State Clinical Trials Law
Mo. Stat. Ann. §376.429
Who must cover the costs? All health benefit plans, except certain limited benefit policies and other insurance plans
What must be covered? Routine patient care costs for clinical trials
Requirements for Coverage: Only Phase II, III and IV clinical trials are covered, the purposes of which must be the prevention, early detection, or treatment of cancer. However, there are additional limitations for Phase II trials. The facility or personnel providing the experimental treatment must be experienced. There must be equal to or superior non-investigational treatment alternatives. Data related to the clinical trial must provide a reasonable expectation that the treatment will be superior to the non-investigational alternatives.
Qualifying Trials: The trial must be approved or funded by one of the following: (1) NIH, (2) NIH cooperative group or center, (3) a qualified research entity that meets NIH Center support grant eligibility requirements, (4) U.S. F.D.A., (5) U.S. Dept. of Defense, (6) U.S. Dept. of Veterans Affairs, or (7) a Missouri IRB that has been approved by the U.S. Dept. of Health and Human Services.
(Current as of 8/2022)