HLS 14RS-813 ENGROSSED Page 1 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2014 HOUSE BILL NO. 187 BY REPRESENTATIVE LOPINTO AND SENATOR GARY SMI TH CHILDREN: Provides for surrogacy regulation in Louisiana AN ACT1 To amend and reenact R.S. 14:286(D), R.S. 40:34(B)(1)(a)(viii), (h)(v), (i), and (j), and R.S.2 44:4.1(B)(26), to enact Chapter 1-C of Code Title IV, of Code Book III, of Title 93 of the Louisiana Revised Statutes of 1950, to be comprised of R.S. 9:2718 through4 2720.15, R.S. 14:286(E), and Part VII of Chapter 2 of Title 40 of the Louisiana5 Revised Statutes of 1950, to be comprised of R.S. 40:93 through 97, and to repeal6 R.S. 9:2713, relative to surrogacy; to provide for amendments to birth certificates;7 to provide for definitions relative to surrogacy contracts; to provide for genetic8 surrogacy contracts; to provide for the enforceability of gestational surrogacy9 contracts; to provide for the parties to a gestational surrogacy contract; to provide for10 contractual requirements for a gestational surrogacy contract; to provide for a11 proceeding to approve a gestational surrogacy contract; to provide for the check of12 the criminal records of the parties to a gestational surrogacy contract; to provide for13 an order preceding embryo transfer relative to a gestational surrogacy contract; to14 provide for matters relative to multiple attempts at in utero embryo transfer; to15 provide for confidentiality of the proceedings relative to a gestational surrogacy16 contract; to provide for continuing and exclusive jurisdiction to the proceedings17 relative to a gestational surrogacy contract; to provide for the termination of a18 gestational surrogacy contract by notice; to provide for remedies for the failure to19 perform under a gestational surrogacy contract; to provide for the termination of a20 HLS 14RS-813 ENGROSSED HB NO. 187 Page 2 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. gestational surrogacy contract and for the effects of divorce, nullity, and death on a1 gestational surrogacy contract; to provide for the effect of a subsequent marriage of2 the gestational mother on a gestational surrogacy contract; to provide for a post-birth3 order; to provide for DNA testing when the child is alleged not to be the child of the4 intended parents; to provide for time limitations and finality; to prohibit certain acts5 relative to a gestational surrogacy contract occurring on or after the effective date;6 to provide for data collection; and to provide for related matters.7 Be it enacted by the Legislature of Louisiana:8 Section 1. Chapter 1-C of Code Title IV, of Code Book III, of Title 9 of the9 Louisiana Revised Statutes of 1950, comprised of R.S. 9:2718 through 2720.15, is hereby10 enacted to read as follows:11 CHAPTER 1-C SURROGACY CONTRACTS12 PART I. DEFINITIONS13 §2718. Definition of terms14 As used in this Chapter, the following terms shall have the meanings ascribed15 to them in this Section unless otherwise provided for or unless the context otherwise16 indicates:17 (1) "Compensation" means a payment of money, objects, services, or18 anything else having monetary value. Compensation shall not include19 reimbursement of actual expenses, as provided for in R.S. 9:2720.5(B)(3), to the20 gestational mother or payment for goods or services incurred by the intended parents21 as a result of the pregnancy and that would not have been incurred but for the22 pregnancy.23 (2) "Gamete" means either a sperm or an egg.24 (3) "Genetic surrogacy" means the process by which a woman attempts to25 carry and give birth to a child using her own gametes and either the gametes of a26 person who intends to parent the child or donor gametes, when there is an agreement27 to relinquish the custody of and all rights and obligations to the child.28 HLS 14RS-813 ENGROSSED HB NO. 187 Page 3 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (4) "Gestational surrogacy" means the process by which a woman attempts1 to carry and give birth to a child born as a result of in utero transfer of a human2 embryo who has no genetic contribution from the gestational mother.3 (5) "Gestational mother" means a woman who agrees to engage in a4 gestational surrogacy.5 (6) "In utero embryo transfer" means the medical procedure whereby the6 genetic mother's egg is fertilized with the sperm of the genetic father, with the7 resulting embryo transferred into the uterus of the gestational carrier.8 (7) "Intended parents" means a man and a woman who are married to each9 other in accordance with Louisiana law who contribute their gametes and who enter10 into an enforceable gestational surrogacy contract, as defined in this Chapter, with11 a gestational mother pursuant to which they will be the legal parents of the child12 resulting from that assisted reproduction.13 PART II. GENETIC SURROGACY14 §2713. 2719. Contract for surrogate motherhood genetic surrogacy; nullity15 A. A contract for surrogate motherhood as defined herein genetic surrogacy16 shall be absolutely null and shall be void and unenforceable as contrary to public17 policy.18 B. "Contract for surrogate motherhood" means any agreement whereby a19 person not married to the contributor of the sperm agrees for valuable consideration20 to be inseminated, to carry any resulting fetus to birth, and then to relinquish to the21 contributor of the sperm the custody and all rights and obligations to the child.22 PART III. GESTATIONAL SURROGACY23 §2720. Enforceability of gestational surrogacy contract24 A. In accordance with the requirements of this Part, an agreement to be25 known as a gestational surrogacy contract is enforceable only if it is in writing and26 signed by the gestational mother, her spouse if she is married, and both of the27 intended parents.28 HLS 14RS-813 ENGROSSED HB NO. 187 Page 4 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. B. A gestational surrogacy contract is enforceable only if approved by a1 court in advance of in utero embryo transfer, and is in accordance with all of the2 requirements of this Part.3 C. No person shall enter into a gestational surrogacy contract for4 compensation as defined in R.S. 9:2718 or that is not in compliance with all of the5 requirements of this Part. Any such contract executed in the state of Louisiana or6 any other state shall be absolutely null and unenforceable in the state of Louisiana7 as contrary to public policy.8 D. No person shall enter into a gestational surrogacy contract that requires9 the gestational mother to consent to terminate a pregnancy resulting from in utero10 embryo transfer for any reason, including a prenatal diagnosis of an actual or11 potential disability, impairment, genetic variation, or any other health condition or12 a discrimination based on gender, or for the purposes of the reduction of multiple13 fetuses. Any such provision in a contract executed in the state of Louisiana or any14 other state shall be absolutely null and unenforceable in the state of Louisiana as15 contrary to public policy.16 §2720.1. Parties to a gestational surrogacy contract17 A gestational mother shall, at the time the gestational surrogacy contract is18 executed:19 (1) Be at least twenty-five years of age, and no older than thirty-five years20 of age.21 (2) Have given birth to at least one child.22 §2720.2. Contractual requirements23 A. In an enforceable gestational surrogacy contract, the gestational mother24 shall:25 (1) Agree to become pregnant by means of in utero embryo transfer, using26 the gametes of the intended parents, and to give birth to the resulting child.27 (2) Agree to reasonable medical evaluation and treatment during the term of28 the pregnancy, to adhere to reasonable medical instructions about prenatal health,29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 5 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. and to execute medical records releases under R.S. 40:1299.96 in favor of the1 intended parents.2 (3) Certify that prior to executing the gestational surrogacy contract she has3 undergone at least two counseling sessions, separated by at least thirty days, with a4 licensed clinical social worker, licensed psychologist, medical psychologist, licensed5 psychiatrist, or licensed counselor, to discuss the proposed surrogacy.6 (4) Certify, along with her spouse if she is married, that she will relinquish7 all rights and duties as the parents of a child born as a result of in utero embryo8 transfer.9 B. In an enforceable gestational surrogacy contract, the intended parents10 shall be a man and woman who are married to each other in accordance with11 Louisiana law and shall certify in writing that they:12 (1) Acknowledge that the gestational mother has sole authority with respect13 to medical decision-making during the term of the pregnancy consistent with the14 rights of a pregnant woman carrying her own biological child.15 (2) Agree to accept custody of and to assume full parental rights and16 responsibilities for the child immediately upon the child's birth, regardless of any17 impairment of the child.18 (3) Be recognized as the legal parents of the child.19 C. The gestational surrogacy contract shall include a preliminary estimate20 of anticipated expenses and their allocation in accordance with R.S. 9:2720.5.21 §2720.3. Proceeding to approve surrogacy contract22 A. Prior to in utero embryo transfer, the intended parents or the gestational23 mother and her husband, if she is married, may initiate a summary proceeding in the24 court exercising jurisdiction over the adoption of minors where the intended parents25 or the gestational mother reside, seeking to have the court approve a gestational26 surrogacy contract.27 B. A proceeding to approve a gestational surrogacy contract shall be28 maintained only if:29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 6 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1) The gestational carrier and each of the intended parents have been1 domiciled in this State for at least one hundred eighty days.2 (2) The intended parents, the gestational mother, and her spouse, if she is3 married, are all parties to the proceeding.4 (3) A copy of the proposed gestational surrogacy contract is attached to the5 motion.6 (4) An independent board certified physician in obstetrics and gynecology7 or in reproductive endocrinology,who has medically treated the intended mother over8 a period of time such that the physician is competent to reach medical conclusions9 about the intended mother's medical condition and submits a signed affidavit10 certifying that in utero embryo transfer with a gestational mother is medically11 necessary to assist in reproduction.12 (5) For purposes of this Section, "medically necessary" means that the13 intended mother has been diagnosed to be infertile, or to have a physical condition14 such that a pregnancy would create serious risk of death or substantial and15 irreversible impairment of a major bodily function beyond the risk customary to16 pregnancy and child birth.17 §2720.4. Institution of records check18 A. Upon the initiation of the summary proceeding, the court shall:19 (1) Order and be entitled to the criminal history record and identification files20 of the Louisiana Bureau of Criminal Identification and Information on each of the21 intended parents and the gestational mother and her spouse, if she is married, as a22 means of performing background checks on those individuals. The bureau shall,23 upon request and after receipt of fingerprint cards and other identifying information24 from the court, make available to the court information contained in the bureau's25 criminal history record and identification files, which pertains to each of the intended26 parents and the gestational mother and her spouse, if she is married. In addition, in27 order to determine an applicant's suitability, the fingerprints shall be forwarded by28 the bureau to the Federal Bureau of Investigation for a national criminal history29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 7 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. record check. The bureau shall charge a processing fee as provided in R.S.1 15:587(B)(1).2 (2) Order that the Department of Children and Family Services conduct a3 records check for validated complaints of child abuse or neglect in this or any other4 state in which either of the intended parents and the gestational mother and her5 spouse, if she is married, has been domiciled since becoming a major.6 (3) Order that the Judicial Administrator's Office of the Louisiana Supreme7 Court conduct a records check for court orders entered into the Louisiana Protective8 Order Registry involving each of the intended parents and the gestational mother and9 her spouse, if she is married.10 B. Each order shall state the full name, date of birth, social security number,11 and former and current state of domicile since becoming a major of each subject of12 the check.13 C. The sheriff or the office of state police, Louisiana Bureau of Criminal14 Identification and Information, the Department of Children and Family Services, and15 the Judicial Administrator's Office of the Louisiana Supreme Court shall accord16 priority to these orders and shall provide a certificate to the court indicating all17 information discovered, or that no information has been found.18 §2720.5. Order Preceding Embryo Transfer19 A. Within sixty days of the initiation of a proceeding to approve a gestational20 surrogacy contract, the court shall set the matter for hearing, and after the hearing21 may issue an order, known as the Order Preceding Embryo Transfer, approving the22 gestational surrogacy contract and declaring that the intended parents shall be23 recognized as the legal parents of a child born pursuant to the gestational surrogacy24 contract.25 B. The court shall issue an Order Preceding Embryo Transfer upon finding26 that:27 (1) The requirements of R.S. 9:2720-2720.3 have been satisfied and the28 reports of criminal records, validated complaints of child abuse or neglect, and29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 8 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Louisiana Protective Order Registry checks show that there is no risk of harm to the1 child or the gestational mother.2 (2) Provisions have been made for all reasonable healthcare and legal3 expenses associated with the gestational surrogacy contract until the birth of the4 child, including responsibility for those expenses if the contract is terminated.5 (3) The gestational mother will receive no compensation other than:6 (a) Actual medical expenses, including hospital, testing, nursing, midwifery,7 pharmaceutical, travel, or other similar expenses, incurred by the gestational mother8 for prenatal care and those medical and hospital expenses incurred incident to the9 birth.10 (b) Actual expenses incurred for mental health counseling services provided11 to the gestational mother prior to the birth and up to six months after birth.12 (c) Actual lost wages of the gestational mother, not covered under a13 disability insurance policy, when bed rest has been prescribed for the gestational14 mother for some maternal or fetal complication of pregnancy and the gestational15 mother, who is employed, is unable to work during the prescribed period of bed rest.16 (d) Actual travel costs related to the pregnancy and delivery, court costs, and17 attorney fees incurred by the gestational mother.18 (e) Payment of a judicially sanctioned settlement or judgment rendered in19 favor of the gestational mother or her heirs as a result of her death, loss of20 reproductive organs or capability, or any other health complication caused by the in21 utero embryo transfer, pregnancy or resulting childbirth, miscarriage, or termination22 of pregnancy.23 (4) The parties understand the contract and give free consent.24 §2720.6. Multiple embryo transfer attempts25 If there are multiple attempts at in utero embryo transfer, the gestational26 surrogacy contract and the Order Preceding Embryo Transfer shall continue in full27 force and effect in accordance with the parties' agreement until terminated under R.S.28 HLS 14RS-813 ENGROSSED HB NO. 187 Page 9 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. 9:2720.9 or 2720.11, or until a live birth occurs pursuant to the gestational surrogacy1 contract.2 §2720.7. Confidentiality3 All proceedings governed by this Chapter shall be heard by the judge in4 chambers or in a closed hearing, and no one shall be admitted to the hearings except5 the parties in interest, their attorneys, and officers of the court. The court, in its6 discretion, may grant the request of a petitioner to permit others to be present at the7 hearing. The court records of these proceedings and the identities of the parties to8 a gestational surrogacy contract shall be sealed and are subject to disclosure, release,9 or inspection only upon application to the court and in conformity with the10 applicable requirements of confidentiality applicable to adoptions in the Children's11 Code.12 §2720.8. Continuing and exclusive jurisdiction13 Subject to the jurisdictional requirements of the Uniform Child Custody14 Jurisdiction and Enforcement Act, the court having jurisdiction over the proceeding15 to approve a gestational surrogacy contract pursuant to this Part shall have exclusive,16 continuing jurisdiction of all matters arising out of the gestational surrogacy contract.17 §2720.9. Termination of contract by notice18 A. Before each in utero embryo transfer, the gestational mother or either of19 the intended parents may terminate the gestational surrogacy contract by filing a20 motion with the court giving notice of termination and serving all other parties with21 the motion. Upon filing of the motion, the court shall issue an order vacating the22 Order Preceding Embryo Transfer.23 B. Neither a gestational mother nor her spouse, if she is married, is liable to24 the intended parents for terminating a gestational surrogacy contract pursuant to this25 Section.26 C. Absent timely notice of termination by an intended parent or the27 gestational mother, no court shall terminate an enforceable gestational surrogacy28 contract after issuance of a valid Order Preceding Embryo Transfer except for good29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 10 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. cause shown after a hearing. No court shall terminate a gestational surrogacy1 contract after a successful in utero embryo transfer.2 §2720.10. Remedies3 After in utero embryo transfer, a failure to perform under the gestational4 surrogacy contract does not give rise to the right to dissolution. The parties' rights5 and responsibilities are otherwise governed by the rules of the Titles on Obligations6 in General and Conventional Obligations or Contracts.7 §2720.11. Termination of contract and effects of divorce, nullity, death8 A judgment of divorce or judicial declaration of nullity of a marriage between9 the intended parents, entered before in utero embryo transfer, terminates the10 gestational surrogacy contract. Upon the filing of a motion notifying the court of the11 judgment of divorce or declaration of nullity, the court shall issue an order vacating12 the Order Preceding Embryo Transfer. If an intended parent dies before in utero13 embryo transfer, the deceased individual is not a parent of the resulting child unless14 the child was born within three years of the death of the decedent and the deceased15 agreed in writing that if the in utero embryo transfer were to occur after death, the16 deceased individual would be a parent of the child and that the child would have all17 rights, including the capacity to inherit from the decedent.18 §2720.12. Effect of subsequent marriage19 After the issuance of an Order Preceding Embryo Transfer, subsequent20 marriage of the gestational mother does not affect the validity of a gestational21 surrogacy contract. The consent of the spouse is not required, and he is not a22 presumed father of the resulting child, notwithstanding any legal presumption to the23 contrary.24 §2720.13. Post-Birth Order25 A. Upon birth of a child to a gestational mother within three hundred days26 after in utero embryo transfer, the intended parents or their successors, the27 gestational mother, or her spouse shall file a motion requesting issuance of a28 Post-Birth Order. The motion shall be accompanied by a certified copy of the child's29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 11 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. original birth certificate and an affidavit executed by the intended parents containing1 an accounting of fees and charges paid or agreed to be paid by or on behalf of the2 intended parents in connection with the gestational surrogacy contract.3 B. If neither the intended parents, their successors, the gestational mother,4 or her spouse file the motion described in Subsection A of this Section, the5 Department of Children and Family Services may file a motion notifying the court6 that a child has been born to the gestational mother within three hundred days after7 in utero embryo transfer and the court shall set the motion for hearing.8 C. The court may order a hearing and, after finding that the parties have9 complied with this Part, shall issue a Post-Birth Order:10 (1) Confirming that the intended parents are the legal parents of the child and11 are financially responsible for the child.12 (2) If necessary, ordering that the child be surrendered to the intended13 parents.14 (3) Directing that a new birth certificate be created and that the intended15 parents be listed on the birth certificate as the parents of the child pursuant to R.S.16 40:32 et seq., and that the original birth certificate be sealed and subject to release17 or inspection only upon application to the court for good cause shown.18 §2720.14. DNA testing19 If the child is alleged not to be the child of the intended parents, supported20 by a sworn affidavit alleging specific facts which either tend to prove or deny21 filiation, the court shall order genetic testing to determine the parentage of the child.22 If the court finds after a contradictory hearing that the child is the genetic child of the23 gestational mother, the court shall issue an order recognizing her as a legal parent of24 the child. If any party refuses to submit to such tests, the court may resolve the25 question of filiation against such party or enforce its order if the rights of others and26 the interests of justice so require.27 HLS 14RS-813 ENGROSSED HB NO. 187 Page 12 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. §2720.15. Finality; time limitations1 A. A party to the gestational surrogacy contract may bring an action to annul2 a Post-Birth Order. However, except as otherwise provided in this Part, no action3 to annul a Post-Birth Order may be brought except on the grounds of fraud or duress.4 B. An action to annul a Post-Birth Order based upon a claim of fraud or5 duress perpetrated by:6 (1) Anyone other than an intended parent shall be brought within one year7 from the date of the signing of the final decree or mailing of the notice of the8 judgment when required.9 (2) An intended parent shall be brought within two years from the date of the10 signing of the final decree or mailing of the notice of the judgment when required.11 Section 2. R.S. 40:34(B)(1)(a)(viii), (h)(v), (i), and (j) are hereby amended and12 reenacted to read as follows:13 §34. Vital records forms14 * * *15 B. The forms shall be printed and supplied or provided by electronic means16 by the state registrar and the required contents are:17 (1) Contents of birth certificate. The certificate of birth shall contain, as a18 minimum, the following items:19 (a) Full name of child.20 * * *21 (viii) In the case of a child born of a surrogate birth parent who is related by22 blood or affinity to a biological parent, as a result of an enforceable gestational23 surrogacy contract, as defined in R.S. 9:2720, the surname of the child's biological24 parents shall be the surname of the child.25 * * *26 (h)27 * * *28 HLS 14RS-813 ENGROSSED HB NO. 187 Page 13 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (v) In the case of a child born of a surrogate birth parent who is related by1 blood or affinity to a biological parent, as a result of an enforceable gestational2 surrogacy contract, as defined in R.S. 9:2720, the full name of the biological parent3 father who is proven to be the father by DNA testing shall be listed as the father.4 (i) Maiden name of mother; however, if the child was born of a surrogate5 birth parent who is related by blood or affinity to a biological parent, as a result of6 an enforceable gestational surrogacy contract, as defined in R.S. 9:2720, the maiden7 name of the biological parent mother who is proven to be the mother by DNA testing8 shall be listed as the mother and the name of the surrogate birth parent is not9 required.10 (j) In the case of a child born of a surrogate birth parent who is related by11 blood or affinity to a biological parent, as a result of an enforceable gestational12 surrogacy contract, as defined in R.S. 9:2720, the biological parents proven to be the13 mother and father by DNA testing shall be considered the parents of the child. 14 Section 3. R.S. 14:286(D) is hereby amended and reenacted and R.S. 14:286(E) is15 hereby enacted to read as follows:16 §286. Sale of minor children; penalties17 * * *18 D.(1) It shall be unlawful for any person to enter into, induce, arrange,19 procure, knowingly advertise for, or otherwise assist in a gestational surrogacy20 contract, whether written or unwritten, that is not in compliance with the21 requirements provided for in R.S. 9:2718, et seq.22 (2) No person acting on behalf of the parties to a gestational surrogacy23 contract shall make or agree to make any disbursements in connection with the24 gestational surrogacy contract other than the following:25 (a) Payment of actual medical expenses, including hospital, testing, nursing,26 midwifery, pharmaceutical, travel, or other similar expenses, incurred by the27 gestational mother for prenatal care and those medical and hospital expenses28 incurred incident to birth.29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 14 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) Payment of actual expenses incurred for mental health counseling1 services provided to the gestational mother prior to the birth and up to six months2 after birth.3 (c) Payment of actual lost wages of the gestational mother, not covered under4 a disability insurance policy, when bed rest has been prescribed for the gestational5 mother for some maternal or fetal complication of pregnancy and the gestational6 mother, who is employed, is unable to work during the prescribed period of bed rest.7 (d) Payment of actual travel costs related to the pregnancy and delivery,8 court costs, and attorney fees incurred by the gestational mother.9 D.E. A person convicted of violating any of the provisions of this Section10 shall be punished by a fine not to exceed fifty thousand dollars or imprisonment with11 or without hard labor for not more than ten years, or both.12 Section 4. Part VII of Chapter 2 of Title 40 of the Louisiana Revised Statutes of13 1950, comprised of R.S. 40:93 through 97, is hereby enacted to read as follows:14 PART VII. GESTATIONAL SURROGACY DATA COLLECTION15 §93. Gestational surrogacy data collection; purpose16 The purpose of this Part shall be the compilation of relevant maternal life and17 health factors and data concerning gestational surrogacy to the extent that it is18 authorized by law.19 §94. Forms for collection of data20 The state registrar shall prescribe forms for the collection of information and21 statistics with respect to enforceable gestational surrogacy contracts. Such forms22 shall require but not be limited to the following information:23 (1) The age, marital status, and state and parish of domicile of the gestational24 mother.25 (2) The parish in which the in utero embryo transfer took place.26 (3) The full name and address of the physician or physicians performing or27 attending to the following phases of the gestational surrogacy:28 (a) In utero embryo transfer.29 HLS 14RS-813 ENGROSSED HB NO. 187 Page 15 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) Prenatal and postnatal care.1 (c) Birth.2 (d) Miscarriage.3 (e) Induced abortion.4 (4) The age, marital status, and state and parish of domicile of the intended5 mother and father.6 (5) The medical reason necessitating the gestational surrogacy.7 (6) The medical procedures employed in the birth, miscarriage, or8 termination of pregnancy for medical emergency as defined by R.S. 40:1299.35.12.9 (7) The length and weight of the child born as a result of gestational10 surrogacy.11 (8) The length and weight of an unborn child miscarried after the initiation12 of a gestational surrogacy.13 (9) Other significant conditions or health complications of the fetus and14 mother.15 (10) The results of pathological examinations of any unborn child who died16 as a result of pregnancy complications or termination incidental to a gestational17 surrogacy.18 §95. Completion of forms; filing with vital records registry19 The physician performing the in utero embryo transfer or termination of the20 pregnancy by birth, miscarriage, or abortion shall provide the information required21 by the provisions of R.S. 40:94. Such completed forms shall be transmitted by the22 physician to the vital records registry within fifteen days of the performance of the23 medical procedures.24 §96. Failure to complete form; penalty25 The Department of Health and Hospitals shall promulgate by rule the penalty26 for the failure to complete the forms as provided in R.S. 40:95.27 HLS 14RS-813 ENGROSSED HB NO. 187 Page 16 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. §97. Confidentiality1 The vital statistics records required by this Part and the identities of the2 parties to a gestational surrogacy contract shall be confidential and shall not be3 subject to disclosure, release, or inspection except upon application to a competent4 court and in conformity with the applicable requirements of confidentiality5 applicable to adoptions in the Children's Code. The reporting of the data for public6 health purposes shall redact any identifying information and any public report shall7 indicate patient numbers as assigned pursuant to rules promulgated by the8 Department of Health and Hospitals.9 Section 5. R.S. 44:4.1(B)(26) is hereby amended and reenacted to read as follows:10 §4.1. Exceptions11 * * *12 B. The legislature further recognizes that there exist exceptions, exemptions,13 and limitations to the laws pertaining to public records throughout the revised14 statutes and codes of this state. Therefore, the following exceptions, exemptions, and15 limitations are hereby continued in effect by incorporation into this Chapter by16 citation:17 * * *18 (26) R.S. 40:3.1, 31.14, 31.27, 39.1, 41, 73, 94, 95, 526, 528, 1007, 1098.8,19 1232.7, 1299.6, 1299.35.10, 1299.44, 1299.85, 1299.87, 1300.14, 1300.54,20 1379.1.1(D), 1379.3, 2009.8, 2009.14, 2010.5, 2017.9, 2018, 2019, 2020, 2106,21 2109.1, 2138, 2532, 2845.122 * * *23 Section 6. R.S. 9:2713 is hereby repealed.24 Section 7. The provisions of Section 3 of this Act shall not apply to contracts entered25 into prior to the effective date of this Act.26 HLS 14RS-813 ENGROSSED HB NO. 187 Page 17 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Lopinto HB No. 187 Abstract: Prohibits genetic surrogacy contracts and certain gestational surrogacy contracts, provides for the enforceability of gestational surrogacy contracts, and provides for data collection of certain information relative to gestational surrogacy contracts. Present law provides that a contract for surrogate motherhood shall be absolutely null and shall be void and unenforceable as contrary to public policy. Present law provides that "Contract for surrogate motherhood" means any agreement whereby a person not married to the contributor of the sperm agrees for valuable consideration to be inseminated, to carry any resulting fetus to birth, and then to relinquish to the contributor of the sperm the custody and all rights and obligations to the child. Proposed law (R.S. 9:2718) defines the following terms: "compensation", "gamete", "genetic surrogacy", "gestational surrogacy", "gestational mother", "in utero embryo transfer", and "intended parents". Proposed law (R.S. 9:2719) provides that a contract for genetic surrogacy shall be absolutely null. Proposed law (R.S. 9:2720) provides that a gestational surrogacy contract is only enforceable if approved by a court before in utero implantation. Further prohibits a gestational surrogacy contract for compensation and prohibits a gestational surrogacy contract that requires the gestational mother to consent to terminate a pregnancy if prenatal testing reveals certain disabilities or to reduce multiple fetuses. Proposed law (R.S. 9:2720.1) requires a gestational mother to be at least 25 years of age, but not more than 35 years of age, and to have already given birth to at least one child at the time the gestational surrogacy contract is executed. Proposed law (R.S. 9:2720.2) requires the gestational mother to do the following in a gestational surrogacy contract: (1)Agree to become pregnant by in utero implantation, using the gametes of the intended parents, and give birth to the resulting child. (2)Agree to reasonable medical testing and instructions regarding prenatal health and to execute a medical records release in favor of the intended parents. (3)Certify that she has attended at least two counseling sessions, separated by at least 30 days, with a mental health professional prior to executing a gestational surrogacy contract. (4)Certify that she agrees to relinquish all rights of the child born as a result of the in utero implantation. If the surrogate is married, her spouse must also relinquish all rights. Proposed law further requires the intended parents to do the following in a gestational surrogacy contract: HLS 14RS-813 ENGROSSED HB NO. 187 Page 18 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1)Acknowledge that the gestational mother has sole authority with respect to medical decision making during the pregnancy. (2)Agree to accept custody and full parental rights of the child, regardless of any impairment of the child. (3)Be recognized as the legal parents of the child. Proposed law requires the parties to agree on a preliminary estimate of anticipated expenses. Proposed law (R.S. 9:2720.3) allows the parties to the gestational surrogacy contract to seek court approval of a gestational surrogacy contract before in utero implantation by initiating a summary proceeding in the court exercising jurisdiction over adoptions where the intended parents or gestational mother reside. Proposed law (R.S. 9:2720.4) requires the court to order background checks on each of the intended parents, the gestational mother, and her spouse, if married. Proposed law (R.S. 9:2720.5) requires the court to set a hearing within 60 days of the initiation of a proceeding to approve a gestational surrogacy contract, and requires the court to issue an Order Preceding Embryo Transfer approving the gestational surrogacy contract upon finding the following: (1)All requirements of proposed law regarding gestational surrogacy contracts have been satisfied and that the background checks show there is no risk of harm to the child or the gestational mother. (2)Provisions have been made for all reasonable health care and legal expenses associated with the gestational surrogacy contract. (3)The gestational mother will only be compensated for actual medical expenses, mental health counseling expenses, actual lost wages of the gestational mother due to prescribed bed rest, actual travel costs, and any monetary recovery obtained because of death or loss of reproductive organs or capability to gestational mother because of the in utero embryo transfer and pregnancy. (4)The parties understand the contract and give free consent. Proposed law (R.S. 9:2720.6) provides that the gestational surrogacy contract and the Order Preceding Embryo Transfer shall remain in full force and effect in accordance with the parties' agreement or until a live birth occurs when there are multiple attempts at in utero implantation. Proposed law (R.S. 9:2720.7) requires all proceedings and court records relative to the gestational surrogacy contract be held and maintained confidentially. Proposed law (R.S. 9:2720.8) provides for the continuing and exclusive jurisdiction of the court approving a gestational surrogacy contract for matters relative to a gestational surrogacy contract. Proposed law (R.S. 9:2720.9) allows the intended parents or the gestational mother to terminate a gestational surrogacy contract before in utero implantation by filing notice of termination with the court and serving all parties. Further provides that neither a gestational mother, nor her spouse, is liable to the intended parents for terminating a gestational surrogacy contract. Also prohibits the court from terminating a gestational surrogacy contract after issuing a valid Order Preceding Embryo Transfer, except for good cause, or after a successful in utero implantation. HLS 14RS-813 ENGROSSED HB NO. 187 Page 19 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law (R.S. 9:2720.10) provides for remedies for the failure to perform under a gestational surrogacy contract. Proposed law (R.S. 9:2720.11) requires the court to issue an order vacating the Order Preceding Embryo Transfer when a judgment of divorce or judicial declaration of nullity of a marriage between the intended parents is entered before in utero implantation. Further provides that an intended parent who dies before in utero implantation is considered a parent of a resulting child only when the child is born within three years of the death of the intended parent and the deceased agreed in writing that the deceased would be a parent of the child if the in utero implantation occurred after death. Proposed law (R.S. 9:2720.12) provides that the subsequent marriage of the gestational mother has no effect on the validity of a gestational surrogacy contract. Proposed law (R.S. 9:2720.13) requires the intended parents or the gestational mother to file a motion requesting issuance of a Post-Birth Order upon birth of a child within 300 days of in utero implantation. Authorizes DCFS to file the motion if the parties fail to do so. Proposed law requires the court to issue a Post-Birth Order, after finding the parties have complied with the requirements of proposed law, which shall contain the following: (1)Confirmation that the intended parents are the legal parents. (2)An order that the child be surrendered to the intended parents. (3)An order for the creation of a new birth certificate listing the intended parents as the parents of the child and for the original birth certificate to be sealed. Proposed law (R.S. 9:2720.14) provides for DNA testing when the child is alleged not to be the child of the intended parents. Proposed law (R.S. 9:2720.15) restricts the basis of annulment of a Post-Birth Order to allegations of fraud and duress. Requires an action to annul be brought within one year from the date of the signing of the final decree or mailing of the notice of judgment when it is alleged that someone other than the intended parents perpetrated the fraud or duress, or two years from the date of signing if an intended parent is alleged to have perpetrated the fraud or duress. Present law provides for the surname of the child, the name of the father, and the name of the mother when a child is born of a surrogate birth parent. Further limits a surrogate birth parent to one who "is related by blood or affinity to a biological parent". Proposed law retains present law except that it eliminates the provision limiting a surrogate birth parent to one who "is related by blood or affinity to a biological parent" and makes changes consistent with proposed law. Present law (R.S. 14:286) provides for the crime of sale of minor children, including selling or surrendering a minor child to another for money or anything of value, or paying for the procurement of an act of voluntary surrender for the adoption of a child. Proposed law retains present law and adds any act that is not in compliance with the requirements for gestational surrogacy contracts under R.S. 9:2718, et seq. to the enumerated list of actions constituting the crime of sale of minor children. Proposed law further prohibits application to those contracts already entered into on the effective date of this Act. HLS 14RS-813 ENGROSSED HB NO. 187 Page 20 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law (R.S. 40:94, et seq.) establishes a database collection system for information relative to gestational surrogacy contracts, including information pertaining to complications of pregnancy, miscarriages, or terminations. Provides procedures for the collection of data, penalties for failure to comply, and confidentiality of the data collected. Present law prohibits a "contract for surrogate motherhood" defined as any agreement whereby a person not married to the contributor of the sperm agrees for valuable consideration to be inseminated, to carry any resulting fetus to birth, and then to relinquish to the contributor of the sperm the custody and all rights and obligations to the child. Proposed law repeals present law. Effective Aug. 1, 2014. (Amends R.S.14:286(D), R.S. 40:34(B)(1)(a)(viii), (h)(v), (i), and (j), and R.S. 44:4.1(B)(26); Adds R.S. 9:2718-2720.15, R.S. 14:286(E), and R.S. 40:93-97; Repeals R.S. 9:2713) Summary of Amendments Adopted by House Committee Amendments Proposed by House Committee on Civil Law and Procedure to the original bill. 1. Added a definition for "compensation". 2. Changed terminology in proposed law from "gestational carrier" to "gestational mother". 3. Prohibited a gestational mother from being older than 35 years of age. 4. Defined "intended parents" as a man and woman who are married in accordance with Louisiana law. 5. Prohibited gestational surrogacy contracts for compensation and declared such a contract as absolutely null and unenforceable as against public policy. 6. Prohibited provisions of a gestational surrogacy contract from requiring a gestational mother to consent to terminating a pregnancy if prenatal testing reveals an actual or potential disability, for reducing multiple fetuses, or for discrimination based on gender. 7. Changed all "reasonable" expenses as compensation the gestational mother is allowed to receive to "actual" expenses and allowed gestational mother to receive compensation for her actual lost wages due to prescribed bed rest. Further authorized payment of a judicial recovery to the gestational mother or her heirs due to the death of the gestational mother or her loss of reproductive organs or capability due to the in utero embryo transfer, pregnancy or resulting childbirth, miscarriage, or termination. 8. Prohibited any person from entering into, inducing, arranging, procuring, knowingly advertising for, or otherwise assisting in a gestational surrogacy contract when the action is not in compliance with R.S. 9:2718, et seq. Provided for exceptions for certain persons making payment on behalf of the parties to a gestational surrogacy contract for the certain services and prohibited application to those contracts entered into before the effective date of this Act. HLS 14RS-813 ENGROSSED HB NO. 187 Page 21 of 21 CODING: Words in struck through type are deletions from existing law; words underscored are additions. 9. Created a database collection system for information relative to gestational surrogacy contracts, including information pertaining to complications of pregnancy, miscarriages, or terminations. Provided procedures for the collection of data, penalties for failure to comply, and confidentiality of the data collected. 10.Made numerous technical amendments to conform with the substantive changes.