; and (iv) in paragraph (5)— (I) by inserting or Indian tribe or tribal organization after Each State ; and (II) by inserting or Indian tribe or tribal organization, as the case may be after the State ; and (D) by adding at the end the following: (d) Definition of tribal organization In this section, the term tribal organization has the meaning given the term in section 4 of the Indian Self-Determination and Education Assistance Act. . (c) Long-Term care ombudsman program grants and training Section 2043 of the Social Security Act ( 42 U.S.C. 1397m–2 ) is amended— (1) in subsection (a), by striking paragraph (2) and inserting the following: (2) Appropriation Out of any money in the Treasury not otherwise appropriated, there are appropriated to the Secretary to carry out this subsection— (A) $22,500,000 for fiscal year 2024; and (B) $30,000,000 for each of fiscal years 2025 and 2026.