A bill to provide for a minimum medicare payment level of 90 percent for rural referral centers allowable capital-related costs.

Directs the Secretary of Health and Human Services to provide for cost reporting periods beginning on or after October 1, 1991, and before October 1, 2001, for a minimum Medicare (title XVIII of the Social Security Act) payment level of 90 percent for rural referral centers' allowable capital-related costs.