To amend the Social Security Act to clarify the medicare geographic classification adjacency requirements.

[AI summary unavailable — showing source text] Amends title XVIII (Medicare) of the Social Security Act with respect to payment to hospitals for inpatient hospital services to provide that when promulgating or enforcing rules or guidelines which implement guidelines for determining whether a county in which a hospital is located should be treated as being part of a particular Metropolitan Statistical Area (MSA) by establishing proximity criteria to represent affinity of a county to a particular MSA, the Secretary of Health and Human Services shall not require contiguous borders between the county and the MSA.…