April 28, 2009
  The Honorable Sherrod Brown
  United States Senate
  Washington, D.C.  20510
Dear Senator Brown:
We are writing to express our enthusiastic support for S. 488, the Access to Cancer Clinical Trials Act of 2009. The undersigned cancer patient, provider, and research organizations have been engaged for almost two decades in efforts to guarantee cancer patients access to care in clinical trials. Enactment of S. 488 would provide such access for many Americans.
Care in a clinical trial often represents the best, or sometimes the only, option for quality care. Unfortunately, reimbursement barriers prevent many Americans from enrolling in a trial or from even considering a trial as a treatment option. Your legislation will address that payment obstacle and will also ensure that cancer clinical research advances. Only if the clinical research effort proceeds without impediment can questions about effective treatments be answered and new treatments developed.
We applaud the inclusion in S. 488 of a provision establishing coverage of cancer clinical trials in the Federal Employees Health Benefits Program. Our organizations hear complaints from federal employees nationwide who are denied access to care in trials. The FEHB program, often hailed as a model for coverage, falls short in terms of clinical trials coverage. Your legislation would address that shortcoming.
As the legislative process moves forward, we hope you will consider incorporating in S. 488 the standards and definitions for coverage of clinical trials, including the standard for coverage of complications arising from care in trials, as they appear in the current Medicare clinical trials coverage policy.
Thank you again for introduction of the Access to Cancer   Clinical Trials Act.  We stand ready to assist you in enacting this important   legislation.
Sincerely,
Cancer Leadership Council
American Cancer Society Cancer Action Network
  American Psychosocial Oncology Society
  American Society of Clinical Oncology
  American Society for Radiation Oncology
  Bladder Cancer Advocacy Network
  Breast Cancer Network of Strength
  C3: Colorectal Cancer Coalition
  Cancer Care
  The Children's Cause for Cancer Advocacy
  Coalition of Cancer Cooperative Groups
  International Myeloma Foundation
  Lance Armstrong Foundation
  The Leukemia & Lymphoma Society
  Lymphoma Research Foundation
  Multiple Myeloma Research Foundation
  National Coalition for Cancer Survivorship
  National Comprehensive Cancer Network
  National Lung Cancer Partnership
  National Patient Advocate Foundation
  North American Brain Tumor Coalition
  Ovarian Cancer National Alliance
  Pancreatic Cancer Action Network
  Prevent Cancer Foundation
  Sarcoma Foundation of America
  Us TOO International Prostate Cancer
  Education and Support NetworkThe Wellness Community