Medicare Rural Health Care Preservation Act of 2003 - Amends title XVIII (Medicare) of the Social Security Act to provide for: (1) a five-year continuation of Medicare managed care cost contracts; (2) temporary payment increases for sole community hospitals under the prospective payment system for hospital outpatient department services; (3) the reinstatement of periodic interim payment (PIP) with respect to the critical access hospital program, among other changes with respect to such program; (4) an extension of the temporary increase for home health services furnished in a rural area; (5) an increase in payments for hospice care furnished in frontier areas; and (6) deemed eligibility based on death in fact with respect to treatment of eligibility for hospice care.
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