While employers are busy today taking into account the delay for mandatory employee coverage, another Affordable Care Act provision is still set to take effect Jan. 1. Starting next year, the health care reform act holds that a “qualified individual” cannot be denied coverage by a plan for “related services” from an “approved clinical trial.”
Ellen Moskowitz, a health care expert with the law firm Proskauer Rose, tells EBN that, while most insurance already covers medical trials for life-threatening conditions, there may be issues with convergence of care, and that benefits leaders should carefully review their policies.