Insurance Coverage: Ohio
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.
Agreement: Senate Bill 186
Effective: October 4, 2008
What clinical trials are covered?
Trials with therapeutic intent for patients with cancer that are approved by one of the following:
- U.S. National Institutes of Health or one of its cooperative groups or centers
- U.S. Food and Drug Administration (FDA)
- U.S. Department of Defense
- U.S. Department of Veterans Affairs
Who is required to pay?
All health benefit plans, including public employee benefit plans.
Other key provisions:
Health insurers may exclude coverage for
- the service or product that is being tested in the clinical trial.
- any service or product not used in the direct clinical management of the patient.
- investigational drugs or devices not approved for marketing by the FDA.
- transportation, food, lodging, or other expenses of the patient or a family member or companion for travel to or from the facility conducting the clinical trial.
- services or products provided free of charge to patients by the clinical trial sponsors.
- services or products eligible for reimbursement by a party other than the health insurer, including the clinical trial sponsor .
State employees enrolled in the Ohio Med Plan continue to be covered (as they have been since 1999) for participation in National Cancer Institute-sponsored phase II and III cancer treatment clinical trials, provided that trial participation is preauthorized.