Questions About Cancer? 1-800-4-CANCER

States That Require Health Plans to Cover Patient Care Costs in Clinical Trials

  • Updated: 12/22/2010

A growing number of states have passed legislation or instituted special agreements requiring health plans to pay the cost of routine medical care you receive as a participant in a clinical trial.

Links on this page

 Map (click on a blue-highlighted state/location [or links below] to see the law or agreement and its key provisions)

Map of USA with Highlighted areas DelawareTennesseeWisconsinWest VirginiaNew JerseyVermontNew HampshireMaineMissouriMarylandLouisianaGeorgiaNorth CarolinaVirginiaOhioIndianaMichiganRhode IslandMichiganNevadaWashington, DCWyomingConnecticutCaliforniaNew MexicoArizonaMassachusettsColoradoNebraskaOregonTexasFloridaIowaSouth CarolinaKentuckyAlaska

 
Information by State
 
Alabama
Alaska 1
Arizona 2
Arkansas
California 3
Colorado 4
Connecticut 5
Delaware 6
Florida 7
Georgia 8
Hawaii
Idaho
Illinois
Indiana 9
Iowa 10
Kansas
Kentucky 11
Louisiana 12
Maine 13
Maryland 14
Massachusetts 15
Michigan 16
Minnesota
Mississippi
Missouri 17
Montana
Nebraska 18
Nevada 19
New Hampshire 20
New Jersey 21
New Mexico 22
New York
North Carolina 23
North Dakota
Ohio 24
Oklahoma
Oregon 25
Pennsylvania
Puerto Rico
Rhode Island 26
South Carolina 27
South Dakota
Tennessee 28
Texas 29
Utah
Vermont 30
Virginia 31
Washington
Washington, D.C. 32
West Virginia 33
Wisconsin 34
Wyoming 35
 

 Overview of the issue

"Routine patient care costs" are the usual costs of medical care, such as doctor visits, hospital stays, clinical laboratory tests, x-rays, etc., that you would receive whether or not you were participating in a clinical trial. Some health plans don't cover these costs once you join a trial, even though studies have shown that they are not appreciably higher than costs for patients who are not enrolled in trials. (See Cost of Clinical Trials 36.)

Lack of such coverage is a significant barrier to many patients who might otherwise enroll in a trial. Lack of coverage also makes it harder for researchers to successfully conduct trials that could improve prevention and treatment options.

These laws and agreements do not cover the research costs associated with the conduct of the trial, such as tests purely performed for research purposes. In most cases, such costs would be paid for by the group sponsoring the trial, such as the National Cancer Institute or a pharmaceutical company.

For more of an overview, see Clinical Trials and Insurance Coverage 37.

 Other Resources

Back to TopBack to Top

Table of Links

1http://www.cancer.gov/clinicaltrials/payingfor/laws/ak
2http://www.cancer.gov/clinicaltrials/payingfor/laws/az
3http://www.cancer.gov/clinicaltrials/payingfor/laws/ca
4http://www.cancer.gov/clinicaltrials/payingfor/laws/co
5http://www.cancer.gov/clinicaltrials/payingfor/laws/ct
6http://www.cancer.gov/clinicaltrials/payingfor/laws/de
7http://www.cancer.gov/clinicaltrials/ctlaws-fl
8http://www.cancer.gov/clinicaltrials/payingfor/laws/ga
9http://www.cancer.gov/clinicaltrials/payingfor/laws/in
10http://www.cancer.gov/clinicaltrials/ctlaws-ia
11http://www.cancer.gov/clinicaltrials/payingfor/laws/ky
12http://www.cancer.gov/clinicaltrials/payingfor/laws/la
13http://www.cancer.gov/clinicaltrials/payingfor/laws/me
14http://www.cancer.gov/clinicaltrials/payingfor/laws/md
15http://www.cancer.gov/clinicaltrials/payingfor/laws/ma
16http://www.cancer.gov/clinicaltrials/payingfor/laws/mi
17http://www.cancer.gov/clinicaltrials/payingfor/laws/mo
18http://www.cancer.gov/clinicaltrials/payingfor/laws/ne
19http://www.cancer.gov/clinicaltrials/payingfor/laws/nv
20http://www.cancer.gov/clinicaltrials/payingfor/laws/nh
21http://www.cancer.gov/clinicaltrials/payingfor/laws/nj
22http://www.cancer.gov/clinicaltrials/payingfor/laws/nm
23http://www.cancer.gov/clinicaltrials/payingfor/laws/nc
24http://www.cancer.gov/clinicaltrials/payingfor/laws/oh
25http://www.cancer.gov/clinicaltrials/payingfor/laws/or
26http://www.cancer.gov/clinicaltrials/payingfor/laws/ri
27http://www.cancer.gov/clinicaltrials/ctlaws-sc
28http://www.cancer.gov/clinicaltrials/payingfor/laws/tn
29http://www.cancer.gov/clinicaltrials/payingfor/laws/tx
30http://www.cancer.gov/clinicaltrials/payingfor/laws/vt
31http://www.cancer.gov/clinicaltrials/payingfor/laws/va
32http://www.cancer.gov/clinicaltrials/payingfor/laws/dc
33http://www.cancer.gov/clinicaltrials/payingfor/laws/wv
34http://www.cancer.gov/clinicaltrials/payingfor/laws/wi
35http://www.cancer.gov/clinicaltrials/payingfor/laws/wy
36http://www.cancer.gov/clinicaltrials/conducting/cost
37http://www.cancer.gov/clinicaltrials/payingfor/insurance-coverage
38http://www.cancer.gov/clinicaltrials/search
39http://cancer.gov/clinicaltrials/learningabout
40http://www.scld-nci.net