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Among those who stand to benefit the most from the expansion of Medicaid are homeless adults. Many of these men and women are mentally ill or addicted to drugs and alcohol. Enrolling them can be difficult, but the benefits should be substantial.

In the past, many psychotherapists ran their own little businesses. But changes in health care coverage mean that many must start accepting insurance and doing paperwork. That's leading some therapists to form group practices or join large medical groups — and may lead to better care for patients.

New federal guidelines say every child should be screened for high cholesterol once between the ages of 9 and 11 and again between 17 and 21. The testing aims to find kids with extremely high cholesterol caused by a genetic condition. But the testing will find others whose cholesterol may not need treatment.

A change in guidelines for psychiatric diagnoses would add problem gambling as an addictive disorder. The designation would clear a path to add other behavioral problems — such as sex or Internet addiction — in the future.

The government has identified hundreds of hospitals where Medicare patients are incurring especially high or low bills. Hospitals around McAllen, it turns out, aren't as terrible as they were made out to be, according to Medicare's calculations of how much it spent for the average patient from three days before admission to a month after discharge.

Insurers and employers are looking to stem the rising costs of expensive specialty drugs. One approach is to vary the copayment depending on the health value they calculate the drugs provide.

Bipartisan bills are pending again in both the House and Senate to give buyers of hearing aids a small tax break. But, once again, it looks as though the legislation has a long way to go before it could become law.

Despite the federal overhaul of health care, people in the pools are left out because of a wrinkle in legal language. The high-risk pools aren't licensed as insurers in most states, so they're not subject to the federal law.

Students aren't employees, and student health plans are generally individual policies that the students buy on their own, even if they're offered through the college. So mandatory coverage of birth control for students shouldn't be delayed past August, but it could take longer for the faculty, advocates say.

The state legislature is now mulling a change to allow trained home care aides to administer medications to Medicaid patients while working under a nurse's supervision. If the proposal becomes law, it could save the state a bundle.