State Clinical Trials Law
The ACA requires that most, non-grandfathered, group health plans provide coverage for the routine costs when participating in clinical trials. Some states have more consumer protections. Click here for more information about clinical trials.
NJ has a voluntary consensus agreement which applies to nine insurers all of whom are members of the New Jersey Association of Health Plans. Accordingly, routine health costs coverage is limited to Phase I, II, and III of cancer clinical trials taking place within the state. A trial qualifies for coverage is if it authorized or approved by one of the following: (1) NIH, including cooperative group trials and trials at NCI cancer centers, (2) U.S. F.D.A., (3) U.S. Dept. of Defense, or (4) U.S. Dept. of Veterans Affairs. (Updated 6/2011)