Louisiana 2024 2024 Regular Session

Louisiana House Bill HB833 Comm Sub / Analysis

                    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)]
HB 833 Engrossed	2024 Regular Session	Davis
Abstract: Provides relative to in vitro fertilization. 
Present law (R.S. 9:121) provides that a "human embryo" is an in vitro fertilized human ovum with
certain rights granted by law and composed of one or more living human cells and human genetic
material so unified and organized that it will develop in utero into an unborn child.  
Proposed law retains present law but restructures the definition to include specifications on viability
of an in vitro fertilized human embryo.  Proposed law provides that an in vitro fertilized human
embryo is presumed viable unless it fails to develop after the first 36 hours from fertilization except
in instances when the embryo is in a state of cryopreservation. 
 
Proposed law also changes the reference from an "in vitro fertilized human ovum" to an "in vitro
fertilized human embryo".
Present law (R.S. 9:122) provides that the use of a human ovum fertilized in vitro is solely for the
support and contribution of the complete development of human in utero implantation.  No in vitro
fertilized human ovum will be farmed or cultured solely for research purposes or any other purposes. 
The sale of a human ovum, fertilized human ovum, or human embryo is expressly prohibited.  
 
Proposed law changes the reference from an "in vitro fertilized human ovum" to an "in vitro
fertilized human embryo".
Present law (R.S. 9:123) provides that an in vitro fertilized human ovum exists as a juridical person
until such time as the in vitro fertilized ovum is implanted in the womb, or at any other time when
rights attach to an unborn child in accordance with law.  
Proposed law retains present law but makes some semantic changes.  Proposed law also emphasizes
the classification of an in vitro fertilized human embryo as a juridical person, separate from the
medical facility or clinic where it is housed or stored, that gives it the capacity to sue or be sued. 
Proposed law also changes the reference from an "in vitro fertilized human ovum" to an "in vitro
fertilized human embryo".
Present law (R.S. 9:124) classifies a human embryo as a juridical person that can sue or be sued. 
Present law also provides that the in vitro fertilized human ovum shall be given an identification by
the medical facility for use within the medical facility and provides confidentiality of the in vitro fertilization patient. 
Proposed law retains present law and removes redundant language. Proposed law also changes the
reference from an "in vitro fertilized human ovum" to an "in vitro fertilized human embryo".
Present law (R.S. 9:125) provides that an in vitro fertilized human ovum as a juridical person is
recognized as a separate entity apart from the medical facility or clinic where it is housed or stored. 
Proposed law retains present law but changes the reference from an "in vitro fertilized human ovum"
to "in vitro fertilized human embryo".
Present law (R.S. 9:126) provides that an in vitro fertilized human ovum is a biological human being
which is not the property of the physician which acts as an agent of fertilization, or the facility which
employs him or the donors of the sperm and ovum. 
Present law also provides rights to in vitro fertilization patients in circumstances when they either
express or do not express their identity.  In cases where the in vitro fertilization patients express their
identity, then their rights as parents as provided under the Civil Code will be preserved.  If the in
vitro fertilization patients fail to express their identity, then the physician shall be deemed to be
temporary guardian of the in vitro fertilized human ovum until adoptive implantation can occur.  
Present law authorizes a court in the parish where the in vitro fertilized ovum is located to appoint
a curator, upon motion of the in vitro fertilization patients, their heirs, or physicians who caused in
vitro fertilization to be performed, to protect the in vitro fertilized human ovum's rights.  
Proposed law changes present law by stating that an in vitro fertilized human embryo is under the
direction and custody of the patient.  Proposed law further establishes that an in vitro fertilized
human embryo cannot be owned by the in vitro fertilization patients and that the patients owe the
in vitro fertilized human embryo a high duty of care and prudent administration.
Proposed law also removes provisions that establishes guardianship over an in vitro fertilized human
embryo in certain circumstances and references to appointment of a curator on behalf of a in vitro
fertilized human embryo.
Proposed law also changes the reference from an "in vitro fertilized human ovum" to an "in vitro
fertilized human embryo". 
Present law (R.S. 9:127) provides that any physician or medical facility who causes in vitro
fertilization of a human ovum in vitro will be directly responsible for the in vitro safekeeping of the
fertilized ovum. 
Proposed law retains present law but changes the reference from an "in vitro fertilized human ovum"
to an "in vitro fertilized human embryo". Present law (R.S. 9:128) provides qualifications for medical professionals and facilities  engaged in
in vitro fertilization procedures and prohibits those who do not meet the qualifications from
providing in vitro fertilization services. 
Proposed law retains present law but updates the authoritative bodies and increases the qualifications
of physicians to be double board certified or eligible in order for them to render in vitro fertilization
services. 
Present law (R.S. 9:129) provides that a viable in vitro fertilized human ovum is a juridical person
which shall not be intentionally destroyed by any natural or other juridical person or through the
actions of any such person.  Present law also provides that an in vitro fertilized human ovum is non-
viable and is not a juridical person when fails to develop further over a 36-hour period except when
the embryo is in a state of cryopreservation. 
Proposed law removes redundant language.  Proposed law also changes the reference from an "in
vitro fertilized human ovum" to an "in vitro fertilized human embryo".
Present law (R.S. 9:130) provides that an in vitro fertilized human ovum is a juridical person which
cannot be owned by the in vitro fertilization patients who owe it a high duty of care and prudent
administration.  
Present law also provides that if the in vitro fertilization patients renounce by notarial act their
parental rights for in utero implantation, then the in vitro fertilized human ovum shall be available
for adoptive implantation in accordance with written procedures of the facility where it is housed or
stored.  Present law provides that the in vitro fertilization patients may renounce their parental rights
in favor of another married couple only if the other couple is willing and able to receive the in vitro
fertilized ovum.  
Present law also provides that no compensation shall be paid or received by either couple to
renounce parental rights and that constructive fulfillment of the statutory provisions for adoption in
this state shall occur when a married couple executes a notarial act of adoption of the in vitro
fertilized ovum and birth occurs.  
Proposed law removes redundant language and changes present law to allow individuals the right
to adopt a donated embryo.  Proposed law also changes the reference from an "in vitro fertilized
human ovum" to "in vitro fertilized human embryo".
Present law (R.S. 9:131) provides that disputes arising between any parties regarding the in vitro
fertilized ovum, the judicial standard for resolving such disputes is to be in the best interest of the
in vitro fertilized ovum.  
Proposed law changes the reference to an in vitro fertilized human ovum to in vitro fertilized human
embryo.  Proposed law also changes present law by providing that if an in vitro fertilization
agreement exists, parties in dispute shall resolve in accordance with the terms and provisions of the
agreement first before utilizing the courts.  Present law (R.S. 9:132) provides that any physician, hospital, in vitro fertilization clinic, or their
agent who acts in good faith shall not be held strictly liable or liable in any action relating to
succession rights and inheritance for the screening, collection, conservation, preparation, transfer,
or cryopreservation of the human ovum fertilized in vitro for transfer to the human uterus.  
Present law also provides that any immunity granted by present law is applicable only to an action
brought on behalf of the in vitro fertilized human ovum as a juridical person. 
Proposed law retains present law and changes the reference to an in vitro fertilized human ovum to
in vitro fertilized human embryo.  Proposed law also provides civil and criminal immunity from
liability and extends the protection to manufacturers and providers of services related to in vitro
fertilization. 
Proposed law also defines "good faith" as use of reasonable care and diligence, along with the best
judgment, in the application of skill when in vitro fertilization services are rendered to a patient from
any physician, hospital, in vitro fertilization clinic, or an agent of any of the persons or entities
provided by proposed law.
Proposed law further defines "good faith" as the standard of care required of every physician,
hospital, in vitro fertilization clinic, manufacturer, provider of services, or an agent thereof in
rendering in vitro fertilization services to a patient.  The standard of care shall be exercised to that
degree of skill ordinarily employed, under similar circumstances, by the members of this profession
in good standing in the same community or locality.
Proposed law also provides that any limitation of liability provided by proposed law shall not apply
in instances when an in vitro fertilized human embryo is rendered non-viable as a result of gross
negligence or willful misconduct.
Present law (R.S. 9:133) provides inheritance rights to an in vitro fertilized human ovum in certain
circumstances.
Proposed law retains present law but changes the reference from an "in vitro fertilized human ovum"
to "in vitro fertilized human embryo".
(Amends R.S. 9:121 through 133)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Civil Law and Procedure to the
original bill:
1. Add technical changes.
2. Change "in vitro fertilized human ovum" to "in vitro fertilized human embryo" throughout proposed law. 
3. Add a definition of viability in reference to an in vitro fertilized human embryo.
4. Provide that an in vitro fertilized human embryo cannot be owned by the in vitro
fertilization patient who owes the in vitro fertilized human embryo a high duty of care
and prudent administration.
5. Remove language stating that a fertilized human ovum represents the potential for
development into a biological human being.
6. Provide that an in vitro fertilized human embryo is under the direction and custody of the
in vitro fertilization patients.
7. Enable individuals the right to adopt a donated embryo.
8. Provide that disputes arising between any parties regarding an in vitro fertilized human
embryo be resolved by the terms and provisions of the in vitro fertilization agreement
before utilizing the courts.
9. Include a definition of "good faith" regarding the liability of a physician, hospital, in vitro
fertilization clinic, or their agent to an in vitro fertilized human embryo.
10.Establish that immunity from liability shall not apply in cases of gross negligence or
willful misconduct. 
11.Extend civil and criminal immunity from liability to manufacturers and providers of
services related to in vitro fertilization. 
12.Emphasize that an in vitro fertilized human embryo is a juridical person.