title: A descriptive analysis of state legislation and policy addressing clinical trials participation.
abstract: OBJECTIVE
  This report describes state policy and legislation related to clinical trials participation and Maryland's model to enhance clinical trial availability and participation.
  
  
  METHODS
  Descriptive review of state policy and legislation related to coverage for clinical trials costs based on data from the National Cancer Institute (NCI) State Cancer Legislative Database, the American Cancer Society, and NCI; additionally, discussion of Maryland's comprehensive multilevel clinical trial model comprising policy initiatives, community engagement, research, education, and infrastructure support.
  
  
  RESULTS
  Twenty-four states have mandated clinical trial coverage through specific legislation or agreements since 1994. Covered benefits varied among the states.
  
  
  CONCLUSIONS
  Besides cost and insurance barriers, there is a need to address important patient, physician and researcher, and structural barriers to clinical trial participation. Maryland provides a comprehensive model to address the multi-faceted clinical trial participation determinants as it tracks state and federal policy, documents trial barriers, and conducts community education.
authors.affiliation: University of Maryland School of Medicine, Baltimore, MD 21201, USA. cbaquet@som.umaryland.edu
authors.forename: Claudia R
authors.initials: CR
authors.lastname: Baquet
authors.forename: Shiraz I
authors.initials: SI
authors.lastname: Mishra
authors.forename: Armin D
authors.initials: AD
authors.lastname: Weinberg
mesh_terms: D002986:Clinical Trials as Topic / Q000331:legislation & jurisprudence*; D032984:Ethics, Research; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence*; D008396:Maryland; D054547:National Cancer Institute (U.S.); D018579:Patient Selection; D012108:Research Personnel / Q000331:legislation & jurisprudence*; D014481:United States