Independent Articles Assessing Federal Policies to Reduce Economic Barriers to Clinical Trial Enrollment Daniel Albert-Rozenberg1, David Peloquin2, Joseph Liss3, Erika Hanson4 and Barbara E. Bierer5,6 1Quinn Emanuel Urquhart and Sullivan LLP, Boston, Massachusetts, US; 2Ropes & Gray LLP, Boston, Massachusetts, US; 3Hogan Lovells, Washington, District of Columbia, US; 4Harvard Law School, Center for Health Law and Policy Innovation, Cambridge, Massachusetts, US; 5Brigham and Women’s Hospital, Boston, Massachusetts, US and 6Harvard Medical School, Massachusetts, US Abstract The risk of losing access to crucial means-tested programs— like Medicaid, Supplemental Security Income (SSI), the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF)— poses a barrier to the enrollment of low-income Americans in clinical trials. This burden likely disproportionately affects members of racial and ethnic minority groups, people with disabilities, elderly individuals, and rural populations, and may frustrate efforts to reflect the US population in clinical trial enrollment. To help achieve representative clinical trials for myriad conditions, Congress should pass legislation excluding payments to clinical trial participants from gross income and expand the clinical trial compensation exclusions for means-tested programs established in the Ensuring Access to Clinical Trials Act of 2015. Keywords: Entitlement Programs; means-tested; clinical trials; representation
Open-access on FirstView: Assessing Federal Policies to Reduce Economic Barriers to Clinical Trial Enrollment
by Daniel Albert-Rozenberg, David Peloquin, Joseph Liss, Erika Hanson, and Barbara E. Bierer.
#EntitlementPrograms #ClinicalTrials #MeansTesting
www.cambridge.org/core/journal...
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[11] https://www.investopedia.com/social-security-has-cut-millions-from-its-budget-here-s-how-it-will-affect-your-benefits-11694957](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:3epzqefaicyxkh2z3fywbmy5/bafkreiaqcolcxysanwdee5nupn477x5it4ibz33z2u6uxnsv4utmxkzi3u)
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![Since 1950, Republicans have repeatedly attempted to cut Medicaid, Medicare, and Social Security. Below is a summary of key instances:
### **Medicaid**
- **2017**: Republicans attempted to repeal the Affordable Care Act (ACA), which would have significantly reduced Medicaid funding and imposed caps on federal spending[1][7].
- **2025**: Current GOP proposals aim to cut Medicaid by transitioning to block grants or per capita caps and reducing ACA Medicaid expansion funding[7].
- **2018**: The Republican Study Committee proposed slashing $3.78 trillion from Medicaid over 10 years[1].
### **Medicare**
- **2018**: House Republicans proposed cutting $537 billion from Medicare over 10 years[1].
- **2023**: Proposals included privatizing Medicare and raising the eligibility age[3][5].
- **1995**: During the Newt Gingrich era, Republicans sought significant Medicare cuts as part of budget negotiations[6].
### **Social Security**
- **2018**: The Republican Study Committee proposed cutting $259 billion from Social Security and raising the retirement age[1].
- **2023**: Proposals included sunsetting Social Security laws every five years and raising the retirement age to 70[5].
These efforts are often tied to broader GOP goals of reducing federal spending, lowering taxes, or privatizing entitlement programs.
#Medicaid #Medicare #SocialSecurity #GOP #Healthcare #ACA #BlockGrants #PerCapitaCaps #Privatization #FederalSpending #RetirementAge #EntitlementPrograms #BudgetCuts #TaxCuts #HealthcareReform #PublicHealth #ElderCare #SocialWelfare #Policy #GovernmentSpending](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:3epzqefaicyxkh2z3fywbmy5/bafkreid5my3qlmtiq6s6z2jpplf4qgrzdwh3snjvg6pj5htiv4z6viixua)