To exclude certain general service wages and hours associated with a separate skilled nursing facility owned by certain hospitals in determining a hospital's eligibility for continued geographic reclassification under the Medicare program.

Directs the Secretary of Health and Human Services, in calculating a municipality-owned hospital's average hourly wage for purposes of continued geographic reclassification as an urban hospital under title XVIII (Medicare) of the Social Security Act, to exclude the general service wages and hours of personnel associated with a separate skilled nursing facility owned by the hospital or the same municipality and physically separated from the hospital to the extent that such wages and hours are not shared with the hospital, and are separately documented.