FILE - In this May 14, 2014 file photo, Sylvia Mathews Burwell, then-President Barack Obama’s nominee to become secretary of Health and Human Services testifies on Capitol Hill in Washington. Doctors caring for low-income patients are facing a steep fee cut next year as a temporary program in President Barack Obama’s health care law expires. That could reduce patients’ access just when millions of new people are gaining Medicaid coverage. (AP Photo/J. Scott Applewhite, File)
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