To amend title XVIII of the Social Security Act to extend special treatment rules under the medicare program for regional referral centers and to permit a hospital that fails to qualify as a regional referral center under the program as a result of a change in geographic classification to decline such change and qualify as such a center.

Amends the Omnibus Budget Reconciliation Act of 1989 to extend special treatment rules under the Medicare program for regional referral centers.

Permits any hospital that fails to qualify as a rural referral center under Medicare as a result of the hospital's urban reclassification to decline such reclassification and have the rural classification restored.