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H.R.4088 / 105th Congress

Alaska Native and American Indian Direct Reimbursement Act of 1998

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

Official summary

Version 00 · Introduced in House · Jun 18, 1998

Alaska Native and American Indian Direct Reimbursement Act of 1998 - Amends the Indian Health Care Improvement Act to make permanent the authority (currently provided under a demonstration program) for Indian tribes, tribal organizations, and Alaska Native health organizations that contract or compact for the operation of any health program of the Indian Health Service to directly bill for, and receive payment for, health care services provided by such health programs for which payment is made under Medicare or Medicaid or from any other third party payor. Provides that: (1) such an entity shall be eligible to participate if it certifies that it contracts or compacts for any part of the operations of a Service health program that is eligible to participate in the Medicare or Medicaid programs; and (2) entities participating in a demonstration program as in effect the day before enactment of this Act shall be deemed to have elected to participate and shall not be required to make such certification. Provides for: (1) the ongoing examination and implementation of necessary administrative changes to facilitate direct billing and reimbursement under the program; and (2) withdrawal from participation in the program.

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Who introduced it

Rep. Young, Don [R-AK-At Large] · R–AK

Committees

  • Energy and Commerce Committee
  • Ways and Means Committee
  • Natural Resources Committee
1 cosponsorship records, including any withdrawals

Actions

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  1. Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

  2. Executive Comment Requested from HHS.

  3. Referred to the Subcommittee on Health.

  4. Referred to House Ways and Means

  5. Referred to House Commerce

  6. Referred to the Committee on Resources, and in addition to the Committees on Commerce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  7. Referred to House Resources

  8. Sponsor introductory remarks on measure. (CR E1164-1165)

  9. Introduced in House

  10. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.4088 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.4088 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

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