To amend section 1877 of the Social Security Act to delay by 2 years the expansion cut-off date imposed by the Patient Protection and Affordable Care Act.

Amends title XVIII (Medicare) of the Social Security Act, as amended by the Patient Protection and Affordability Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010, to postpone from December 31, 2010, to December 31, 2012, the date by which physician-owned hospitals must have a service provider agreement in order to participate in Medicare under a rural provider and hospital exception to the prohibition against physician-ownership of or -investment in a hospital, if they also meet certain requirements addressing conflicts of interest, bona fide investments, patient safety issues, and expansion limitations.