A bill to amend title XVIII of the Social Security Act to ensure that medicare-dependent, small rural hospitals receive for a three-year period at least their reasonable costs for inpatient hospital services furnished under the medicare program.

Amends title XVIII (Medicare) of the Social Security Act to ensure that rural hospitals which have no more than 50 beds and provide at least 70 percent of their inpatient hospital services to Medicare patients receive, for a three-year period, Medicare coverage of at least the reasonable costs of providing such services.