[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
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                                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
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