To permit pass-through payment for reasonable costs of certified registered nurse anesthetist services in critical access hospitals notwithstanding the reclassification of such hospitals as urban hospitals, including hospitals located in "Lugar counties", and for on-call and standby costs for such services.

Amends the Omnibus Budget Reconciliation Act of 1986, as amended by the Omnibus Budget Reconciliation Act of 1989, to treat a critical access hospital as rural, notwithstanding the reclassification of its location county as an urban county ("Lugar county") under title XVIII (Medicare) of the Social Security Act, in order to permit pass-through payment for the reasonable costs of certified registered nurse anesthetist (CRNA) services.

Counts on-call and standby costs for such services as reasonable CRNA costs.