Publication
Published on: May 23, 2025
Published in: Journal of Law, Medicine & Ethics
In the Journal of Law, Medicine and Ethics, Barbara Bierer and co-authors Daniel Albert-Rozenberg, David Peloquin, Joseph Liss, and Erika Hanson published “Assessing Federal Policies to Reduce Economic Barriers to Clinical Trial Enrollment.” The article examines how the risk of losing access to means-tested programs—such as Medicaid, Supplemental Security Income (SSI), Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF)—can deter low-income Americans from participating in clinical trials. This barrier disproportionately impacts racial and ethnic minority groups, people with disabilities, elderly individuals, and rural populations, hindering efforts to achieve representative enrollment. The authors recommend that Congress exclude clinical trial payments from gross income and expand the participant compensation exclusions for means-tested programs established under the Ensuring Access to Clinical Trials Act of 2015.
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