(I) an analysis of the increased 
access of Native children to Medicaid 
under the Patient Protection and Af-
fordable Care Act (Public Law 111– 
148) and the effect of that increase 
on the ability of Indian tribes and Na-
tive Hawaiians to develop sustainable 
health programs; and 
(II) an evaluation of the effects 
of a lack of public sanitation infra-
structure, including in-home sewer 
and water, on the health status of Na-
tive children; 
(iii) improvements to educational and 
vocational opportunities for Native children 
that will lead to— 
(I) increased school attendance, 
performance, and graduation rates for 
Native children across all educational 
levels, including early education, post- 
secondary, and graduate school; 
(II) scholarship opportunities at 
a Tribal College or University and 
other public and private postsecondary 
institutions; 
VerDate Mar 15 2010 
00:08 Jun 25, 2014
Jkt 039200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H4908.IH
H4908
jbell on DSK4SPTVN1PROD with BILLS
(III) increased participation of 
the immediate families of Native chil-
dren; 
(IV) coordination among schools 
and Indian tribes that serve Native 
children, including in the areas of 
data sharing and student tracking; 
(V) accurate identification of stu-
dents as Native children; and 
(VI) increased school counseling 
services, improved access to quality 
nutrition at school, and safe student 
transportation; 
(iv) improved policies and practices by 
local school districts that would result in 
improved academic proficiency for Native 
children; 
(v) increased access to extracurricular 
activities for Native children that are de-
signed to increase self-esteem, promote 
community engagement, and support aca-
demic excellence while also serving to pre-
vent unplanned pregnancy, membership in 
gangs, drug and alcohol abuse, and suicide, 
including activities that incorporate tradi-
VerDate Mar 15 2010 
00:08 Jun 25, 2014
Jkt 039200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H4908.IH
H4908
jbell on DSK4SPTVN1PROD with BILLS
tional language and cultural practices of 
Indians and Native Hawaiians; 
(vi) improvements to Federal, State, 
and tribal juvenile detention programs— 
(I) to provide greater access to 
educational opportunities and social 
services for incarcerated Native chil-
dren; 
(II) to promote prevention and 
reduce incarceration and recidivism 
rates among Native children; 
(III) to incorporate families and 
the traditional cultures of Indians and 
Native Hawaiians in the process, in-
cluding through the development of a 
family court for juvenile offenses; and 
(IV) to prevent unnecessary de-
tentions and identify successful re-
entry programs; 
(vii) expanded access to a continuum 
of early development and learning services 
for Native children from prenatal to age 5 
that are culturally competent, support Na-
tive language preservation, and comprehen-
sively promote the health, well-being, learn-
VerDate Mar 15 2010 
00:08 Jun 25, 2014
Jkt 039200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H4908.IH
H4908
jbell on DSK4SPTVN1PROD with BILLS
ing, and development of Native children, 
such as— 
(I) high quality early care and 
learning programs for children start-
ing from birth, including Early Head 
Start, Head Start, child care, and 
preschool programs; 
(II) programs, including home 
visiting and family resource and sup-
port programs, that increase the ca-
pacity of parents to support the learn-
ing and development of the children of 
the parents, beginning prenatally, and 
connect the parents with necessary re-
sources; 
(III) early intervention and pre-
school services for infants, toddlers, 
and preschool-aged children with de-
velopmental delays or disabilities; and 
(IV) professional development op-
portunities for Native providers of 
early development and learning serv-
ices; 
(viii) the development of a system that 
delivers wrap-around services to Native 
VerDate Mar 15 2010 
00:08 Jun 25, 2014
Jkt 039200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H4908.IH
H4908
jbell on DSK4SPTVN1PROD with BILLS
children in a way that is comprehensive 
and sustainable, including through in-
creased coordination among Indian tribes, 
schools, law enforcement, health care pro-
viders, social workers, and families; 
(ix) more flexible use of existing Fed-
eral programs, such as by— 
(I) providing Indians and Native 
Hawaiians with more flexibility to 
carry out programs, while minimizing 
administrative time, cost, and expense 
and reducing the burden of Federal 
paperwork requirements; and 
(II) allowing unexpended Federal 
funds to be used flexibly across Fed-
eral agencies to support programs 
benefitting Native children, while tak-
ing into account— 
(aa) the 477 Demonstration 
Initiative of the Department of 
the Interior; 
(bb) the Coordinated Tribal 
Assistance Solicitation program 
of the Department of Justice; 
VerDate Mar 15 2010 
00:08 Jun 25, 2014
Jkt 039200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H4908.IH
H4908
jbell on DSK4SPTVN1PROD with BILLS
(cc) the Federal policy of 
self-determination; and 
(dd) any consolidated grant 
programs; and 
(x) solutions to other issues that, as 
determined by the Commission, would im-
prove the health, safety, and well-being of 
Native children; 
(C) based on the use by the Commission of 
the existing data, make recommendations for 
improving data collection methods that con-
sider— 
(i) the adoption of standard defini-
tions and compatible systems platforms to 
allow for greater linkage of data sets 
across Federal agencies; 
(ii) the appropriateness of existing 
data categories for comparative purposes; 
(iii) the development of quality data 
and measures, such as by ensuring suffi-
cient sample sizes and frequency of sam-
pling, for Federal, State, and tribal pro-
grams that serve Native children; 
VerDate Mar 15 2010 
00:08 Jun 25, 2014
Jkt 039200
PO 00000
Frm 00019
Fmt 6652
Sfmt 6201
E:\BILLS\H4908.IH
H4908
jbell on DSK4SPTVN1PROD with BILLS