Minnesota's latest effort to fight abuse of heroin and other opiates brings together a range of government departments and health care providers. The health, public safety, human services, and education departments are all involved. So are doctors, since many addictions grow out of the painkillers they prescribe.

The federal health care overhaul was aimed at providing affordable health insurance to millions of Americans who lack it. But a low-income group falls into a kind of no-man's land for affordable coverage, and Minnesota officials are considering an optional program to help fill this gap. But there is a huge unknown: cost.

Lawmakers there could approve a bill during a special session this week to authorize a health insurance exchange system, one of the requirements of federal health reform. The idea is to create a website to help consumers compare the costs and benefits of different policies.