1. Short title This Act may be cited as the Rural Hospital Frontier Fairness Act . 2. Extending floor on area wage index to certain sole community hospitals Section 1886(d)(3)(E)(iii) of the Social Security Act ( 42 U.S.C. 1395ww(d)(3)(E)(iii) ) is amended— (1) in subclause (I), by inserting before the period at the end the following: and, for discharges occurring on or after October 1, 2018, the area wage index applicable under this subparagraph to any sole community hospital that is located not more than 75 miles from the closest frontier State and that makes an election under subclause (V) may not be less than 1.00