In Cheyenne, Wyo., emergency room patients who show up more than a few times a month requesting pain pills will now be told no, except in dire emergencies. A similar program at a New Mexico hospital cut ER visits by 5 percent annually, and saved $500,000. iStockphoto hide caption

itoggle caption iStockphoto

Hydrocodone, sold as Vicodin and other brand names, may face tighter restrictions on prescribing and use. Toby Talbot/AP hide caption

itoggle caption Toby Talbot/AP

Layton, Utah police department employees Holly Plotnick and Shanae Perez pack discarded medications from a collection bin in the lobby in January 2010. Mike Stark/AP hide caption

itoggle caption Mike Stark/AP