Bill Text: NY S04793 | 2023-2024 | General Assembly | Introduced


Bill Title: Establishes the clinical trial access and education fund to provide grants to eligible applicants to provide certain services for patients with life-threatening or disabling conditions or diseases.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced) 2024-03-12 - REPORTED AND COMMITTED TO FINANCE [S04793 Detail]

Download: New_York-2023-S04793-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          4793

                               2023-2024 Regular Sessions

                    IN SENATE

                                    February 14, 2023
                                       ___________

        Introduced by Sens. RIVERA, SEPULVEDA -- read twice and ordered printed,
          and when printed to be committed to the Committee on Health

        AN  ACT  to amend the public health law, in relation to establishing the
          clinical trial access and education fund

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  The  public health law is amended by adding a new section
     2  2424 to read as follows:
     3    § 2424. Clinical trial access and education fund. 1. Definitions.  For
     4  the purposes of this section, the following terms shall have the follow-
     5  ing meanings:
     6    a. "Eligible applicant" means (i) a medical  school  that  sponsors  a
     7  clinical  trial,  (ii) a not-for-profit organization with experience and
     8  expertise working  with  patients  with  life-threatening  or  disabling
     9  conditions or diseases, (iii) a health care provider organization, asso-
    10  ciation  or  society, (iv) a general hospital defined in article twenty-
    11  eight of this chapter, (v) a county or city health department, or (vi) a
    12  municipality.
    13    b. "Clinical trial" shall have the  same  meaning  as  in  subdivision
    14  two-b of section forty-nine hundred of this chapter.
    15    c.  "Ancillary  costs"  means costs associated with participation in a
    16  clinical trial, including but not limited to costs for:
    17    (i) travel;
    18    (ii) lodging;
    19    (iii) parking and tolls;
    20    (iv) a travel companion to  assist  patients  who  are  elderly,  very
    21  young, or too ill to travel alone; and
    22    (v)  other costs considered appropriate jointly by the department, the
    23  service providing organization and the trial site.
    24    2. Establishment of fund.  There  is  hereby  established  within  the
    25  department a clinical trial access and education fund. Subject to appro-

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD08047-01-3

        S. 4793                             2

     1  priations, the department shall provide grants to eligible applicants on
     2  a  competitive  request for proposal basis to provide one or more of the
     3  following services to patients with life-threatening or disabling condi-
     4  tions  or  diseases,  as  such  terms  are defined in section forty-nine
     5  hundred of this chapter, to facilitate access to or education  on  clin-
     6  ical trials of treatments for the patient's condition or disease:
     7    a. transportation services and lodging to provide patients with access
     8  to clinical trials or other related treatments while enrolled in a clin-
     9  ical  trial or to access testing and other services to determine patient
    10  eligibility for a clinical trial;
    11    b. patient outreach and education services to educate patients,  their
    12  families  and  health  care  providers  about  the  existence of and how
    13  patients may enroll in clinical trials, under section two hundred  seven
    14  of this chapter; and
    15    c.  patient  navigation services to help patients to determine if they
    16  are eligible for clinical trials, to help patients to enroll in clinical
    17  trials and to assist patients in dealing with insurance or other  issues
    18  which serve as barriers to patient enrollment in clinical trials.
    19    3.  Applications. a.   The commissioner shall establish an application
    20  process by which eligible applicants may apply for a  grant  under  this
    21  section.  The application shall include:
    22    (i) the geographic area in which the services shall be provided;
    23    (ii) a detailed description of the services to be provided;
    24    (iii) applicant's experience working with patients with life-threaten-
    25  ing or disabling conditions or diseases;
    26    (iv) applicant's ability to provide patient outreach or clinical trial
    27  education  and navigation services, or coordinate or provide transporta-
    28  tion and lodging for patients; and
    29    (v) any other information that the  commissioner  deems  relevant  and
    30  appropriate.
    31    b. Eligible applicants shall:
    32    (i)  have  experience  and  expertise working with patients with life-
    33  threatening or disabling conditions or diseases;
    34    (ii) provide patient outreach, education and  health  care  navigation
    35  services;
    36    (iii) collaborate with physicians, health care providers, and clinical
    37  trial sponsors to notify a prospective subject about the program when:
    38    (1) the prospective subject consents to a clinical trial; and
    39    (2) funding is available to provide the program for the clinical trial
    40  in which the prospective subject participates; and
    41    (iv)  reimburse  subjects  based  on  financial need to subjects whose
    42  income is at or below seven  hundred  percent  of  the  federal  poverty
    43  level, which shall include reimbursement for reasonable ancillary costs.
    44    4.  Institutional  review  board requirements. A reimbursement program
    45  under this section shall:
    46    a. be approved by the institutional review board associated  with  the
    47  clinical trial; and
    48    b. comply with applicable federal and state laws.
    49    5.  Reimbursement. Reimbursement to a subject of ancillary costs under
    50  the program:
    51    a. does not constitute an undue inducement to participate in  a  clin-
    52  ical trial;
    53    b.  is  not  considered coercion or the exertion of undue influence to
    54  participate in a clinical trial; and

        S. 4793                             3

     1    c. is meant to accomplish parity in  access  to  clinical  trials  and
     2  remove  barriers  to  participation  in  clinical trials for financially
     3  burdened subjects.
     4    6.  Reports. Grantees shall file an annual report with the commission-
     5  er, in such form and with such information and data as the  commissioner
     6  prescribes  detailing the expenditure of grant funds and summarizing the
     7  efforts undertaken to increase patient access to clinical trials.
     8    7. Regulations.  The commissioner shall  make  regulations  reasonably
     9  necessary to implement the provisions of this section.
    10    § 2. This act shall take effect immediately.
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