs of the Department 
of Justice and the Bureau of Indian Affairs that 
make American Indian and Alaska Native commu-
nities safer; 
(2) Congress should provide more resources for 
Tribal law enforcement agencies, Tribal courts, and 
Tribal detention centers to ensure Tribal sovereignty 
over public safety programs in Indian country and 
Alaska Native Villages; 
(3) Indian tribes have the inherent sovereign 
authority to exercise full criminal jurisdiction over 
persons— 
(A) within the sovereign territory of the 
Indian tribe; and 
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(B) who commit a violation of Tribal 
criminal law; 
(4) the Supreme Court of the United States, in 
Oliphant v. Suquamish Indian Tribe, 435 U.S. 191 
(1978), violated the inherent sovereign authority of 
Indian tribes by wrongly limiting tribal criminal ju-
risdiction and removing Tribal authority to pros-
ecute non-Indians unless authorized by Congress; 
(5) the limitation by the Supreme Court of the 
United States of inherent Tribal jurisdiction has ef-
fectively granted non-Indians immunity for crimes 
committed in Indian country and Alaska Native Vil-
lages, leading to violence and criminal activity by 
non-Indians and preventing Indian tribes from tak-
ing recourse; 
(6) the Violence Against Women Reauthoriza-
tion Act of 2013 (Public Law 113–4; 127 Stat. 54) 
recognized and affirmed the inherent criminal juris-
diction of Indian tribes over non-Indians who com-
mit crimes of domestic violence against Indians in 
Indian country; 
(7) the Violence Against Women Reauthoriza-
tion Act of 2022 (Public Law 117–103; 136 Stat. 
840) recognized and affirmed the inherent criminal 
jurisdiction of Indian tribes over non-Indians who 
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commit crimes of assaults on Tribal justice per-
sonnel, child violence, obstruction of justice, sexual 
violence, sex trafficking, and stalking; 
(8) the jurisdiction of Indian tribes over the 
crimes described in paragraphs (6) and (7) is known 
as ‘‘special Tribal criminal jurisdiction’’; 
(9) the exercise of special Tribal criminal juris-
diction has allowed many Indian tribes to begin to 
address the crisis of violence against American In-
dian and Alaska Native women by holding offenders 
accountable and pursuing justice for victims; 
(10) the Indian tribes that have chosen to im-
plement special domestic violence criminal jurisdic-
tion under the Violence Against Women Reauthor-
ization Act of 2013 (Public Law 113–4; 127 Stat. 
54) have successfully upheld the rights of defendants 
under that Act and complied with the requirements 
of that Act, including due process protections, but 
this partial restoration of Tribal jurisdiction has 
proven insufficient to address the range of serious 
crimes committed by non-Indians in Indian country 
and Alaska Native Villages and in violation of Tribal 
criminal law, and as a result, a large number of vio-
lent crimes committed against Native victims go 
unprosecuted; and 
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(11) Congress has a trust duty and responsi-
bility, stemming from both the treaties signed with 
Indian tribes and the Constitution of the United 
States, to fund and support strong Tribal govern-
ments, which necessarily includes the funding of 
Tribal courts, Tribal law enforcement, and victim 
services. 
SEC. 103. FULL TRIBAL CRIMINAL JURISDICTION. 
(a) IN GENERAL.—Title II of Public Law 90–284 (25 
U.S.C. 1301 et seq.) (commonly known as the ‘‘Indian 
Civil Rights Act of 1968’’) is amended by adding at the 
end the following: 
‘‘SEC. 205. FULL TRIBAL CRIMINAL JURISDICTION. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) ALASKA
NATIVE
VILLAGE.—The term 
‘Alaska Native Village’ means an Alaska Native Vil-
lage Statistical Area covering all or any portion of 
a Native village (as defined in section 3 of the Alas-
ka Native Claims Settlement Act (43 U.S.C. 1602)), 
as depicted on the applicable Tribal Statistical Area 
Program Verification map of the Bureau of the Cen-
sus. 
‘‘(2) FULL CRIMINAL JURISDICTION.—The term 
‘full criminal jurisdiction’ means the criminal juris-
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diction that a participating tribe may exercise under 
this section. 
‘‘(3) INDIAN
COUNTRY.—The term ‘Indian 
country’ has the meaning given the term in section 
1151 of title 18, United States Code. 
‘‘(4) PARTICIPATING TRIBE.—The term ‘partici-
pating tribe’ means an Indian tribe that elects to ex-
ercise full criminal jurisdiction over the Indian coun-
try or Alaska Native Village of that Indian tribe. 
‘‘(5) PROTECTION ORDER.—The term ‘protec-
tion order’— 
‘‘(A) means any injunction, restraining 
order, or other order issued by a civil or crimi-
nal court for the purpose of preventing violent 
or threatening acts or harassment against, sex-
ual violence against, contact or communication 
with, or physical proximity to, another person; 
and 
‘‘(B) includes any temporary or final order 
issued by a civil or criminal court, whether ob-
tained by filing an independent action or as a 
pendent lite order in another proceeding, if the 
civil or criminal order was issued in response to 
a complaint, petition, or motion filed by or on 
behalf of a person seeking protection. 
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‘‘(b) NATURE OF THE CRIMINAL JURISDICTION.— 
‘‘(1) IN GENERAL.—Notwithstanding any other 
provision of law, in addition to all powers of self-gov-
ernment recognized and affirmed by sections 201 
and 203, the powers of self-government of a partici-
pating tribe include the inherent power of that tribe, 
which is hereby recognized and affirmed, to exercise 
full criminal jurisdiction over any person who— 
‘‘(A) commits a violation of tribal criminal 
law in the Indian country or Alaska Native Vil-
lage of that participating tribe; 
‘‘(B) violates a protection order issued by 
a Tribal court; or 
‘‘(C) commits a violation of tribal law out-
side of the Indian country or Alaska Native Vil-
lage of the participating tribe but within the in-
herent extraterritorial jurisdiction of the par-
ticipating tribe. 
‘‘(2) APPLICABILITY.—Nothing in this sec-
tion— 
‘‘(A) creates or eliminates any Federal or 
State criminal jurisdiction over Indian country 
or an Alaska Native Village; or 
‘‘(B) affects the authority of the United 
States or any State that has been delegated au-
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thority by the United States to investigate and 
prosecute a criminal violation in Indian country 
or in an Alaska Native Village. 
‘‘(3) EFFECT.—The authority of the United 
States and certain States described in paragraph 
(2)(B) shall remain concurrent to the authority re-
stored to Indian tribes in the Honoring Promises to 
Native Nations Act. 
‘‘(c) REMOVAL OF LIMITATIONS ON SENTENCING.— 
Subparagraphs (B) through (D) of section 202(a)(7), sec-
tion 202(b), and section 202(d) shall not apply to a par-
ticipating tribe exercising full criminal jurisdiction under 
this section. 
‘‘(d) RIGHTS OF DEFENDANTS.—In a criminal pro-
ceeding in which a participating tribe exercises full crimi-
nal jurisdiction over a non-Indian, the participating tribe 
shall provide the defendant— 
‘‘(1) all applicable rights under this Act; 
‘‘(2) all rights described in section 202(c), if a 
term of imprisonment of any length is imposed; 
‘‘(3) the right to a trial by an impartial jury 
that is drawn from sources that— 
‘‘(A) reflect a fair cross section of the com-
munity; and 
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‘‘(B) do not systemically exclude any dis-
tinctive group in the community, including non- 
Indians; and 
‘‘(4) all other rights whose protection is nec-
essary under the Constitution of the United States 
in order for Congress to recognize and affirm the in-
herent power of the participating tribe to exercise 
full criminal jurisdiction over the defendant. 
‘‘(e) GRANTS TO TRIBAL GOVERNMENTS.—The At-
torney General may award grants to the governments of 
Indian tribes (or to authorized designees of those govern-
ments)— 
‘‘(1) to strengthen tribal criminal justice sys-
tems to assist Indian tribes in exercising full crimi-
nal jurisdiction, including— 
‘‘(A) law enforcement, including the capac-
ity of law enforcement or court personnel to 
enter information into and obtain information 
from national crime information databases; 
‘‘(B) prosecution; 
‘‘(C) trial and appellate courts; 
‘‘(D) probation systems; 
‘‘(E) detention and correctional facilities, 
including medical services and health care for 
inmates; 
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‘‘(F) alternative rehabilitation centers and 
reentry programs; 
‘‘(G) culturally appropriate services and 
assistance for victims and the families of the 
victims; and 
‘‘(H) criminal codes and rules of criminal 
procedure, appellate procedure, and evidence; 
‘‘(2) to provide indigent criminal defendants 
with the effective assistance of licensed defense 
counsel, at no cost to the defendant, in criminal pro-
ceedings in which a participating tribe prosecutes a 
crime; and 
‘‘(3) to ensure that, in criminal proceedings in 
which a participating tribe exercises full criminal ju-
risdiction, jurors are summoned, selected, and in-
structed in a manner consistent with all applicable 
requirements. 
‘‘(f) SUPPLEMENT, NOT SUPPLANT.—Amounts made 
available under this section shall supplement and not sup-
plant any other Federal, State, tribal, or local government 
amounts made available to carry out activities described 
in this section. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
there is authorized to be appropriated to carry out 
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subsection (e), and to provide training, technical as-
sistance, data collection, and evaluation of the crimi-
nal justice systems of participating tribes, and there 
is appropriated, out of any monies in the Treasury 
not otherwise appropriated, $25,000,000 for each of 
fiscal years 2023 through 2032. 
‘‘(2) 
ADJUSTMENT
FOR
INFLATION.—The 
amount made available under paragraph (1) for each 
of fiscal years 2024 through 2032 shall be adjusted 
annually to reflect the change in the Consumer Price 
Index for All Urban Consumers published by the 
Bureau of Labor Statistics.’’. 
(b) EFFECTIVE DATE; PILOT PROJECT.— 
(1) GENERAL
EFFECTIVE
DATE.—Except as 
provided in paragraph (2), subsections (b) through 
(d) of section 205 of Public Law 90–284 (commonly 
known as the ‘‘Indian Civil Rights Act of 1968’’) 
shall take effect on the date that is 5 years after the 
date of enactment of this Act. 
(2) PILOT PROJECT.— 
(A) REQUESTS TO PARTICIPATE.— 
(i) IN GENERAL.—Except as provided 
in subparagraph (B), at any time during 
the 5-year period beginning on the date of 
enactment of this Act, an Indian tribe (as 
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defined in section 201 of Public Law 90– 
284 (25 U.S.C. 1301) (commonly known 
as the ‘‘Indian Civil Rights Act of 1968’’)) 
may ask the Attorney General to designate 
the Indian tribe as a participating tribe 
under section 205 of Public Law 90–284 
(commonly known as the ‘‘Indian Civil 
Rights Act of 1968’’) on an accelerated 
basis. 
(ii) PROCEDURE.—The Attorney Gen-
eral may grant a request under clause (i) 
after coordinating with the Secretary of 
the Interior, consulting with affected In-
dian tribes, and concluding that the crimi-
nal justice system of the requesting Indian 
tribe has adequate safeguards in place to 
protect the rights of defendants, consistent 
with section 205 of Public Law 90–284 
(commonly known as the ‘‘Indian Civil 
Rights Act of 1968’’). 
(B) TRIBES EXERCISING SPECIAL DOMES-
TIC VIOLENCE CRIMINAL JURISDICTION.— 
(i) IN GENERAL.—At any time during 
the 5-year period beginning on the date of 
enactment of this Act, a participating tribe 
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(as defined in section 204(a) of Public 
Law 90–284 (25 U.S.C. 1304(a)) (com-
monly known as the ‘‘Indian Civil Rights 
Act of 1968’’)) (referred to in this sub-
paragraph as a ‘‘tribe’’)— 
(I) may elect to exercise full 
criminal jurisdiction under section 
205 of that Act; and 
(II) shall notify the Attorney 
General of such election. 
(ii) PROCEDURE.—On notification by 
a tribe under clause (i)(II), the Attorney 
General shall designate the tribe as a par-
ticipating tribe under section 205 of Public 
Law 90–284 (commonly known as the ‘‘In-
dian Civil Rights Act of 1968’’). 
(C) 
EFFECTIVE
DATES
FOR
PILOT 
PROJECTS.—An Indian tribe designated as a 
participating tribe under subparagraph (A)(ii) 
or (B)(ii) may commence exercising full crimi-
nal jurisdiction pursuant to subsections (b) 
through (d) of section 205 of Public Law 90– 
284 (commonly known as the ‘‘Indian Civil 
Rights Act of 1968’’) on a date chosen by the 
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Indian tribe, on the condition that the date 
shall be— 
(i) not earlier than the date that is 15 
days after the date on which the Indian 
tribe is designated as a participating tribe 
under subparagraph (A)(ii) or (B)(ii), as 
applicable; and 
(ii) not later than the date that is 5 
years after the date of enactment of this 
Act. 
(c) PETITIONS
TO
STAY
DETENTION.—Section 
204(e) of Public Law 90–284 (25 U.S.C. 1304(e)) (com-
monly known as the ‘‘Indian Civil Rights Act of 1968’’) 
is amended— 
(1) in paragraph (2)— 
(A) by redesignating subparagraphs (A) 
and (B) as clauses (ii) and (iii), respectively, 
and indenting appropriately; 
(B) in the matter preceding clause (ii) (as 
so redesignated), by striking ‘‘A court’’ and in-
serting the following: 
‘‘(A) IN GENERAL.—A court’’; 
(C) in subparagraph (A) (as so des-
ignated), by inserting before clause (ii) (as so 
redesignated) the following: 
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‘‘(i) finds that the person has ex-
hausted all tribal court remedies;’’; and 
(D) by adding at the end the following: 
‘‘(B) VICTIMLESS
CRIMES.—If the crime 
committed by a defendant petitioning for a stay 
under paragraph (1) is a victimless crime, the 
court shall not be required to make a finding 
described in subparagraph (A)(iii).’’; and 
(2) by adding at the end the following: 
‘‘(3) NOTICE.—An Indian tribe that has or-
dered the detention of any person has a duty to 
timely notify the person of the rights and privileges 
the person has under this subsection and under sec-
tion 203.’’. 
SEC. 104. BUREAU OF PRISONS TRIBAL PRISONER PRO-
GRAM. 
Section 234(c) of the Tribal Law and Order Act of 
2010 (25 U.S.C. 1302a) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (B), by striking 
‘‘(comparable to the’’ and all that follows 
through ‘‘United States Code)’’; and 
(B) by striking subparagraph (D); and 
(2) by striking paragraph (4). 
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SEC. 105. TRIBAL JUSTICE SYSTEMS. 
(a) IN GENERAL.—Section 103(a) of the Indian Trib-
al Justice Act (25 U.S.C. 3613(a)) is amended— 
(1) by striking the subsection designation and 
heading and all that follows through ‘‘Pursuant to’’ 
and inserting the following: 
‘‘(a) AUTHORIZATION.— 
‘‘(1) IN GENERAL.—Pursuant to’’; and 
(2) by adding at the end the following: 
‘‘(2) REQUIREMENT.—The Secretary shall enter 
into contracts, grants, or agreements with Indian 
tribes under paragraph (1) without regard to wheth-
er the Indian tribe is located in a State listed in sec-
tion 1162(a) of title 18, United States Code, or sec-
tion 1360(a) of title 28, United States Code.’’. 
(b) FUNDING.—Section 201 of the Indian Tribal Jus-
tice Act (25 U.S.C. 3621) is amended— 
(1) in each of subsections (a), (c), and (d), by 
striking ‘‘2011 through 2015’’ each place it appears 
and inserting ‘‘2022 through 2026’’; and 
(2) by striking subsection (b) and inserting the 
following: 
‘‘(b) BASE SUPPORT FUNDING FOR TRIBAL JUSTICE 
SYSTEMS.— 
‘‘(1) IN GENERAL.—There are authorized to be 
appropriated to carry out section 103, and there are 
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appropriated, out of any monies in the Treasury not 
otherwise appropriated— 
‘‘(A) $83,000,000 for fiscal year 2023; 
‘‘(B) $140,000,000 for fiscal year 2024; 
‘‘(C) $200,000,000 for fiscal year 2025; 
‘‘(D) $259,000,000 for fiscal year 2026; 
and 
‘‘(E) $318,000,000 for fiscal year 2027. 
‘‘(2) 
ADJUSTMENT
FOR
INFLATION.—The 
amount made available under paragraph (1) for each 
of fiscal years 2024 through 2027 shall be adjusted 
annually to reflect the change in the Consumer Price 
Index for All Urban Consumers published by the 
Bureau of Labor Statistics.’’. 
SEC. 106. GRANTS TO INDIAN TRIBES UNDER PUBLIC SAFE-
TY AND COMMUNITY POLICING GRANT PRO-
GRAM. 
Section 1701(j) of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10381(j)) is amend-
ed— 
(1) in paragraph (2)— 
(A) by striking ‘‘In providing’’ and insert-
ing the following: 
‘‘(A) IN GENERAL.—In providing’’; and 
(B) by adding at the end the following: 
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‘‘(B) REQUIREMENT.—The Attorney Gen-
eral shall provide grants to Indian tribal gov-
ernments under this subsection without regard 
to whether the Indian tribe of the Indian tribal 
government is located in a State listed in sec-
tion 1162(a) of title 18, United States Code, or 
section 1360(a) of title 28, United States 
Code.’’; and 
(2) by striking paragraph (4) and inserting the 
following: 
‘‘(4) FUNDING.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), there is authorized to be appro-
priated to carry out this subsection, and there 
is appropriated, out of any monies in the Treas-
ury not otherwise appropriated, $52,000,000 
for fiscal year 2023 and each fiscal year there-
after. 
‘‘(B) ADJUSTMENT FOR INFLATION.—The 
amount made available under subparagraph (A) 
for fiscal year 2024 and each fiscal year there-
after shall be adjusted annually to reflect the 
change in the Consumer Price Index for All 
Urban Consumers published by the Bureau of 
Labor Statistics.’’. 
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SEC. 107. BUREAU OF INDIAN AFFAIRS LAW ENFORCEMENT 
AND DETENTION. 
(a) IN GENERAL.—There is authorized to be appro-
priated to the Director of the Bureau of Indian Affairs 
to carry out the law enforcement and detention activities 
of the Bureau of Indian Affairs, and there is appropriated, 
out of any monies in the Treasury not otherwise appro-
priated, $1,200,000,000 for fiscal year 2023 and each fis-
cal year thereafter. 
(b) ADJUSTMENT
FOR INFLATION.—The amount 
made available under subsection (a) for fiscal year 2024 
and each fiscal year thereafter shall be adjusted annually 
to reflect the change in the Consumer Price Index for All 
Urban Consumers published by the Bureau of Labor Sta-
tistics. 
(c) REQUIREMENT.—The Director of the Bureau of 
Indian Affairs shall provide law enforcement and deten-
tion services to Tribal communities without regard to 
whether the Tribal community is located in a State listed 
in section 1162(a) of title 18, United States Code, or sec-
tion 1360(a) of title 28, United States Code. 
SEC. 108. WRITTEN CONSENT OF AN INDIAN TRIBE PRIOR 
TO AN EXECUTION OF A TRIBAL MEMBER BY 
THE UNITED STATES. 
Section 3598 of title 18, United States Code, is 
amended— 
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(1) by striking ‘‘under this chapter for any of-
fense the Federal jurisdiction for’’ and inserting the 
following: ‘‘under this chapter for— 
‘‘(1) any offense the Federal jurisdiction for’’; 
(2) by striking ‘‘within the boundaries of Indian 
country,’’ and inserting the following: ‘‘within the 
boundaries of Indian country; or 
‘‘(2) any offense the Federal jurisdiction for 
which is predicated solely on the offender’s use or 
taking of an object that has been transported, 
shipped, or received in interstate or foreign com-
merce, when the offender was not directly involved 
in such transportation, shipping, or receiving,’’; and 
(3) by striking ‘‘unless the governing body’’ and 
inserting the following: 
‘‘unless the governing body’’. 
SEC. 109. INDIAN VICTIMS OF CRIME. 
(a) GRANT PROGRAM FOR INDIAN CRIME VICTIM 
SERVICES.—The Victims of Crime Act of 1984 (34 U.S.C. 
20101 et seq.) is amended by inserting after section 
1404F the following: 
‘‘SEC. 1404G. GRANT PROGRAM FOR INDIAN CRIME VICTIM 
SERVICES. 
‘‘(a) DEFINITIONS.—In this section: 
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‘‘(1) ELIGIBLE INDIAN TRIBE.—The term ‘eligi-
ble Indian tribe’ means an Indian tribe that submits 
a written proposal for a covered grant to the Direc-
tor in accordance with subsection (c)(2). 
‘‘(2) IMMEDIATE FAMILY MEMBER.—The term 
‘immediate family member’ has the meaning given 
the term in section 115(c) of title 18, United States 
Code. 
‘‘(3) INDIAN TRIBE.—The term ‘Indian tribe’ 
has the meaning given the term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act (25 U.S.C. 5304). 
‘‘(4) 
PERSONALLY
IDENTIFYING
INFORMA-
TION.—The term ‘personally identifying information’ 
has the meaning given the term in section 40002(a) 
of the Violence Against Women Act of 1994 (34 
U.S.C. 12291(a)). 
‘‘(5) SERVICES
TO
VICTIMS
OF
CRIME.—The 
term ‘services to victims of crime’— 
‘‘(A) has the meaning given the term in 
section 1404; and 
‘‘(B) includes efforts that— 
‘‘(i) respond to the emotional, psycho-
logical, or physical needs of a victim of 
crime; 
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‘‘(ii) assist a victim of crime in stabi-
lizing his or her life after victimization; 
‘‘(iii) assist a victim of crime in un-
derstanding and participating in the crimi-
nal justice system; or 
‘‘(iv) restore a measure of security 
and safety for a victim of crime. 
‘‘(6) VICTIM OF CRIME.—The term ‘victim of 
crime’ means an individual who has suffered direct 
physical, sexual, financial, or emotional harm as a 
result of the commission of a crime. 
‘‘(b) DUTIES OF DIRECTOR.—The Director shall— 
‘‘(1) administer the grant program described in 
subsection (c); 
‘‘(2) provide planning, research, training, and 
technical assistance to recipients of covered grants; 
and 
‘‘(3) coordinate with the Office of Tribal Jus-
tice, the Indian Health Service, and the Bureau of 
Indian Affairs in implementing the grant program 
described in subsection (c). 
‘‘(c) GRANT PROGRAM.— 
‘‘(1) IN GENERAL.—On an annual basis, the 
Director shall make grants to eligible Indian tribes 
for the purposes of funding— 
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‘‘(A) a program, administered by one or 
more Indian tribes, that provides services to 
victims of crime, which may be provided in tra-
ditional form or through electronic, digital, or 
other technological formats, including— 
‘‘(i) services to victims of crime pro-
vided through subgrants to agencies or de-
partments of Tribal governments or non-
profit organizations; 
‘‘(ii) domestic violence shelters, rape 
crisis centers, child abuse programs, child 
advocacy centers, and elder abuse pro-
grams providing services to victims of 
crime; 
‘‘(iii) medical care, equipment, treat-
ment, and related evaluations arising from 
the victimization, including— 
‘‘(I) emergency medical care and 
evaluation, 
nonemergency 
medical 
care and evaluation, psychological and 
psychiatric care and evaluation, and 
other forms of medical assistance, 
treatment, or therapy, regardless of 
the setting in which the services are 
delivered; 
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‘‘(II) 
mental 
and 
behavioral 
health and crisis counseling, evalua-
tion, and assistance, including out-
patient therapy, counseling services, 
substance abuse treatment, and other 
forms of specialized treatment, includ-
ing intervention and prevention serv-
ices; 
‘‘(III) prophylactic treatment to 
prevent an individual from contracting 
HIV/AIDS or any other sexually 
transmitted disease or infection; and 
‘‘(IV) forensic medical evidence 
collection examinations and forensic 
interviews of victims of crime— 
‘‘(aa) to the extent that 
other funding sources are un-
available or insufficient; and 
‘‘(bb) on the condition that, 
to the extent practicable, the ex-
aminers and interviewers follow 
relevant guidelines or protocols 
issued by the State, unit of local 
government, or Indian tribe with 
jurisdiction over the area in 
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which the examination or inter-
view is conducted; 
‘‘(iv) legal services, legal assistance 
services, and legal clinics (including serv-
ices provided by pro bono legal clinics and 
practitioners), the need for which arises di-
rectly from the victimization; 
‘‘(v) the training and certification of 
service animals and therapy animals; 
‘‘(vi) equipment for Braille or TTY/ 
TTD machines for the deaf necessary to 
provide services to victims of crime; 
‘‘(vii) restorative justice opportunities 
that allow victims of crime to meet with 
the perpetrators if the meetings are volun-
tarily agreed to by the victim of crime and 
are for therapeutic purposes; and 
‘‘(viii) training and related materials, 
including books, training manuals, and 
training videos, for staff and service pro-
viders to develop skills necessary to offer 
quality services to victims of crime; 
‘‘(B) the development or implementation of 
training, technical assistance, or professional 
development that improves or enhances the 
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quality of services to victims of crime, including 
coordination between healthcare, education, and 
justice systems; 
‘‘(C) the transportation of victims of 
crime— 
‘‘(i) to receive services; or 
‘‘(ii) to participate in criminal justice 
proceedings; 
‘‘(D) emergency legal assistance to victims 
of crime that is directly connected to the crime; 
‘‘(E) the supervision of direct service pro-
viders and contracts for professional or special-
ized services that are related directly to pro-
viding services to victims of crime; 
‘‘(F) the repair and replacement of essen-
tial items used during the provision of services 
to victims of crime to contribute to and main-
tain a healthy and safe environment for the vic-
tims; 
‘‘(G) transitional housing for victims of 
crime, particularly victims who have a par-
ticular need for such housing and cannot safely 
return to previous housing, including travel, 
rental assistance, security deposits, utilities, 
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and other related costs that are incidental to 
the relocation to transitional housing; 
‘‘(H) the relocation of victims of crime, 
particularly where necessary for the safety and 
well-being of the victim, including reasonable 
moving expenses, security deposits for housing, 
rental expenses, and utility startup costs; 
‘‘(I) the coordination of activities that fa-
cilitate the provision of direct services to victims 
of crime; 
‘‘(J) a multisystem, interagency, multi-
disciplinary response to the needs of victims of 
crime; and 
‘‘(K) the administration of the program 
and services described in this section. 
‘‘(2) ELIGIBILITY.—An Indian tribe seeking a 
covered grant shall, in response to a request for pro-
posal, submit to the Director a written proposal for 
a covered grant. 
‘‘(3) NO MATCHING REQUIREMENT.—A recipi-
ent or subrecipient of a covered grant shall not be 
required to make a matching contribution for Fed-
eral dollars received. 
‘‘(d) PROTECTION
OF CRIME VICTIM CONFIDEN-
TIALITY AND PRIVACY.— 
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‘‘(1) ANNUAL
REPORTS.—In order to ensure 
the safety of victims of crime and immediate family 
members of victims of crime, recipients and sub-
recipients of covered grants shall protect the con-
fidentiality and privacy of individuals receiving serv-
ices from the recipient or subrecipient. 
‘‘(2) NONDISCLOSURE.— 
‘‘(A) IN GENERAL.—Subject to paragraphs 
(3) and (4), a recipient or subrecipient of a cov-
ered grant shall not disclose, reveal, or release 
any personally identifying information collected 
in connection with any service requested, used, 
or denied through a program of the recipient or 
subrecipient or require the release of personally 
identifying information as a condition of eligi-
bility for the services provided by the recipient 
or subrecipient— 
‘‘(i) regardless of whether the infor-
mation has been encoded, encrypted, 
hashed, or otherwise protected; and 
‘‘(ii) subject to subparagraph (B) and 
the condition that consent for release may 
not be given by an abuser of the minor, an 
abuser of a parent or guardian of a minor, 
or an incapacitated individual, absent the 
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informed, written, reasonably time-limited 
consent of— 
‘‘(I) the individual about whom 
information is sought; 
‘‘(II) in the case of an emanci-
pated minor, the minor, and the par-
ent or guardian; or 
‘‘(III) in the case of legal inca-
pacity, a court-appointed guardian. 
‘‘(B) CERTAIN MINORS AND OTHER INDI-
VIDUALS.—If a minor or individual with a le-
gally appointed guardian may lawfully receive 
services without the consent of a parent or 
guardian, that minor or individual may consent 
to the release of information under subpara-
graph (A)(ii) without the additional consent of 
a parent or guardian. 
‘‘(3) RELEASE.—If the release of information 
described in paragraph (2) is compelled by a statu-
tory or court mandate, a recipient or subrecipient of 
a covered grant shall— 
‘‘(A) make reasonable attempts to provide 
notice to victims of crime affected by the disclo-
sure of information; and 
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‘‘(B) take steps necessary to protect the 
privacy and safety of the individuals affected by 
the release of the information. 
‘‘(4) INFORMATION
SHARING.—A recipient or 
subrecipient of a covered grant may share— 
‘‘(A) data in the aggregate that is not per-
sonally identifying information regarding serv-
ices to clients and demographics in order to 
comply with Federal, State, Tribal, or terri-
torial reporting, evaluation, or data collection 
requirements; 
‘‘(B) court-generated and law enforcement- 
generated information contained in secure gov-
ernmental registries for protection order en-
forcement purposes; and 
‘‘(C) law enforcement-generated and pros-
ecution-generated information necessary for law 
enforcement and prosecution purposes. 
‘‘(e) AVAILABILITY OF GRANT FUNDS.—Any amount 
awarded under a covered grant that remains unobligated 
at the end of the fiscal year in which the grant is made 
may be expended for the purpose for which the grant was 
made at any time during the 10 succeeding fiscal years, 
at the end of which period, any unobligated sums shall 
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remain available to the Director for award under this sec-
tion in the following fiscal year. 
‘‘(f) EFFECT.—Nothing in this section prohibits— 
‘‘(1) an Indian tribe from contracting for the 
administration of a program or activity funded 
under this section; or 
‘‘(2) multiple Indian tribes or Tribal organiza-
tions from forming a consortium for any of the pur-
poses described in this section. 
‘‘(g) FUNDING.—The grant program established 
under this section shall be carried out using amounts 
made available under section 1402(d)(1). 
‘‘(h) TERM.—This section shall be effective for the 
first 10 fiscal years beginning after the date of enactment 
of this section.’’. 
(b) FUNDING FOR GRANTS FOR TRIBAL VICTIMS OF 
CRIME.—Section 1402(d) of the Victims of Crime Act of 
1984 (34 U.S.C. 20101(d)) is amended— 
(1) by inserting before paragraph (2) the fol-
lowing: 
‘‘(1) For each of the first 10 fiscal years begin-
ning after the date of enactment of the Honoring 
Promises to Native Nations Act, 5 percent of the 
total amount in the Fund available for obligation 
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during a fiscal year shall be made available to the 
Director to make grants under section 1404G.’’; 
(2) in paragraph (2)(A), by inserting ‘‘after 
compliance with paragraph (1)’’ after ‘‘deposited in 
the Fund’’; 
(3) in paragraph (3)(A), in the matter pre-
ceding clause (i), by striking ‘‘paragraph (2)’’ and 
inserting ‘‘paragraphs (1) and (2)’’; and 
(4) in paragraph (5)(A), by inserting ‘‘(1),’’ be-
fore ‘‘(2)’’ each place that term appears. 
(c) REGULATIONS REGARDING INDIAN TRIBES.— 
(1) EXISTING REGULATIONS.—Any regulation, 
rule, or guidance promulgated by the Director of the 
Office for Victims of Crime before the date of enact-
ment of this Act shall have no force or effect with 
respect to section 1404G of the Victims of Crime 
Act of 1984, as added by subsection (a). 
(2) NEGOTIATED RULEMAKING.— 
(A) IN GENERAL.—Not later than 1 year 
after the date of enactment of this Act, the Di-
rector of the Office for Victims of Crime, in 
consultation with the Secretary of the Interior 
and Indian tribes (as defined in section 
1404G(a) of the Victims of Crime Act of 1984) 
and through notice and comment negotiated 
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rulemaking, following the provisions of sub-
chapter III of chapter 5 of title 5, United 
States Code (commonly known as the ‘Nego-
tiated Rulemaking Act of 1990’), shall promul-
gate final regulations carrying out section 
1404G of the Victims of Crime Act of 1984. 
(B) REQUIREMENTS.—The Director of the 
Office for Victims of Crime shall ensure that— 
(i) not fewer than 2 Indian tribes 
from each Bureau of Indian Affairs region 
participate in the consultation; and 
(ii) small, medium, and large land- 
based Indian tribes are represented. 
SEC. 110. VICTIM ADVOCATES FOR NATIVE AMERICANS. 
Section 2001(b)(23) title I of the Omnibus Crime 
Control and Safe Streets Act of 1968 (34 U.S.C. 
10441(b)(23)) is amended by striking ‘‘domestic violence, 
dating violence, sexual assault, and stalking’’ and insert-
ing ‘‘crime’’. 
SEC. 111. SPECIAL TRIBAL CRIMINAL JURISDICTION. 
Section 204(j)(1) of Public Law 90–284 (25 U.S.C. 
1304(j)(1)) (commonly known as the ‘‘Indian Civil Rights 
Act of 1968’’) is amended, in the matter preceding sub-
paragraph (A), by striking ‘‘There is authorized to be ap-
propriated $25,000,000’’ and inserting ‘‘There is author-
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ized to be appropriated, and there is appropriated, out of 
any monies in the Treasury not otherwise appropriated, 
$50,000,000’’. 
SEC. 112. NATIONAL INDIAN COUNTRY CLEARINGHOUSE 
ON SEXUAL ASSAULT. 
(a) IN GENERAL.—There is authorized to be appro-
priated, and there is appropriated, out of any monies in 
the Treasury not otherwise appropriated, $1,000,000 for 
fiscal year 2023 and each fiscal year thereafter for grants, 
contracts, cooperative agreements, and other assistance 
for a national clearinghouse that provides training and 
technical assistance on issues relating to sexual assault of 
Indian and Alaska Native women. 
(b) ADJUSTMENT
FOR INFLATION.—The amount 
made available under subsection (a) for fiscal year 2024 
and each fiscal year thereafter shall be adjusted annually 
to reflect the change in the Consumer Price Index for All 
Urban Consumers published by the Bureau of Labor Sta-
tistics. 
SEC. 113. TRIBAL ACCESS PROGRAM. 
Section 534(d) of title 28, United States Code, is 
amended— 
(1) in paragraph (1), in the matter preceding 
subparagraph (A), by inserting ‘‘(including entities 
designated by an Indian tribe as maintaining public 
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safety within the territorial jurisdiction of the Indian 
tribe)’’ after ‘‘law enforcement agencies’’; and 
(2) in paragraph (2), by striking subparagraph 
(B) and inserting the following: 
‘‘(B) FUNDING.—There is authorized to be 
appropriated, and there is appropriated, out of 
any monies in the Treasury not otherwise ap-
propriated, $60,000,000 for fiscal year 2023, to 
remain available until expended, to carry out 
the Tribal Access Program under subparagraph 
(A).’’. 
SEC. 114. TIWAHE INITIATIVE. 
(a) IN GENERAL.—There is authorized to be appro-
priated to carry out the Tiwahe Initiative of the Bureau 
of Indian Affairs, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
$1,000,000,000 for fiscal year 2023 and each fiscal year 
thereafter. 
(b) ADJUSTMENT
FOR INFLATION.—The amount 
made available under subsection (a) for fiscal year 2024 
and each fiscal year thereafter shall be adjusted annually 
to reflect the change in the Consumer Price Index for All 
Urban Consumers published by the Bureau of Labor Sta-
tistics. 
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SEC. 115. REVIEWS ON NATIVE HAWAIIAN INTERACTIONS 
WITH LAW ENFORCEMENT. 
(a) PUBLIC SAFETY AND CRIMINAL JUSTICE.— 
(1) REVIEW ON LAW ENFORCEMENT AFFECT-
ING NATIVE HAWAIIANS.— 
(A) IN
GENERAL.—The Department of 
Justice shall conduct a comprehensive review of 
law enforcement and other crime prevention 
programs for various crimes affecting Native 
Hawaiian populations, including child sexual ex-
ploitation, child abuse, intimate partner vio-
lence, human trafficking, and substance abuse. 
(B) REPORT.—Not later than 1 year after 
the date of enactment of this Act, the Depart-
ment of Justice shall submit to Congress a re-
port summarizing the review required under 
subparagraph (A), which shall include the 
amount of Federal funding for the programs re-
ferred to in that subparagraph received by Na-
tive Hawaiian-serving organizations as a per-
centage of the total amount spent on those pro-
grams. 
(2) REVIEW OF NATIVE HAWAIIAN VICTIMS OF 
VARIOUS CRIMES.— 
(A) IN
GENERAL.—The Department of 
Justice shall conduct a comprehensive review of 
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programs that provide services to victims of 
various crimes affecting Native Hawaiian popu-
lations, including child sexual exploitation, child 
abuse, intimate partner violence, human traf-
ficking, and substance abuse. 
(B) REPORT.—Not later than 1 year after 
the date of enactment of this Act, the Depart-
ment of Justice shall submit to Congress a re-
port summarizing the review required under 
subparagraph (A), which shall include the 
amount of Federal funding for the programs re-
ferred to in that subparagraph received by Na-
tive Hawaiian-serving organizations as a per-
centage of the total amount spent on those pro-
grams. 
(3) REVIEW
OF
NATIVE
HAWAIIANS
IN
THE 
CRIMINAL JUSTICE SYSTEM.— 
(A) IN GENERAL.—The National Institute 
of Justice, in coordination with the Bureau of 
Justice Statistics, shall conduct a comprehen-
sive review on the Native Hawaiian population 
involved in the criminal justice system, includ-
ing— 
(i) arrests; 
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(ii) detention in Federal, State, and 
local jails; 
(iii) pretrial supervision; 
(iv) post-conviction supervision; 
(v) incarceration in Federal and State 
prisons; and 
(vi) post-release supervision. 
(B) REPORT.—Not later than 1 year after 
the date of enactment of this Act, the National 
Institute of Justice, in coordination with the 
Bureau of Justice Statistics, shall submit to 
Congress a report summarizing the review re-
quired under subparagraph (A), which shall in-
clude— 
(i) the Native Hawaiian population as 
a percentage of the total population of the 
United States that is involved in the crimi-
nal justice system; 
(ii) information on the programs and 
services available to, and used by, Native 
Hawaiians in various jurisdictions, includ-
ing diversion programs, in-prison education 
programs, and reentry services; and 
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(iii) the number of culturally relevant 
programs available to justice-involved Na-
tive Hawaiians. 
TITLE II—HEALTH CARE 
SEC. 201. FINDINGS. 
Congress finds that— 
(1) funding for the Indian Health Service and 
health care for American Indians and Alaska Na-
tives is inequitable and unequal; 
(2) Indian Health Service expenditures per cap-
ita are well below other Federal healthcare pro-
grams, which results in— 
(A) unacceptable health conditions of 
American Indians and Alaska Natives; and 
(B) American Indians and Alaska Natives 
living sicker and dying younger than other indi-
viduals in the United States; 
(3) the urban Indian health care budget has 
failed to keep pace with urban Indian population 
growth or inflation, and that severe underfunding 
impedes fulfillment of the trust and treaty obliga-
tions of the Federal Government; 
(4) due to chronic underfunding to healthcare 
programs that serve American Indians and Alaska 
Natives, American Indians and Alaska Natives face 
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overwhelming health disparities compared to other 
populations, including— 
(A) having lower life expectancies and ex-
periencing a disproportionate number of dis-
eases; and 
(B) dying at higher rates than other indi-
viduals in the United States from chronic liver 
disease, cirrhosis, diabetes mellitus, uninten-
tional injuries, intentional self-harm and sui-
cide, and chronic lower respiratory diseases; 
(5) the significant decline of third-party reim-
bursements for care, as clinics serving Tribal areas 
operate with limited staff and cancel non-essential 
procedures and visits, is affecting Tribal resources, 
which— 
(A) reduces the amount that Tribal health 
facilities can bill Medicare, Medicaid, or other 
private insurances for reimbursement of serv-
ices; and 
(B) poses a threat to the continuity of op-
erations of those facilities; 
(6)(A) section 10221 of the Patient Protection 
and Affordable Care Act (Public Law 111–148; 124 
Stat. 935) permanently reauthorized the Indian 
Health Care Improvement Act (25 U.S.C. 1601 et 
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seq.) in the hope of reducing health disparities faced 
by Native Americans; but 
(B) many of the provisions of the Indian Health 
Care Improvement Act (25 U.S.C. 1601 et seq.) re-
main underfunded; and 
(7) the Native Hawaiian Health Care Improve-
ment Act (42 U.S.C. 11701 et seq.) authorized the 
Native Hawaiian Health Care Program— 
(A) to improve the health status of Native 
Hawaiians; and 
(B) to provide Native Hawaiian health 
care programs with the resources necessary to 
improve the health status of Native Hawaiians. 
SEC. 202. SENSE OF CONGRESS. 
It is the sense of Congress that— 
(1) funding for the delivery of health care to 
American Indians, Alaska Natives, and Native Ha-
waiians through the Indian Health Service, Indian 
tribes, tribal organizations, urban Indian organiza-
tions, and the Native Hawaiian Health Care Pro-
gram should be fully funded; 
(2) the funding described in paragraph (1) 
should be mandatory; 
(3) Congress should allocate funding to job 
training and tuition reimbursement programs to in-
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crease the number of clinicians and non-medical 
health care staff serving American Indians, Alaska 
Natives, Native Hawaiians, and Indian tribes; 
(4) Congress should provide funding under the 
Medicare program under title XVIII of the Social 
Security Act (42 U.S.C. 1395 et seq.) and the Med-
icaid program under title XIX of that Act (42 
U.S.C. 1396 et seq.) directly to Indian tribes and 
end the practice of pass-through of funds through 
States; 
(5)(A) the Indian Health Care Improvement 
Act (25 U.S.C. 1601 et seq.) is crucial to protecting 
the health and well-being of American Indians and 
Alaska Natives; 
(B) all of the provisions of that Act should be 
implemented and fully funded; and 
(C) in accordance with section 3 of that Act (25 
U.S.C. 1602), it is the policy of the United States, 
in fulfillment of the special trust responsibilities and 
legal obligations to Indians of the United States, in-
cluding Indians living in urban settings— 
(i) to ensure the highest possible health 
status for Indians and to provide all resources 
necessary to effect that policy; 
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(ii) to raise the health status of Indians to 
at least the levels set forth in the goals con-
tained within the Healthy People 2010 initiative 
or successor objectives; 
(iii) to ensure maximum Indian participa-
tion in the direction of health care services so 
as to render the persons administering such 
services and the services themselves more re-
sponsive to the needs and desires of Indian 
communities; 
(iv) to increase the proportion of all de-
grees in the health professions and allied and 
associated health professions awarded to Indi-
ans so that the proportion of Indian health pro-
fessionals in each Indian Health Service area is 
raised to at least the level of that of the general 
population; 
(v) to require that all actions under that 
Act shall be carried out with active and mean-
ingful consultation with Indian tribes, and con-
ference with tribal organizations and urban In-
dian organizations, to implement that Act and 
the national policy of Indian self-determination; 
(vi) to ensure that the United States and 
Indian tribes work in a government-to-govern-
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ment relationship to ensure quality health care 
for all Tribal members; and 
(vii) to provide funding for programs and 
facilities operated by Indian tribes and tribal 
organizations in amounts that are not less than 
the amounts provided to programs and facilities 
operated directly by the Indian Health Service; 
(6) legal challenges to that Act and the Patient 
Protection and Affordable Care Act (Public Law 
111–148; 124 Stat. 119) are harmful; 
(7) legislation to address the opioid and sub-
stance use epidemic facing American Indian, Alaska 
Native, and Native Hawaiian communities (known 
as the ‘‘Comprehensive Addiction Resources Emer-
gency Act of 2021’’, S. 3418 and H.R. 6311, 117th 
Congress, as introduced on December 16, 2021) 
should be enacted without delay; and 
(8) legislation to provide significant resources 
to Indian tribes to combat child abuse and neglect 
(known as the ‘‘American Indian and Alaska Native 
Child Abuse Prevention and Treatment Act’’, S. 
1868 and H.R. 1566, 117th Congress, as introduced 
on May 26, 2021, and March 3, 2021, respectively) 
should be enacted without delay. 
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SEC. 203. MANDATORY FUNDING FOR INDIAN HEALTH 
SERVICE. 
(a) ESTABLISHMENT.—There is established in the 
Treasury an account, to be known as the ‘‘Indian Health 
Services Operations Account’’, into which shall be depos-
ited all amounts appropriated or otherwise made available 
according to the recommendations of the national Tribal 
Budget Formulation Workgroup, as of the date of enact-
ment of this Act, to carry out the Indian Health Care Im-
provement Act (25 U.S.C. 1601 et seq.) and any other 
program relating to or operated by the Indian Health 
Service. 
(b) APPROPRIATION.—There are authorized to be ap-
propriated, and there are appropriated, out of any monies 
in the Treasury not otherwise appropriated, the following 
amounts, which shall be deposited in the Indian Health 
Services Operations Account: 
(1) For fiscal year 2023, $50,138,679,000. 
(2) For fiscal year 2024, $51,416,373,000. 
(3) For fiscal year 2025 and each fiscal year 
thereafter, an amount equal to the sum of— 
(A) the amount appropriated for the pre-
vious fiscal year, as adjusted annually to reflect 
the change in the medical care component of 
the consumer price index for all urban con-
sumers (U.S. city average); and 
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(B) as applicable— 
(i) 1.8 percent of the amount appro-
priated for the previous fiscal year; or 
(ii) the percentage of the amount ap-
propriated for the previous fiscal year de-
termined under subsection (c)(2). 
(c) ADJUSTMENTS AFTER FISCAL YEAR 2024.— 
(1) STUDY.—Not later than September 30, 
2024, and not less frequently than once every 10 
years thereafter, the Comptroller General of the 
United States shall conduct a study, in consultation 
with Indian tribes, to determine whether the popu-
lation served by the Indian Health Service has con-
tinued to grow by 1.8 percent per year. 
(2) ADJUSTMENT.—If the Comptroller General 
determines under the study conducted under para-
graph (1) that the actual rate of growth of the popu-
lation described in that paragraph is higher than 1.8 
percent, for purposes of subsection (b)(3)(B)(ii), the 
percentage by which the amount appropriated for 
the previous fiscal year shall be adjusted to reflect 
the actual rate of growth determined by the study. 
(d) SHORTFALLS AND REPORT.— 
(1) IN GENERAL.—Not later than the end of 
fiscal year 2023, the Secretary of Health and 
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Human Services shall submit to the Committees on 
the Budget, Health, Education, Labor, and Pen-
sions, and Indian Affairs of the Senate and the 
Committee on the Budget, the Subcommittee on 
Health of the Committee on Energy and Commerce, 
and the Subcommittee for Indigenous Peoples of the 
United States of the Committee on Natural Re-
sources of the House of Representatives a publicly 
available report, developed in consultation with In-
dian tribes, that proposes an item of appropriation, 
according to the recommendations of the national 
Tribal Budget Formulation Workgroup, for short-
falls for funds related to the lease of a facility used 
for administration and delivery of Indian Health 
Service programs pursuant to section 105(l) of the 
Indian Self-Determination Act (25 U.S.C. 5324(l)), 
including supporting documentation on the methods 
used by the Secretary of Health and Human Serv-
ices to determine the amount of shortfalls. 
(2) ADDITIONAL APPROPRIATIONS.— 
(A) FACILITY LEASING.— 
(i) IN GENERAL.—In addition to the 
amount appropriated for a fiscal year for 
the Indian Health Services Operations Ac-
count, there is authorized to be appro-
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priated for fiscal year 2023, and each fis-
cal year thereafter, and there is appro-
priated, out of any monies in the Treasury 
not otherwise appropriated, the amount re-
quested by the report under paragraph (1). 
(ii) ADJUSTMENT FOR INFLATION.— 
The amount made available under clause 
(i) for fiscal year 2024 and each fiscal year 
thereafter shall be adjusted annually to re-
flect the change in the medical care compo-
nent of the consumer price index for all 
urban consumers (U.S. city average). 
(B) CONTRACT SUPPORT COSTS.—In addi-
tion to the amount appropriated for a fiscal 
year for the Indian Health Services Operations 
Account, there is authorized to be appropriated 
for fiscal year 2023, and each fiscal year there-
after, for contract support costs described in 
section 106 of the Indian Self-Determination 
Act (25 U.S.C. 5325) an amount determined by 
the Secretary of the Interior to cover any short-
falls for the operation of the programs and por-
tions for periods covered by the contract sup-
port costs. 
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SEC. 204. SANITATION FACILITIES CONSTRUCTION PRO-
GRAM. 
Section 7 of the Act of August 5, 1954 (42 U.S.C. 
2004a), is amended by adding at the end the following: 
‘‘(d) FUNDING.— 
‘‘(1) IN GENERAL.—There are authorized to be 
appropriated, and there are appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
to carry out this section— 
‘‘(A) $1,200,000,000 for each of fiscal 
years 2023 through 2025; and 
‘‘(B) $1,900,000,000 for fiscal year 2026 
and each fiscal year thereafter. 
‘‘(2) 
ADJUSTMENT
FOR
INFLATION.—The 
amount made available under paragraph (1) for fis-
cal year 2024 and each fiscal year thereafter shall 
be adjusted annually to reflect the change in the 
Consumer Price Index for All Urban Consumers 
published by the Bureau of Labor Statistics.’’. 
SEC. 205. SPECIAL DIABETES PROGRAMS FOR INDIANS. 
Section 330C of the Public Health Service Act (42 
U.S.C. 254c–3) is amended— 
(1) in subsection (c)(2)— 
(A) by redesignating subparagraphs (A) 
through (D) as clauses (i) through (iv), respec-
tively, and indenting appropriately; 
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(B) in the matter preceding clause (i) (as 
so redesignated), by striking ‘‘For the purpose’’ 
and inserting the following: 
‘‘(A) IN GENERAL.—For the purpose’’; 
(C) in subparagraph (A) (as so redesig-
nated)— 
(i) in clause (iii) (as so redesignated), 
by striking ‘‘and’’ at the end; 
(ii) in clause (iv) (as so redesignated), 
by striking ‘‘2023, to remain available 
until expended.’’ and inserting ‘‘2022; 
and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(v) subject to subparagraph (B), 
$300,000,000 for each of fiscal years 2023 
through 2032, to remain available until ex-
pended.’’; and 
(D) by adding at the end the following: 
‘‘(B) ADJUSTMENT FOR INFLATION.—The 
amount authorized to be appropriated under 
subparagraph (A)(v) for each of fiscal years 
2024 through 2032 shall be adjusted annually 
to reflect the change in the medical care compo-
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nent of the consumer price index for all urban 
consumers (U.S. city average).’’; 
(2) by redesignating subsection (c) as sub-
section (d); and 
(3) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) REQUIREMENT.—Grants provided under sub-
section (a) shall be subject to the requirements of section 
7(b) of the Indian Self-Determination and Education As-
sistance Act (25 U.S.C. 5307(b)).’’. 
SEC. 206. SPECIAL DIABETES PROGRAM FOR NATIVE HA-
WAIIANS. 
Section 6 of the Native Hawaiian Health Care Im-
provement Act (42 U.S.C. 11705) is amended by adding 
at the end the following: 
‘‘(i) SPECIAL DIABETES PROGRAM FOR NATIVE HA-
WAIIANS.— 
‘‘(1) IN GENERAL.—The Secretary shall make 
grants for providing services for the prevention and 
treatment of diabetes in accordance with subsection 
(b). 
‘‘(2) SERVICES
THROUGH
NATIVE
HAWAIIAN 
HEALTH CARE SYSTEMS FACILITIES.—For purposes 
of subsection (a), services under such subsection are 
provided in accordance with this subsection if these 
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services are provided through the Native Hawaiian 
Health Care Systems. 
‘‘(3) APPROPRIATIONS.—For the purpose of 
making grants under this section, there is appro-
priated, out of any money in the Treasury not other-
wise appropriated, $9,000,000 for each fiscal year.’’. 
SEC. 207. PERMANENT EXTENSION OF FULL FEDERAL MED-
ICAL ASSISTANCE PERCENTAGE TO URBAN 
INDIAN ORGANIZATIONS. 
Section 1905(b) of the Social Security Act (42 U.S.C. 
1396d(b)) is amended, in the third sentence, by striking 
‘‘for the 8 fiscal year quarters beginning with the first 
fiscal year quarter beginning after the date of the enact-
ment of the American Rescue Plan Act of 2021’’ and in-
serting ‘‘for each fiscal quarter beginning on or after April 
1, 2021’’. 
SEC. 208. QUALIFIED INDIAN PROVIDER SERVICES. 
Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended— 
(1) in subsection (a)(2)— 
(A) by striking ‘‘, and (C)’’ and inserting 
‘‘, (C)’’; and 
(B) by inserting ‘‘, and (D) qualified In-
dian provider services (as defined in subsection 
(l)(4))’’ after ‘‘included in the plan’’; and 
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(2) in subsection (l), by adding at the end the 
following: 
‘‘(4)(A) The term ‘qualified Indian provider 
services’ means services— 
‘‘(i) for which medical assistance is other-
wise available under the State plan (or a waiver 
of such plan); and 
‘‘(ii) that are furnished by an Indian 
health care provider (as defined in subpara-
graph (B)) to an individual who— 
‘‘(I) is eligible for medical assistance 
under the State plan (or waiver); and 
‘‘(II) is eligible to receive services 
from the Indian Health Service. 
‘‘(B) The term ‘Indian health care provider’ 
means a health program operated by the Indian 
Health Service or by an Indian tribe or Tribal orga-
nization (as defined in section 4 of the Indian 
Health Care Improvement Act (25 U.S.C. 1603)) or 
inter-tribal consortium (as defined in section 501(a) 
of the Indian Self-Determination and Education As-
sistance Act (25 U.S.C. 5381(a))) or through an 
urban Indian organization (as defined in section 4 of 
the Indian Health Care Improvement Act (25 U.S.C. 
1603)) operating pursuant to a grant or contract 
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with the Indian Health Service under title V of the 
Indian Health Care Improvement Act or as a perma-
nent program within the Indian Health Services di-
rect care program. 
‘‘(C) Notwithstanding any other provision of 
law, qualified Indian provider services may be pro-
vided by authorized non-physician practitioners 
working within the scope of their license, certifi-
cation, or authorized practice under Federal, State, 
or tribal law.’’. 
SEC. 209. REMOVE LIMITATION ON PAYMENT FOR SERV-
ICES FURNISHED BY INDIAN HEALTH CARE 
PROVIDERS OUTSIDE A CLINIC FACILITY. 
Section 1905(a)(9) of the Social Security Act (42 
U.S.C. 1396d(a)(9)) is amended by inserting ‘‘and includ-
ing such services furnished in any location by or through 
an Indian Health Care Provider as defined in subsection 
(l)(4)(B)’’ before the semicolon at the end. 
SEC. 210. NATIVE HAWAIIAN HEALTH CARE. 
(a) EXTENSION OF FEDERAL TORT CLAIMS ACT 
COVERAGE TO NATIVE HAWAIIAN HEALTH CARE SYS-
TEMS.—Section 6 of the Native Hawaiian Health Care 
Improvement Act (42 U.S.C. 11705) is amended— 
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(1) by redesignating subsections (h) and (i) (as 
added by section 206) as subsections (i) and (j), re-
spectively; 
(2) by inserting after subsection (g) the fol-
lowing: 
‘‘(h) FEDERAL TORT CLAIMS ACT COVERAGE.— 
‘‘(1) NATIVE
HAWAIIAN
HEALTH
CARE
SYS-
TEMS.—A Native Hawaiian health care system shall 
be considered to be a Federal agency for purposes 
of claims under sections 1346(b) and 2672 of title 
28, United States Code, for money damages for per-
sonal injury, including death, resulting from the per-
formance of functions by the Native Hawaiian 
health care system. 
‘‘(2) OFFICERS
AND
EMPLOYEES.—An indi-
vidual who is an officer or employee of a Native Ha-
waiian health care system shall— 
‘‘(A) be considered to be an employee of 
the Department of Health and Human Services 
for purposes of claims under sections 1346(b) 
and 2672 of title 28, United States Code, for 
money damages for personal injury, including 
death, resulting from the performance of func-
tions within the scope of employment of the in-
dividual; and 
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‘‘(B) be considered to be an employee of 
the Public Health Service performing medical, 
surgical, dental, or related functions for pur-
poses of ensuring that the remedy provided by 
sections 1346(b) and 2672 of title 28, United 
States Code, is exclusive of any other civil ac-
tion or proceeding by reason of the same sub-
ject matter against— 
‘‘(i) that individual; or 
‘‘(ii) the estate of that individual.’’; 
and 
(3) by striking subsection (i) (as so redesig-
nated) and inserting the following: 
‘‘(i) FUNDING.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
there are authorized to be appropriated to carry out 
this section, and there are appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
$47,000,000 for fiscal year 2023, an additional 
$9,000,000 per year for each fiscal year until fiscal 
year 2035, and $155,000,000 each fiscal year there-
after. 
‘‘(2) 
ADJUSTMENT
FOR
INFLATION.—The 
amount made available under paragraph (1) for fis-
cal year 2036 and each fiscal year thereafter shall 
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be adjusted annually to reflect the change in the 
Consumer Price Index for All Urban Consumers 
published by the Bureau of Labor Statistics.’’. 
(b) EXTENSION OF FULL FEDERAL MEDICAL AS-
SISTANCE PERCENTAGE TO SERVICES FURNISHED BY NA-
TIVE
HAWAIIAN
HEALTH
CARE
SYSTEMS.—Section 
1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) 
is amended, in the third sentence, by striking ‘‘for such 
8 fiscal year quarters,’’ and inserting ‘‘for each fiscal 
quarter beginning on or after April 1, 2021,’’. 
(c) PERMANENT REMOVAL OF MATCHING REQUIRE-
MENTS.—Section 6 of the Native Hawaiian Health Care 
Improvement Act (42 U.S.C. 11705) is amended— 
(1) by striking subsection (e); and 
(2) by redesignating subsections (f) through (h) 
as subsections (e) through (g), respectively. 
SEC. 211. FUNDING FOR TRIBAL EPIDEMIOLOGY CENTERS. 
Section 214 of the Indian Health Care Improvement 
Act (25 U.S.C. 1621m) is amended by adding at the end 
the following: 
‘‘(f) FUNDING.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated, and there is appropriated, out of any 
monies in the Treasury not otherwise appropriated, 
$60,000,000 for fiscal year 2023 and each fiscal 
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100 
year thereafter for epidemiology centers established 
under this section. 
‘‘(2) 
ADJUSTMENT
FOR
INFLATION.—The 
amount made available under paragraph (1) for fis-
cal year 2024 and each fiscal year thereafter shall 
be adjusted annually to reflect the change in the 
medical care component of the consumer price index 
for all urban consumers (U.S. city average).’’. 
SEC. 212. STATE OPTION TO PROVIDE MEDICAL ASSIST-
ANCE FOR RESIDENTIAL ADDICTION TREAT-
MENT FACILITY SERVICES. 
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (a)(16)— 
(A) by striking ‘‘as defined in subsection 
(h), and, (B)’’ and inserting ‘‘as defined in sub-
section (h)(1), (B)’’; and 
(B) by inserting ‘‘, and (C) residential ad-
diction treatment facility services (as defined in 
subsection (h)(3)), if offered as part of a full 
continuum of evidence-based treatment services 
provided under the State plan, including resi-
dential, outpatient, and community-based care, 
for individuals with substance use disorders’’ 
before the semicolon; and 
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155 
(III) engagement with— 
(aa) local educational agen-
cies (as defined in section 8101 
of the Elementary and Secondary 
Education Act of 1965 (20 
U.S.C. 7801)); and 
(bb) 
high 
schools 
and 
schools that include one of the 
middle grades (as so defined) 
that are independent of any local 
educational agency; and 
(IV) operation and expansion of 
a teacher fellowship program to cul-
tivate and support leaders in Native 
American history education. 
(iii) Engagement with State and local 
education leaders to encourage the adop-
tion of resources supported under this sec-
tion into curricula across diverse dis-
ciplines. 
(iv) Evaluation and research to assess 
the effectiveness and impact of Native 
American 
history 
education 
programs, 
which may include completion of the report 
required under subsection (e). 
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