House Republicans rejected a Senate compromise bill that would have extended the 2 percent payroll tax break for two months along with the "doc fix", voting 229 to 193. In a convoluted motion, House Republicans voted to send the measure to a conference committee, which will not occur in the near future.
Basically, House Republicans killed a bill that would have prevented a 27 percent cut to Medicare payments, generically known as the "doc fix" provision.
As of January 1, 2012, Medicare reimbursements will be cut by 27%.