A bill to amend title XVIII of the Social Security Act with respect to treatment of certain rural hospitals under the prospective payment system for inpatient hospital services under the medicare program.

Amends title XVIII (Medicare) of the Social Security Act to provide that a hospital shall be considered to be located in an urban area for purposes of the prospective payment system if the wage level within the county (or equivalent area) in which the hospital is located is not less than the average wage level for urban areas in the State.