2020 Iowa Code
Title IV - PUBLIC HEALTH
Chapter 144E - EXPERIMENTAL TREATMENTS FOR TERMINALLY ILL PERSONS
Section 144E.2 - Definitions.
144E.2 Definitions.
As used in this chapter:
1. “Eligible patient” means an individual who meets all of the following conditions:
a. Has a terminal illness, attested to by the patient’s treating physician.
b. Has considered and rejected or has tried and failed to respond to all other treatment options approved by the United States food and drug administration.
c. Has received a recommendation from the individual’s physician for an investigational drug, biological product, or device.
d. Has given written informed consent for the use of the investigational drug, biological product, or device.
e. Has documentation from the individual’s physician that the individual meets the requirements of this subsection.
2. “Investigational drug, biological product, or device” means a drug, biological product, or device that has successfully completed phase 1 of a United States food and drug administration-approved clinical trial but has not yet been approved for general use by the United States food and drug administration and remains under investigation in a United States food and drug administration-approved clinical trial.
3. “Terminal illness” means a progressive disease or medical or surgical condition that entails significant functional impairment, that is not considered by a treating physician to be reversible even with administration of treatments approved by the United States food and drug administration, and that, without life-sustaining procedures, will result in death.
4. “Written informed consent” means a written document that is signed by the patient, a parent of a minor patient, or a legal guardian or other legal representative of the patient and attested to by the patient’s treating physician and a witness and that includes all of the following:
a. An explanation of the products and treatments approved by the United States food and drug administration for the disease or condition from which the patient suffers.
b. An attestation that the patient concurs with the patient’s treating physician in believing that all products and treatments approved by the United States food and drug administration are unlikely to prolong the patient’s life.
c. Clear identification of the specific proposed investigational drug, biological product, or device that the patient is seeking to use.
d. A description of the best and worst potential outcomes of using the investigational drug, biological product, or device and a realistic description of the most likely outcome. The description shall include the possibility that new, unanticipated, different, or worse symptoms might result and that death could be hastened by use of the proposed investigational drug, biological product, or device. The description shall be based on the treating physician’s knowledge of the proposed investigational drug, biological product, or device in conjunction with an awareness of the patient’s condition.
e. A statement that the patient’s health plan or third-party administrator and provider are not obligated to pay for any care or treatments consequent to the use of the investigational drug, biological product, or device, unless they are specifically required to do so by law or contract.
f. A statement that the patient’s eligibility for hospice care may be withdrawn if the patient begins curative treatment with the investigational drug, biological product, or device and that care may be reinstated if this treatment ends and the patient meets hospice eligibility requirements.
g. A statement that the patient understands that the patient is liable for all expenses consequent to the use of the investigational drug, biological product, or device and that this liability extends to the patient’s estate unless a contract between the patient and the manufacturer of the investigational drug, biological product, or device states otherwise.
2017 Acts, ch 130, §2
