Professional Documents
Culture Documents
Srishty Banerjee
Abstract
The legal aspects surrounding surrogacy are complex, diverse and mostly unsettled.
Surrogacy is when a woman carries a baby of another couple and gives up the baby at birth and
when she is compensated for carrying the child it is commercial surrogacy. In the past years
commercial surrogacy has grown tremendously in India. In most of the countries world over, the
woman giving birth to a child is considered as the child’s legal mother. However in very few
countries the intended parents are to be considered as the child’s legal parents from birth by the
virtue of the fact that the surrogate has contracted to give the birth of the child for the
commissioning parents. India is one country among the few, which recognize the
intended/commissioning parents as the legal parents. Commercial surrogacy was allowed for the
first time in 2002 and has since grown into a massive industry within the medical field and
World Bank study estimates the surrogacy business to be worth almost 400 million dollars a
year, with 3000 fertility clinics across India. There are so many legal and societal complications
around the surrogacy. It is perhaps with these considerations the Union Cabinet in October
2016 approved the Draft Surrogacy (Regulation) Bill, 2016. Assisted reproductive technologies
have impacted lives for some time now. However, due to a regulatory vacuity, and existing laws
conflicting with situations created by ART, or laws not contemplating these situations the rights
and interests of adults and children in ART are in disarray. In my research paper while dealing
with constitutional pledges and women’s rights with reference to surrogacy I will try to
investigate the various legal questions that arise in the matter of surrogacy.
Introduction
1
Anu, Pawan Kumar, Deep Inder, Nandini Sharma, Surrogacy and Women’s Right to Health in India: Isssues and
Perspective, INDIAN JOURNAL OF PUBLIC HEALTH, (July 15, 2013),
http://www.ijph.in/article.asp?issn=0019-557X;year=2013;volume=57;issue=2;spage=65;epage=70;aulast=Anu,
which a woman bears a child for a couple unable to produce children in the usual way. The
Report of the Committee of Inquiry into Human Fertilization and Embryology or the Warnock
Report (1984) defines surrogacy as the practice whereby one woman carries a child for another
with the intention that the child should be handed over after birth. The word "surrogate," is
rooted in Latin "Subrogare" (to substitute), which means "appointed to act in the place of."
Altruistic surrogacy is where a surrogate mother agrees to gestate a child for intended parents
without being compensated monetarily in any way. In other words, this is in effect a free
surrogacy. Whereas, commercial surrogacy is an option in which intending parent offers a
financial incentive to secure a willing surrogate. Commercial surrogacy is a controversial method
of conception because people, governments and religious groups have questioned the ethics of
involving money in a child's birth. There can be several reasons behind surrogate pregnancy. For
instance, intended parents may arrange a surrogate pregnancy because a woman who intends to
be parent is infertile or unable to carry a pregnancy to term, e.g., woman with hysterectomy,
uterine malformation or with a history of recurrent abortions or any medical illness making her
pregnancy a risk to her own health. A female intending to be a parent may also be fertile and
healthy, but unwilling to undergo pregnancy. The agencies making arrangement for surrogacy
for the intended parents often help them to manage the complex medical and legal aspects
involved in process.2
TYPES OF SURROGACY
2
Anu, Pawan Kumar, Deep Inder, Nandini Sharma, Surrogacy and Women’s Right to Health in India: Isssues and
Perspective, INDIAN JOURNAL OF PUBLIC HEALTH, (July 15, 2013),
http://www.ijph.in/article.asp?issn=0019-557X;year=2013;volume=57;issue=2;spage=65;epage=70;aulast=Anu,
3. Gestational or Total Surrogacy: When the intended mother is not able to carry a baby
to term due to hysterectomy, diabetes, cancer, etc., her egg and the intended father's
sperm are used to create an embryo (via IVF) that is transferred into and carried by the
surrogate mother. The resulting child is genetically related to its parents while the
surrogate mother has no genetic relation.
4. Gestational Surrogacy and Egg Donation: If there is no intended mother or the
intended mother is unable to produce eggs, the surrogate mother carries the embryo
developed from a donor egg that has been fertilized by sperm from the intended father.
With this method, the child born is genetically related to the intended father and the
surrogate mother has no genetic relation.
5. Gestational Surrogacy and Donor Sperm: If there is no intended father or the intended
father is unable to produce sperm, the surrogate mother carries an embryo developed
from the intended mother's egg (who is unable to carry a pregnancy herself) and donor
sperm. With this method, the child born is genetically related to the intended mother and
the surrogate mother has no genetic relation.
6. Gestational Surrogacy and Donor Embryo: In order for a pregnancy to take place, a
sperm, egg, and a uterus are necessary. When the intended parents are unable to produce
sperm, egg, or embryo, the surrogate mother can carry a donated embryo (often from
other couples who have completed IVF that have leftover embryos). The child born is
genetically related neither to the intended parents nor the surrogate mother. Egg and
sperm are extracted from the donors and in vitro fertilised (creation of the embryo in a
petri dish) and implanted into uterus of the surrogate. This is an expensive procedure.
Again, the unused embryos may be frozen for further use if the first transfer does not
result in pregnancy.
Altruistic Surrogacy
It is the term used to describe the situation where there is no formal contract or any
payment or fee to the birth mother. It is usually an arrangement between very close friends or
relatives. In altruistic surrogacy, the essential elements are child-bearing by a surrogate mother,
termination of her parental rights after his birth and payment of money by the genetic parents.
The surrogate is paid merely to recompense her for the pain undertaken by her and includes
reimbursement of medical and other expenses or is not paid at all.
Commercial Surrogacy
Laws differ widely from one country to another. In England, commercial surrogacy
arrangements are not legal and are prohibited by the surrogacy arrangement act 1985. A
surrogate mother still maintains the legal right for the child, even if they are genetically
unrelated. Unless a parental order or adoption order is made the surrogate mother remains the
legal mother of the child.
In USA, the surrogacy and its attendant's legal issues fall under state jurisdiction and it differs
from state to state. Some states facilitate surrogacy and surrogacy contracts, others simply refuse
to enforce them and some penalize commercial surrogacy. In Canada, the Assisted Human
Reproduction Act permits only altruistic surrogacy; surrogate mothers may be reimbursed for
approved expenses, but payment of any other consideration or fee is illegal.
3
Kush Kalra, Surrogacy Arrangements; Legal and Social Issues, Journal of Law Teachers, 125 (2010)
Status of surrogacy in Australia
In Australia, all states (except Tasmania, which bans all surrogacy under the surrogacy Contracts
Act 1993) altruistic surrogacy has been recognized as legal. However, in all states arranging
commercial surrogacy is a criminal offense.
The South Africa Children's Act of 2005 enabled the "commissioning parents" and the surrogate
to have their surrogacy agreement validated by the High Court even before fertilization. This
allows the commissioning parents to be recognized as legal parents from the outset of the process
and helps prevent uncertainty.
In Japan, the Science Council of Japan proposed a ban on surrogacy and doctors, agents and
clients will be punished for commercial surrogacy arrangements. In Saudi, Arabia religious
authorities do not allow the use of surrogate mothers.
In China, Ministry of Health banned surrogacy in 2001. Despite this regulation it is reported that
illegal surrogacy "black market" is still flourishing in China. Anxious about such situation strict
legislation has been suggested by the political parties.4
Surrogacy in Europe
In Sweden, surrogacy is not clearly regulated. The legal procedure most equivalent to it is
making an adoption of the child from the surrogate mother. It is illegal for Swedish fertility
clinics to make surrogate arrangements.
Ukraine: Surrogacy is completely legal in Ukraine. Only married couples can legally go through
gestational surrogacy in Ukraine.
4
Anu, Pawan Kumar, Deep Inder, Nandini Sharma, Surrogacy and Women’s Right to Health in India: Isssues and
Perspective, INDIAN JOURNAL OF PUBLIC HEALTH, (July 15, 2013),
http://www.ijph.in/article.asp?issn=0019-557X;year=2013;volume=57;issue=2;spage=65;epage=70;aulast=Anu,
Russia: In Russia, commercial gestational surrogacy is legal and available for willing adults.
There has to be a certain medical indication for surrogacy. Foreigners have the same rights as for
assisted reproduction as Russian citizens.
Bulgaria: Surrogacy was previously illegal in Bulgaria, but as the procedure is still practiced
illegally, the government decided to sanction it. Instead of using the term surrogate, though,
Bulgaria calls it the "substitute mother."
Georgia: Surrogacy in Georgia Europe is legal but there surrogate mother cannot exercise any
parental rights over the child.
Some countries such as Poland and Romania among others have no defined surrogacy laws and
while it's still possible to undergo the surrogacy process in those nations. As it can be seen, laws
on surrogacy in Europe are varied and for some countries, vague and non-existent.5
5
Guido Pennings, Legal Harmonization and Reproductive Tourism in Europe, OXFORD ACADEMIC, (Dec., 1,
2004), https://academic.oup.com/humrep/article/19/12/2689/2356251/Legal-harmonization-and-reproductive-
tourism-in
6
AIR 2000 A. P. 156
7
316 US 535
8
(2003) 8 SCC 369
Indispensable need of Surrogacy Law in India
In the past decade, commercial surrogacy has grown tremendously in India. It is currently
estimated to be a $2-billion industry. Before November 2015, when the government imposed a
ban, foreigners accounted for 80 per cent of surrogacy births in the country. This is because most
countries, barring a few such as Russia, Ukraine and some U.S. states, do not permit commercial
surrogacy. Many countries in Europe have completely prohibited surrogacy arrangements, both
to protect the reproductive health of the surrogate mother as well as the future of the newborn
child. The debate began when, in 2008, a Japanese doctor couple commissioned a baby in a
small town in Gujarat. The surrogate mother gave birth to a healthy baby girl. By then the couple
had separated and the baby was both parentless and stateless, caught between the legal systems
of two countries. The child is now in her grandmother’s custody in Japan but has not obtained
citizenship, as surrogacy is not legal in Japan.
In 2012, an Australian couple who had twins by surrogacy, arbitrarily rejected one and
took home the other. A single mother of two from Chennai decided to become a surrogate
mother in the hope that the payment would help her start a shop near her house. She delivered a
healthy child, but her hopes bore little fruit for herself. She received only about Rs.75,000, with
an auto rickshaw driver who served as a middleman, taking a 50 per cent cut. After repaying the
loans, she did not have enough money. On January 29, 2014, 26-year-old Yuma Sherpa died in
the aftermath of a surgical procedure to harvest eggs from her body, as part of the egg donation
programme of a private clinic based in New Delhi.
These incidents highlight the total disregard for the rights of the surrogate mother and
child and have resulted in a number of public interest litigations in the Supreme Court to control
commercial surrogacy.9
The Law Commission in its 228th Report submitted in August 2009, also
recommended prohibiting commercial surrogacy and allowing ethical altruistic surrogacy to
needy Indian citizens by enacting a suitable legislation. The subject was suo motu taken up for
9
Soumya Swaminathan, Why the Surrogacy Bill is Necessary, THE HINDU, (Aug., 28, 2016)
http://www.thehindu.com/opinion/op-ed/Why-the-Surrogacy-Bill-is-necessary/article14593359.ece
study by the Commission and it was recommended that the proposed legislation on surrogacy
should include most important points in regard to the rights and obligations of the parties to a
surrogacy and rights of the surrogate child. Most important conclusions and suggestions of the
commission are as following:-
Surrogacy involves conflict of various interests and has inscrutable impact on the primary
unit of society viz. family. Non-intervention of law in this knotty issue will not be proper at a
time when law is to act as ardent defender of human liberty and an instrument of distribution of
positive entitlements. At the same time, prohibition on vague moral grounds without a proper
assessment of social ends and purposes which surrogacy can serve would be irrational. Active
legislative intervention is required to facilitate correct uses of the new technology i.e. ART and
relinquish the cocooned approach to legalization of surrogacy adopted hitherto. The need of the
hour is to adopt a pragmatic approach by legalizing altruistic surrogacy arrangements and
prohibit commercial ones. The Commission also analyzed Assisted Reproductive Technology
(Regulation) Bill and Rules 2008. The draft Bill prepared by the ICMR is full of lacunae, nay, it
is incomplete. However, it is a beacon to move forward in the direction of preparing legislation
to regulate not only ART clinics but rights and obligations of all the parties to a surrogacy
including rights of the surrogate child. Most important points in regard to the rights and
obligations of the parties to a surrogacy and rights of the surrogate child the proposed legislation
should include may be stated as under:
[1] Surrogacy arrangement will continue to be governed by contract amongst parties, which will
contain all the terms requiring consent of surrogate mother to bear child, agreement of her
husband and other family members for the same, medical procedures of artificial insemination,
reimbursement of all reasonable expenses for carrying child to full term, willingness to hand
over the child born to the commissioning parent(s), etc. But such an arrangement should not be
for commercial purposes.
[2] A surrogacy arrangement should provide for financial support for surrogate child in the event
of death of the commissioning couple or individual before delivery of the child, or divorce
between the intended parents and subsequent willingness of none to take delivery of the child.
[3] A surrogacy contract should necessarily take care of life insurance cover for surrogate
mother.
[4] One of the intended parents should be a donor as well, because the bond of love and affection
with a child primarily emanates from biological relationship. Also, the chances of various kinds
of child-abuse, which have been noticed in cases of adoptions, will be reduced. In case the
intended parent is single, he or she should be a donor to be able to have a surrogate child.
Otherwise, adoption is the way to have a child which is resorted to if biological (natural) parents
and adoptive parents are different.
[5] Legislation itself should recognize a surrogate child to be the legitimate child of the
commissioning parent(s) without there being any need for adoption or even declaration of
guardian.
[6] The birth certificate of the surrogate child should contain the name(s) of the commissioning
parent(s) only.
[9] Cases of abortions should be governed by the Medical Termination of Pregnancy Act 1971
only.10
The Statement of Object and Reasons state that “India has emerged as a surrogacy hub
for couples from different countries for past few years. There have been reported incidents of
unethical practices, exploitation of surrogate mothers, abandonment of children born out of
surrogacy and import of human embryos and gametes. Widespread condemnation of commercial
surrogacy in India has been regularly reflected in different print and electronic media for last
few years. The Law Commission of India has, in its 228th Report, also recommended for
prohibition of commercial surrogacy by enacting a suitable legislation. Due to lack of legislation
to regulate surrogacy, the practice of surrogacy has been misused by the surrogacy clinics,
10
http://lawcommissionofindia.nic.in/reports/report228.pdf (Feb., 8, 2017)
which leads to rampant of commercial surrogacy and unethical practices in the said area of
surrogacy.”
The Surrogacy (Regulation) Bill, 2016, inter alia, provides for the following, namely:—
(b) to allow ethical altruistic surrogacy to the intending infertile Indian married couple between
the age of 23-50 years and 26-55 years for female and male respectively;
(c) the intending couples should be legally married for at least five years and should be Indian
citizens to undertake surrogacy or surrogacy procedures;
(d) to provide that the intending couples shall not abandon the child, born out of a surrogacy
procedure, under any condition and the child born out of surrogacy procedure shall have the
same rights and privileges as are available to the biological child;
(e) the surrogate mother should be a close relative of the intending couple and should be an ever
married woman having a child of her own and between the age of 25-35 years;
(f) to provide that the surrogate mother shall be allowed to act as surrogate mother only once;
(g) to constitute the Surrogacy Board at National level which shall exercise and perform
functions conferred on it under the Act. It is also proposed to constitute Surrogacy Boards at the
State and Union territory level to perform similar functions in respective States and Union
territories;
(h) to appoint one or more appropriate authorities at State and Union territory level which shall
be the executive bodies for implementing the provisions of the Act;
(i) to provide that the surrogacy clinics shall be registered only after the appropriate authority is
satisfied that such clinics are in a position to provide facilities and can maintain equipments and
standards including specialized manpower, physical infrastructure and diagnostic facilities as
may be provided in the rules and regulations;
(j) to provide that no person, organization, surrogacy clinic, laboratory or clinical establishment
of any kind shall undertake commercial surrogacy, issue advertisements regarding commercial
surrogacy, abandon the child born through surrogacy, exploit the surrogate mother, sell human
embryo or import human embryo for the purpose of surrogacy and contravention of the said
provisions shall be an offence punishable with imprisonment for a term which shall not be less
than ten years and with fine which may extend to ten lack rupees.
4. The Notes on Clauses explain in detail the various provisions contained in the Surrogacy
(Regulation) Bill, 2016.
The proposed legislation in short, seeks to ban commercial surrogacy altogether, while
limiting the availability of what the Bill terms as “altruistic surrogacy” to childless, heterosexual
Indian couples married for at least five years. That is, persons who are eligible to seek surrogacy
are required to engage a close female relative, not necessarily related by blood, in a transaction
where no money exchanges hands between the commissioning couple land the surrogate mother,
except to meet medical expenses. Unfortunately, though, well- intentioned as the proposal might
appear at first blush, the Bill fails to address the moral questions at the roots of the controversy,
and, if ultimately enacted into law, would also transgress some of the Constitution’s core
guarantees.12
First, that people, both foreigners and Indians, have a basic right to procreate, and to choose
whichever method they desire to achieve this objective. This affirmative argument in favour of a
right to use assisted reproductive technology, though, as the Harvard Law School, professor
11
http://lawcommissionofindia.nic.in/reports/report228.pdf (Feb., 8, 2017)
12
Suhrith Parthasarathy, Republic of Reason, THE HINDU, Sept., 1, 2016, at 10.
Martha A. Field has explained, fails for the reason that surrogacy involves using another person’s
body, albeit with their ostensible consent. “A personal right to do something,” Field wrote, “does
not necessarily carry over to a right to enlist the assistance of another.” That surrogacy has not
been previously regulated also does not now give a person a specific constitutional right to
procreate. After all, every practice tolerated by the state doesn’t emanate out of a pre- existing
natural or positive right. What’s more, in any event, given that a infertile couple could take
recourse to adopting a child, a ban on commercial surrogacy doesn’t necessarily affect one’s
right to raise a family.
Secondly, a classically libertarian argument that women have a fundamental right to contract, and
a fundamental right to personal liberty which together permit them to use their bodies as they
please, however, cannot be readily dismissed.13
13
Suhrith Parthasarathy, Republic of Reason, THE HINDU, Sept., 1, 2016, at 10.
compromise the state’s expression of disgust at practices that it deems depraved. If Parliament
were to pass the Surrogacy Bill in its present form, the law would certainly violate the
constitutional pledge of equal treatment.14
Conclusion
The regulation of ART clinics and banks (which register and store donor
information/sperms and ova are critically important. The ICMR guidelines of 2005, besides
lacking enforceability, are not comprehensive. For instance, they do not set out accountability
parameters within these agencies, or adequately address the serious issues of sex selection
through ART, or have any obligations to provide legal and psychological counseling. The Bill
should cover the layered aspects of these rights and take into account the spectrum of laws and
prejudices that will come into play, including the rampant sex selection that is practiced in India
against girl children. We can take light from the Assisted Reproductive Treatment Act 2008, in
Victoria, Australia, which is regarded as a progressive law for ART. It recognizes the identity
rights of the child, overriding the confidentiality right of the donor. Parentage is with the
surrogate mother. The commissioning parents are required to get parentage order from the court
with the consent of the surrogate. The law sets out extensive obligations for the authority
administering the Act, including psychological and legal counseling for the adults and the child.
The authorities should verify the adults seeking ART and the proposed surrogates have not been
convicted for violent or sexual offences, or had children taken out of their care. Importantly,
single persons, unmarried and same-sex couples can be parents through surrogacy.
14
Suhrith Parthasarathy, Republic of Reason, THE HINDU, Sept., 1, 2016, at 10.