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  








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          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. 








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          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.) 







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           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  







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          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  







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            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,  







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            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  







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            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  







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          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  







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          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.







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          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)

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