BILL ANALYSIS Ó SENATE JUDICIARY COMMITTEE Senator Hannah-Beth Jackson, Chair 2015-2016 Regular Session AB 960 (Chiu) Version: June 19, 2015 Hearing Date: July 7, 2015 Fiscal: No Urgency: No NR SUBJECT Parentage: assisted reproduction DESCRIPTION This bill would provide that the donor of semen provided to a licensed physician or to a licensed sperm bank for use in assisted reproduction shall be treated as if he were not the natural parent of a child thereby conceived, unless otherwise agreed to in a writing prior to the conception of the child. This bill would also provide, if the semen is not provided to a licensed physician or a licensed sperm bank for use in assisted reproduction by a woman other than the donor's spouse, the donor shall be treated in law as if he were not the natural parent of the child if either: (1) the donor and the woman agreed in a writing prior to conception that the donor would not be a parent; or (2) a court finds by clear and convincing evidence that the child was conceived through assisted reproduction and that, prior to the conception of the child, the woman and the donor had an oral agreement that the donor would not be a parent. This bill would provide that the donor of ova for use in assisted reproduction is treated as if she were not the natural parent of a child thereby conceived unless the court finds satisfactory evidence that the donor, and the woman, intended for the donor to be a parent. This bill would also create a new form for assisted reproduction, consistent with the above provisions. BACKGROUND AB 960 (Chiu) Page 2 of ? It is the policy of the State of California to establish paternity for all children. The establishment of paternity provides children with equal rights and access to benefits such as health insurance, child support, and inheritance. (Fam. Code Sec. 7570.) Under existing law, a child born during a marriage to a wife who lives with her husband is conclusively presumed to be the child of the marriage. (Fam. Code Sec. 7540.) For a child born outside of a marriage, paternity may be established by a voluntary declaration of paternity or through another legal presumption of paternity. (Fam. Code Secs. 7573, 7611.) In the event that two or more presumptions of paternity arise, the court is required to find in favor of the presumption which on the facts is founded on the weightier considerations of policy and logic. (Fam. Code Sec. 7612.) For most heterosexual couples, conception is achieved with the woman's own eggs and the sperm of her male partner, making parental identity straightforward. However, individuals and couples are increasingly using assisted reproduction technology, which can rely upon donor sperm, donor eggs, donor embryos, and host wombs, thereby requiring the legal concept of parentage to evolve. Generally, donors of genetic material are treated under law as though they are not the parents of a child conceived from that material. For example, California's Family Code treats sperm donors who are not married to the woman who conceives using the donor's sperm as "if he were not the natural father of the child thereby conceived, unless otherwise agreed to by the woman and donor in writing prior to conception of the child. (Fam. Code Sec. 7613(b).) In most of these cases, the law instead looks to the "intended parents," as defined by the California Supreme Court in Buzzanca v. Buzzanca (1998) 61 Cal.App.4th 1410, which held that, regardless of who provides the eggs, sperm or uterus, the intended parent(s) are "the first cause, prime movers, of the procreative relationship." (Id. at 1424.) Therefore, a parental relationship is often established when medical procedures are initiated and consented to by the intended parent(s), even in the absence of any biological relationship between them and the child(ren) created. In other situations, courts will look to an adult who has functioned as a parent to the child, and determine whether he or she fits an existing presumption under California law. AB 960 (Chiu) Page 3 of ? The definition of what constitutes a family, or how a family is created has been the source of legal tension which the Legislature has sought to address. AB 1349 (Hill, Ch. 185, Stats. 2011) distinguished between known sperm donors who planned to co-parent with the mother and more traditional sperm donors who gave their genetic material without any expectation of parenting the child conceived. In 2013, the Legislature enacted AB 1403 (Committee on Judiciary, Ch. 510, Stats. 2013) to update the Uniform Parentage Act (UPA) by codifying case law which has applied presumptions of parentage neutrally with regards to gender, and make the Act's provisions gender neutral where appropriate. SB 115 (Hill, 2013) sought to clarify how presumptions of parentage work in situations where an individual is both a presumed father and a sperm donor. AB 2344 (Ammiano, Ch. 636, Stats. 2014) created three optional forms to allow intended parents to state their intention, in writing, to parent a child conceived with the use of assisted reproduction. Those forms are sufficient to satisfy the requirement of a "writing" under law. This bill seeks to give further clarity to parentage and assisted reproduction in California by creating uniform rules for intended parents, whether or not they are married, and by treating sperm and egg donors who do not wish to parent the same under the law. This bill would also update the optional, statutory assisted reproduction forms to be consistent with the provisions of this bill. CHANGES TO EXISTING LAW Existing law , the California Uniform Parentage Act (UPA), defines a parent and child relationship as the legal relationship existing between a child and the child's natural or adoptive parents incident to which the law confers or imposes rights, privileges, duties, and obligations. The law provides that a parent and child relationship includes the mother and child relationship and the father and child relationship. (Fam. Code Sec. 7600 et seq.) Existing law provides that a person is a presumed parent if, among other things: (1) he or she was married to the child's mother and the child was born within 300 days of the marriage; (2) he or she attempted to marry the child's mother; or (3) he or she holds the child out as his or her own. (Fam. Code Sec. 7611.) AB 960 (Chiu) Page 4 of ? Existing law requires that the paternity presumptions be applied gender neutrally. (Elisa B. v. Superior Court (2005) 37 Cal.4th 108.) Existing law provides that, if two or more paternity presumptions conflict with one another, the presumption that is founded on the weightier considerations of policy and logic controls, and further provides that a presumption of parentage is rebutted by a judgment establishing parentage of the child by another person. (Fam. Code Sec. 7612.) Existing law provides that paternity may be established by voluntary declaration for unmarried parents, or through a civil action brought by any interested party, as specified. (Fam. Code Secs. 7630, 7570 et seq.) Existing law defines "assisted reproduction" as conception by any means other than sexual intercourse, defines "assisted reproduction agreement" as a written contract that includes a person who intends to be the legal parent of a child born through assisted reproduction, and defines the terms of the relationship between the parties to the contract. (Fam. Code Sec. 7606.) Existing law provides that the spouse of a woman who, with the written consent of her spouse, conceives through assisted reproduction under the supervision of a licensed physician and with the consent of her spouse, with the sperm of a man other than her spouse, is treated in law as though he or she is the child's natural parent. (Fam. Code Sec. 7613(a).) Existing law provides that a donor of semen to a licensed physician or sperm bank for use in assisted reproduction of a woman other than the donor's spouse is treated in law as if he were not the natural parent of the child thereby conceived, unless otherwise agreed to in a writing signed by the donor and the woman prior to the conception of the child. (Fam. Code Sec. 7613(b).) This bill would provide that if a woman conceives through assisted reproduction with semen, ova, or both, donated by someone other than her spouse, with the consent of the other intended parent, that other intended parent is treated as if he or she were the natural parent of the child, so long as the AB 960 (Chiu) Page 5 of ? intended parent's consent is in writing, signed by the intended parent and the woman conceiving prior to conception. This bill would remove the requirement that, in order for a sperm donor not to be considered the father of a child thereby conceived, a doctor must be used for the assisted reproduction, and would instead provide the following: if sperm is donated to someone other than the donor's spouse and a doctor is used in the assisted reproduction, the donor is treated as though he were not the parent, unless otherwise agreed in a writing signed prior to conception by the donor and the woman; and if sperm is donated to someone other than the donor's spouse and a doctor is not used in the assisted reproduction, the donor is treated as though he were not the parent if either (1) the donor and the woman agreed in a writing signed prior to conception that he would not be a parent; or (2) a court finds by clear and convincing evidence that the child was conceived through assisted reproduction and that, prior to the conception of the child, the woman and the donor had an oral agreement that the donor would not be a parent. This bill would provide that the donor of ova for use in assisted reproduction by a woman other than the donor's spouse or non-marital partner is treated as if she were not the natural parent of the child thereby conceived, unless the court finds satisfactory evidence that the donor and the woman intended for the donor to be a parent. This bill would revise the optional California Statutory Forms for Assisted Reproduction and create a new optional form for "Intended Parents Using a Known Sperm or Egg Donor to Conceive a Child" for those parties wishing to establish that the sperm and/or egg donors are not intended to be the parents of the child. COMMENT 1.Stated need for the bill According to the author: AB 960 updates California's assisted reproduction laws to ensure that all couples are equally protected by law to grow AB 960 (Chiu) Page 6 of ? their families in California. Today, many families conceive children through assisted reproduction and need equal protection under the law. Currently the lack of legal protections places parents using assisted reproduction and their children at risk. California law does not recognize unmarried couples using assisted reproduction with a donor as parents, and limits this protection to married couples, even though many unmarried couples conceive children in this way. California law also only recognizes that sperm donors are not legal fathers when a doctor or sperm bank is involved. However, many parents, including many same-sex parents, transgender parents, and intended single parents, use at home insemination to conceive. Many families simply cannot afford to conceive using a sperm bank or doctor, which can costs hundreds or thousands of dollars per month. These families are left completely unprotected, and their sperm donors are treated as biological fathers under the law. AB 960 also provides clear direction for how egg donors should be treated under California law. California statutes currently do not explicitly address egg donors; instead provisions in the Family Code addressing fathers are applied to mothers. California needs to update its own laws to recognize that families are formed in many ways, and all are equally deserving of protection. 2.Would apply parentage uniformly based on intent prior to conception and not marital status The Uniform Parentage Act outlines how individuals establish a parent and child relationship, including establishing that relationship with children conceived by means of assisted reproduction. Traditionally, the law has offered more legal protection to families with married parents than families with unmarried parents. Equality California, sponsor of this bill, explains: California law currently does not protect unmarried couples using assisted reproduction, and only allows married couples using assisted reproduction to both be automatically recognized as parents from the moment of birth. This means, AB 960 (Chiu) Page 7 of ? for example, that when an unmarried different-sex couple with infertility challenges conceives through donor insemination, the father is not recognized as a parent from the moment of birth, and may have no protections if the mother dies in childbirth. An unmarried female same sex couple has the same problem. If they conceive using donor insemination, the non-biological mother will not be on the birth certificate and will not be able to put their child on her insurance when the child is born. This bill would instead recognize the intent of the couple wishing to conceive and the donor by providing that the intended parent is treated as if he or she were the natural parent of the child, so long as the intended parent's consent is in writing, signed by the intended parent and the woman conceiving prior to conception. Likewise, the donor is treated as though he were not the parent, unless otherwise agreed to in a writing signed prior to conception by the donor and the woman. In support, API Equality - Northern California, writes, "This bill [would] modernize California's assisted reproduction laws to ensure that all parents are equally protected by law to grow their families in California. This bill would allow unmarried people using assisted reproduction to be fully recognized as parents on the same terms as unmarried parents." Rainbow Community Center of Contra Costa County, also in support, writes "Given the economic realities, legal hurdles, and societal barriers facing LGBTQ2S people in building families, we advocate for any systemic support that can ease the journey to parenthood that so many people - regardless of sexuality, gender identity, and relationship status - dream of. ? [This bill] helps build additional support and protection for all families." 3.Would eliminate certain financial barriers to assisted reproduction Regardless of intent, donors who do not use a doctor are very likely to be considered parents because the law generally does not exempt donors unless they use a physician or licensed sperm bank. Equality California, sponsor, writes: California law does not currently protect families who use at-home insemination with a known donor. Many families choose to inseminate at home without medical supervision because AB 960 (Chiu) Page 8 of ? medical supervision can cost thousands of dollars. For example, a transgender father and his female partner decide to conceive a child using his brother as their donor so that both parents can be biologically related to their child. They conceive at home because costs of using a clinic are so high. Under current law, the donor may be a legal parent and can be required to pay child support by the state. Similarly, lesbian couples conceiving through donor insemination at home with a known donor are not protected. If the donor decides to seek custody, he may be recognized as a parent. Accordingly, this bill would remove the requirement that families seeking to conceive must use a licensed physician or sperm bank in order to ensure that a donor will not be considered a parent. Under this bill, the donors would, by default, not be considered natural parents. If the parties intend for a donor to be considered a parent, that intent must be agreed to in writing prior to conception. Our Family Coalition, sponsor, writes "Ultimately, [we believe] this bill is about protecting children. Many of our families continue to be vulnerable or unable to conceive until they can afford to go to a medical clinic, which is heartbreaking and unjust. This bill will create legal stability and protection for children of low income families who can't afford the high costs of a fertility clinic." In support, the American Society for Reproductive Medicine writes "family formation is changing in light of new technological advances, creating greater options, and the law needs to be refined to reflect these changes. [This bill] will update California law to reflect how families are created, with and without the use of assisted reproductive technology services provided by physicians." 4.Would clarify how egg donors are treated under law This bill would clarify that an egg donor, who is not the spouse or non-marital partner of the woman conceiving with the donated ova, is not the parent unless the court finds sufficient evidence that the donor intended to be a parent. This is consistent with both treatment of sperm donors and with K.M. v. E.G. (2005) 37 Cal.4th 130, where the California Supreme Court recognized that a woman who provided her ova to her partner with the intention of conceiving children together was the parent of the twins thereby conceived. The National Center for Lesbian AB 960 (Chiu) Page 9 of ? Rights, sponsor, writes that "California statutes currently do not explicitly address egg donors; instead provisions in the Family Code addressing fathers are applied to mothers. AB 960 clarifies how egg donors are protected under California law to ensure that families using egg donors can be aware of the protections." 5.Federal screening and testing requirements for donated tissue Unlike other areas of medicine, which are regulated predominately at the state level, assisted reproductive technologies are also regulated at the federal level. In addition, the state regulates physicians and tissue banks that deal with sperm, and professional associations have extensive professional guidelines for the use of sperm. The Society for Assisted Reproductive Technology (SART) and the American Society for Reproductive Medicine (ASRM), jointly offered guidelines for sperm donation in 2008 that are widely followed. Among the recommended laboratory tests were those for HIV, HBV, HCV, syphilis, and HTLV. The guidelines provide that anonymous and/or known donors are tested and re-tested, which is also required under regulations issued by the Food and Drug Administration. Thus, if an initial donation produces negative results, the semen samples should be collected, cryopreserved, and quarantined for a minimum of 180 days, after which the semen should be retested, and again found negative, before the samples may be released. Sexually intimate couples seeking fertility treatment, however, are only advised to undergo testing to minimize the risk of viral transmission to partners and resulting children. Under these guidelines, sperm donated from a sexually intimate partner is not required to be quarantined or undergo repeat testing. In 2012, California defined "sexually intimate partner" for this purpose to include a known or designated donor to whose sperm the recipient has previously been exposed to in a nonmedical setting in an attempt to conceive, thereby allowing the recipient to waive repeat testing of that donor. (AB 2356 (Skinner, Ch. 699, Stats. 2012).) National Center for Lesbian Rights, sponsor, writes "AB 960 should not have any effect on the testing requirements, as it does not impose, remove, or modify any such requirements for the provision of assisted reproduction services to patients, but AB 960 (Chiu) Page 10 of ? rather only changes how California recognizes the legal parentage of intended parents and sperm donors, in particular those who conceived without providing the semen to a physician and intended parents who are not married to each other." Support : American Civil Liberties Union of California; American Society for Reproductive Medicine; Asian Pacific Islander Equality - Northern California; Asian Pacific Islander Wellness Center; California LGBT Health & Human Services Network; Los Angeles LGBT Center; San Francisco Family Support Network; Rainbow Community Center of Contra Costa County; Transgender Law Center Opposition : None Known HISTORY Source : Equality California; National Center for Lesbian Rights; Our Family Coalition Related Pending Legislation : None Known Prior Legislation : AB 2344 (Ammiano, Chapter 636, Statutes of 2014) see Background. AB 1403 (Committee on Judiciary, Chapter 510, Statutes of 2013) See Background. SB 274 (Leno, Chapter 564, Statutes of 2013) authorized a court to find that more than two persons with a legal claim to parentage are parents if the court finds that recognizing only two parents would be detrimental to the child. SB 1476 (Leno, 2012) would have authorized a court to find that a child has more than two legal parents if in the best interest of the child. This bill was vetoed by Governor Brown. AB 1217 (Fuentes, Chapter 466, Statutes of 2012) required a surrogate mother and the intended parent(s), each represented by independent counsel, to execute a notarized or witnessed surrogacy agreement before the mother can begin medication for assisted reproduction. AB 960 (Chiu) Page 11 of ? AB 2356 (Skinner, Chapter 699, Statutes of 2012) excepted sperm donated by a sexually intimate partner of the recipient from second or repeat testing, as specified, if the recipient is informed of the testing requirements and signs a written waiver. Defined "sexually intimate partner" to include a known or designated donor to whose sperm the recipient had previously been exposed in a nonmedical setting in an attempt to conceive. AB 1349 (Hill, Chapter 185, Statutes of 2011) provided that a voluntary declaration of paternity is invalid under specified circumstances, allowed a presumed parent to bring a motion set aside the voluntary declaration within a specified amount of time, and provided that a sperm donor would not be considered the natural father unless otherwise agreed to in writing. AB 25 (Migden, Chapter 893, Statutes of 2001) authorized the employment of the procedures applicable to stepparent adoption to the adoption by a domestic partner of the child of his or her domestic partner. Prior Vote : Assembly Floor (Ayes 71, Noes 0) Assembly Judiciary Committee (Ayes 10, Noes 0) **************