ALSO NOTED: Brailler addresses HIT event; Dillione gets nod from Siemens; and much more...

> According to David Brailler, there are "legislative challenges ahead." The outgoing National HITcoordinator addressed wildly-cheering crowds on Health IT Day. OK. Maybe they weren't that big. Article

> Spending on specialty drugs is up 17.5 percent and will likely more than double by 2009, according to Express Scripts. Article

> Chutes & Ladders: Siemens Health Systems names Janet Dillione CEO, confirming rumors posted by a certain blog we know and love. Blog

> In times of pandemic trouble, government would waive the informed consent rule to conduct tests. Article

> Officials in North Carolina get officious with Affiliated Computer Services, threatening to tear up the vendor's contract to build a new Medicaid billing system after one too many delays. Article

> Minnesota attorney general Mike Hatch said he plans to investigate compensation practices at UnitedHealth Group. Article

And Finally... Online e-consults are gaining popularity. But "what happens after the first malpractice cases hit?" wonders Kevin MD. Blog