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For more information about insurance coverage of clinical trial costs, see this
feature's main page:
States That Require Health Plans to Cover Patient Care Costs in Clinical Trials.
Legislation: Senate Bill 325
Effective: January 2002
What clinical trials are covered?
Clinical trials for treatment, palliation (supportive care), or prevention of cancer approved by one of the following:
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National Institutes of Health (NIH)
- National Cancer Institute cooperative group or center
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U.S. Food and Drug Administration
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U.S. Department of Defense
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U.S. Department of Veterans Affairs
Who is required to pay?
Private insurers, including individual and group health plans.
Other key criteria:
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Prevention trials are covered only in Phase III and only if they involve therapeutic intervention.
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Insurer may require documentation of the likelihood of therapeutic benefit, informed consent, protocol information and test results, and/or a summary of costs involved.
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