A bill to amend titles XVIII and XIX of the Social Security Act with respect to requirements that hospitals must meet in order to provide "swing-bed" service under the medicare and medicaid programs.

Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to prohibit hospitals providing "swing-bed" services (long-term care usually provided by nursing homes) from being reimbursed for such services at a higher level than nursing homes.

Limits those hospitals which can provide swing-bed services to those designed to hold fewer than 50 beds. (Current law permits hospitals with less than 50 beds to offer such services.)

Prohibits a hospital from providing swing-bed services unless at least 96 percent of the beds in the nursing homes in the region of the hospital are occupied.

Requires swing-bed hospitals to meet the same certification, licensing, and staff training standards as nursing homes.

Limits agreements between the Secretary of Health and Human Services and a swing-bed hospital to 12 months. Permits such a hospital to apply for a renewal of an agreement.