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Bill Detail: HB20-1232

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Title Equity In Access To Clinical Trials In Medicaid
Status House Committee on Appropriations Refer Unamended to House Committee of the Whole (03/13/2020)
Bill Subjects
  • Health Care & Health Insurance
House Sponsors D. Michaelson Jenet (D)
Senate Sponsors N. Todd (D)
K. Priola (R)
House Committee Health and Insurance
Senate Committee
Date Introduced 01/31/2020
Description

The bill authorizes the state medical assistance program (medicaid)
to cover routine costs associated with phase I through phase IV clinical
trials involving the prevention, detection, diagnosis, or treatment of
life-threatening or debilitating diseases or conditions. The medicaid
recipient's (recipient's) treating physician must determine that the
recipient has a qualifying disease or condition and that the recipient meets
the selection criteria for the clinical trial.

The clinical trial must be an approved clinical trial, as described
in the bill, and must be conducted by agencies and organizations specified
in the bill.
Routine costs, as defined in the bill, include medically necessary
items or services included under the medicaid program for a recipient, to
the extent that the provision of such items or services to the individual
outside the course of such participation would otherwise be covered
under the medical assistance program, without regard to whether the
recipient is participating in a clinical trial. Routine costs do not include
items specified in the bill, including the investigational item, device, or
service itself; items and services provided solely to satisfy data collection
and analysis needed for the clinical trial; and items, drugs, or services that
would otherwise be provided by the clinical trial or provided for free to
any individual participating in the clinical trial.

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