To amend title XVIII of the Social Security Act to permit reasonable cost reimbursement for emergency room services provided by Federally qualified health centers.

Amends title XVIII (Medicare) of the Social Security Act (SSA) to allow a Federally qualified health center to elect to have the amount of payment for emergency room services under Medicare part B (Supplementary Medical Insurance) based on the payment methodology applied for outpatient critical access hospital services where the amount of such payment is the reasonable cost of the hospital in providing such services.