To provide targeted payment relief under the Medicare Program for hospitals that primarily serve Medicare and Medicaid patients and have been disproportionately impacted by the payment reductions under the Balanced Budget Act of 1997.

High Need Hospital Medicare Rate Relief Act of 2000 - Provides targeted payment relief during FY 2001 and 2002 under the Medicare program of title XVIII of the Social Security Act for certain hospitals disproportionately impacted by the payment reductions under the Balanced Budget Act of 1997. Requires the Secretary of Health and Human Services to calculate payment amounts as if the applicable percentage increase for FY 2000 is the market basket percentage increase for such fiscal year without reduction.