A bill to amend title XVIII of the Social Security Act with respect to the "swing-bed" program.

Amends title XVIII (Medicare) of the Social Security Act to permit a hospital to furnish extended care services if the hospital: (1) is located in a rural area and has at least 50 beds and not more than 150 beds; and (2) the hospital certifies that the average daily census in any year of individuals receiving such extended care services does not exceed 40 individuals.

Prohibits Medicare payments for extended care services furnished to an extended care patient in a hospital after the end of the five day period beginning on which such patient could be in a skilled nursing facility.