To permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Amends the Omnibus Budget Reconciliation Act of 1986, as amended by the Omnibus Budget Reconciliation Act of 1989, with respect to payments for reasonable costs of certified registered nurse anesthetist services in critical access hospitals.

Declares that such hospitals shall be treated as being located in a rural area to permit pass-through of such payments, regardless of any geographic reclassification of the hospital, including reclassification as located in an urban county ("Lugar county").

Requires the Secretary of Health and Human Services to include on-call and standby costs in determining reasonable costs for such services.