PlainBillCongress, translated.Legislation. Context. Public interest.Became Public Law No: 106-417.
Congressional Research Service
Version 01 · Reported to Senate with amendment(s) · Sep 8, 1999
Alaska Native and American Indian Direct Reimbursement Act of 1999 - Amends the Indian Health Care Improvement Act to make permanent the demonstration program under which Indian tribes, tribal organizations, and Alaska Native health organizations that contract or compact for the operation of a hospital or clinic of the Indian Health Service may directly bill for, and receive payment for, health care services provided by such hospital or clinic for which payment is made under titles XVIII (Medicare) or XIX (Medicaid) of the Social Security Act or from any other third party payor.Requires participating hospitals and clinics to submit annual reports on the program to the Secretary of Health and Human Services.Provides for: (1) application to the Secretary by an Indian tribe, tribal organization, or Alaska Native health organization for participation of a Service facility in the program (the demonstration program was limited to four facilities); (2) the ongoing examination and implementation of necessary administrative changes to facilitate direct billing and reimbursement under the program; and (3) withdrawal from participation in the program.
People & committees
Sen. Murkowski, Frank H. [R-AK] · R–AK
Legislative record
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Became Public Law No: 106-417.
Became Public Law No: 106-417.
Signed by President.
Signed by President.
Presented to President.
Presented to President.
Motion to reconsider laid on the table Agreed to without objection.
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H9957-9958)
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.(text: CR H9957-9958)
DEBATE - The House proceeded with forty minutes of debate on S. 406.
Considered under suspension of the rules. (consideration: CR H9957-9959)
Mr. Calvert moved to suspend the rules and pass the bill.
Placed on the Union Calendar, Calendar No. 480.
Committee on Commerce discharged.
Committee on Commerce discharged.
Committee on Ways and Means discharged.
Committee on Ways and Means discharged.
House Committee on Commerce Granted an extension for further consideration ending not later than Sept. 6, 2000.
House Committee on Ways and Means Granted an extension for further consideration ending not later than Sept. 6, 2000.
Reported by the Committee on Resources. H. Rept. 106-818, Part I.
Reported by the Committee on Resources. H. Rept. 106-818, Part I.
Ordered to be Reported by Voice Vote.
Committee Consideration and Mark-up Session Held.
Referred to the Subcommittee on Health and Environment.
Referred to the Subcommittee on Health.
Referred to the Committee on Resources, and in addition to the Committees on Ways and Means, and Commerce, 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.
Referred to the Committee on Resources, and in addition to the Committees on Ways and Means, and Commerce, 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.
Referred to the Committee on Resources, and in addition to the Committees on Ways and Means, and Commerce, 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.
Referred to the Committee on Resources, and in addition to the Committees on Ways and Means, and Commerce, 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.
Message on Senate action sent to the House.
Received in the House.
Passed Senate with an amendment by Unanimous Consent. (consideration: CR S10959-10960)
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(consideration: CR S10959-10960)
The committee substitute agreed to by Unanimous Consent. (consideration: CR S10959-10960; text: CR S10959-10960)
Placed on Senate Legislative Calendar under General Orders. Calendar No. 272.
Committee on Indian Affairs. Reported to Senate by Senator Campbell with an amendment in the nature of a substitute. With written report No. 106-152.
Committee on Indian Affairs. Reported to Senate by Senator Campbell with an amendment in the nature of a substitute. With written report No. 106-152.
Committee on Indian Affairs. Hearings held. Hearings printed: S.Hrg. 106-204.
Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
Read twice and referred to the Committee on Indian Affairs.
Sponsor introductory remarks on measure. (CR S1429)
Introduced in Senate
Primary sources
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Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.
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Analyze S.406 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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