Bill
Bill > HF802
summary
Introduced
03/05/2025
03/05/2025
In Committee
Crossed Over
Passed
Dead
Introduced Session
91st General Assembly
Bill Summary
This bill relates to Code chapter 144E, the right to try Act. Under current law, an “eligible patient” under the Code chapter is, in part, a person who has a terminal illness. Under the bill, an “eligible patient” also includes an individual who has a life-threatening or severely debilitating illness, who has exhausted all other treatment options, who has received a recommendation from the individual’s physician for individualized investigational treatment, who has given written informed consent, and who has documentation from the individual’s physician that the individual meets these requirements. Under current law, the Code chapter applies to an “investigational drug, biological product, or device”, meaning a drug, biological product, or device that has successfully completed phase I of a United States food and drug administration (FDA)-approved clinical trial but has not yet been approved for general use by the FDA and that remains under investigation in an FDA-approved clinical trial. Under the bill, the Code chapter also applies to an “individualized investigational treatment”, meaning a drug, biological product, or device that is unique to and produced exclusively for use by an individual patient based on the individual patient’s own genetic profile and includes individualized gene therapy, antisense oligonucleotides, and individualized neoantigen vaccines. The bill amends the definition for “written informed consent” to reflect the changes made to “eligible patient” and the application of the Code chapter to individualized investigational treatments. “Eligible facility” is defined as an institution that is operating under a federalwide assurance for the protection of human subjects pursuant to federal law. The bill amends provisions relating to a manufacturer’s rights under the Code chapter to also apply to eligible facilities. The bill provides that a manufacturer of an investigational drug, biological product, or device or a manufacturer operating within, and in compliance with all requirements applicable to, an eligible facility may make available, and an eligible patient may request from a manufacturer of an investigational drug, biological product, or device, or a manufacturer operating within, and in compliance with all requirements applicable to, an eligible facility, the manufacturer’s investigational drug, biological product, or device, or the manufacturer’s individualized investigational treatment. However, the Code chapter does not require a manufacturer of an individualized investigational treatment to provide or otherwise make available the individualized investigational treatment to an eligible patient. The bill provides that an eligible facility or a manufacturer that is in compliance with all applicable requirements may provide an individualized investigational treatment to an eligible patient without receiving compensation, or require an eligible patient to pay the costs of, or the costs associated with, the manufacture of the individualized investigational treatment. The bill makes conforming changes in the Code chapter.
AI Summary
This bill expands the existing "Right to Try" Act in Iowa to provide more comprehensive options for patients with terminal or life-threatening illnesses to access experimental medical treatments. The bill introduces a new category called "individualized investigational treatment," which includes personalized therapies like gene therapy and individualized vaccines based on a patient's unique genetic profile. It broadens the definition of eligible patients to include those with severely debilitating illnesses who have exhausted all FDA-approved treatment options, not just those with terminal conditions. The bill maintains existing protections for patients, physicians, and manufacturers, ensuring that participation in experimental treatments is voluntary, requires informed consent, and does not create legal liability for providers or manufacturers acting in good faith. The legislation also clarifies that health insurers and government agencies are not required to cover the costs of these experimental treatments, and that patients assume financial responsibility for such treatments. Furthermore, the bill protects physicians from professional sanctions for recommending these investigational treatments and prevents state officials from blocking patient access to such treatments, while still requiring compliance with medical standards of care and human subject protection guidelines.
Sponsors (0)
No sponsors listed
Other Sponsors (1)
Health And Human Services (House)
Last Action
Withdrawn. H.J. 767. (on 03/20/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=HF802 |
| BillText | https://www.legis.iowa.gov/docs/publications/LGI/91/attachments/HF802.html |
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