Alabama lawmakers facing public pressure to restart in vitro fertilisation (IVF) services in the state advanced legislation to shield providers from the fallout of a court ruling that equated frozen embryos to children.
Committees in the state Senate and House on Tuesday approved identical bills that would protect providers from lawsuits and criminal prosecution for the “damage or death of an embryo” during IVF services. The state's three major IVF providers paused services after the Alabama Supreme Court's ruling last month because of the sweeping liability concerns it raised.
Lawmakers are aiming to give final approval on Wednesday and send the legislation to Gov. Kay Ivey to be signed into law. They have fast-tracked the immunity legislation as a proposed solution to get clinics back open as they weigh whether additional action is needed.
"The problem we are trying to solve right now is to get those families back on track to be moving forward as they try to have children," said Rep. Terri Collins, sponsor of one of the bills.
The court ruled 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.
The court decision received immediate backlash as groups across the country raised concerns about a ruling recognising embryos as children. Patients in Alabama shared stories of upcoming embryo transfers being abruptly cancelled and their paths to parenthood put in doubt.
'We're on hold'
Beth and Joshua Davis-Dillard watched as the Senate committee voted. The couple had transferred frozen embryos to Alabama after moving from New York.
“We’ve been working up to getting ready to trying again. We still have embryos from our prior cycle, which we did in New York. We transferred them here. We can’t use them. We’re on hold,” Beth Davis-Dillard said. “I’m 44, so time is limited. We don’t have unlimited time to wait. We really want to give it a try and see if we can have another baby.”
Beth David-Dillard said she felt "very helpless and very frustrated" and in a "little bit of disbelief." She said that before they transferred the embryos to Alabama, the couple briefly discussed whether the state's strict abortion ban or political climate could be a problem but presumed it would ultimately be fine.
“It just feels like our rights are being restricted,” she said.
The legislative proposals state that "no action, suit, or criminal prosecution for the damage to or death of an embryo shall be brought or maintained against any individual or entity when providing or receiving services related to in vitro fertilization.”
Civil lawsuits could be pursued against manufacturers of IVF-related goods, such as the nutrient-rich solutions used to grow embryos, but damages would be capped and criminal prosecution would be forbidden. Doctors have expressed concern that without some protections for manufacturers, they will not be able to get the products they need to provide IVF.
'Heart-wrenching conversations'
Dr Michael C. Allemand with Alabama Fertility said the legislative proposal would allow the clinic to resume IVF services by returning “us to a normal state of affairs in terms of what the liability issues are.”
He said the past weeks have been difficult on patients and staff as procedures have been postponed.
“There's been some truly heart-wrenching conversations that have taken place,” Allemand said.
The American Society for Reproductive Medicine, a group representing IVF providers across the country, said the legislation does not go far enough. Sean Tipton, a spokesperson for the organisation, said on Monday that the legislation does not correct the fundamental problem, which he said is the court ruling “conflating fertilised eggs with children.”
House Democrats proposed legislation that would put in state law or the state Constitution that a human embryo outside a uterus cannot be considered an unborn child or human being under state law. Democrats argued that was the most direct way to deal with the issue. Republicans have not brought the proposals up for a vote.
State Republicans are reckoning with an IVF crisis they partly helped create with anti-abortion language added to the Alabama Constitution in 2018. The amendment, which was approved by 59 per cent of voters, says it is state policy to recognise the “rights of unborn children".
The phrase became the basis of the court's ruling. At the time, supporters said it would allow the state to ban abortion if Roe v Wade were overturned, but opponents argued it could establish “personhood” for fertilised eggs.
Collins said she doesn't think lawmakers got it wrong with the amendment but that the wording was broad enough that it had ramifications they didn't anticipate.
Collins, who sponsored the state's stringent abortion ban, said she thought any law exempting embryos from legal protections might be found unconstitutional under the 2018 amendment. Changing the constitution, she said, is a longer conversation.
“It's very divisive," she said. “Everybody has very strong opinions on when life begins.”
Republicans are also trying to navigate tricky political waters — torn between widespread popularity and support for IVF — and conflicts within their own party. Some Republicans have unsuccessfully sought to add Louisiana-style language to ban clinics from destroying unused or unwanted embryos.
