HLS 24RS-1495 REENGROSSED 2024 Regular Session HOUSE BILL NO. 833 BY REPRESENTATIVES DAVIS, BOYD, BROWN, FREEMAN, FREIBERG, GREEN, HUGHES, LACOMBE, MANDIE LANDRY, LARVADAIN, NEWELL, TAYLOR, WILLARD, AND ZERINGUE AND SENATORS MI ZELL AND PRESSLY CIVIL/LAW: Provides relative to in vitro fertilization 1 AN ACT 2To amend and reenact R.S. 9:121 through 133, relative to in vitro fertilization; to provide 3 for definitions; to provide classification; to establish viability of an in vitro fertilized 4 human ovum; to provide qualifications; to provide immunity from civil liability and 5 criminal prosecution; and to provide for related matters. 6Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 9:121 through 133 are hereby amended and reenacted to read as 8follows: 9 §121. Human embryo; definition Definitions 10 A "human embryo" for the purposes of this Chapter is an in vitro fertilized 11 human ovum, with certain rights granted by law, composed of one or more living 12 human cells and human genetic material so unified and organized that it will develop 13 in utero into an unborn child. Notwithstanding any other law to the contrary and for 14 the purposes of this Chapter: 15 (1) "Human embryo" means a fertilized human ovum that is a biological 16 human being, with certain rights granted by law, composed of one or more living 17 human cells and human genetic material. 18 (2) "In vitro fertilized human embryo" means a human embryo created 19 through the in vitro fertilization process. Page 1 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 1 (3) Viability of an "in vitro fertilized human embryo." 2 (a) An in vitro fertilized human embryo is presumed to be viable unless and 3 until it is deemed non-viable as defined in this Section. 4 (b) An in vitro fertilized human embryo is deemed "non-viable" when it 5 fails to continue to develop after the first thirty-six hours from fertilization, except 6 when the embryo is in a state of cryopreservation. 7 §122. Uses of human embryo in vitro an in vitro fertilized human embryo 8 The use of a human ovum embryo fertilized in vitro is solely for the support 9 and contribution of the complete development of human in utero implantation. No 10 in vitro fertilized human ovum embryo will be farmed or cultured solely for research 11 purposes or any other purposes. The sale of a human ovum, fertilized human ovum, 12 or human embryo is expressly prohibited. 13 §123. Capacity 14 An A viable in vitro fertilized human ovum embryo exists as a juridical 15 person until such time as the in vitro fertilized ovum embryo is implanted in the 16 womb;, or at any other time when rights attach to an unborn child in accordance with 17 law. at which time rights attach as otherwise allowed by law. As a juridical person, 18 the viable in vitro fertilized human embryo shall have the capacity to sue or be sued 19 and is recognized as a separate entity apart from the medical facility or clinic where 20 it is housed or stored. 21 §124. Legal status Identification and confidentiality 22 As a juridical person, the in vitro fertilized human ovum embryo shall be 23 given an identification by the medical facility for use within the medical facility 24 which entitles such ovum to sue or be sued. The confidentiality of the in vitro 25 fertilization patient fertilized embryo and the patients from which it came shall be 26 maintained. Page 2 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 1 §125. Separate entity 2 An in vitro fertilized human ovum embryo as a juridical person is recognized 3 as a separate entity apart from the medical facility or clinic where it is housed or 4 stored. 5 §126. Ownership Direction and custody 6 An in vitro fertilized human embryo cannot be owned by the in vitro 7 fertilization patients who owe the in vitro fertilized human embryo a high duty of 8 care and prudent administration. An in vitro fertilized human ovum embryo is a 9 biological human being which is under the direction and custody of the patient and 10 is not the property of the physician which acts as an agent of fertilization, or the 11 facility which employs him the physician or the donors of the sperm and ovum. If the 12 in vitro fertilization patients express their identity, then their rights as parents as 13 provided under the Louisiana Civil Code will be preserved. If the in vitro fertilization 14 patients fail to express their identity, then the physician shall be deemed to be 15 temporary guardian of the in vitro fertilized human ovum until adoptive implantation 16 can occur. A court in the parish where the in vitro fertilized ovum is located may 17 appoint a curator, upon motion of the in vitro fertilization patients, their heirs, or 18 physicians who caused in vitro fertilization to be performed, to protect the in vitro 19 fertilized human ovum's rights. 20 §127. Responsibility 21 Any physician or medical facility who causes in vitro fertilization of a human 22 ovum embryo in vitro will be directly responsible for the in vitro safekeeping of the 23 fertilized ovum embryo. 24 §128. Qualifications 25 Only medical facilities meeting the standards of the American Fertility 26 Society American Society for Reproductive Medicine and the American College of 27 Obstetricians and Gynecologists and directed by a medical doctor licensed to 28 practice medicine in this state and possessing specialized training and skill in in vitro 29 fertilization also in conformity with the standards established by the American Page 3 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 1 Fertility Society or the American College of Obstetricians and Gynecologists shall 2 cause the in vitro fertilization of a human ovum to occur. No person shall engage in 3 in vitro fertilization procedures unless qualified as provided in this Section American 4 Society for Reproductive Medicine and the American College of Obstetricians and 5 Gynecologists as evidenced by double board certification or eligibility by the 6 American Board of Obstetrics and Gynecology in both Obstetrics and Gynecology 7 as well as Reproductive Endocrinology and Infertility shall cause the in vitro 8 fertilization of a human ovum to occur. No person shall engage in in vitro 9 fertilization procedures unless qualified as provided in this Section. 10 §129. Destruction 11 A viable in vitro fertilized human ovum embryo is a juridical person which 12 shall not be intentionally destroyed by any natural or other juridical person or 13 through the actions of any other such person. An in vitro fertilized human ovum that 14 fails to develop further over a thirty-six hour period except when the embryo is in a 15 state of cryopreservation, is considered non-viable and is not considered a juridical 16 person. 17 §130. Duties of donors donees 18 An in vitro fertilized human ovum is a juridical person which cannot be 19 owned by the in vitro fertilization patients who owe it a high duty of care and 20 prudent administration. If the in vitro fertilization patients renounce, by notarial act, 21 their parental rights for in utero implantation, then the in vitro fertilized human ovum 22 embryo shall be available for adoptive implantation donation in accordance with 23 written procedures of the facility where it is housed or stored. The in vitro 24 fertilization patients may renounce their parental rights in favor of another married 25 couple person, but only if the other couple person is willing and able to receive 26 assume the direction and control of the in vitro fertilized ovum embryo. No 27 compensation shall be paid or received by either couple person to renounce parental 28 rights. Constructive fulfillment of the statutory provisions for adoption in this state Page 4 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 1 shall occur when a married couple executes a notarial act of adoption of the in vitro 2 fertilized ovum and birth occurs. 3 §131. Judicial standard 4 In disputes arising between any parties regarding the in vitro fertilized ovum 5 embryo, the judicial standard for resolving such disputes is to be in the best interest 6 of the in vitro fertilized ovum dispute shall be resolved in accordance with the terms 7 and provisions of the in vitro fertilization agreement by the parties. If no such 8 agreement exists, then disputes shall be determined by a court of competent 9 jurisdiction and in the best interest of the in vitro fertilized embryo. 10 §132. Liability 11 A. Strict liability or liability of any kind including actions relating to 12 succession rights and inheritance shall not be applicable to any No physician, 13 hospital, in vitro fertilization clinic, manufacturer, provider of services, or their agent 14 who acts in good faith in the screening, collection, conservation, preparation, 15 transfer, or cryopreservation of the human ovum embryo fertilized in vitro for 16 transfer to the human uterus, including the provisions of goods or services relating 17 thereto, shall be subject to criminal prosecution or civil liability. Any immunity 18 granted by this Section is applicable only to an action brought on behalf of the in 19 vitro fertilized human ovum as a juridical person. Immunity granted by this Section 20 is applicable to all actions including actions relating to succession rights and 21 inheritance. 22 B. No physician, healthcare provider, hospital, in vitro fertilization clinic, 23 manufacturer, provider of services, or their agent who participates in the screening, 24 collection, conservation, preparation, transfer, analysis, storage, transportation, or 25 cryopreservation of the human ovum embryo fertilized in vitro for transfer to the 26 human uterus shall be subject to criminal prosecution except in cases of criminal 27 negligence. Page 5 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 1 §133. Inheritance rights 2 Inheritance rights will not flow to the in vitro fertilized ovum embryo as a 3 juridical person, unless the in vitro fertilized ovum embryo develops into an unborn 4 child that is born in a live birth, or at any other time when rights attach to an unborn 5 child in accordance with law. As a juridical person, the embryo or child born as a 6 result of in vitro fertilization and in vitro fertilized ovum embryo donation to another 7 couple does not retain its inheritance rights from the in vitro fertilization patients or 8 a donor of gametes used in the in vitro fertilization process, unless the donor is a 9 person from whom the child could otherwise inherit under laws of succession 10 notwithstanding the in vitro fertilization process. 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 Reengrossed 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. Page 6 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 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 an 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. Page 7 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 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 the physicians 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 it 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 provides that if in vitro fertilization patients renounce their parental rights by notorial act for in utero implantation, the in vitro fertilized human embryo shall be available for donation in accordance with written procedures of the facility where it is housed or stored. Proposed law also removes redundant language and changes present law to allow individuals the right to adopt a donated embryo. Proposed law 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, Page 8 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 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 adds "storage" to the list of acts by certain individuals provided by proposed law that is afforded immunity from criminal prosecution. Proposed law also includes an exception to immunity from criminal prosecution in instances of criminal negligence. 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. Page 9 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-1495 REENGROSSED HB NO. 833 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. The House Floor Amendments to the engrossed bill: 1. Add technical changes. 2. Provide that if in vitro fertilization patients renounce their parental rights by notorial act for in utero implantation, the in vitro fertilized human embryo shall be available for donation in accordance with written procedures of the facility where it is housed or stored. 3. Add "storage" to the list of acts by certain individuals provided by proposed law that is afforded immunity from criminal prosecution. 4. Include an exception to immunity from criminal prosecution in instances of criminal negligence. Page 10 of 10 CODING: Words in struck through type are deletions from existing law; words underscored are additions.