Alaska Native and American Indian Direct Reimbursement Act of 2000
Public Law 106-417 · S. 406 · 106th Congress · began in the Senate
Signed by Bill Clinton (D) on Nov 1, 2000 · Native Americans
Sponsor: Sen. Frank Murkowski (R-AK)
Cosponsors (7): Sen. Trent Lott, Sen. Max Baucus,
Passage votes
- HouseVoice vote
- SenateUnanimous consent
Data notes
The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.
Summary
The Congressional Research Service’s plain-language summary of what the law does.
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.
Committees
The committees the bill was sent to, and what each did with it.
Energy and Commerce Committee · House · discharged from, referred toSubcommittee: Health and Environment Subcommittee
Indian Affairs Committee · Senate · hearings by (full committee), markup by, referred to, reported by
Data notes
A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.
Timeline
From introduction to signing, newest first: the committees, the floor and the president. 22 actions.
- Nov 1, 2000Became lawBecame law · Became Public Law No: 106-417.
- Became lawBecame law · Signed by President.
- Oct 20, 2000PresidentPresident · Presented to President.
- Oct 17, 2000FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
- FloorFloor · On motion to suspend the rules and pass the bill Agreed to by voice vote.
- FloorFloor · Mr. Calvert moved to suspend the rules and pass the bill.
- Sep 6, 2000CommitteeCommittee · Discharged from House Energy and Commerce Committee
- CommitteeCommittee · Reported by House Natural Resources Committee
- CommitteeCommittee · Discharged from House Ways and Means Committee
- Apr 5, 2000CommitteeCommittee · Markup by House Natural Resources Committee
- Oct 6, 1999CommitteeCommittee · Referred to Health and Environment Subcommittee of the House Energy and Commerce Committee
- Sep 20, 1999CommitteeCommittee · Referred to Health Subcommittee of the House Ways and Means Committee
- Sep 17, 1999CommitteeCommittee · Referred to House Energy and Commerce Committee
- CommitteeCommittee · Referred to House Natural Resources Committee
- CommitteeCommittee · Referred to House Ways and Means Committee
- Sep 15, 1999FloorFloor · Passed Senate with an amendment by Unanimous Consent.
- FloorFloor · The committee substitute agreed to by Unanimous Consent.
- Sep 8, 1999CommitteeCommittee · Reported by Senate Indian Affairs Committee
- Aug 4, 1999CommitteeCommittee · Hearings by Senate Indian Affairs Committee
- CommitteeCommittee · Markup by Senate Indian Affairs Committee
- Feb 10, 1999CommitteeCommittee · Referred to Senate Indian Affairs Committee
- IntroducedIntroduced · Introduced in the Senate
Data notes
Shows the introduction, each committee and subcommittee step the source dates (referral, hearings, markup, report, discharge), and the floor, conference, presidential and became-law steps. Calendar placements, messages between the chambers, amendments and committee report numbers are not shown for laws before the 108th Congress. Two entries the source lists twice are shown once.
Official record
The bill’s full text and every action, including introduction and committee steps, are on Congress.gov. Data through Oct 7, 2026.