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Archive for the ‘intended parents’ Category

Human Egg Donor Antitrust Class Action Lawsuit Complaint Filed Over Alleged Price Fixing Of Human Egg Donor Services.

Posted on: April 14th, 2011 by michelle No Comments

A class action lawsuit has been filed against American Society For Reproductive Medicine (“ASRM”), Society for Assisted Reproductive Technology (“SART”) and Pacific Fertility Center (collectively “Defendants”) in the United States District Court for the Northern District of California (styled Lindsay Kamakahi v. American Society For Reproductive Medicine, Society for Assisted Reproductive Technology and Pacific Fertility Center, Civil Action Case No. 11-Cv-1781) challenging, as allegedly per se illegal under Section 1 of the Sherman Act, an alleged horizontal price fixing agreement among purchasers of human egg donor services (“Donor Services”) in connection with ASRM’s alleged promulgation of certain rules setting forth the maximum compensation its members should pay for donor services (“Maximum Price Rules”), SART’s alleged adoption of such Maximum Price Rules and SART-member fertility clinics’ alleged agreement to follow such rules, according to the Human Egg Donor Services antitrust class action lawsuit complaint.

http://www.courthousenews.com/2011/04/13/Ova.pdf

Protect Your Parental Rights With Family Planning Documents

Posted on: July 10th, 2010 by admin No Comments

Protect Your Parental Rights With Family Planning Documents
Intended parents forming a family through surrogacy face many medical, legal, and family law issues that go beyond the basic surrogacy agreement and the initial family formation, such as:

  • Who will act as the legal guardian of your child(ren) in the event you are unable to act due to death, or temporary or permanent disability, prior to the time a parental order is obtained?
  • Who is authorized to make medical decisions with respect to your child(ren) in the event of your disability or death?
  • Who is authorized to make vital medical decisions for you if you are unable to make those decisions for yourself?
  • Who is authorized to make decisions with respect to your other legal and financial matters in the event you become temporarily or permanently disabled, including decisions relevant to the surrogacy and birth process?

Family Planning Documents are drafted to clarify your intentions as to who has authority to make these important decisions regarding your and your child(ren)’s health, medical care, and guardianship in the event of your death or incapacity.

Recognizing that our clients find themselves in multiple states both during the course of, and subsequent to, their family creation process RLC’s Family Planning Documents cover these family-medical-legal issues in a multi-jurisdictional manner drafted with the intent that they be effective in as many states as possible.

These documents include:

Guardianship Designation, Power of Attorney and Consent Signed by Your Surrogate
Your Surrogacy Agreement is an important legal document; however, its main purpose is to document your arrangement with the surrogate and the parties’ intentions. And while your parental rights are established with a court judgment, even if it is a pre-birth order it does not become effective until the birth of your child(ren). A Surrogate Guardianship Designation will help to protect your parental rights before and after the birth of your child(ren), providing you with authority to make medical and other decisions regarding your child(ren) until the court orders of parentage become effective. Therefore, we strongly recommend protecting your parental rights through this formal guardianship document; and it is ideally executed at about the same time as your surrogacy contract.

Your Formal Guardianship Designation
Many parents often consider who will be responsible for taking care of their child(ren) if they were to die or become incapacitated. Unfortunately, many parents do not find the time to ensure that this decision is made legally binding. Nomination of Guardian and Nomination of Standby Guardian documents officially name your choice of alternate/backup guardian(s) of the child(ren), while in utero and once born, in the event that you are unable to be there to care for your child(ren). These documents are accompanied by stand-alone consent forms authorizing another intended parent or a third person to consent to medical treatment for the child(ren). This group of documents is particularly important for families where only one intended parent will be listed on the birth certificate.

Advance Healthcare Directives/Proxies
Advanced healthcare directives establish your rights to have a particular person make healthcare decisions for you if you are unable to do so for yourself.

General Durable Powers of Attorney
Power of Attorney documents establish the right of your designated person to administer your assets and make legal and financial decisions on your behalf (including with respect to the surrogacy) in the event you are unable to do so for yourself.

Your Family Planning Documents can also:

  • Supplement your will or living trust and insure that appropriate legal appointments and expressions of intent are in place prior to the execution of a will or living trust (which are more complex and often require substantial time to develop in conjunction with an overall estate plan);
  • Save you time and money, since many of the Family Planning Documents would ordinarily be part of the suite of documents that you would prepare in connection with a will or living trust.

RLC’s Family Planning Documents are applicable to all Intended Parents, whether single, married, or in a domestic partnership or civil union.

For more information, please call RLC at 888-259-6000 and to speak with one of our attorneys, or email us at info@rlcsd.com.

Online Video Interview Covering Basic Legal Issues in Surrogacy

Posted on: June 16th, 2010 by admin No Comments

Surrogacy Issues for Non-U.S. Intended Parents

Click here for three 5 minute online interviews with National Fertility Law Expert, Richard Vaughn.
http://www.globalivf.com/expert-interviews.php

Spring 2010 ART Legislative Update

Posted on: April 12th, 2010 by admin No Comments

Spring 2010 ART Legislative Update
Assisted Reproduction Legislative Update

By Richard B. Vaughn, Esq.
National Fertility Law Center
2010 Copyright

As consumers of fertility medical, legal and information services, you may already know that there is not a lot of legislation or regulation in this area. However, there are actually quite a few legislative proposals being debated all across the country relating to assisted reproduction at the moment which could eventually have dramatic consequences (positive and negative) for your assisted reproduction journey. Below is a short summary of many of these proposals (However, as always, it is imperative that you obtain legal advice particular to your situation from NFLC or an attorney licensed in the state whose laws impact your journey.)

Arizona
AZ SB 1306 and HR 2651 dictates information to be included as part of the informed consent process and prohibits the purchase, offer to purchase or advertisement for the purchase of human eggs (in effect denying Arizona residents the option of using egg donation).

California
CA AB 2426 would prevent non-attorney surrogacy practitioners from having direct access to their client’s funds. Non-attorney surrogate practitioners would be required to deposit their clients’ unearned funds into either an: (1) independent and bonded escrow company, or (2) a trust account maintained by an attorney.

Florida

FL S 7062, the Florida Assisted Reproductive Technology Act, would define an agency as any organization or individual who provides a database, matching or third party reproductive service (although there are no requirements related to agency training, education, or licensure). The Act would require agencies to conduct mental health evaluations and criminal background checks on donors, gestational surrogates and intended parents every two years and would prohibit donors or gestational surrogates who are not US citizens or permanent residents.

Illinois
IL HB 1082 (2009) amends a variety of Illinois statutes and would require an insurer, upon request of an insured intended parent, to provide maternity coverage for a gestational surrogate as a dependent for a term that extends throughout the duration of the expected pregnancy and for 8 weeks after the birth of the child. This is currently assigned to the Insurance Committee of the IL House of Representatives and would be effective immediately if passed.

Kansas
KS SB 509 creates women’s health and embryo monitoring program to collect and retain in “perpetuity” 70 data items, much of which is already collected and reported by the CDC.  In addition, this bill requires tracking all eggs retrieved, fertilized, transplanted, frozen, and discarded, the status of all embryos, the number and type of fetal reductions, method for monitoring the health of patients even after they are no longer patients, and a reporting of how clinics are paid (failure to report or falsely reporting can result in felony charges).

Maryland
MD S 19 improves the existing infertility insurance requirement to reduce the two year wait period to one year.

MD HB 281 and SB 585 establishes a commission on surrogate parenting to evaluate the health and social well being of children born as a result of surrogacy.

Michigan
MI SB 647-652 and companion bills HB 5129-5134, impose reporting requirements on assisted reproduction clinics in addition to those already in place, including tracking and reporting of all embryos. This bill standardizes informed consent for ART and restricts stem cell research which was approved last year in a Michigan voters’ referendum.

Minnesota
MN SF 436/HF 890 adds presumption of parentage to paternity/maternity laws in favor of all intended parents in third-party ART matters. This bill has passed through committees in both the MN house and senate and awaits floor votes in each.

Missouri
MO HB 1035 requires group health insurance policies providing coverage for more than 25 employees to also cover the diagnosis and treatment of infertility, including up to four cycles of IVF.

Mississippi
MS Initiative Measure No. 26 is a ballot initiative seeking an amendment to the state constitution which would define an unborn child as a human being starting at fertilization.  Under the express terms of the Mississippi Constitution, the Bill of Rights cannot be amended by the initiative mechanism and it will likely be struck down in court.

Oklahoma
OK HB 3077 would prohibit compensation to egg donors, but it died for lack of action by the OK senate committee.

Tennessee
TN SB 2136 and HB 2159, the Embryo Donation and Adoption Act, deems a child born from donated embryos as having been adopted and grants the same legal protections without court action. This bill also requires clinics to develop written contracts transferring ownership of embryos from donor to intended parents and to keep records for 21 years.

Washington
WA HB 2793 proposed to legalize compensated surrogacy in Washington, but it died for lack of action in the WA senate.

Informed Consent Documents at the IVF Clinic

Posted on: February 17th, 2010 by admin No Comments

The Flood of Forms, by Deborah Forman, Of Counsel to NFLC
The full article may also be found at http://www.theafa.org/library/article/informed_consent_and_the_flood_of_forms/

If you are undergoing fertility treatment or using assisted reproductive technology to create a family, at some point, you will confront a stack of forms provided by your physician.  These forms represent one method by which your physician obtains your informed consent to proceed with treatment.  These forms likely run many pages and contain a mass of medical, legal and other information.  Some forms may require merely your initials and signature; others may require you to consider options and provide instructions regarding your treatment.  In some practices, your physician or a nurse or treatment coordinator may review these forms with you.  In others, you will be handed the packet of forms and asked to review and sign them.  Either way, the task of wading through the mountain of information and making decisions about such important matters as embryo disposition can prove daunting.  To assist you in the process, this article will explain the law of informed consent and provide an overview of the types of information and decisions you are likely to encounter in these forms.  The article concludes with tips to keep in mind before signing the forms.

Informed Consent
The legal doctrine of informed consent is designed to protect the autonomy and self-determination of each of us.  Every state recognizes that the patient has the right, in most circumstances, to determine what will happen with his or her body and whether to accept or reject proposed medical treatment.  Indeed, even the U.S. Supreme Court has recognized this right.  Moreover, a doctor’s failure to obtain the informed consent of his or her patient can subject the doctor to liability.

For many types of treatment, this process consists primarily of a discussion between the physician and patient; no written forms may be involved.  For major treatments, such as surgery, the physician typically requires the patient to sign a number of forms authorizing the procedure and outlining the risks of the proposed procedure, as a supplement to the conversations the physician has with the patient covering the proposed treatment.  The written forms are not a substitute for the patient’s conversation with her doctor, but they are an important part of the process.  While you may see the forms as a tedious obstacle that must be plowed through as fast as possible, in fact, the forms offer you an opportunity to review the information shared by your doctor at your own pace and to formulate questions that need further response.  It can be difficult in an initial discussion to absorb fully all the information provided by your physician.  In addition, it is critically important to understand that the forms can have significant legal consequences.  For that reason alone, it is essential that you read carefully and fully understand the documents before signing them.

Information Disclosed
The legal standards governing the information that must be disclosed to satisfy the requirement of informed consent vary from state to state but fall into one of two categories.  About half the states determine the adequacy of the disclosures based on what other doctors of that type would have disclosed in that situation. Other states determine the adequacy of disclosure by whether the physician has disclosed all information that would be material to a reasonable and intelligent decision by the patient.  In terms of the written consent forms, there is little difference between these two standards.  In addition, your physician’s decision about what information to disclose is likely to be influenced by guidance from professional societies, such as the American Society for Reproductive Medicine (ASRM).

The heart of the informed consent process is the explanation of the procedure and the benefits, risks and alternatives to the proposed treatment.  The forms likely will explain in considerable detail the myriad risks of the treatment, including any medications prescribed, to the patient (or donor or surrogate), as well as to any children resulting from the treatment.  Informed consent does not require your physician to disclose every conceivable risk, no matter how remote or unlikely.  Nor does he or she have to disclose risks that are commonly known, such as the risk of infection from surgery.  But risks of serious adverse outcomes should generally be disclosed.

Unlike forms used by other types of physicians, the forms used by fertility doctors often go way beyond these medical matters and contain information that does not technically fall under the doctrine of informed consent but can have significant legal consequences for you.  For example, a form covering in vitro fertilization using donor eggs may include statements regarding the intentions of the parties as to who will be considered a parent under the law.  Forms authorizing cryopreservation (freezing) of eggs, sperm or embryos will likely seek directions from you regarding future disposition of any unused embryos. In some cases, courts have considered and relied on statements in consent forms to determine parental rights in disputes over children born through assisted reproduction and to decide disputes over embryos in cases of divorce or death.

Unfortunately, clinics do not always have forms that accurately reflect the wide range of family configurations utilizing assisted reproduction, and patients risk future legal difficulties by signing forms that do not correctly identify them, their relationship to their partners and to their future children.  For example, in a California case, K.M. v. E.G. (2005), a lesbian couple initiated IVF treatment to conceive a child.  One of the partners provided the egg; the other partner carried the child to term.  When the relationship ended, the partner who had gestated the child claimed that she never intended for the partner who provided the egg to be considered a legal parent of the child, despite the genetic connection and the fact that they had raised the child together for several years.  The trial court found that the genetic mother was merely an egg donor, with no parental rights, relying in part on the consent form she signed at the time of treatment.  She claimed that she signed the form because that was the only option presented to her, and she and her partner wanted to get going with treatment.  The California Supreme Court ultimately overturned the decision, but the risk remains.  You should not sign a form that does not accurately reflect your intentions as an intended parent, donor or surrogate.

Individuals and couples participating in third party reproduction also need to be aware of potential conflicts between the physician’s consent forms and contracts they may have entered into.  Physicians’ forms cannot possibly address all the specific details and the variations covered in a surrogacy or egg donor contract.  Consequently, if the consent form appears to conflict with your egg donor, surrogacy or other contract, you should discuss the matter with your attorney.  Often the contract will contain a clause that supersedes the language of the consent form.  Without such a clause, the conflicting provision could cause problems if a dispute arises.

Tips for Navigating the Forms

The informed consent requirement aims to protect patients.  Written consent forms are an integral part of that process, especially for patients undergoing fertility treatment, but they are drafted to cover a multitude of situations and with an eye, as well, toward protecting the physician from potential liability.  To get the most out of the forms and to help you avoid future disputes, keep in mind the following key points:

  1. The consent forms can have lasting legal consequences.  All participants in the treatment should READ them thoroughly and carefully.
  2. For the same reason, do not sign forms that contain provisions that do not accurately describe your family configuration and your intention.
  3. Seek the advice of counsel if you are unsure of the meaning or effect of provisions, especially those regarding parentage or embryo disposition.  The added fee for a consultation may be well worth the expense for peace of mind and the opportunity to avoid costly legal disputes in the future.
  4. Pay close attention to any responsibilities imposed on you, such as to provide updated contact information or instructions regarding stored embryos.
  5. Finally, the written forms should be a supplement to—not a substitute for—discussion with your physician.  If you have any questions about information contained in the forms, ask your physician or other knowledgeable health care provider.

Parental Rights and Immigration/Citizenship Issues for Intended Parents from the U.K. Working with Surrogates from the U.S.A.

Posted on: August 18th, 2009 by admin No Comments

Parental Rights & Immigration/Citizenship Issues For Intended Parents from the U.K.
Working with Surrogates from the U.S.A.

Introduction

Since late 2008, there has been increased attention paid to the issues affecting intended parents from the U.K. upon their return home with a child born through surrogacy in the U.S., so we’d like to address that here.

First and foremost, it is very important that prospective U.K. intended parents seek the advice of an experienced assisted reproduction lawyer in the surrogate’s birth state, and retain legal counsel in the U.K. before moving forward with a surrogacy arrangement in the United States.  It also appears that the U.K. intended parents should consider being matched with a single surrogate rather than a married surrogate, however counter-intuitive that sounds (see discussion below under “Naturalizing the Child as a U.K. Citizen” and to go through an additional U.K. parental order process to confirm their parental rights once they’ve returned to the U.K.

Although the U.K. statutes governing this area have been on the books since 1985 and 1990, a 2008 high court ruling and recent media coverage has changed things. The High Court ruling in the case of In Re X and Y in December 2008, involving U.K. intended parents trying to return home after their child was born in the Ukraine, and a number of surrogates from India in high-risk multiples pregnancies with complications who came to the U.K. for free healthcare, resulted in increased scrutiny of foreign surrogacies from the U.K. media and U.K. government.  The Surrogacy Arrangements Act 1985 and the Human Fertilisation and Embryology Act 1990 (HFEA), recently amended in 2008, are the U.K. laws which relate to surrogacy and parental rights in the U.K.

Surrogacy Arrangements Act: http://www.opsi.gov.uk/RevisedStatutes/Acts/ukpga/1985/cukpga_19850049_en_1

Human Fertilisation and Embryology Act 1990:
http://www.opsi.gov.uk/Acts/acts1990/ukpga_19900037_en_1

While these statues have been in effect for quite some time, following the ruling In Re X and Y case and recent events gaining media attention, the attention to and awareness of these statutues has increased.

Summary of the U.K. Law & Position on Surrogacy

Surrogacy Arrangements Act:  Under the Surrogacy Arrangements Act, a surrogacy agreement is not enforceable in the U.K. and it is prohibited for a third party to broker a “commercial surrogacy” arrangement.  Therefore, current best practice is to categorize/characterize payments to the surrogate as living expense reimbursements similar to an adoption or to arrange an unpaid surrogacy.

Human Fertilisation and Embryology Act 1990 (HFEA):  Even though the surrogacy arrangement would be lawful in the United States, the U.K. law will govern the parental establishment following a surrogacy, as the HFEA specifically applies to surrogacies within and outside of the U.K.

Under the HFEA, a surrogate would be legally considered the “mother” of the child and has an absolute right to object to parental rights being given to someone else even if the intended parents and surrogate have obtained a parental order in the U.S.  The surrogate may provide her consent; however, during the course of the intended parent’s application for a parental order in the U.K. (if the surrogate is married, her husband must provide his consent as well).  Once the surrogate gives her consent under U.K. law, the intended parents can obtain their U.K. parental order (provided other requirements are met as well). Therefore, the intended parents should make an application to the U.K. court, submit the necessary consents, and obtain a U.K. parental order, because the surrogate (and the surrogate’s husband if she’s married) will not be deemed to have fully relinquished her (their) rights until a U.K. parental order is in place.

U.K. Parental Order Process

As part of the U.K. Parental Order application process, the High Court will review the surrogacy agreement and will review the U.S. parental order as “expert evidence from the surrogate country.”  A U.S. court order of parental rights will not carry full (or possibly any) legal weight; although, the High Court may consider it, if for nothing else, to determine whether the process that the intended parents completed in the U.S. is considered legal in the United States.

In reviewing the surrogacy agreement, the High Court will consider the underlying financial arrangement. As mentioned above, U.K. law prohibits compensation and only permits payment of expenses reasonably incurred. However, the court, upon review, can retroactively allow reimbursement which goes beyond this so long as it is not disproportionate (in the court’s eyes). The High Court will also require, as mentioned above, consents from the surrogate and her husband if she is married.  Under U.K. law, the surrogate cannot give her consent until six (6) weeks after the birth (this is considered a “cooling off” period for careful and full reflection of the “rights” she is perceived to be giving up). A surrogate’s husband does not have to wait six (6) weeks to provide his consent.

Very important: The application for a parental order must be lodged within 6 months of the birth. This time limit cannot be extended. The High Court (and these cases are typically heard in London) will typically schedule a hearing and issue its order anywhere between 3 and 9 months from the date of lodging the application.

Who can apply for a parental order?

Under the HFEA and recent amendments to the HFEA, married couples, heterosexual couples who are not married and same-sex couples whether or not they are in a civil partnership (U.K. civil union) can apply for a U.K. parental order, but at least one of the Intended Parents must be domiciled in the U.K. The recent amendments to the HFEA, which take effect on April 6, 2010, expanded application to unmarried heterosexual couples and same-sex couples, and there is a provision allowing for retroactive applications for a parental order for these couples (which is an important step forward since the HFEA otherwise contains no provisions for an extension of the time limit (6 months) to apply for a parental order).

Single parents cannot apply for a U.K. parental order. Single parents will need to adopt or may be able to apply for what’s called a “residence order”, although it really depends on the situation: If the single parent is a man whose sperm has been used and the surrogate is not married, he would not need to do anything further (but technically he would share parental responsibility with the surrogate without further order of a court on the issue of his parental rights).

In summary, we strongly recommend that intended parents returning to the U.K., make plans to apply for a U.K. parental order upon their return. U.K. intended parents should be speaking with experienced attorneys in the U.K. as early as possible in their surrogacy process, for advice that is specific to their situation and for information on estimated costs of the legal process in the U.K. (which could range from £10k to £50k).

Immigration and Citizenship Issues

Another and potentially more pressing issue for U.K. intended parents are the immigration and citizenship issue. This may not be so apparent at first. First and foremost, all intended parents from other countries should speak to a local immigration attorney as early as possible in their surrogacy process to educate themselves on how to prepare to return home and naturalize their child.

A child born in the U.S. is automatically a U.S. citizen and can obtain a U.S. passport for the purpose of flying home upon the presentation of a completed passport application and the child’s birth certificate. The recent increased scrutiny and awareness of foreign surrogacies, however, has caused immigration officials at Heathrow to start asking questions of people returning to the U.K. with a child that was born in another country and, in some cases, detaining them or prohibiting their re-entry.

Some intended parents (straight couples and single mothers) may be able to simply re-enter the U.K. with the child on a U.S. passport without any questions at customs.  However, if the intended parents are a same sex couple, or a single male, there may be more questions by the customs agent, so preparation is essential.  All new U.K. intended parents through surrogacy must be prepared to state their plans to naturalize their child and will have a limited amount of time to do so once they return.  If the intended parents are prepared, have spoken to local counsel and have appropriate U.S. documentation with them upon their return to the UK (birth certificate, court order, U.S. passport for the child, etc.), then the likelihood of being detained or prohibited re-entry is much lower.

Naturalizing the Child as a U.K. Citizen

Technically, because U.K. law requires a U.K. parental order, and this order cannot be applied for until returning to the U.K. acquiring U.K. citizenship for the child prior to the return home could be problematic (unless the U.K. Home Office or the local consulate has given a discretionary or automatic grant of citizenship depending on the circumstances).  If the surrogate is not married, and an intended father’s sperm was used and he is a U.K. citizen, then U.K. citizenship should be fairly automatic and routinely given upon return (either automatic citizenship or citizenship by descent), although there are some exceptions.

However, if the surrogate is married, U.K. law presumes the surrogate’s husband to be the father, therefore, the only way to bring the child in to the U.K. legally is with discretionary leave of the U.K. Home Secretary, which can take a long time to get and will probably be conditional on obtaining a U.K. parental order within 12 months (which is not guaranteed, e.g. if the surrogate then refuses to consent or the High Court does not grant the parental order). One other possibility is to apply for temporary entry clearance, which might or might not be granted and would likely be conditioned upon obtaining a parental order. In practice, the question may be one between going back to the U.K. pretty easily and being stuck abroad for a lengthy time…all based on whether the surrogate is single or married.  Also, consider that if for some reason the U.K. parental order is not granted at least the intended father (or one father in a same-sex couple) automatically “qualifies” as the child’s father under U.K. law if the surrogate is not married.

Conclusion

While in the past many couples may have re-entered the U.K. with their child (on a U.K. or U.S. passport) and not obtained a U.K. parental order, doing so may give rise to potentially serious complications, including but not limited to: government intervention; the surrogate making a claim for parental rights; the child’s rights of succession/inheritance may be challenged; and child custody determinations pursuant to a divorce may become more complicated and protracted.

The U.K. courts have not yet fully explored whether to give full faith and credit (comity) to foreign court judgments (in the In Re X and Y case there was no formal court process in the Ukraine to establish parentage as there would be in most U.S. states). As more U.K. parental order applications are filed, and the U.K. High Court provides additional guidance in this area, there may be further updates to the above information, but in any event, you should seek current advice from legal counsel in the U.K. and the U.S. regarding your specific situation at any given time. We hope that family formation through surrogacy in the U.K. evolves as it has in much of the United States.