Emergence Of Surrogacy And Assisted Reproductive Technology (Art) Laws In India- Recent Changes And Way Forward (BY- Roopa Surya Sri Gullepalli)
Emergence
Of Surrogacy And Assisted Reproductive Technology (Art) Laws In India- Recent
Changes And Way Forward
Authored By- Roopa Surya Sri
Gullepalli
Research Scholar (Ph.D.,)
Dr. B. R. Ambedkar College of Law
Andhra University, Visakhapatnam
Abstract:
The advent of science and technology
has brought a great change in the life of human beings. Assisted Reproductive
Technologies (ARTs) like In Vitro Fertilization (IVF), In Vitro
fertilization-embryo transfer (IVF-ET), Gamete Intrafallopian Transfer (GIFT),
Zygote Intrafallopian Transfer (ZIFT), and Frozen Embryo Transfer (FET) and
Surrogacy have made aspirations of parenthood come true for many childless or
intended couples who are unable to have their biological child. Being
economically affordable to the individuals, significantly low-cost medical
procedures, and the best medical services available, India has become one of
the top destinations for medical tourism and transnational surrogacy and was
also being referred to as the 'baby factory' of the world.
Constantlegislative efforts made by
the Government of India to protect the interests of the intended parents,
regulate surrogacy and curb the exploitation of women (surrogate) has led to
many changes in the surrogacy arrangements in India. The efforts to regulate
surrogacy in India have led to the enactment of the Surrogacy (Regulation) Act,
2021 and Assisted Reproductive Technology (Regulation) Act, 2021 which are an
amalgamation of ethical, social, legal, and scientific issues. This article
discusses how the newly enacted laws make difference in the present situation
in India. The article also discusses the emergence of Surrogacy Laws in India
and the reasons which led to the failure of proper regulation on surrogacy for
more than two decades. An attempt was made to evaluate the alternatives that
may be adopted and a few recommendations has been made for more meaningful and
just legislation and its implementation.
KEYWORDS:
Assisted Reproductive Technology
(ART), Commercial Surrogacy, Altruistic Surrogacy, Surrogacy (Regulation) Act,
2021, Assisted Reproductive Technology (Regulation) Act, 2021,
Surrogacy Laws in India.
Introduction:
Assisted Reproductive Technology
(ART) has advanced over the last few years and now it has been incredibly
available to all infertile or childless couples. Due to the reason that the
world's economy got expanded, many infertile couples were now able to afford
sophisticated ART treatment which led to a drastic increase in the number of
ART Clinics that provide care and treatment to the infertile couples. A few
examples of sophisticated treatment regimens include in vitro
fertilization-embryo transfer (IVF-ET), gamete intrafallopian transfer (GIFT),
zygote intrafallopian transfer (ZIFT), and frozen embryo transfer (FET). IVF-ET
has helped many couples conceive successfully. ART may be recommended when
other treatments (such as IUI-intrauterine insemination) have not been
successful or when there is severe male factor infertility, severe
endometriosis, or tubal obstruction[1].
Another form of ART available for
infertile couples to have their child is through the method of Surrogacy. The
word 'Surrogate' came from the Latin term ‘surrogatus’, past participle of
‘surrogare' which means 'to substitute' or 'appointed to act in the place of'.
Surrogacy is a process where a woman, without being her egg used in the
conception, carries a fetus throughout pregnancy and gives birth to a baby for
another person or couple. The woman who carries the fetus is called a
'surrogate' or 'gestational carrier.' The person or couple who is seeking to
parent the baby or babies is called the 'intended parents’. Hence, the
Surrogate mother becomes Pregnant and gives birth to a child with an intention
of giving away this child to the intended parents.
'Surrogacy’is an important fertility
treatment, wherein advent of in vitro fertilization (IVF) has made motherhood
possible for women without uterus, with uterine anomalies preventing
pregnancies, with serious medical problems, or with other contraindications for
pregnancy, to achieve motherhood through the use of embryo created by
themselves or donor and transferred to the uterus of gestational carrier[2].
This ART technique has helped not only infertile couples (who were facing
serious medical problems on becoming parents), but also many of the same-sex
male couples, transgender individuals or couples, prospective single males,
etc.,
TYPES OF SURROGACIES:
i.
Traditional
surrogacy is a type of surrogacy where the child is thereby genetically related
to both the surrogate mother who provides her own egg, and the intended father
or anonymous donor who is in turn regarded as the ‘biological mother’ who
relinquishes her rights on the child post giving birth to the child.
ii.
Gestational
surrogacy is a type of surrogacy where the surrogate does not provide the egg
for fertilization, however the embryo of the intended couples is transferred
into the womb of the surrogate mother. In this type of surrogacy, there will
not be any genetical link between the surrogate and the child.
History
Behind Surrogacy In India:
In order to promote medical tourism
in India, the 'Commercial Surrogacy' or 'Rent a Womb' practice was legalized in
India in the year 2002. In this process of Commercial Surrogacy Services, the
surrogate mother is compensated for her services in addition to the medical
expenses to meet her household expenses or by providing similar nature of
economical help which can help her during the process. The lack of Regulations,
low-cost infertility treatments/Clinics, and a large population of economically
weaker women has led India to be the largest hub for transnational surrogacy.
Currently, India is the largest producer of Commercial Surrogacy services in
the world.
In the Landmark
Judgment of Baby Manji Yamada v. Union of India[3],
a Japanese couple who wished to have a baby through surrogacy entered into a
'surrogacy contract' with an Indian woman in the city of Anand, Gujarat where
surrogacy was pioneered. The intended couple went through matrimonial discord
but the father still insisted on having custody of the child. Subsequently, the
surrogate mother has given birth to a girl child. Under Indian Laws, single
fathers cannot adopt a girl child. He sent his mother instead and a petition
was filed before the Supreme Court for having the child's custody. There were
no governing laws or regulations on Surrogacy at that time and hence, the Apex
Court directed that the 'National Commission for Protection of Child Rights' to
deal with this issue. Justice Arijit Pasayat and Justice Mukundakan Sharma of
the Supreme Court held that the father was the child's genetic father and he
was given custodial rights of the child. The Government was instructed to issue
the passport to the child (Baby Manji Yamada) and she returned with her grandmother.
The Supreme Court in this case has taken apro-contract stand and held that the
‘Surrogacy Agreement’ was valid in India and went on par with the validity of
Surrogacy in India.
In another Landmark
Case of Jan Balaz v. Anand Municipality[4],
a German couple who wished to have a baby through surrogacy entered into a
contract with a surrogate mother named Marthaben Immanuel Khrishti, and
simultaneously twins were born. The German couple were working in the United
Kingdom and were in need of Indian passports for their children to travel.
Indian passport authorities have withheld the passports of the children as
their citizenship has been litigated in the Indian Courts. Surrogacy was not
recognized in the parent state of the German Couple. The Apex Court denied
providing the passports of the Children but granted an exit permit and the
German authorities have decided to give the couple an opportunity to adopt the
children and fight for their rights. The Supreme Court of India also
recommended the emergent legislation of law on surrogacy in India.
In both the above
cases, the Supreme Court of India has taken a very pro-contract stand possibly
as a way of encouraging commercial surrogacy, which contributes millions of
dollars to India’s economy.In light of the above cases, it becomes clear that
there are many human rights issues involved in the ‘commercial surrogacy’ like
the rights of the intending parents, the rights of the donors, the rights of
the surrogate mother and also the rights of the child.
Evolution Of Surrogacy Laws In India:
In India, according to the National
Guidelines for Accreditation, Supervision, and Regulation of ART Clinics,
evolved in 2005 by the Indian Council of Medical Research (ICMR) and the
National Academy of Medical Sciences (NAMS), the surrogate mother is not
considered to be the legal mother. It also issued guidelines to regulate
surrogacy arrangements[5].
The guidelines further specified that:
i.
The
surrogate mother would be entitled to certain monetary compensation, the value
of which would be decided by the couple and the surrogate mother.
ii.
The
surrogate mother cannot donate her own egg for the surrogacy and that she must
relinquish all parental rights related to the surrogate child.
In 2008, The Indian Council of
Medical Research (ICMR) came out with a draft of legislation on Assisted
Reproductive Technologies Bill, 2008. The Law Commission of India in its 228th
report made its further suggestions on the issue of surrogacy in India and has
recommended prohibiting commercial surrogacy and allowing ethical altruistic
surrogacy by enacting a suitable legislation.
One of the prime reasons for
surrogacy services to bombard in India is poverty, which makes poor Indian
women rent their womb for money or other essential commodities. It has also bee
reiterated in the Law Commission Report for the need for Surrogacy Laws in
India. The Bill acknowledges surrogacy agreements and their legal
enforceability. This will ensure that surrogacy agreements are treated on par
with other contracts and the principles of the Indian Contract Act 1872 and
other laws will be applicable to these kinds of agreements. The Bill provides
that single persons may also go for surrogacy arrangements[6].
According to the provisions of the
Assisted Reproductive Technologies (ART) Bill, 2013- the first attempt by India
to regulate commercial surrogacy, no woman of the age less than 21 years and
more than 35 years can act as a surrogate mother. This bill leads to laying
down a few conditions and implications for the foreign couples who are willing
to opt for surrogacy in India. The compensation for the surrogacy as per the
guidelines by the ART Bill, 2013 draft legislation will be the private
negotiation between the surrogate mother and the commissioning or intended
couples. The ART Bill, 2013 also bars homosexual couples, foreign single
individuals, and the couple who were in a live-in relationship from having a
child through a surrogate mother in India.
After all the chaos that has taken
place on the lack of proper regulation and legislation on Surrogacy in India,
Surrogacy Bill came into existence which laid down the process for surrogacy
including foreign citizens who were approaching Clinics in India for surrogacy.
On 28th September 2015, ICMR directed all the Clinics in India not to assist
any foreign nationals in having a child through an Indian surrogate mother.
The
Surrogacy (Regulation) Bill, 2016:
On 21st November 2016 the Surrogacy
(Regulation) Bill, 2016 was presented before the Lok Sabha and the bill was
passed on 19th December 2016 which primarily focuses on focuses on prevention
of commercial surrogacy and the promotion of altruistic surrogacy. This bill
safeguards the surrogate mother and child from exploitation. According to the
provisions of the bill, any infertile married couple who is eligible in
accordance with the provisions of the bill can bear a child with the help of a
surrogate mother through surrogacy. However, the surrogate mother will not be
entitled to any monetary benefit or compensation for renting her womb to the
intended couple except for her medical and insurance expenses during pregnancy.
According to the Provisions of the
Surrogacy (Regulation) Bill, 2016:
i.
Section
2 provides for ‘Altruistic surrogacy’- means that the surrogacy in which no
charges, expenses, fees, remuneration, or monetary incentive of whatever
nature, except the medical expenses incurred on the surrogate mother and the
insurance coverage for the surrogate mother, is given to the surrogate mother
or her dependents or her representative.
ii.
Section
3 provides that there must be a registration of the surrogacy clinic and the
process of surrogacy must be performed only at the registered clinic. The
medical practitioner who is performing surrogacy must be qualified and there
must not be any type of advertisement for the commercial surrogacy.
iii.
Section
4 provided Surrogacy procedures and its regulations, which include that there
must be altruistic surrogacy, no whoring or trading of that surrogate child, a
certificate for the infertility of the intending couple must be qualified for
surrogacy and it should be checked by a qualified medical practitioner.
iv.
Eligibility
criteria for Surrogacy:
·
For
the Surrogate Mother- The woman to act as a surrogate mother must be married
ever and between the ages of 25 to 35. There must be only a one-time surrogate
mother in her lifetime and she has to be medically fit to act as a surrogate
mother.
·
For
the Intended Couples- The man must be the aged 26 to 55 and the women are aged
between 23 to 50. Both the couples must have been married for the last five
years and both the intended/commissioning couples must be the citizen of India
and they have no child before this by any means.
v.
No
abortion without the consent of the mother and consent of the Appropriate
Authority (such authorization should comply with the provisions of the Medical
Termination of Pregnancy Act, 1971).
vi.
No
storage of Human Embryo or Gamete is allowed for surrogacy purpose.
vii.
The
Constitution of the ‘National Surrogacy Board’ consists of the Chairperson- The
minister who is in the charge of Ministry of health and family welfare.
Vice-Chairperson- The person who is a secretary in charge of the department
dealing with the circumstances related to surrogacy. Members- Three members
from the ministry of the central government from the women and child
development, Three women members from the parliament, and The Director-General
of the Health Service of the Central Government.
viii.
Prohibition
of commercial surrogacy and exploitation of surrogate mother, child born.
ix.
Offenses-
According to the Bill, include performing or advertising the commercial form of
surrogacy, exploitation of the surrogate mother, and trading of the human
embryo or gametes for the commercial purpose of the surrogacy.
x.
Penalties-
According to the Bill, include all the offenses mentioned above will consider
the penalty of 10 years in jail and a monetary fine up to the amount of 10 Lakh
rupees.
Disadvantages
Of The Surrogacy Bill, 2016:
i.
Article
21 of the Indian Constitution was recognized to include the right to privacy,
in the landmark judgment of K.S. Puttaswamy and Anr. v. Union of India and
Anr[7].
In this Judgment, it has been held that the right to privacy is a facet of
Article 21 of the Indian Constitution and is a fundamental right of any individual.
The right to privacy includes the right to complete reproductive autonomy, and
by that extension, the right to parenthood. It is not the domain of the state
to interfere and abridge the fundamental rights of the individuals as their
constitute parental rights. It is the prerogative of the person to decide the
mode of parenthood, that is, whether to have a child born naturally or by means
of surrogacy.
ii.
Conforming
to this need of parenthood the Universal Declaration of Human Rights (UDHR) has
under Article 16 declared the right to found a family as a basic human right.
It says that family is a natural and fundamental unit of society and is
entitled to protection by State and society[8].
However, the draft Bill allows only married couples to that extent of surrogacy
and excludes single/divorced or widowed parents and the people belonging to the
LGBTQ community thereby, criminalizing their exercise of reproductive autonomy
in this regard. Article 14 of the Constitution guarantees a ‘Right to equality'
as a Fundamental Right to all the citizens of India. This Bill shall not stand
the test of reasonable classification under Article 14 of the Indian
Constitution.
iii.
According
to Sections 7 and 8 of the Hindu Adoption and Maintenance Act, 1956- Any person
who is a Hindu of sound mind and is not a minor has the capacity to take a son
or a daughter in adoption. Section 57 of the Juvenile Justice Act, 2015
provides for conditional adoption which allows adoption for single and divorced
parents. However, the draft bill limits the process of surrogacy only to
married couples in India and hence, contradicts the provisions of the Hindu
Adoption and Maintenance Act, 1956 and the Juvenile Justice Act, 2015.
iv.
The
Bill purely ignores the fact that for many women in India who belong to
vulnerable economic backgrounds, surrogacy is a source of livelihood and this
commercial ban on surrogacy deprives their right to livelihood and in turn
expects the surrogate mothers to undergo reproductive labour without any
compensation.
v.
Several
other prerequisites such as a surrogate mother being a close relative of the
intended parents, at least five years of non-conception for intending parents,
and making conditions and requirements of the eligibility certificates for
undergoing the surrogacy process has invited many criticisms on the Surrogacy
(Regulation) Bill, 2016.
However, the Rajya Sabha did not pass
the bill and further referred it to Parliamentary Standing Committee on 12th
January 2017, to examine the provisions of the Bill and prescribe subsequent
recommendations to the presented Surrogacy (Regulation) Bill, 2016. The
Parliamentary Standing Committee presented the One Hundred-Second Report (102nd
Report) and suggested progressive changes to the Surrogacy (Regulation) Bill,
2016 which subsequently paved the way for the enactment of the Surrogacy
(Regulation) Bill, 2019.
The Parliamentary Committee further
noted that-
"There is no doubt that as of
today there is a potential for exploitation and the surrogacy model that exists
today can and does exploit surrogate women. But this potential for exploitation
is linked to the lack of regulatory oversight and lack of legal protection to
the surrogate and can be minimized through adequate legislative norm-setting
and robust regulatory oversight[9]".
The Parliamentary Standing Committee
in order to make the 'surrogacy' easier has recommended a few changes to the
draft bill:
i.
To
delete the defined 'infertility' clause.
ii.
To
delete a five-year waiting period in order to obtain an Infertility
Certificate.
iii.
To
delete the clause which only allowed for close relatives to act as surrogates.
The Committee while prescribing the
changes, has completely followed a needs-based approach towards accessing
surrogacy instead of advancing a rights-based approach.
Despite the Recommendations of the
Parliamentary Standing Committee on Surrogacy (Regulation) Bill, 2016, the
newly enacted Surrogacy (Regulation) Bill, 2019 completely ignored the
recommendations and the new bill is an exact replica of the old bill. On 26th
February 2020, the Union Cabinet approved the new Surrogacy (Regulation) Bill,
2020 allowing any 'willing' woman to be a surrogate mother. This 2020 Bill is a
reformed version of the draft legislation that was passed by the Lok Sabha in
August 2019[10].
The Surrogacy
(Regulation) Bill, 2020:
The Surrogacy (Regulation) Bill, 2020
incorporated the following changes in the Bill:
i.
Indian-originated married
couples/Indian-married couples including Widows and Divorces were allowed to go
for surrogacy. It also added Clause 2(s) which defines 'Intending Women' who
can conceive a child.
ii.
National Surrogacy Board for policy making at
the Central Level and State Surrogacy Board including appropriate authorities
for acting as executive bodies in the State and Union Territories in India.
iii.
The term 'Close Relative' has been deleted and
the term 'willing women' has been added which means that the intended parents
can now choose any woman to be a surrogate mother who is willing and provides
her wilful consent for the same.
iv.
The Insurance Coverage tenure has been
increased from 16 months to 36 months.
v.
The definitions 'Infertility' and 'Incapacity
of producing child after 5 years of marriage' have been deleted.
However, this Bill has failed to
recognize and protect the rights of the Unmarried People and Homosexual couples
(LGBTQ Community) on parenthood as the Bill only recognized the rights of
married couples (heterosexual couples) and single women (Divorced/Widowed) to
opt for surrogacy. The Apex Court has made its Landmark Judgement[11]
to protect the interests of homosexual couples and has inspired same-sex
marriage. However, here comes the question when their ‘rightto parenthood’ have
not been recognized through this Surrogacy (Regulation) Bill, 2020.
Subsequently, The Assisted Reproductive
Technology (Regulation) Bill and the Surrogacy (Regulation) Bill, both recently
enacted by the Indian Parliament, will have a significant impact on Indian
women's reproductive rights and health. Both of these legislations i.e., the
Assisted Reproductive Technology (Regulation) Act, 2021[12]
and the Surrogacy (Regulation) Act, 2021[13]
and came into force with effect from January 25, 2022 which replaced all the
old Acts. The goal of the new legislation according to Ministry of Health is to
‘regulate’ and ‘supervise’ assisted reproductive technology (ART) clinics and
surrogacy, as well as to curb unethical practises such as sex selection and
surrogate mother exploitation, by imposing both monetary penalties and jail
terms for violations.
The
Assisted Reproductive Technology (Regulation) Act, 2021:
There are many ART Clinics in India
which were operating and being run without any proper regulation in India.
Hence, there was a huge need to properly regulate the ART Clinics. The primary
purpose for the enactment of the Assisted Reproductive Technology (Regulation)
Act, 2021 is:
“An Act for the regulation and
supervision of the assisted reproductive technology clinics and the assisted
reproductive technology banks, prevention of misuse, safe and ethical practice
of assisted reproductive technology services for addressing the issues of reproductive
health where assisted reproductive technology is required for becoming a parent
or for freezing gametes, embryos, embryonic tissues for further use due to
infertility, disease or social or medical concerns and for regulation and
supervision of research and development and for matters connected therewith or
incidental thereto.[14]”
Salient
Features Of The Act:
i.
The
Act provides that every ART Clinic and bank must be registered under the
National Registry of Banks and Clinics of India. The Registration Process will
be facilitated by appointing relevant authorities in their respective states
and the registry is meant to act as a centralized database to provide all types
of ART Services in India. Such Registration must be renewed every 5 years or
maybe cancelled or suspended if any ART Clinic contravenes the provisions of
the Act.
ii.
The
Act provides for the constitution of the National Assisted Reproductive
Technology and Surrogacy Board under the National Board for the purpose of the
Act. The National Board, the National Registry, and the State Board shall have
the power to:
a. Inspect, any premises relating to
assisted reproductive technology; or
b. Call for any document or material, in
the exercise of their powers and discharge of their functions.
iii.
The
Central Government may within 90 days from the date of commencement of the Act,
by notification, establish for the purposes of this Act and Surrogacy Act, a
Registry to be called the National Assisted Reproductive Technology and
Surrogacy Registry.
iv.
The
ART Clinics and Banks shall ensure that intended parents, women, and donors are
eligible to avail of the ART procedures subject to the criteria as prescribed
in the Act i.e., prior medical testing of the gamete donor for diseases, and
that the intended couples were aware of the rights of the child born through
assisted reproductive technologies.
v.
The
Act provides that all the Banks and ART clinics shall maintain a grievance cell
as per the manner prescribed in the Act for making complaints.
vi.
The
Act restricts Banks and ART Clinics to publish, distribute, and communicate any
advertisement in any manner including on social media or the internet regarding
their offering of sex-selective assisted reproductive technologies.
vii.
The
Act provides for offenses and penalties for contravention of the provisions of
the Act which shall be punishable with imprisonment for a term of five years,
extendable to ten years, or fine, not less than ten lakh rupees but may extend
to twenty-five lakh rupees or with both.
The
Surrogacy (Regulation) Act, 2021:
After prolonged years of waiting, the
Surrogacy Regulation Act, 2021 was enacted to regulate the process of surrogacy
and becomes the first legislation in India that controls the exploitation of
women (through unsafe medical procedures) and surrogacy practices. This is
progressive legislation that primarily aims to make surrogacy available for the
intending couples and intending women. The primary purpose for the enactment of
the Surrogacy Regulation Act, 2021 is:
“An Act to constitute National Assisted
Reproductive Technology and Surrogacy Board, State Assisted Reproductive
Technology and Surrogacy Boards and appointment of appropriate authorities for
regulation of the practice and process of surrogacy and for matters connected
therewith or incidental thereto.[15]”
Salient
Features Of The Act:
i.
The
Act provides that intended parents should not have other children, including
biological, adopted, or surrogated. However, the Act relaxes the condition for
intended couples who have children with:
a. Physical/Mental disability
b. Life-threatening disorder.
ii.
The
Act provides that Surrogacy (ART) Clinics unless registered under the Act,
shall conduct activities relating to surrogacy and surrogacy procedures. No
paediatrician or gynaecologist or embryologist or any other medical
practitioner shall conduct, offer, undertake, or promote to avail commercial
surrogacy in any form.
iii.
The
Act completely bans commercial surrogacy and recognizes only altruistic
surrogacy. Section 3(ii) prohibits commercial surrogacy and any kind of
payment, reward, benefit, fees, remuneration or monetary incentive in cash
shall not be provided to the surrogate mother for her services[16].
iv.
Section
38(ii) of the Act makes the practice of 'commercial surrogacy' a punishable
offence with imprisonment of up to ten years and a fine of up to ten lakh
rupees. The person seeking commercial surrogacy is punishable with imprisonment
up to five years and a fine of up to five lakh rupees, and if found to be
indulging in the same practice again, the imprisonment may extend to ten years
while the fine may go up to ten lakh rupees[17].
v.
The
Act provides that all side effects and after effects of the surrogacy
procedures shall be informed to the surrogate mother and a written form of
consent has to be obtained from the surrogate mother before undergoing any form
of surrogacy procedures.
vi.
Every
surrogacy clinic which is conducting surrogacy or surrogacy procedures, partly
or exclusively, shall, within a period of sixty days from the date of
appointment of appropriate authority, apply for registration[18].
vii.
There
shall be established a Registry to be called the National Assisted Reproductive
Technology and Surrogacy Registry for the purposes of registration of surrogacy
clinics under this Act[19].
LIMITATIONS OF THE ASSISTED REPRODUCTIVE
TECHNOLOGY (REGULATION) ACT, 2021 AND THE SURROGACY (REGULATION) ACT, 2021:
While both the Acts are timely
enactments for a timeless problem of unregulated ART Clinics and to protect
women undergoing the ART procedures from the unsafe and illegal procedures,
they also have a few drawbacks that are left unaddressed leading to very
serious concerns.
i.
The
Act excludes unmarried men, widowed men, cohabiting couples, transgenders, and
homosexual couples from availing of the ART services and also opting for
surrogacy as a method of reproduction.
ii.
The
prices of the ART treatment and procedures are not regulated under the Act
which can actually be remediated by issuing directives to the departments,
Banks, and ART Clinics.
iii.
It
is the duty of the State to protect the rights of the unborn child and to
prevent the exploitation of surrogate mothers. However, the 'Right to
Reproduction' and 'Right to Reproductive Autonomy' under the ambit of Article
14-'Right to Equality' and Article 21-'Right to Life' of the Indian
Constitution is completely ignored and the reproductive choices and rights
through ART and surrogacy were only provided to intended parents and single
women which eventually leads to conflicting of interests of the unmarried,
divorced, widowed people and LGBTQ+ communities.
iv.
As
‘Commercial Surrogacy’ is banned there is risk which may lead to unethical
practices or middleman rackets to practice commercial surrogacy and the
intended parents and surrogates would be forced to operate underground with a
very high-risk exposure.
v.
The
complete ban on commercial surrogacy affects the livelihood of the surrogate
mother from economically vulnerable backgrounds, as commercial surrogacy is the
means of their livelihood.
vi.
Infertile
couples and surrogate mothers undergo immense emotional trauma and look for
achieving the best within their limited means. This move of the government must
not push infertile couples and surrogate mothers to commit a legal wrong for
something as basic as parenting[20].
India, being a major hub for
reproductive practices- both these Acts are considered to be Landmark
Legislations that is certainly a step forward in the right direction to
regulate ART Banks and Clinics in India and to stop the exploitation of
vulnerable women.
Recommendations
And Way Forward:
I.
In
order to prevent the exploitation of surrogate mothers and for better and
informed control over the surrogate markets, an ‘Agency’ for providing
surrogates can be formed under the Act.
II.
The
time frame of ninety days from the date of commencement of the Act imposed on
the ART Clinics for obtaining certificate of registration to practice ART
procedures and surrogacy process requires proper infrastructure for the
effective implementation in order to prevent injustice to the stakeholders.
III.
The
2021 Act needs to be more inclusive in nature to include the rights and
interests of the different sections of the society by addressing the issues
that are left uncovered under the Act.
IV.
'Commercial
surrogacy' can be allowed with certain restrictions under the Act as the
compensation provided to the surrogate women acts as their livelihood, improves
their standard of living, benefits their socio-economic lives, and also enables
them to treat her with the utmost respect.
V.
More
reforms were needed on the Surrogacy (Regulation) Act, 2021 to recognize
‘Surrogacy’ as a 'reproductive right' so that the Act can provide the bodily
autonomy of the surrogate mother and the 'right to parenthood' of the intended
parents.
VI.
Amount
of fixed compensation needs to be imposed by the government on the surrogacy
clinics which generally charge arbitrary prices for surrogacy arrangements.
Additional regulations would enable the government to ensure that the clinics
charge fair prices[21].
Conclusion:
As India is becoming a thriving
industry for the surrogacy process, it has brought certain complexities and
many social, ethical, and legal issues related to surrogacy, necessitating the
need for specific legislation. The Assisted Reproductive Technology
(Regulation) Act, 2021, and the Surrogacy (Regulation) Act, 2021 comes at a
timely opportune because there is a need to investigate the process of
commercial surrogacy, which is becoming an unethical business for the people of
India as a whole. The bill primarily focuses on the prohibition of exploitation
of both the surrogate mother and the child born through surrogacy. Surrogacy
has both positive and negative consequences in a country such as India. If used
wisely, it provides satisfaction to many infertile couples who are unable to
have a child; however, if the process of surrogacy is used carelessly or for
commercial purposes, it has a negative impact on society as a whole.