Given the task definition and input, reply with output. In this task, you are given a summary for US Congressional and California state bill, your task is to generate a Title for this bill. The preferred titles are under forty words and mention the purpose of the bill.

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.
Alaska Native and American Indian Direct Reimbursement Act of 1998