FILE - In this Sept. 15, 2013, file photo, the U.S. Capitol dome is silhouetted by the sunrise. Doctors who treat Medicare patients would get a last-minute reprieve from a scheduled 24 percent cut in their reimbursements from the government under a bill that’s on track to pass the House. It would be the 17th time Congress has stepped in with a temporary fix to a poorly designed Medicare fee formula that dates to a 1997 budget law. House action comes after efforts to permanently fix the formula appear to have fizzled. (AP Photo/Carolyn Kaster, File)