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High Impact

Childhood Cancer Clinical Trials Act

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

This bill requires health insurance plans to cover out-of-network costs for children with rare diseases participating in approved clinical trials. It also expands Medicare coverage to include consultation and referral services for patients in certain clinical trials.

Why it matters

If passed, this bill would ensure that families of children with rare diseases do not face higher out-of-pocket costs when seeking specialized care at out-of-network facilities for approved clinical trials, effective January 1, 2024.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Qualified individuals with rare pediatric diseases

They gain access to out-of-network coverage for routine clinical trial costs at in-network cost-sharing rates.

Directly affected

Group health plans and health insurance issuers

They are required to provide out-of-network coverage for specific clinical trial services and adjust reimbursement structures.

Directly affected

Medicare beneficiaries

They gain coverage for consultation and referral services when participating in category A clinical trials.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does this bill apply to my private health insurance?
Yes, it applies to group health plans and individual health insurance coverage for plan years beginning on or after January 1, 2024.
What costs are covered for out-of-network clinical trials?
The bill requires coverage for ',' which now explicitly includes consultation and referral services related to the clinical trial.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Expansion of Clinical Trial Coverage

The bill shifts the burden of out-of-network costs for rare pediatric disease trials from the patient to the insurance provider, aligning with broader efforts to increase clinical trial participation.

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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