The House was to vote under special expedited procedures that require a two-thirds vote to pass, and there was at least some uncertainty about whether the measure would advance, with some senior Democrats still pressing for a permanent solution. The measure blends $16 billion to address Medicare physicians' payments with about $6 billion more for a variety of other expiring health care provisions, like higher Medicare payments to rural hospitals and for ambulance rides in rural areas. The measure also delays implementation of newer, more precise Medicare treatment and payment codes, which has upset the health care information management industry and specialty physicians who stand to benefit from the updated codes. [...] the measure includes additional cuts to hospitals that treat a "disproportionate share" of uninsured and Medicaid patients — but delays planned implementation of existing cuts for a year. The authors of the bill also use budget gimmicks to squeeze more savings from a Medicare providers payment cut that is 10 years down the road.