[Senate Hearing 106-204] [From the U.S. Government Publishing Office] S. HRG. 106-204 ELEVATE THE POSITION OF DIRECTOR OF THE INDIAN HEALTH SERVICE TO ASSISTANT SECRETARY FOR INDIAN HEALTH ALASKA NATIVE AMERICAN INDIAN DIRECT REIMBURSEMENT ACT ---------------------------------------------------------------------- HEARING BEFORE THE COMMITTEE ON INDIAN AFFAIRS UNITED STATES SENATE ONE HUNDRED SIXTH CONGRESS FIRST SESSION ON S. 299 TO ELEVATE THE POSITION OF DIRECTOR OF THE INDIAN HEALTH SERVICE WITHIN THE DEPARTMENT OF HEALTH AND HUMAN SERV- ICES TO ASSISTANT SECRETARY FOR INDIAN HEALTH AND S. 406 TO AMEND THE INDIAN HEALTH CARE IMPROVEMENT ACT TO MAKE PERMANENT THE DEMONSTRATION PROGRAM THAT ALLOWS FOR DI- RECT BILLING OF MEDICARE, MEDICAID, AND OTHER THIRD PARTY PAYORS, AND TO EXPAND THE ELIGIBILITY UNDER SUCH PROGRAM TO OTHER TRIBES AND TRIBAL ORGANIZATIONS ----------- AUGUST 4, 1999 WASHINGTON, DC U.S. GOVERNMENT PRINTING OFFICE 58-611 CC WASHINGTON : 1999 --------------------------------------------------------------------- For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402-0001 ISBN 0-16-059650-5