Publication
Published on: May 23, 2025
Published in: Journal of Law, Medicine & Ethics
In “Assessing Federal Policies to Reduce Economic Barriers to Clinical Trial Enrollment,” published in the Journal of Law, Medicine & Ethics, Barbara Bierer and colleagues analyze how federal means-tested benefit rules—across Medicaid, Supplemental Security Income, SNAP, and TANF—treat even modest clinical trial stipends as countable income, deterring low-income, elderly, disabled, rural, and other underserved populations from participation. They show that these hidden economic disincentives undermine efforts to achieve representative trial cohorts and exacerbate disparities. To address this barrier, the authors urge Congress to expand the Ensuring Access to Clinical Trials Act of 2015 and enact new legislation excluding all clinical trial payments from gross-income calculations for means-tested programs—an essential reform for ethical, inclusive research.
Albert-Rozenberg D, Peloquin D, Liss J, Hanson E, Bierer BE. Assessing Federal Policies to Reduce Economic Barriers to Clinical Trial Enrollment. Journal of Law, Medicine & Ethics. Published online 2025:1-10. doi:10.1017/jme.2025.61