2023 -- S 0096 ======== LC000860 ======== S TATE OF RHODE IS LAND IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 2023 ____________ A N A C T RELATING TO HEALTH AND SAFETY -- EMBRYO SAFETY AND STORAGE Introduced By: Senators Miller, DiMario, Gu, Lawson, Valverde, and Lauria Date Introduced: February 01, 2023 Referred To: Senate Health & Human Services It is enacted by the General Assembly as follows: SECTION 1. Title 23 of the General Laws entitled "HEALTH AND SAFETY" is hereby 1 amended by adding thereto the following chapter: 2 CHAPTER 13.8 3 EMBRYO SAFETY AND STORAGE ACT OF 2023 4 23-13.8-1. Title. 5 This act shall be known as and may be cited as the “Embryo Safety and Storage Act of 6 2023.” 7 23-13.8-2. Findings. 8 The general assembly finds as follows: 9 (1) In vitro fertilization, commonly known as IVF, is a widely used method of assisted 10 reproductive technology (ART). ART has helped an estimated six million (6,000,000) couples in 11 the United States who have trouble getting or maintaining a pregnancy start families. 12 (2) IVF provides a pathway for people to parenthood. 13 (3) It is in the best interest of the people of this state to direct the department of health to 14 promulgate rules and regulations governing the storage of human eggs, pre-embryos, and embryos 15 in embryo storage facilities to guard against catastrophic storage system failure and the potential 16 loss of such specimens that may result from long-term power outages during storms and other 17 natural disasters. 18 23-13.8-3. Definitions. 19 LC000860 - Page 2 of 6 As used in this chapter, the following terms shall have the following meanings, unless the 1 context clearly indicates otherwise: 2 (1) "Department" means the Rhode Island department of health. 3 (2) "Director" means the director of the Rhode Island department of health. 4 (3) "Embryo storage facility" means a facility which cryopreserves and stores human eggs, 5 pre-embryos, and embryos for later use in in vitro fertilization, embryo transfer, gamete transfer, 6 pronuclear stage transfer and zygote transfer, and other procedures performed to achieve a 7 pregnancy or pregnancies. Embryo storage facility shall also include the office of a licensed health 8 care provider which stores human eggs, pre-embryos, or embryos. 9 (4) "Person" means any individual, corporation, company, association, organization, 10 society, firm, partnership, joint stock company, or the state or any political subdivision thereof. 11 23-13.8-4. Prohibited activities. 12 (a) No person shall conduct, maintain, or operate an embryo storage facility in this state 13 unless licensed by the department pursuant to the provisions of this chapter. A separate license shall 14 be required for each embryo storage facility location. The license shall be posted and displayed at 15 all times in a prominent location within the facility. No license issued pursuant to this chapter shall 16 be transferable. A change in the ownership of the facility shall require notification to the department 17 within fourteen (14) calendar days and reapplication for licensure. 18 (b) The department shall not license a person to conduct, maintain, or operate an embryo 19 storage facility pursuant to this chapter unless the department is satisfied that the person has 20 demonstrated good character, competency, and integrity, and has furnished such information to the 21 director as the director may require for this purpose. 22 23-13.8-5. Rules and regulations. 23 (a) The department shall promulgate rules and regulations governing the storage and care 24 of human eggs, pre-embryos, and embryos by an embryo storage facility in accordance with: 25 (1) Standards ISO 9001 and ISO 20387 of the International Organization for 26 Standardization; 27 (2) Standards for biorepositories established by the College of American Pathologists 28 Biorepository Accreditation Program; and 29 (3) The U.S. Food and Drug Administration guidance on current good tissue practices. 30 (b) The rules and regulations authorized by this section shall promote safety and best 31 practices among embryo storage facilities and, at a minimum prescribe standards governing the 32 operation, maintenance, and administration of embryo storage facilities the safety and adequacy of 33 the physical plant or the facilities compliance with state and local fire safety codes the number of 34 LC000860 - Page 3 of 6 staff and the qualifications of each staff member, the protection and safety of the equipment used 1 by embryo storage facilities to process and store human eggs, pre-embryos, and embryos, the 2 maintenance and confidentiality of records and furnishing of required information, the maintenance 3 of all appropriate accreditations and the establishment of a quality management program the review 4 of the scope of internal audits. 5 (c) The department shall conduct an on-site facility inspection and shall evaluate the 6 embryo storage facility to determine whether the facility complies with the provisions of this 7 chapter. 8 (d) The department shall have the authority to inspect and examine the physical plant or 9 facilities of an embryo storage facility and to inspect all documents, records, files, or other data 10 maintained pursuant to this chapter during normal operating hours and without prior notice. 11 (e) The department shall request the appropriate state and local fire, health, and building 12 officials to conduct examinations and inspections to determine compliance with state and local 13 ordinances, codes, and regulations by an embryo storage facility. The inspections shall be 14 conducted and the results reported to the department within sixty (60) days after the request. 15 (f) If an embryo storage facility meets the requirements of this chapter and the rules and 16 regulations promulgated hereunder, the department shall issue a license to the facility. A license 17 shall be valid for a period of one year and may be renewed at the end of that period, subject to 18 continued compliance with the provisions of this of this chapter. 19 (g) All rules and regulations promulgated pursuant to this chapter shall be adopted and 20 amended in accordance with chapter 35 of title 42 ("administrative procedures"). 21 23-13.8-6. Licensing of active facilities. 22 (a) Any person operating an embryo storage facility on or after the effective date of this 23 chapter or desiring to operate an embryo storage facility shall make application for licensure in the 24 manner and on the forms prescribed by the director. The license application form shall include, but 25 shall not be limited to, the following information: 26 (1) The name and address of the embryo storage facility, the operator of the facility, and 27 the staff; 28 (2) The qualifications of the staff members, each member of the board of directors of the 29 corporation, and the embryo storage facility operator; a description of the facility's premises and 30 facilities and the hours of its operation; and 31 (3) Any other information the director deems necessary to include on the license 32 application form. 33 (b) If an embryo storage facility meets the requirements of this chapter and of the rules and 34 LC000860 - Page 4 of 6 regulations promulgated hereunder, the department shall issue a license to the facility. A license 1 shall be valid for a period of one year and may be renewed at the end of that period, subject to 2 continued compliance with the provisions of this chapter. 3 23-13.8-7. Fees. 4 (a) The director shall establish a minimum fee to be paid by each embryo storage facility 5 at the time of application for a license and at every renewal of a license. 6 (b) The income received from licensure and renewal fees pursuant to this section shall be 7 appropriated to the department to effectuate the purposes of this chapter. 8 23-13.8-8. License revocation. 9 The department may deny, suspend, revoke, or refuse to renew a license for good cause, 10 including, but not limited to: 11 (1) Failure of an embryo storage facility or its operator to comply with the provisions of 12 this chapter; 13 (2) Violation of the terms and conditions of a license by an embryo storage facility or its 14 operator; 15 (3) Use of fraud or misrepresentation by an embryo storage facility or its operator in 16 obtaining a license or in the subsequent operation of the facility; 17 (4) Refusal by an embryo storage facility or its operator to furnish the department with 18 required files, reports, or records; or 19 (5) Refusal by an embryo storage facility or its operator to permit an inspection by an 20 authorized representative of the department during normal operating hours. 21 23-13.8-9. Hearings. 22 (a) The department, before denying, suspending, revoking, or refusing to renew a license, 23 shall give notice to the operator personally, or by certified or registered mail to the last known 24 address of the operator with return receipt requested. The notice shall afford the operator with an 25 opportunity to be heard in person or by an attorney, and to offer evidence pertinent to the subject 26 of the hearing. 27 (b) The hearing shall take place within sixty (60) days from the issuance or mailing of the 28 notice and shall be conducted in accordance with chapter 35 of title 42 ("administrative 29 procedures"). 30 23-13.8-10. Acting without a license. 31 Any person who operates or assists in the operation of an embryo storage facility which 32 does not have a license, who has used fraud or misrepresentation in obtaining a license or in the 33 subsequent operation of a facility, who offers, advertises, or provides any service not authorized by 34 LC000860 - Page 5 of 6 a valid license, or who violates any other provision of this chapter shall be guilty of a felony and 1 upon conviction thereof, shall be subject to a fine of up to five thousand dollars ($5,000), or 2 imprisonment for a period of up to two (2) years, or both. 3 SECTION 2. This act shall take effect on January 1, 2024 4 ======== LC000860 ======== LC000860 - Page 6 of 6 EXPLANATION BY THE LEGISLATIVE COUNCIL OF A N A C T RELATING TO HEALTH AND SAFETY -- EMBRYO SAFETY AND ST ORAGE *** This act would create the “Embryo Safety and Storage Act of 2023.” The act would require 1 the department of health to regulate and license embryo storage facilities. 2 This act would take effect on January 1, 2024. 3 ======== LC000860 ========