Study: Drug coverage to vary under health law

WASHINGTON (AP) — A new study says basic prescription drug coverage could vary dramatically from state to state under President Barack Obama's health care overhaul.

That's because states get to set benefits for private health plans that will be offered starting in 2014 through new insurance exchanges.

The study out Tuesday from the market analysis firm Avalere Health found that some states will require coverage of virtually all FDA-approved drugs, while others will only require coverage of about half of medications.

Consumers will still have access to essential medications, but some may not have as much choice.

Connecticut, Virginia and Arizona will be among the states with the most generous coverage, while California, Minnesota and North Carolina will be among states with the most limited.

___

Online:

Avalere Health: http://tinyurl.com/d3b3hfv

Read More..

GOP leaders pluck conservative lawmakers, reveal growing divide

WASHINGTON (AP) — House Speaker John Boehner's decision to take plum committee assignments away from four conservative Republican lawmakers after they bucked party leaders on key votes isn't going over well with advocacy groups that viewed them as role models.

Reps. Tim Huelskamp of Kansas and Justin Amash of Michigan will lose their seats on the House Budget Committee chaired by Rep. Paul Ryan next year. And Reps. Walter Jones of North Carolina and David Schweikert of Arizona are losing their seats on the House Financial Services Committee.

The move is underscoring a divide in the Republican Party between tea party-supported conservatives and the House GOP leadership.

"This is a clear attempt on the part of Republican leadership to punish those in Washington who vote the way they promised their constituents they would — on principle — instead of mindlessly rubber-stamping trillion dollar deficits and the bankrupting of America," said Matt Kibbe, president of the tea party group FreedomWorks.

Michael Steel, a spokesman for Boehner, would only say Tuesday that the party's steering committee chaired by the speaker made the decision "based on a range of factors."

Groups aligned with the tea party movement were generally big supporters of Huelskamp, Amash and Schweikert. Jones is viewed more as a conservative maverick than a tea party Republican. He has frequently siding against GOP leaders on a range of issues over the years. For example, he voted against the GOP budget because he opposed the changes proposed for Medicare.

Schweikert said it was made clear to him "I should vote for the team more."

"Look, we're walking into the 113th Congress with a smaller majority," Schweikert said. "I would have though the fixation would have been family unity. This isn't the way you start a family meeting."

"The GOP leadership might think they have silenced conservatives, but removing me and others from key committees only confirms our conservative convictions," Huelskamp said in a statement Tuesday. "This is clearly a vindictive move and a sure sign that the GOP establishment cannot handle disagreement."

All four lawmakers had voted against the summer 2011 deal negotiated between Republican leaders and President Barack Obama for extending the government's ability to borrow money in exchange for $1 trillion in spending cuts and the promise of another $1 trillion in reduced deficits. Three of the four, the exception being Schweikert, voted against the Ryan-written GOP budget blueprint that the House passed last March.

Their removal from key committees with jurisdiction over the two issues was viewed by some as a signal to other Republican lawmakers to look favorably on whatever final deal Boehner and Obama put together to avert a "fiscal cliff" combination of automatic tax increases and spending cuts in January.

"It's sending a clear message to get behind the leadership no matter what the policy is, and that is contrary to what the Republicans supposedly stand for," Freedomworks' Kibbe said.

"If it was intended to be a signal, it's going to be a weak signal because the majority of conservatives are going to do what they think is right based on principle," Jones, the North Carolina congressman, said.

Amash said he has not been told specifically why he was removed, only that it was not based on his votes and that he should go talk to leadership. He said he voted with the Budget Committee's leadership 95 percent of the time. He said the move is likely to make him more independent in the future.

"Being nice to leadership and playing well with them doesn't pay off," Amash said. "They expect a near total agreement with their approach."

The changes in committee assignments could bring about more discipline from the GOP on high-priority issues next Congress, but conservatives were taking the news as an attack on their priorities.

"As the sun rises this morning we can look at John Boehner, Eric Cantor and Kevin McCarthy and know the opposition is not just across the aisle, but in charge of our own side in the House of Representatives," Erick Erickson wrote on the conservative website, RedState. "All the time and energy I would otherwise have to spend to convince conservatives that these gentlemen would be a problem for the GOP has been spared. They've proven it themselves."

Read More..

SKorea to reroute flights on NKorean rocket path

SEOUL, South Korea (AP) — South Korea said Monday that it plans to reroute passenger flights over the Yellow Sea to avoid possible collisions with debris from a long-range rocket that North Korea plans to launch this month.

The Ministry of Land, Transport and Maritime Affairs said it made the decision after learning that North Korea had informed China and Singapore of the flight path and other details of the launch.

North Korea told those nations the rocket would be launched in the morning and its debris would fall into the Yellow Sea and in waters east of the Philippines.

The International Maritime Organization said Monday that North Korea had informed it that it planned to launch a satellite between Dec. 10-22 during the hours of 7 a.m and noon. The North provided a list of dangerous coordinates where debris could fall.

South Korean officials said they will reroute six Korean Air flights. They also are considering whether to reroute or change the departure times of several Korean Air and Asiana Airlines flights to Manila.

In a defiant move expected to raise the stakes of a global standoff over its missile and nuclear programs, the North announced Saturday that it would launch a rocket mounted with a polar-orbiting Earth observation satellite this month.

The United States considers North Korea's rocket launches to be veiled covers for tests of technology for long-range missiles designed to strike the United States. Such tests are banned by the U.N. Security Council which has imposed two rounds of sanctions on the North following its nuclear tests.

It would be North Korea's second launch attempt under leader Kim Jong Un, who took power following his father Kim Jong Il's death nearly a year ago. The embarrassing misfire of its last rocket eight months ago earned the country widespread international condemnation.

The Korean Committee for Space Technology said the launch was a request of late leader Kim Jong Il. He died on Dec. 17, 2011, and North Koreans are expected to mark that date this year with some fanfare.

U.N. Secretary-General Ban Ki-moon urged North Korea "not to take any further provocative actions that will heighten tension in the region" after the failed launch in April, and U.N. spokesman Martin Nesirky said Monday "his view has not changed on the matter."

Ban called the failed launch "deplorable" because it defied international opinion, violated a U.N. Security Council ban, "and was a threat to international stability," Nesirky told reporters at U.N. headquarters in New York.

Read More..

Four Things Google’s Nexus 4 Has in Common with the iPhone 4

Besides being each company’s flagship smartphone (and having the number 4 in their names), Google‘s new Nexus 4 and the 2010 iPhone 4 have a fair bit in common with each other.

This could be a good thing, if you remember just how popular the iPhone 4 was. Unfortunately, in this case it’s more of a bad thing, and hearkens back to “Antennagate” and the iPhone 4′s other problems. Do any of these features remind you of anything?

​A glass back

With the iPhone 5, Apple finally moved from a crack- and scratch-prone glass backplate to a solid, aluminum unibody construction. Google doesn’t seem to have gotten the memo that the former may have been a bad idea, however, and the Nexus 4 has a sparkly glass back surface.

While sparkly things obviously have their fans, the Nexus 4′s chassis also seems to lean towards the brittle side. Joshua Topolsky, who reviewed the Nexus 4 for The Verge, managed to crack the glass when he accidentally knocked his phone off the table. Meanwhile, Droid-Life’s Kellex found that setting the phone on a stone countertop caused its glass back to fracture in two.

​No 4G

Even Topolsky’s glowing review of the Nexus 4 said “It feels slow,” and “There’s simply no way to ignore this deficit.” That’s because, like the iPhone 4, the Nexus 4 lacks a 4G radio (even though it has the chip to support one if it had it).

The iPhone 4, however, was released in 2010, when 4G was still a new thing and the Android “superphones” which supported it had enormous screens and horrible battery life. Today, even the iPhone has 4G. Possibly because of bad blood between Google and the wireless carriers, which appear to resent Google’s selling phones unsubsidized and sans “customizations,” the Nexus 4 does not.

​Selling out fast

Every one of Apple’s iPhone models has sold out faster, and more dramatically, than the one before. Google’s Android devices, in contrast, haven’t tended to do so … although the new Nexus smartphones and tablets are starting to have this problem.

How bad is it? After Google finally got a new wave of Nexus 4s up for sale, they sold out in about a half-hour. Google claims that it hasn’t actually sold out, but even if you spotted the Nexus 4 on Google Play, chances are you ran into technical glitches which kept it out of your shopping cart. Tipster “Syko Pompos” told the Android Police blog how to get around this and place your order, but expect to wait months to receive it.

​Public relations nightmares

It hasn’t quite reached Antennagate levels yet, perhaps partly because the Nexus brand isn’t as well-known as the iPhone (the iPhone 4′s antenna problems were actually shared by many smartphones). But most of the press coverage of the Nexus 4 lately has been about how you can’t get one. Or else, how if you want one you’ll have to either buy it on contract or pay a lot more to get it unsubsidized from T-Mobile.

On the plus side (for the Nexus), this problem is only partly caused by the Google Play store’s technical errors. The biggest reason it’s taking so long to get out to people is, like with the iPhone 4, simply how popular it is.

Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.

Linux/Open Source News Headlines – Yahoo! News

Read More..

'Twilight' wins weekend, 'Skyfall' trails closely

LOS ANGELES (AP) — Holdover films remained tops at the weekend box office as the "Twilight" finale finished at No. 1 again with $17.4 million and the James Bond tale "Skyfall" ran a close second with $16.6 million.

The top 20 movies at U.S. and Canadian theaters Friday through Sunday, followed by distribution studio, gross, number of theater locations, average receipts per location, total gross and number of weeks in release, as compiled Monday by Hollywood.com are:

1. "The Twilight Saga: Breaking Dawn — Part 2," Summit, $17,416,362, 4,008 locations, $4,345 average, $254,598,866, three weeks.

2. "Skyfall," Sony, $16,555,894, 3,463 locations, $4,781 average, $245,585,083, four weeks.

3. "Rise of the Guardians," Paramount, $13,388,852, 3,672 locations, $3,646 average, $48,836,105, two weeks.

4. "Lincoln," Disney, $13,376,696, 2,018 locations, $6,629 average, $83,566,169, four weeks.

5. "Life of Pi," Fox, $12,151,853, 2,928 locations, $4,150 average, $48,512,994, two weeks.

6. "Wreck-It Ralph," Disney, $6,948,550, 3,087 locations, $2,251 average, $158,184,813, five weeks.

7. "Killing Them Softly," Weinstein Co., $6,812,900, 2,424 locations, $2,811 average, $6,812,900, one week.

8. "Red Dawn," FilmDistrict, $6,500,245, 2,781 locations, $2,337 average, $31,272,953, two weeks.

9. "Flight," Paramount, $4,479,067, 2,603 locations, $1,721 average, $81,465,903, five weeks.

10. "The Collection," LD Entertainment, $3,104,269, 1,403 locations, $2,213 average, $3,104,269, one week.

11. "Silver Linings Playbook," Weinstein Co., $3,090,131, 371 locations, $8,329 average, $10,740,112, three weeks.

12. "Anna Karenina," Focus, $2,245,570, 384 locations, $5,848 average, $4,106,921, three weeks.

13. "Argo," Warner Bros., $2,010,349, 1,043 locations, $1,927 average, $100,990,766, eight weeks.

14. "Talaash," Reliance Big Pictures, $1,638,706, 172 locations, $9,527 average, $1,638,706, one week.

15. "Taken 2," Fox, $467,975, 496 locations, $943 average, $137,163,554, nine weeks.

16. "Hitchcock," Fox Searchlight, $408,692, 50 locations, $8,174 average, $787,574, two weeks.

17. "Pitch Perfect," Universal, $387,070, 403 locations, $960 average, $63,099,243, 10 weeks.

18. "The Sessions," Fox, $333,315, 226 locations, $1,475 average, $4,582,181, seven weeks.

19. "Cloud Atlas," Warner Bros., $243,338, 194 locations, $1,254 average, $26,181,455, six weeks.

20. "Here Comes the Boom," Sony, $224,797, 334 locations, $673 average, $42,352,250, eight weeks.

___

Online:

http://www.hollywood.com

___

Universal and Focus are owned by NBC Universal, a unit of Comcast Corp.; Sony, Columbia, Sony Screen Gems and Sony Pictures Classics are units of Sony Corp.; Paramount is owned by Viacom Inc.; Disney, Pixar and Marvel are owned by The Walt Disney Co.; Miramax is owned by Filmyard Holdings LLC; 20th Century Fox and Fox Searchlight are owned by News Corp.; Warner Bros. and New Line are units of Time Warner Inc.; MGM is owned by a group of former creditors including Highland Capital, Anchorage Advisors and Carl Icahn; Lionsgate is owned by Lions Gate Entertainment Corp.; IFC is owned by AMC Networks Inc.; Rogue is owned by Relativity Media LLC.

Read More..

Fossil fuel subsidies in focus at climate talks

DOHA, Qatar (AP) — Hassan al-Kubaisi considers it a gift from above that drivers in oil- and gas-rich Qatar only have to pay $1 per gallon at the pump.

"Thank God that our country is an oil producer and the price of gasoline is one of the lowest," al-Kubaisi said, filling up his Toyota Land Cruiser at a gas station in Doha. "God has given us a blessing."

To those looking for a global response to climate change, it's more like a curse.

Qatar — the host of U.N. climate talks that entered their final week Monday — is among dozens of countries that keep gas prices artificially low through subsidies that exceeded $500 billion globally last year. Renewable energy worldwide received six times less support — an imbalance that is just starting to earn attention in the divisive negotiations on curbing the carbon emissions blamed for heating the planet.

"We need to stop funding the problem, and start funding the solution," said Steve Kretzmann, of Oil Change International, an advocacy group for clean energy.

His group presented research Monday showing that in addition to the fuel subsidies in developing countries, rich nations in 2011 gave more than $58 billion in tax breaks and other production subsidies to the fossil fuel industry. The U.S. figure was $13 billion.

The Paris-based Organization for Economic Cooperation and Development has calculated that removing fossil fuel subsidies could reduce carbon emissions by more than 10 percent by 2050.

Yet the argument is just recently gaining traction in climate negotiations, which in two decades have failed to halt the rising temperatures that are melting Arctic ice, raising sea levels and shifting weather patterns with impacts on droughts and floods.

In Doha, the talks have been slowed by wrangling over financial aid to help poor countries cope with global warming and how to divide carbon emissions rights until 2020 when a new planned climate treaty is supposed to enter force. Calls are now intensifying to include fossil fuel subsidies as a key part of the discussion.

"I think it is manifestly clear ... that this is a massive missing piece of the climate change jigsaw puzzle," said Tim Groser, New Zealand's minister for climate change.

He is spearheading an initiative backed by Scandinavian countries and some developing countries to put fuel subsidies on the agenda in various forums, citing the U.N. talks as a "natural home" for the debate.

The G-20 called for their elimination in 2009, and the issue also came up at the U.N. earth summit in Rio de Janeiro earlier this year. Frustrated that not much has happened since, European Union climate commissioner Connie Hedegaard said Monday she planned to raise the issue with environment ministers on the sidelines of the talks in Doha.

Many developing countries are positive toward phasing out fossil fuel subsidies, not just to protect the climate but to balance budgets. Subsidies introduced as a form of welfare benefit decades ago have become an increasing burden to many countries as oil prices soar.

"We are reviewing the subsidy periodically in the context of the total economy for Qatar," the tiny Persian gulf country's energy minister, Mohammed bin Saleh al-Sada, told reporters Monday.

Qatar's National Development Strategy 2011-2016 states it more bluntly, saying fuel subsides are "at odds with the aspirations" and sustainability objectives of the wealthy emirate.

The problem is that getting rid of them comes with a heavy political price.

When Jordan raised fuel prices last month, angry crowds poured into the streets, torching police cars, government offices and private banks in the most sustained protests to hit the country since the start of the Arab unrest. One person was killed and 75 others were injured in the violence.

Nigeria, Indonesia, India and Sudan have also seen violent protests this year as governments tried to bring fuel prices closer to market rates.

Iran has used a phased approach to lift fuel subsidies over the past several years, but its pump prices remain among the cheapest in the world.

"People perceive it as something that the government is taking away from them," said Kretzmann. "The trick is we need to do it in a way that doesn't harm the poor."

The International Energy Agency found in 2010 that fuel subsidies are not an effective measure against poverty because only 8 percent of such subsidies reached the bottom 20 percent of income earners.

The IEA, which only looked at consumption subsidies, this year said they "remain most prevalent in the Middle East and North Africa, where momentum toward their reform appears to have been lost."

In the U.S., environmental groups say fossil fuel subsidies include tax breaks, the foreign tax credit and the credit for production of nonconventional fuels.

Industry groups, like the Independent Petroleum Association of America, are against removing such support, saying that would harm smaller companies, rather than the big oil giants.

In Doha, Mohammed Adow, a climate activist with Christian Aid, called all fuel subsidies "reckless and dangerous," but described removing subsidies on the production side as "low-hanging fruit" for governments if they are serious about dealing with climate change.

"It's going to oil and coal companies that don't need it in the first place," he said.

___

Associated Press writers Abdullah Rebhy in Doha, Qatar, and Brian Murphy in Dubai, United Arab Emirates, contributed to this report

____

Karl Ritter can be reached at www.twitter.com/karl_ritter

Read More..

GOP moves on fiscal cliff, W.H. dismisses it

WASHINGTON—Fiscal negotiations in Washington moved forward Monday as Republicans offered a new proposal to avoid the so-called fiscal cliff. The White House dismissed the proposal as an unbalanced effort that would hurt the middle class.

The GOP plan included $800 billion in new government revenue by eliminating tax code write-offs while extending current tax rates for all income levels. President Barack Obama has insisted that tax rates for high earners must be hiked.

Republicans estimated they could save $300 billion by cutting discretionary spending, $600 billion in "health savings," $200 billion in changes to the consumer price index and another $300 billion in mandatory spending.

"This is another attempt to jump-start substantive, good-faith negotiations toward a bipartisan solution that can be enacted soon, a stark contrast to the unserious proposal the White House put forward last week," House Speaker John Boehner said in a statement accompanying the proposal's release.

Boehner based his proposal on a plan President Clinton's former chief of staff Erskine Bowles presented last year to the Joint Select Committee on Deficit Reduction. But Bowles rejected the comparison Monday saying in a statement that when he presented a plan to the committee,  he "simply took the mid-point of the public offers put forward during the negotiations to demonstrate where I thought a deal could be reached at that time."

Last week, Treasury Secretary Timothy Geithner delivered a plan to Capitol Hill on behalf of the White House calling for $1.6 trillion in new tax revenue over 10 years plus $400 billion in savings in entitlement programs. The proposal was flatly rejected by Republicans, who oppose any effort to end tax cuts for the nation's highest earners and advocate deeper spending cuts, particularly in entitlement programs like Medicare and Social Security.

[Political junkie? Sign up for the Yahoo! News Daily Ticket newsletter today]

White House Communications Director Dan Pfeiffer slammed the GOP proposal.

"The Republican letter released today does not meet the test of balance. In fact, it actually promises to lower rates for the wealthy and sticks the middle class with the bill," Pfeiffer said in a statement Monday. "Their plan ... provides no details on which deductions they would eliminate, which loopholes they will close or which Medicare savings they would achieve."

The president took to Twitter on Monday to boost grass-roots support for his plan to end George W. Bush-era tax cuts for high-income earners—families who annually earn $250,000 or more.

"High end tax cuts do least for economic growth & cost almost $1T," Obama tweeted during Monday's chat in response to a question about why the president doesn't favor maintaining low tax rates for everyone. "Extending middle class cuts boosts consumer demand & growth," the president added.

Both parties have been engaging in a public campaign to pressure each other as Congress is forced to come to an agreement before the Jan. 1 deadline when automatic spending cuts and tax increases will go into effect. Each side has accused the other of holding up a potential deal.

Chris Moody and Olivier Knox contributed to this story.

Read More..

Pakistani Hindus protest destruction of temple

KARACHI, Pakistan (AP) — Pakistani Hindus Sunday protested the destruction of a Hindu temple in the southern port city of Karachi. The temple was razed, along with some nearby homes, by a builder.

Minority Hindus have complained of increasing harassment and discrimination in Muslim-dominated Pakistan in recent years, including the destruction or desecration of their places of worship.

Residents and members of the Hindu community said Sunday a builder with a police escort razed the small temple in one of the older neighborhoods of Karachi, along with some surrounding buildings.

The outer walls and roof of the temple were demolished, and rubble was strewn about the area. Local residents told an AP reporter on the scene that authorities took statues and artifacts out of the building before it was destroyed.

One of the longtime residents, 75-year-old Kali Das, said he was born in the area and remembers when the temple, called Sri Rama Peer Naval, was built. He said more than a hundred families lived nearby and prayed at the temple.

Residents protested at the Karachi Press Club on Sunday, demanding compensation as well as the return of religious materials they said were taken during the incident.

Ramesh Kumar Vankwani from the Pakistan Hindu Council said there is a long-running legal dispute between the builder and residents over the land, but it belongs to the Hindu residents.

Zeenat Ahmad, who runs the department in charge of military land, said a court order allowed some of the buildings to be razed. A Pakistani police officer, Parvez Iqbal, denied anything was taken.

The military owns vast tracts of land in Karachi and other parts of the country.

Vankwani said the incident was another example of the problems Hindus are facing in Pakistan. Hindus complain that girls are forcibly converted to Islam, there is no legal recognition for Hindu marriages, and Hindus are discriminated against when it comes to access to government jobs or schooling.

"Every month there is an incident, like taking property of Hindu people or forced conversion of Hindu girls," he said.

During partition in 1947, the violent separation of Pakistan and India into separate countries, hundreds of thousands of Hindus decided to migrate to India, where Hinduism is the dominant religion. Those who remained and their descendants now make up a tiny fraction of Pakistan's estimated 190 million citizens. Most live in Sindh province in the southern part of the country.

___

Associated Press writer Rebecca Santana in Islamabad contributed.

Read More..

Young down by boardwalk for benefit show

NEW YORK (AP) — Neil Young said Sunday that he couldn't see performing in the area devastated by Superstorm Sandy without doing something to help people who were affected by it.

Young and his longtime backing band, Crazy Horse, will hold a benefit concert for the American Red Cross' storm relief effort Thursday at the Borgata Hotel Casino & Spa in Atlantic City. The New Jersey coastline areas were hit hard by the storm in late October.

People in the New York area who suffered damage in the storm have been supporting him for 40 years, he said.

"I couldn't see coming back here and just playing and have it be business as usual," he said. Young is touring in the area, with concerts scheduled for Monday in Brooklyn and Tuesday in Bridgeport, Conn.

Minimum ticket prices for the standing-room show in Atlantic City will be $75 and $150, although Young notes there's no maximum. He hopes to raise several hundred thousand dollars for the Red Cross.

Young said he was invited to join the Dec. 12 benefit at New York's Madison Square Garden that will feature Bruce Springsteen, Paul McCartney, the Who, Kanye West and others, but had other obligations. Besides, there's enough star power there, he said.

"It wasn't going to make much difference whether I was there or not, so I decided to go someplace where I could make a difference," he said.

Young performed at a televised benefit in 2001 following the Sept. 11 terrorist attacks, memorably covering John Lennon's "Imagine."

Fans can expect a two-hour plus rock show on Thursday with opening band Everest. No special guests are planned, although Young issued an invitation to "anyone who wants to come in and play with us that we know and we know can play."

It's hard to resist wondering whether Young's epic "Like a Hurricane" will make it onto the set list, given the occasion.

"Anything's possible," Young said. "We have the equipment."

Read More..

Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner .

Read More..