The main purpose of this legislation, known as the "Save Struggling Hospitals Act," is to support hospitals that have low wage indexes. It aims to ensure that these hospitals receive fair compensation under Medicare, which is crucial for their financial stability and ability to provide care to their communities. The key provisions of this act include a specific adjustment to the area wage index for hospitals that fall below the 25th percentile in terms of wage index. For discharges occurring on or after October 1, 2019, these hospitals will receive an increase in their wage index.