It is a well-known problem that clinical trials do not test therapies on patient populations that reflect the diversity of the people that those therapies are meant to serve. For this reason, increasing #diversity in #clinicaltrials has been recognized as a priority, advanced by federal agency offices such as the FDA and the NIH. A key reason for the lack of trial diversity is that payments made to trial participants, unless labeled as a reimbursement, are considered income and must be reported to the IRS. This is why Mural Health initiated the Harley Jacobsen Act, seeking to exclude all payments (regardless of their labeling) to all participants (including caregivers) in all clinical trials (vs. only some trials for some therapeutic areas) from being treated as taxable income.
Samuel Whitaker, Founder and CEO of Mural Health, talks about removing tax barriers from clinical trial participation and the Harley Jacobsen Act. They are a finalist at #SCOPEsummit's 2025 Participant Engagement Award and we are grateful for the legislative work they are doing.
https://lnkd.in/dMdSM-Y
MORE BEHIND THE STORY:
The Harley Jacobsen Act is named after the late Harley Jacobsen, a dear friend of Sam Whitaker, Mural Health’s founder and CEO. Harley was diagnosed with ALS in his mid-30s. Following his diagnosis, Harley enrolled in a clinical trial. Over the course of the next year, Harley and his wife, Maureen, traveled to Boston from Pennsylvania 14 times. They incurred ~$19,000 worth of trial related expenses in the form of gas, tolls, lodging, and more. Only $1200 of Harley and Maureen’s expenses were covered by the trial sponsor, but because these funds were paid out as a stipend, the IRS considered the $1,200 as income, and the Jacobsen family had to pay taxes on them, despite being at a net loss of ~$17,000. To participate, Harley and Maureen had to lean on their community to help them pay for their expenses. The trial did not help Harley, and he passed away, leaving behind Maureen and their two daughters. Several years after his passing, the family learned that Harley was part of the placebo arm, and never received the experimental drug. The Jacobsen family’s story is one of many stories of families who incur significant financial losses to participate in a trial that is their only hope, but are still taxed for the payments they receive to mitigate those losses.
RELEVANT LINKS:
- Mural Health’s webpage sharing more on the Harley Jacobsen Act and tracking its progression https://lnkd.in/g-fdfiTR
- The Harley Jacobsen Act: https://lnkd.in/gGAAqh28
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