To amend title XVIII of the Social Security Act to extend until October 1, 1994, the period during which medicare-dependent, small rural hospitals may be paid under alternative reimbursement methodologies for the operating costs of inpatient hospital services under the medicare program.

[AI summary unavailable — showing source text] Amends title XVIII (Medicare) of the Social Security Act to extend special payments under Medicare part A (Hospital Insurance) for the operating costs of inpatient services of Medicare-dependent, small rural hospitals. Requires the Secretary of Health and Human Services to permit such hospitals which have been reclassified as urban to decline such reclassification.…