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Alabama lawmakers rush to get IVF services restarted

Both chambers of the Alabama Legislature advanced legislation that would extend lawsuit protections to fertility clinics

Supporters gather to watch a hearing regarding legislation safeguarding in vitro fertilization (IVF) treatments  at the Alabama State House in Montgomery, Alabama, U.S. February 28, 2024
Supporters gather to watch a hearing regarding legislation safeguarding in vitro fertilization (IVF) treatments at the Alabama State House in Montgomery, Alabama, U.S. February 28, 2024.Julie Bennett (REUTERS)

Alabama lawmakers rushed to protect in vitro fertilization services Thursday after fertility clinics shut down in the wake of a state court ruling that frozen embryos are children under the state wrongful death law.

Facing public pressure to get IVF services resumed in the state, both chambers of the Alabama Legislature advanced legislation that would extend lawsuit protections to clinics. Legislators are hoping to get the measures approved by early next week while they weigh whether additional action is needed.

“This would at least keep the clinics open and the families moving forward,” said bill sponsor Rep. Terri Collins, a Republican.

The Alabama Supreme Court ruled in mid-February that three couples who had frozen embryos destroyed in an accident at a storage facility could pursue wrongful death lawsuits for their “extrauterine children.” The ruling, treating an embryo the same as a child or gestating fetus under the wrongful death statute, raised concerns about civil liabilities for clinics. Three major providers announced a pause on IVF services.

Republicans’ proposal focused on lawsuit protections instead of attempting to address the legal status of embryos. The legislation would shield providers from prosecution and civil lawsuits related to the “damage to or death of an embryo” during IVF services.

The bills advanced with broad bipartisan support. Representatives voted 94-6 for the proposal, and state senators voted 32-0 for it.

Some Republicans said they want to consider future restriction on what happens to unused embryos.

Republican Rep. Ernie Yarbrough of Trinity tried unsuccessfully to put an amendment on the bill that would prohibit clinics from intentionally discarding embryos that are unused or after genetic testing.

Republican Rep. Mark Gidley of Hokes Bluff said he wants lawmakers to consider putting regulation on fertility clinics

“This is what is important to me and a lot of members of this House. Understand, that once that is fertilized, it begins to grow, even though it may not be in a woman’s uterus,” Gidley said.

A Democratic lawmaker said the state, which has a stringent abortion ban with no exceptions for rape, has spent too much time interfering with the decisions of women.

“I am so tired of folks telling me as a female in Alabama what I’m going to do with my own body. It’s time that we stop this,” Democratic Rep. Barbara Drummond of Mobile said. She said a woman texted her this morning asking if the state would take “custody” and responsibility of her frozen embryos if they are now considered children.

Democrats in the Alabama Senate had unsuccessfully tried to amend the bill to state that a human embryo outside a uterus can not be considered an unborn child or human being under state law. Sen. Linda Coleman-Madison, a Democrat from Birmingham, said that was the most direct way to deal with the issue. Republicans blocked the amendment from coming up for a vote.

In their ruling, Alabama justices cited anti-abortion language added to the Alabama Constitution in 2018, saying Alabama recognizes and protects the “rights of unborn children.” The constitutional amendment was approved by 59% of Alabama voters.

Rep. Chris England, a Democrat from Tuscaloosa, said lawmakers may be able to provide a temporary solution through legislation but a long-term solution must address the 2018 constitutional amendment, which he said essentially established “personhood” for embryos.

“There are far-reaching ramifications of personhood,” England said.

More than 200 IVF patients filled the Statehouse on Wednesday pressuring lawmakers to get IVF services restarted in the state. They showed lawmakers babies created through IVF treatment or described how the ruling halted their path to parenthood.

LeeLee Ray underwent eight miscarriages, one ectopic pregnancy and multiple surgeries before turning to surrogacy in hopes of having a child. She and her husband found a surrogate through a matching program, but now can’t have their embryos transferred to her and are unable to move their embryos out of state.

“I’m just frustrated. We had a light at the end of the tunnel,” Ray said Wednesday.

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