Policy Prism AI

Protection of Human Subjects

Federal

Protection of Human Subjects

50 provisions · Centers for Medicare & Medicaid Services

Provisions

Citable source units

45 CFR § 46.101Human Subjects ProtectionsScope Applicability

To what does this policy apply?

Defines the scope and applicability of the Federal Policy for the Protection of Human Subjects (Common Rule) to research involving human subjects.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Governance Quality

Topics

Human subjects research, Common rule, Research compliance

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45 CFR § 46.102Definitions ContextIRB Governance

Definitions for purposes of this policy.

This provision defines key terms used in the Common Rule for the protection of human subjects in research, including definitions for research, human subjects, and institutional review boards.

Group

Definitions Scope Authority

Category

Definitions Context

Domain

Governance Quality

Topics

Human subjects research definitions, Institutional review board terms, Research compliance terminology

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45 CFR § 46.103IRB GovernanceHuman Subjects Protections

Assuring compliance with this policy—research conducted or supported by any Federal department or agency.

This provision mandates that institutions conducting federally supported research provide written assurance of compliance and certify that research has been reviewed and approved by an IRB.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Federal wide assurance, Irb certification requirements, Human subjects research compliance

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45 CFR § 46.104Exempt Expedited ResearchMedical Records

Exempt research.

This provision defines the specific categories of human subjects research that are exempt from the requirements of the Common Rule, including conditions for educational, behavioral, and secondary research.

Group

Research Human Subjects

Category

Exempt Expedited Research

Domain

Not Service Specific

Topics

Exempt human subjects research, Common rule exemptions, Secondary research use

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45 CFR § 46.105-46.106Source Placeholder

[Reserved]

This provision is a reserved section of the federal regulations regarding the protection of human subjects.

Group

Internal Review

Category

Source Placeholder

Domain

Not Service Specific

Topics

Reserved section

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45 CFR § 46.107IRB Governance

IRB membership.

This provision establishes the requirements for IRB composition, including member expertise, diversity, and conflict of interest policies.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb membership requirements, Irb composition, Conflict of interest

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45 CFR § 46.108IRB GovernanceDocumentation Retention

IRB functions and operations.

This provision outlines the operational requirements for IRBs, including meeting procedures, recordkeeping, and reporting of unanticipated problems.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb operations, Research recordkeeping, Irb meeting procedures

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45 CFR § 46.109IRB GovernanceResearch Informed Consent

IRB review of research.

This provision defines the IRB's authority and procedures for reviewing, approving, and conducting continuing reviews of research activities.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb review process, Informed consent documentation, Continuing review

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45 CFR § 46.110IRB GovernanceExempt Expedited Research

Expedited review procedures for certain kinds of research involving no more than minimal risk, and for minor changes in approved research.

This provision specifies the criteria and procedures for using expedited review for research involving minimal risk.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Expedited review procedures, Minimal risk research, Irb review authority

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45 CFR § 46.111IRB GovernanceHuman Subjects Protections

Criteria for IRB approval of research.

This provision outlines the specific criteria an IRB must use to evaluate and approve research involving human subjects.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb approval criteria, Risk benefit analysis, Subject selection

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45 CFR § 46.112IRB GovernanceGeneral Operations

Review by institution.

This provision clarifies that institutional officials may conduct additional review of research approved by an IRB but cannot approve research that the IRB has disapproved.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Institutional review authority, Research oversight

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45 CFR § 46.113IRB GovernancePatient Safety Events

Suspension or termination of IRB approval of research.

This provision grants the IRB authority to suspend or terminate research approval for noncompliance or unexpected harm to subjects.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb suspension, Research termination, Adverse event reporting

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45 CFR § 46.114IRB Governance

Cooperative research.

This provision mandates the use of a single IRB for cooperative research projects conducted in the United States, with specific exceptions.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Cooperative research, Single irb review, Multi Site research

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45 CFR § 46.115Documentation RetentionIRB Governance

IRB records.

This provision mandates the preparation and maintenance of adequate documentation for IRB activities and specifies record retention periods.

Group

Records Health Information

Category

Documentation Retention

Domain

Records

Topics

Irb record retention, Research documentation, Meeting minutes

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45 CFR § 46.116Research Informed ConsentResearch Privacy Confidentiality

General requirements for informed consent.

This provision establishes the mandatory elements, processes, and exceptions for obtaining legally effective informed consent from human subjects participating in research.

Group

Research Human Subjects

Category

Research Informed Consent

Domain

Other

Topics

Informed consent requirements, Human subjects research, Broad consent

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45 CFR § 46.117Research Informed ConsentMedical Records

Documentation of informed consent.

This provision outlines the requirements for documenting informed consent in research, including the use of written forms, short forms, and circumstances under which documentation may be waived by an IRB.

Group

Research Human Subjects

Category

Research Informed Consent

Domain

Not Service Specific

Topics

Informed consent documentation, Research consent, Electronic consent

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45 CFR § 46.118IRB Governance

Applications and proposals lacking definite plans for involvement of human subjects.

This provision mandates that research projects involving human subjects must be reviewed and approved by an IRB before any human subjects are involved, even if specific plans were not initially defined in the grant application.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Research grant applications, Irb review, Research oversight

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45 CFR § 46.119IRB Governance

Research undertaken without the intention of involving human subjects.

This provision requires that if research initially planned without human subjects is later modified to involve them, it must undergo IRB review and approval before proceeding.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Research protocol changes, Irb review, Human subjects research

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45 CFR § 46.120IRB Governance

Evaluation and disposition of applications and proposals for research to be conducted or supported by a Federal department or agency.

This provision describes the process by which federal agencies evaluate research applications involving human subjects, considering risks, protections, and potential benefits.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Research proposal evaluation, Federal agency review, Research risk assessment

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45 CFR § 46.121Source Placeholder

[Reserved]

This provision is reserved.

Group

Internal Review

Category

Source Placeholder

Domain

Not Service Specific

Topics

Reserved provision

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45 CFR § 46.122IRB GovernanceReimbursement Payment

Use of Federal funds.

This provision prohibits the expenditure of federal funds for research involving human subjects unless all requirements of the human subjects protection policy have been satisfied.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Federal research funding, Research compliance, Grant expenditure

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45 CFR § 46.123IRB Governance

Early termination of research support: Evaluation of applications and proposals.

This provision allows federal agencies to terminate or suspend research support if an institution fails to comply with human subjects protection policies.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Research suspension, Research termination, Compliance enforcement

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45 CFR § 46.124IRB Governance

Conditions.

This provision authorizes federal agencies to impose additional conditions on research projects when necessary for the protection of human subjects.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Research conditions, Human subjects protection, Irb oversight

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45 CFR § 46.201Human Subjects Protections

To what do these regulations apply?

This provision specifies the applicability of research regulations concerning pregnant women, human fetuses, and neonates conducted or supported by DHHS.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Research applicability, Vulnerable populations, Pregnant women research

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45 CFR § 46.202Definitions ContextHuman Subjects Protections

Definitions.

This provision provides definitions for terms such as fetus, neonate, and pregnancy as they apply to research regulations involving vulnerable populations.

Group

Definitions Scope Authority

Category

Definitions Context

Domain

Not Service Specific

Topics

Research definitions, Vulnerable populations, Neonate definitions

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45 CFR § 46.203IRB Governance

Duties of IRBs in connection with research involving pregnant women, fetuses, and neonates.

Institutional Review Boards must review and approve research involving pregnant women, fetuses, and neonates only when it satisfies all applicable subpart requirements.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb review responsibilities, Research oversight, Vulnerable populations research

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45 CFR § 46.204Human Subjects ProtectionsResearch Informed Consent

Research involving pregnant women or fetuses.

Research involving pregnant women or fetuses is permitted only when specific conditions regarding risk, benefit, consent, and investigator conduct are met.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Governance Quality

Topics

Research risk assessment, Informed consent requirements, Fetal research protections

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45 CFR § 46.205Human Subjects ProtectionsResearch Informed Consent

Research involving neonates.

Research involving neonates of uncertain viability, nonviable neonates, and viable neonates is permitted only under strict conditions regarding risk, benefit, and parental consent.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Governance Quality

Topics

Neonate research, Informed consent for neonates, Viability determination

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45 CFR § 46.206Human Subjects ProtectionsConfidentiality Disclosure

Research involving, after delivery, the placenta, the dead fetus or fetal material.

Research involving the placenta, dead fetus, or fetal material must comply with all applicable federal, state, and local laws, and may trigger human subject protections if identifiers are recorded.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Governance Quality

Topics

Fetal tissue research, Placenta research, Research data privacy

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45 CFR § 46.207IRB GovernanceHuman Subjects Protections

Research not otherwise approvable which presents an opportunity to understand, prevent, or alleviate a serious problem affecting the health or welfare of pregnant women, fetuses...

Research that does not meet standard approval criteria may be funded by the Secretary only if it addresses serious health problems and meets specific ethical and public review standards.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Research ethics review, Federal research funding, Public review process

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45 CFR § 46.301Human Subjects ProtectionsScope Applicability

Applicability.

These regulations apply to all HHS-supported biomedical and behavioral research involving prisoners as subjects, in addition to other applicable human subject protection requirements.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Governance Quality

Topics

Prisoner research, Research applicability, Human subjects scope

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45 CFR § 46.302Human Subjects Protections

Purpose.

The purpose of these regulations is to provide additional safeguards for prisoners involved in research due to the potential for coercion in an incarcerated environment.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Governance Quality

Topics

Prisoner research safeguards, Coercion prevention

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45 CFR § 46.303Definitions ContextHuman Subjects Protections

Definitions.

Defines key terms for prisoner research, including prisoner, minimal risk, and DHHS, to ensure consistent application of research protections.

Group

Definitions Scope Authority

Category

Definitions Context

Domain

Governance Quality

Topics

Prisoner definition, Minimal risk definition

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45 CFR § 46.304IRB Governance

Composition of Institutional Review Boards where prisoners are involved.

IRBs reviewing prisoner research must include a prisoner or prisoner representative and ensure a majority of members have no association with the prison.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb composition, Prisoner representative, Irb independence

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45 CFR § 46.305IRB GovernanceHuman Subjects Protections

Additional duties of the Institutional Review Boards where prisoners are involved.

IRBs must ensure prisoner research meets specific criteria regarding risk, subject selection, and informed consent, and institutions must certify compliance to the Secretary.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb duties, Prisoner research criteria, Research certification

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45 CFR § 46.306Human Subjects Protections

Permitted research involving prisoners.

This provision outlines the specific conditions and regulatory requirements under which DHHS-supported biomedical or behavioral research may involve prisoners as subjects.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Prisoner research, Human subjects protection, Research ethics

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45 CFR § 46.401Human Subjects ProtectionsScope Applicability

To what does this subpart apply?

This provision defines the scope and applicability of subpart D requirements to all DHHS-conducted or supported research involving children as subjects.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Pediatric research, Research applicability, Human subjects protection

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45 CFR § 46.402Definitions ContextHuman Subjects Protections

Definitions.

This provision provides key definitions for terms such as children, assent, permission, parent, and guardian as they apply to research involving children.

Group

Definitions Scope Authority

Category

Definitions Context

Domain

Not Service Specific

Topics

Research definitions, Pediatric research, Informed consent terminology

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45 CFR § 46.403IRB Governance

IRB duties.

This provision mandates that IRBs review and approve research involving children only when it satisfies the specific conditions of the subpart.

Group

Research Human Subjects

Category

IRB Governance

Domain

Not Service Specific

Topics

Irb responsibilities, Pediatric research, Research oversight

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45 CFR § 46.404Human Subjects Protections

Research not involving greater than minimal risk.

This provision sets the requirements for IRB approval of research involving children that presents no greater than minimal risk.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Minimal risk research, Pediatric research, Research approval

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45 CFR § 46.405Human Subjects Protections

Research involving greater than minimal risk but presenting the prospect of direct benefit to the individual subjects.

This provision outlines the criteria for IRB approval of research involving children that presents more than minimal risk but offers the prospect of direct benefit.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Pediatric research, Risk benefit analysis, Research approval

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45 CFR § 46.406Human Subjects Protections

Research involving greater than minimal risk and no prospect of direct benefit to individual subjects, but likely to yield generalizable knowledge about the subject's disorder o...

This provision outlines the criteria for IRB approval of research involving children that presents more than minimal risk but no prospect of direct benefit.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Pediatric research, Generalizable knowledge, Research approval

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45 CFR § 46.407Human Subjects Protections

Research not otherwise approvable which presents an opportunity to understand, prevent, or alleviate a serious problem affecting the health or welfare of children.

This provision outlines the process for approving research involving children that does not meet standard criteria but addresses serious health or welfare problems.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Pediatric research, Special research approval, Research ethics

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45 CFR § 46.408Research Informed ConsentHuman Subjects Protections

Requirements for permission by parents or guardians and for assent by children.

This provision details the requirements for soliciting and documenting parental permission and child assent in research protocols.

Group

Research Human Subjects

Category

Research Informed Consent

Domain

Not Service Specific

Topics

Informed consent, Pediatric assent, Parental permission

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45 CFR § 46.409Human Subjects Protections

Wards.

This provision sets specific requirements for including children who are wards of the state or other agencies in research, including the appointment of an advocate.

Group

Research Human Subjects

Category

Human Subjects Protections

Domain

Not Service Specific

Topics

Pediatric research, Wards of the state, Research advocate

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45 CFR § 46.501IRB Governance

What IRBs must be registered?

Institutional Review Boards (IRBs) designated under an approved federalwide assurance that review HHS-supported human subjects research must register with HHS.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb registration, Human subjects research, Institutional review board

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45 CFR § 46.502IRB Governance

What information must be provided when registering an IRB?

This section specifies the contact, administrative, and protocol-related information required for the registration of an Institutional Review Board.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb registration requirements, Irb contact information, Active protocol reporting

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45 CFR § 46.503IRB Governance

When must an IRB be registered?

An IRB must be registered and accepted by OHRP before it can be designated under a federalwide assurance, with registrations effective for three years.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb registration timeline, Irb registration validity

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45 CFR § 46.504IRB Governance

How must an IRB be registered?

IRBs must be registered electronically through the designated OHRP portal, with a written submission process available for institutions lacking electronic capabilities.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb registration process, Electronic filing

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45 CFR § 46.505IRB Governance

When must IRB registration information be renewed or updated?

IRBs must renew registration every three years, update contact information within 90 days of changes, and report the disbanding of an IRB within 30 days.

Group

Research Human Subjects

Category

IRB Governance

Domain

Governance Quality

Topics

Irb registration renewal, Irb registration updates, Disbanding irb

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