Harness
I believe the 99 and older trucks need the harness to enable the stock harness to connect to the new lift pump design. Cummins only stocks one style of lift pump now, the harness allows trucks that used the older style to use the new pump.
I haven't actually swaped one out on an older truck so I don't know exactly what the differences are.
If you are moving your pump back towards the tank or adding a pusher and tapping into the factory wiring that powers the lift pump the harness from Cummins is the only way to go. Keeps you factory harness intact and eliminates the hardest part of the job.
Dave