Recently I made submissions to the surrogacy inquiry held by the Family Law Council. The Council is due to report to the Federal Government by the end of the year. Here are those submissions. The next post will have some supplementary submissions caused by two recent Family Court cases. I apologise for how Blogger has mangled the paper with formatting issues. Hopefully I can get these fixed!
[5] Ibid.,
Article 23. A similar phrase appears in the International Covenant on
Economic, Social and Cultural Rights 1966, Article 10 ; a phrase adopted nine
years later in the enactment of the Family Law Act 1975, s.43(1)(b): “the need to give the widest
possible protection and assistance to the family as the natural and
fundamental group unit of society, particularly while it is responsible for the
care and education of dependent children”
A
Child Cannot Be Ignored: These cases will not go away.[1]
1.
Introduction
“Every child shall have, without any
discrimination as to race, colour, sex, language, religion, national or social
origin, property or birth, the right to such measures of protection as are
required by his status as a minor, on the part of his family, society and the
State.”[3]
“All
persons are equal before the law and are entitled without any discrimination to
the equal protection of the law. In this respect, the law shall prohibit any
discrimination and guarantee to all persons equal and effective protection
against discrimination on any ground such as race, colour, sex, language,
religion, political or other opinion, national or social origin, property,
birth or other status.”[4]
“The
family is the natural and fundamental group unit of society and is entitled to
protection by society and the State.”[5]
“The
right of men and women of marriageable age to marry and to found a family shall
be recognized.”[6]
“Every
child has the right to acquire a nationality.”[7]
“It
seems clear that prohibition of surrogacy does not work and in Australia, most States
approach this difficult policy issue by way of regulation. Such regulation is
difficult in a globalised world where travel from continent to continent is no
longer difficult. Added to this, in some parts of the western world, there is
wealth to the extent that funding of surrogacy (whether commercial or altruistic) is easily
achieved…
Modern
science and medical skill surrounding the creation of life are now well ahead
of legal, social and legislative policy. In Australia the creation of effective
policy will be difficult particularly on a State by State basis. These policy
issues probably need to be dealt with on a national, whole of continent
consistent basis, including having regard to Australia’s international treaty
obligations.”[8]
“There
are many and varied paths to parenthood. Where the path involves an
international surrogacy
arrangement, it is long and difficult. As this case demonstrates, the
commissioning parents’ goal of the safe arrival of a longed for child often
results in them overlooking or underestimating the legal issues involved. From
the children’s perspective at least, in the pursuit of parenthood, it is
important that the commissioning parents and those who assist them give proper
regard to ensuring that parental status is possible once the children are
born.”[9]
Clearly “the
legislature is the most appropriate forum to address issues raised by assisted
reproductive technology in a comprehensive fashion.”[10]
“It
is also our job to ensure that every child's parents, and by parents I mean the
people actually parenting that child on a day-to-day basis, are able to legally
function as parents of that child. That
is clearly in the best interests of the child.”[11]
“Again
we must call on the Legislature to sort out the parental rights and
responsibilities of those involved in artificial reproduction. No matter what
one thinks of artificial insemination, traditional and gestational surrogacy
(in all its permutations)… courts are still going to be faced with the problem
of determining lawful parentage. A child cannot be ignored. Even if all means
of artificial reproduction were outlawed with draconian criminal penalties
visited on the doctors and parties involved, courts will still be called upon
to decide who the lawful parents really
are and who- other than the taxpayers- is obligated to provide maintenance and
support for the child. These cases will not go away.”
“It
is important to remember, when looking at surrogacy from a legal point of view,
that each surrogacy arrangement involves real people with real emotions. Most
important of all is the child, who must be assured of their safety, citizenship
and identity.”[12]
“A
potential way to correct these ambiguities would be to deal with the issue of
surrogacy on a national, consistent basis. However the Commonwealth Government
lacks the constitutional power to enact effective national legislation in this
regard, so it would be necessary for the States to refer the necessary
legislative powers to the Commonwealth . Absent this occurring, the best result
would be if States and Territories continue to move towards a uniform position
in relation to the legality of surrogacy arrangements, and the definition of
‘parent’ and ‘child’.”[13]
In the 1970’s Parliaments throughout Australia
recognised that there could not be two classes of children: legitimate and
illegitimate, but only one class: children. Today with the rise of children born
through surrogacy, especially overseas surrogacy arrangements, we are enabling
two classes of children: those whose parentage is recognised, and those whose
parentage is unclear. We must do all we can as a society to enable the
recognition of the parentage of those children by clear, simple, quick and
cheap rules that provide adequate protection for all concerned.
In my view the terms of reference miss the point:
the current rules in surrogacy in Australia do not have uniformity and are a
direct cause or perceived cause as to why Australians go overseas for
surrogacy. In essence the perception or reality that it is so hard to become
parents through surrogacy in Australia has meant that many intended parents
have chosen instead to go overseas and undertake commercial surrogacy there. Any
intended parents have to walk through a legal minefield in order to achieve
their goal of parenthood.
2.
Executive summary of submissions
Index
of submissions
Submission
No
|
Page
No
|
Summary
|
1.
|
28
|
DIAC
determines citizenship
|
2
|
28
|
Rebuttable
presumptions as to citizenship
|
3.
|
28
|
Same
test, different laws
|
4.
|
28
|
Retrospective
|
5.
|
28
|
Citizenship
by descent, child for all purposes
|
6.
|
29
|
Obtaining
a passport
|
7.
|
30
|
Register
overseas orders
|
8.
|
31
|
Birth
certificates
|
9.
|
40
|
Removal
internal barriers
|
10.
|
43
|
Uniform
surrogacy laws
|
11.
|
43
|
Commonwealth
laws
|
12.
|
48
|
NHMRC
to advise re surrogacy
|
13.
|
48
|
NHMRC
to allow commercial surrogacy
|
14.
|
49
|
Allow
egg contracts overseas
|
15.
|
49
|
Allow
egg donors to advertise
|
16.
|
49
|
Pay
egg donors
|
17.
|
51
|
Allow
surrogates to advertise
|
18.
|
51
|
Licence
commercial agencies
|
19.
|
52
|
Remove
discrimination against expats
|
20.
|
57
|
Timely
registration of interstate orders
|
21.
|
61
|
Send
to Family Law Courts
|
22.
|
61
|
Principles
of uniform laws
|
23.
|
61
|
Use
consistent terms
|
24.
|
61
|
Referral
of powers
|
25.
|
62
|
Change
parentage to parenting
|
26.
|
62
|
Remove
extra-territorial surrogacy ban
|
27.
|
63
|
Overseas
lobbying
|
1. The
process of determining citizenship of the child should remain with the
Department of Immigration and Citizenship. There should not be the need to make
applications to the Family Court to determine as to who is a parent, and as to
whether or not the child is therefore entitled to Australian citizenship. Going
to court is slow, costly, cumbersome, burdensome on taxpayers, judges and other
court users, and most importantly leaves the citizenship of the child
unresolved. A quick, cheap, simple and transparent administrative test is in
the public interest.
2. The
test of determining whether a child is an Australian citizen who is a “child” of a “parent” for the purposes of the Australian Citizenship Act 2007
when a child has been born overseas and where a surrogacy arrangement or
agreement has been entered into ought to include:
a. A
rebuttable presumption that the “parent”
is any intended parent named in a written surrogacy arrangement or agreement;
b. A
rebuttable presumption that a court order granting the person parental
responsibility however defined means that that person is a “parent”;
c. A
rebuttable presumption that if a person is named under a legal, administrative
or judicial process of an overseas jurisdiction (such as a court order or birth
certificate) as a “parent” then that person is a “parent”;
d. The
person is genetically a “parent” of the child; or
e. The
spouse of a person is a “parent” of the child.
3. The
same test be applied under the Family Law
Act 1975 and for other
Commonwealth legislation, such as the Child
Support (Assessment) Act 1989 and the Australian
Passports Act 2005.
4. This
change ought to be retrospective.
5. If
a person acquires Australian citizenship by descent by virtue of section
16(2)(a) of the Australian Citizenship
Act 2007, then the person is presumed to be the “child” for all purposes (Commonwealth, State and Territory) of the
“parent”.
6. To
obtain an Australian passport for a child born overseas where a surrogacy
arrangement or agreement has been entered into, the following test should
apply:
a. There
can be more than two “parents” of the child;
b. The
consent of all of those who have parental responsibility for the child is
required before a passport will issue for the child, subject to the ability to
dispense with that consent, and subject to an order of an Australian court as
currently provided in the Australian
Passports Act 2005 (Cth); s.11;
c. If
a court order of another country terminates the parental rights of a person,
that person will not be recognised as having parental responsibility for the
child for the purposes of the Australian
Passports Act 2005 (Cth);
d. If
what appears in the opinion of the delegate to be a binding agreement has been
entered into that terminates the parental rights of a person in accordance with
foreign law, that person will not be
recognised as having parental responsibility for the child for the purposes of
the Australian Passports Act 2005
(Cth);
e. There
be Regulations stating in what jurisdictions surrogacy agreements may be considered
binding on this point; and
f. If
a child has previously had an Australian passport issue, the people deemed to
have parental responsibility for the child shall be no greater than the people
who had parental responsibility the previous time a passport issued for the
child.
7. Any
administrative barriers that exist to prevent the registration of overseas
custody orders under the Family Law Act,
such as those made in the United States should be removed.
8. The
Commonwealth immediately prescribe jurisdictions under the Family Law Regulations for the recognition of overseas birth
certificates.
9. Internal
barriers to surrogacy ought to be removed:
a. The
Commonwealth ought to persuade WA, SA and the ACT to legislate, failing which
it should legislate itself to remove discrimination against intended parents
based on their sexuality or relationship status where such barriers currently
exist;
b. The
Commonwealth ought to persuade Tasmania to legislate, failing which should
legislate itself to remove discrimination against intended surrogates and their
partners based on their location;
c. The
Commonwealth ought to persuade each of the States and the ACT, failing which it
should legislate itself, that intended parents have freedom of choice as to
which clinic and court they access in Australia, and therefore they need not
reside in a particular jurisdiction or access doctors in that jurisdiction to
be able to access surrogacy;
d. The
Commonwealth ought to persuade each of the States to legislate to remove any
requirement by clinics requiring the surrogates and intended parents to have
known each other for one year or more.
10. It
is recommended that the Commonwealth press for uniform surrogacy laws, if as to
altruistic surrogacy to be on the Queensland model and related matters, such as
alteration of birth records for children born via surrogacy.
11. Preferably
the Commonwealth will seek to either have a referral of power, or seek to
legislate using its legislative powers to enable uniform national laws as to
surrogacy, and related matters, such as alteration of birth records for
children born via surrogacy.
12. Amend the NHMRC Ethical Guidelines to allow
for Australian doctors to advise that they provide surrogacy services.
13. If
there are to be laws allowing commercial surrogacy, amend the NHMRC Ethical
Guidelines, to enable Australian doctors to engage in commercial surrogacy.
14. The
Commonwealth should legislate to ensure that there is not an unintended
extra-territorial effect of offences relating to the commercial trade in eggs,
so that if the offences remain, they only apply to offences committed wholly in
Australia.
15. Egg donors and intended recipients ought to be
able to advertise to seek eggs or egg donors.
16. Egg
donors ought to be able to be paid for their services.
17. There
ought to be the ability of intended parents and intended surrogates to
advertise. The Commonwealth can easily legislate to allow such advertising on
the internet.
18. If
there is to be commercial surrogacy in Australia, there ought to be commercial
agencies which are properly licenced, in accordance with standards set by an
industry body, such as the Fertility Society of Australia, failing which
legislated by national standards.
19. Expatriate
Australian citizens as intended parents should be able to access Australian
surrogacy arrangements without penalty. The Commonwealth should persuade the
States and the ACT on point, failing which the Commonwealth should legislate.
20. The
Commonwealth ought to work with the States to remove any practical barriers
that prevent the timely recognition of alteration of birth registers of
children following the making of parentage orders.
21. Uniform
surrogacy laws should include the referral of surrogacy matters to the Family
Court and the Federal Circuit Court of Australia.
22. The
principles of those laws should be:
a. Children
are born equal;
b. The
recognition that Australian intended parents have the right to choose as to how
to form a family, subject to certain limitations, such as a minimum age;
c. The
laws should be non-discriminatory, in particular those who are single or living
in same sex relationships, expatriate Australian citizens or those who move
between States should not be discriminated against;
d. The
parentage of children needs to be recognised;
e. A
process is legalised and regulated to ensure that children, intended parents,
surrogates, their partners, donors and their partners are adequately protected
and not subject to exploitation;
f. To
ensure that children are aware of their genetic history.
23. If national legislation is not pursued, the
Commonwealth should lead the states to have nationally consistent terms used in
surrogacy legislation, consistent with international norms.
24. “Parentage” orders should be renamed “parenting”
orders, in accordance with the scheme of the Family Law Act.
25. The Commonwealth should legislate to remove the
extra-territoriality of laws banning commercial surrogacy.
26. The
Commonwealth should legislate for Australia to encourage overseas jurisdictions
to ensure that appropriate standards are met for commercial surrogacy
including:
a. To
ensure that IVF clinics and surrogacy agencies are licensed so that they meet
quality standards similar to those of the Fertility Society of Australia or
other like organisations, such as the American Society of Reproductive
Medicine;
b. To
ensure that children, intended parents, surrogates, their partners, donors, and
their partners are not exploited;
c. To
encourage the ability of intended parents, the children and the surrogates to
have long term relationships, with the aim of ensuring that the child knows
where they came from;
d. To
ensure that children are aware of their genetic history.
3.
Who am I?
I was admitted as a solicitor in Queensland in 1987.
I am a partner of Harrington Family Lawyers, a long established boutique family
law practice in Brisbane. I have
practised solely or predominantly since in family law since 1985 (when I
commenced articles of clerkship). I have been an accredited family law
specialist since 1996. My first surrogacy case was in 1988 ( a traditional,
commercial surrogacy, in which the surrogate was paid $10,000 by the intended
parents to have a child, and then decided to keep both the child and the money,
safe in the knowledge that the transaction was illegal in Queensland).
I undertake more surrogacy work than any other
lawyer in the country. My clients come from throughout Australia and overseas.
I have advised intended parents, surrogates and their partners and donors. My
clients are self referred or referred from other lawyers, doctors or community
organisations. I have been described as:
“the
preeminent authority on surrogacy in Australia”[14]and “the go to guy on surrogacy in Australia.”[15]
Since 1992 I have acted for LGBTI clients as part of
my family law practice. This inevitably led to giving clients advice about ART
and conception issues, which in turn led to my advising about surrogacy work.
I am a member of various legal and family law
associations including:
·
Queensland Law Society
·
Family Law Practitioners Association of
Queensland
·
Family Law Section of the Law Council of
Australia
·
Association of Family and Conciliation
Courts
·
International Surrogacy Forum
·
American Bar Association (Associate)
·
Fertility Society of Australia
I am one of two international representatives of the
American Bar Association’s Assisted Reproductive Technology Committee. In my
role with that committee, I have been delegated the task of overseeing the
committee’s drafting of a recommended position to the American Bar
Association’s House of Delegates as to the form of a proposed Hague Convention
on international surrogacy.
I am a volunteer at the LGBTI Legal Service in
Brisbane.
I am the convenor of Queenslanders for Equality.
I am an independent children’s lawyer. I was the
co-author and principal researcher[16]
of an article for lawyers about a State by State Guide to Australia’s surrogacy
laws.
The opinions I hold are my own, and not those of my
firm nor of any of the associations of which I hold membership.
As well as acting for many heterosexual clients, I
have acted for gay, lesbian, bisexual and transgender clients in parenting
matters in the family law courts. I have also appeared in one such matter as
the independent children’s lawyer.[17]
Contrary to perceptions that most intended parents
under surrogacy arrangements are gay, most of my surrogacy clients who are
intended parents are married or heterosexual de facto couples. However, my
clients who are intended parents through surrogacy have included gay and
lesbian couples, and single men and women.
I have acted for surrogates and their partners.
Typically they are heterosexual married couples. However I have acted in cases
where the surrogates have been single or living in de facto relationships.
Some of my clients have contemplated altruistic
surrogacy in:
·
Queensland
·
New South Wales
·
Australian Capital Territory
·
Northern Territory
·
South Australia
·
Western Australia
·
Northern Territory
·
Belgium
·
India
·
South Africa
·
United Kingdom
Some of my clients have contemplated or undertaken
commercial surrogacy in:
·
Republic of Georgia
·
India
·
Malaysia
·
Russia
·
Thailand
·
Ukraine
·
United States (Arizona, California,
Florida, Hawaii, Idaho, Illinois, Maryland, Massachusetts, Minnesota and Ohio)
I have advised clients from these jurisdictions
about Australia’s surrogacy laws (typically one or both of the parties was an
expatriate Australian citizen):
·
Belgium
·
China
·
France
·
Hong Kong
·
Indonesia
·
Japan
·
Malaysia
·
Singapore
·
United Kingdom
·
United States
I have advised clients who have undertaken or
contemplated donor arrangements in:
·
Queensland
·
New South Wales
·
Australian Capital Territory
·
India
·
Thailand
·
United States (California,
Massachusetts, Minnesota)
In an average week I would see 2 or 3 couples
contemplating surrogacy, either within Australia or overseas.
4.
Language
Term
|
Definition
|
Altruistic
surrogacy
|
The process of non-commercial surrogacy. It may
involve payment to the surrogate for her expenses. It is regulated in
different ways by the States and the ACT.
|
Assisted
reproduction technology
|
Various forms of technology that enable the
conception of children, including by IVF. Also called artificial reproductive
technology. Commonly called ART.
|
Commercial
surrogacy
|
Paying a fee to a surrogate to have a baby. It is
an offence to do so in 7 out of 8 of Australia’s jurisdictions. It is an
offence to do so overseas in 3 out of 8 of Australia’s jurisdictions.
|
Gestational
surrogacy
|
Where the baby, not genetically that of the
surrogate, is gestated by the surrogate. Often overseas the surrogate in
these circumstances is called the gestational carrier.
|
Intended
parents
|
The people who want to raise the child as their
own. I have used the internationally used term. They may or may not have a
genetic relationship with the child.
|
Surrogate
|
The woman who has the baby for the intended
parents. I have used the internally recognised term. Often called birth mother in Australian
legislation. Also called surrogate
mother.
|
Surrogacy
|
The process by which a woman has a baby for the
intended parents then hands over the baby to them as their baby.
|
Traditional
surrogacy
|
Where the surrogate is genetically the mother.
|
Therefore it is possible to have:
·
Altruistic, gestational surrogacy (the
common model)
·
Altruistic, traditional surrogacy
·
Commercial, gestational surrogacy (the
common model)
·
Commercial, traditional surrogacy
Parentage
orders
are obtained under State and ACT legislation concerning surrogacy, although
called substitute parentage orders in
the ACT, whereas parenting orders are
obtained under Part VII of the Family Law
Act 1975. For intended parents, being advised that a risk of proceeding
with altruistic surrogacy is the inability to obtain a parentage order (from a State court), requiring the need to obtain
a parenting order (from the Family or
Federal Magistrates Courts) is highly confusing.
5.
Biology 101: when not if
To make a baby, three elements are required:
·
An egg
·
Sperm
·
A mother to carry the child to term
Surrogacy has changed the equation about who can or
cannot be a parent. Childless couples need no longer worry about if they can become parents. With
surrogacy, provided that intended parents are patient and have sufficient
resources, it is now a question of when
they become parents.
6. Who wants to be a parent?
Seemingly
everybody! Many of us have an innate desire to be parents. This desire is
common, regardless of sexuality or relationship status. Therefore the range of people
who want to have children, but cannot by traditional means, traverses the
spectrum:
- Married
couples
- Heterosexual
de facto couples
- Single
men and women
- Gay
and lesbian couples
- Those
in a de facto relationship where one of the parties is transgendered, or
in the process of transitioning.
Single
men and gay couples evidently cannot produce the egg or the
mother, and for them surrogacy is in reality their only option to achieving
parenthood.
For heterosexual couples, if there is an issue about
the sperm quality, then it is relatively easy to access sperm either anonymously through a clinic, or with potential
complications from a known sperm donor.
Until about a year ago if there were a need for an egg donor, it was almost impossible to
obtain an egg from a donor. Australia had an appalling record of childless
couples having to wait for 2 to 7 years. Part of this delay was because of the
policy prescription that egg donors cannot be paid, other than “reasonable”
expenses[18].
Instead childless women or heterosexual couples
either accessed commercial egg donors in the US, for about $40-60,000 for the
entire transaction, or other cheaper overseas jurisdictions[19],
or gave up. Those accessing commercial egg donors overseas may or may not be
committing serious offences in Australia, depending on the jurisdiction and the
manner in which they undertake the process.
In the last year the landscape has changed, with the
rise of websites enabling women to donate eggs. It is now possible to choose a
prospective egg donor within about 6 to 8 weeks.
However, if the ability to carry the child to term
safely or at all were the issue, then for heterosexual couples the only option
available is surrogacy.
For single
women seeking to be parents, and unable to fall pregnant, if an egg donor
were not the solution, then surrogacy is the last resort.
One might think that lesbian couples might never need surrogacy. However, as fate
intervenes and prevents both women carrying a child to term, surrogacy is the
last resort to enable parenthood to succeed.
Therefore to achieve parentage:
·
Married or heterosexual de facto couples
if unable to conceive naturally may need a sperm donor, an egg donor, or a
surrogate, or all of these.
·
Single women if unable to conceive
naturally will need a sperm donor and may need an egg donor and a surrogate.
·
Single men will need an egg donor and a
surrogate (and may need a sperm donor).
·
A gay couple will need an egg donor and
a surrogate (and against the odds may need a sperm donor);
·
A lesbian couple will need a sperm donor
(and against the odds might need a surrogate and an egg donor).
7.
Who wants to be a surrogate?
Having acted for surrogates and prospective
surrogates, and talked to fellow surrogacy lawyers in the US, and surrogacy
agency owners in the US, there are some common features about the typical woman
who wants to be a surrogate:
·
She has typically had all of her own
children and does not want to have any more[20].
·
She may or may not be married, have a
partner or be single[21].
·
She likes being pregnant. For her
pregnancy is a dream. Women who have troublesome pregnancies rarely step
forward to be surrogates.
·
Childbirth for her is straightforward.
Women are much more likely to be surrogates if they have a 2 hour labour than a
24 hour labour!
·
Above all for her getting pregnant and
having children is a breeze, but she can see how hard it is for others, and she
wants to help them achieve the dream of parenthood[22].
As Dr Kim Bergman[23]
told a surrogacy forum last year[24] ,
surrogates have a healthy blend of altruism and narcissism: they are putting
their lives potentially at risk out of an extraordinary act of generosity to
others, but they are aware that they are special for doing so. It is an
extraordinary woman who wishes to be a surrogate, if for no other reason
because of the inherent risks involved with pregnancy and childbirth.
The clear message I have received from numerous
surrogacy practitioners in the US is that the payment of money is not the primary motivating factor for
surrogates. The other factor, of that extraordinary human spirit, is the prime
driver. And nor would one expect the money factor to be the primary driver,
when surrogates in the US are paid anywhere from US$15-30,000, depending on various
factors including the jurisdiction, agency, risk and experience. The typical
surrogate in the US is not on welfare.
I have seen the same extraordinary human spirit and
generosity of surrogates in Australia, whether or not the surrogate had a
pre-existing relationship with the intended parents.
My experience with altruistic surrogacy
arrangements, where the surrogate is a friend or family member, is that the
surrogate in all cases volunteered to be a surrogate. In only one case was she
approached by the intended parents to be a surrogate. Typically it was an offer
made out of the blue. In three cases it has been the mother being the surrogate
for her daughter and son in law. Each of the mothers in those arrangements were
aged in their late 40’s to 50. However, there is the potential for undue
influence to occur between friends and family.
Professor Peter Illingsworth[25]
told a public forum last year[26]
in Sydney, that there are clear benefits in there being commercial surrogacy
arrangements, to reduce the chances of exploitation, and to increase the
screening of surrogates. A weakness with the current processes in Australia is
that it relies upon the intended parents to screen the surrogates.
8.
Link between the surrogate and the baby
Becoming a surrogate is not a 9-5, Monday to Friday
job. It is literally a labour of love, in which for 9 months the surrogate’s
body changes until she gives birth. The risk to the surrogate is that she could
die, or suffer from permanent disabilities, such as:
·
Loss of fertility
·
Post-natal depression
·
Back injury
·
Hypertension
Doctors have advised that research shows that when
babies are conceived through IVF (as almost all surrogacy babies would be),
there is a higher risk of miscarriage and twinning than with children who are
conceived naturally. Surrogates take on this risk.
Example
Fred and Ginger
have been unsuccessful in having children. Their friend, Dorothy, offers to
have a baby for them. It is a traditional surrogacy. There is no history of
twins in Fred’s family or Dorothy’s family. Dorothy has had four previous
pregnancies. All four pregnancies have been fine, the children being born
naturally and healthy.
Following
implantation of one embryo, comprised of Fred’s sperm and Dorothy’s egg, the
cell divides, resulting in the conception of identical twins. Dorothy then
endures a difficult pregnancy and a very difficult childbirth.
It is the view of IVF clinics and counsellors that,
in general, traditional surrogacy should be avoided, because of the obvious
bond between the surrogate and the child, which increases the risk that the
surrogate does not relinquish the child[27].
However, traditional surrogacy can work in appropriate cases. The difficulty
with proscriptive rules is that they can have unintended consequences. As the
learned American authors Kindregan and McBrien state:
“Many
[US] states are hesitant to enact legislation because given the advances in
reproductive science, there will always be a factual exception to the rule,
making it more appropriate for the courts to address each scenario on a
case-by-case basis.”[28]
Gestational surrogacy is the preferred model, as it
lowers the risk of relinquishment, especially when there is the inability in
Australia to have binding contracts.
It has been my experience in acting for surrogates
that while there is a bond that develops between a surrogate and the baby, when
there is no genetic, family or pre-existing close connection between the
surrogate and the intended parents, the view of the surrogate is to have an
ongoing connection with the baby, but:
“I
was happy handing the baby over. After all, she’s not my baby. She’s their
baby.”[29]
It is not my view that traditional surrogacy should
be banned, as has happened in Victoria[30],
for example. There will be cases where traditional surrogacy will be
appropriate. These cases should be managed carefully, through the usual
measures:
·
Thorough counselling
·
Thorough legal advice
·
Carefully assessing the risks through
the IVF clinic’s ethics committee about whether or not the clinic will undertake
the work, and if so under what conditions.
As demonstrated in Re Evelyn[31],
given the ability to become pregnant at home via artificial insemination,
without the involvement of clinics, traditional surrogacy will continue.
Example
Rachel is
friends with a gay couple, Michael and Jarrod. Michael and Jarrod are keen to
have children. Rachel offers to have a child by traditional surrogacy, via home
insemination. Rachel is the genetic mother, and Michael the genetic father.
Twins are
conceived and born. They are considered Michael and Jarrod’s children. Rachel
has an ongoing, happy relationship with the children and Michael and Jarrod. Conception
is achieved via home insemination. No parentage order is obtained. No order is
obtained under the Family Law Act. The parents shown on the birth certificate
are Rachel and Michael. It is not possible to name Jarrod on the birth
certificates as a parent without there being a parentage order, as Queensland,
in common with all the States (and contrary to some recent developments in
parts of the US), does not allow three parents to be named.
Re
Evelyn[32]-
the nightmare case
Mr and Mrs Q
were a childless couple living in Queensland. Dr and Mrs S were friends of
theirs, living in South Australia. As is typical with an altruistic surrogacy
arrangement, Mrs S offered to Mr and Mrs Q to be a surrogate. At the time,
altruistic surrogacy was illegal in both Queensland and South Australia.
It would appear
that neither Mr and Mrs Q or Dr and Mrs S had counselling or legal advice before
embarking on the surrogacy journey.
It was a
traditional surrogacy: Mr Q’s sperm and Mrs S’s egg. Following the birth of the
child, and the handing over of the child to Mr and Mrs S, about 3 weeks after
the child’s birth Dr and Mrs S went to visit the Q’s. Dr and Mrs S then took
the baby, Evelyn. They had the right to do so- they were, then and now, under
the law that is common throughout Australia, the parents of the child.
The matter was
litigated bitterly in the Family Court. In today’s money it is fair to estimate
given the intensity of the litigation that each of the Q’s and the S’s would
have spent well in excess of $100,000, may be as much as $300,000.
Evelyn was
ordered to live with the S’s. Almost certainly there would have been an
extraordinary lasting bitterness in the litigation- for both the S’s and the
Q’s. It was a dramatic demonstration of how not to undertake surrogacy.
Example[33]
Bentley and Matt
Harris are a gay couple. They agreed with their married friend “Rosie” to
undertake a traditional surrogacy. At the time, altruistic surrogacy was
illegal in Queensland. They undertook counselling. However, no legal advice was
obtained.
After the
pregnancy commenced, a surrogacy arrangement was signed. The child Connor was
born just before the Surrogacy Act 2010
(Qld) commenced.
An independent
assessment determined that the making of a parentage order was in the best
interests and for the wellbeing of Connor.
A parentage
order was made. Bentley and Matt achieved history, becoming the first intended
parents in Queensland to obtain a parentage order. Subsequently, as reported by
the Courier-Mail, “Rosie” regretted handing over her child.
9.
Who’s your daddy? Children born overseas
I agree with this statement by the Chief Federal
Magistrate:
“The
state-based regimes for transfer of parentage cannot be accessed if
the
child is born overseas through a commercial surrogacy arrangement.”
However, I disagree strongly with these comments by
his Honour:
“The
result of this is that many Australian couples have been left “stranded”
overseas after having a child through a surrogate mother, as they are unable to
apply for citizenship for the child under the Australian Citizenship Act, due
to the ambiguities about the definition of ‘parent and child’. The intended
parents in such a situation would therefore be in breach of the Hague
Convention on Inter-Country Adoption if they attempted to bring the child back
into Australia.”
This is the minefield that Australian intended
parents negotiate when they undertake surrogacy overseas. The reality is that
Australian intended parents are able to bring their babies to Australia.
9.1
Australia has a schizoid way of saying
who is a “parent”.
In essence, there are three ways to say who is a
“parent”:
·
Birth
·
Genetics
·
Intent
Australia, confusingly, has chosen all three! It has
done so this way:
• Under
the Status of Children legislation in
each State and Territory, adopted by the Family Law Act, the approach has been
that of defining by birth. That
definition in turn has in part made its
way to the Australian Citizenship Act
. This has been the approach taken in
most Family Court cases concerning overseas surrogacy.
• The
approach of the Department of Immigration and Citizenship, which has largely relied on genetics.
• The
approach of two recent court decisions, which have relied on intent, and the reality of who was parenting the child concerned.
Therefore, a person might be recognised as a parent
of a child for the purposes of citizenship, but because that person was not the
birth parent of the child or married to or a partner of a birth parent of the
child, is not a parent for State law purposes, and may not be a parent under
the Family Law Act;
It is obvious that there may be a difference between
a parent as a matter of law and a parent as a matter of genetics. If a “child” is born to an Australian citizen
who is a “parent” then by virtue of the Australian
Citizenship Act 1997, the child is taken to have acquired Australian
citizenship by descent. If a child is
born overseas where the child has been conceived naturally, there is no
question who is the parent and who is the child. Genetics apply.
The difficulty with surrogacy is that sexual
intercourse does not lead to the conception of the child. Instead:
Sperm from a man (who may be the intended father or
may be a sperm donor) and
· An
egg from a woman (who may be the intended mother, a donor or, rarely a surrogate);
· Are
combined in a small glass vial;
· Then
the resultant embryo is placed in an incubator;
· Then
either used fresh or frozen in liquid nitrogen;
· Then
either as fresh or thawed, the embryo is implanted into the body of another woman, the surrogate, who ultimately gives
birth to the child.
Who is the parent out of this arrangement? Is it:
· The
surrogate?
· Her
husband or partner? (If she has one)
· The
sperm donor?
· The
egg donor?
· The
intended parents?
· If
the intended parents are in a same sex relationship, do both of them get
recognised?
9.2
A parent by birth
This is the standard approach taken under Status of Children legislation, and seen
in a series Family Law Act cases,
especially Ellison and Karnchanit [34].
To rely on legislation that did not contemplate
international surrogacy arrangements, has resulted in what appears to be more
and more difficult reasoning.
In Ellison and
Karnchanit, for example:
• Mr
Ellison, who was the genetic father of the child, and named on the Thai birth certificate, was not recognised by that
process as the father;
• He
was recognised as the father following the discovery that at the time of
conception the surrogate was not in
living in a de facto relationship;
• It
is unclear who might have been the mother- whether it was the intended mother,
Ms Solano, the birth mother Ms
Karnchanit, or the anonymous egg donor. In any event, Ms Solano was not recognised as the mother, even though
this was no doubt her and Mr
Ellison’s intent when entering into the surrogacy contract.
Three of the difficulties of defining a parent by
birth (and thereby excluding the intended parents) are that:
• The
person who had always intended to be parent, was the driving force to ensure
the child’s creation, and parents
the child on a daily basis may never be recognised at law as a parent (and therefore the child is
never recognised at law as that person’s child, with potential adverse impact on the child’s psycho-social
development);
• The
need to obtain the consent of the birth parent every time the child’s passport needs to be renewed;
• The
risk that children may unintentionally be disinherited.
9.3 A parent by genetics: the usual approach
taken by the Department
I understand that the approach taken by the
Department varies from country to country and specifically:
·
In India the approach of the Department
is to insist that there is a genetic connection.
·
In Thailand the approach of the
Department is to insist on a genetic connection.
·
For those intended parents going to the
United States the approach appears to depend on the officer of the Department.
Some are insistent on DNA testing.
Others are satisfied with the making of custody orders, consistent with H v Minister for Immigration and Citizenship
(see below for discussion of this case).
The formal position of the Department is as follows[35]:
“A
parent-child relationship is a question of fact to be determined by the
department with regard to all the relevant circumstances.
In
the majority of surrogacy arrangements, at least one of the intended parents is
also a biological parent of the child. Normally, the biological parentage can
be readily determined through medical records and/or DNA testing. Provided that
DNA testing is carried out to approved standards the result of DNA testing is
given substantial weight when determining if a person is a parent of another
person.
See:
Fact Sheet 23 – DNA Testing
Where
there is no biological connection between an Australian citizen who is the intended
parent and the child born through an international surrogacy arrangement, or
where such a biological connection has not been satisfactorily established, it
is necessary for an Australian citizen to provide other evidence to demonstrate
that the Australian citizen was in fact the parent of the child at the time of
the child's birth. The type of evidence that would support such a claim is
likely to require greater scrutiny and verification than DNA evidence.
Consequently, an application based on such evidence may take significantly
longer to decide.
Evidence
that the parent-child relationship existed at the time of the child's birth may
include, but is not limited to:
• a formal surrogacy agreement
entered into before the child was conceived
• lawful transfer of parental rights
in the country in which the surrogacy was carried
out to the Australian citizen before or at time of the child's birth
• evidence that the Australian
citizen's inclusion as a parent on the birth certificate
was done with that parent's prior consent
• evidence that the Australian
citizen was involved in providing care for the unborn
child and/or the mother during the pregnancy, for example, emotional, domestic or financial support and making
arrangements for the birth and prenatal
and postnatal care
• evidence that the child was
acknowledged socially from or before birth as the Australian citizen's child, for example, where the child was
presented within the Australian
citizen's family and social groups as being the Australian citizen's child.
• Evidence that the Australian
citizen treated the child as his or her own from some point in time after birth would not by itself be
evidence that the Australian
citizen was the child's parent at time of birth, but it would lend weight to evidence of the types previously
listed.”
9.4
A parent by intent: H v. Minister for Immigration and Citizenship (2010)
The Federal Court rejected the approach taken by the
Department of Immigration and Citizenship.
The Department argued that the relevant test for who is a “parent” and
who is a “child” under the Australian
Citizenship Act was determined by genetics or determined by the relevant
definitions under the Family Law Act.
In two cases decided side by side (neither of which
was a surrogacy case) the Federal Court determined that with the poor drafting
of “parent” and “child” under the Australian
Citizenship Act, who was the “parent” would be determined by fact in each
case, but appears clear to say demonstrated intent.
The Full Court of the Federal Court held[36] :
“Today,
the fundamental consideration in acquiring citizenship is the strength of the
connection between a person and Australia; it is this which provides the basis
for the ‘common bond’ mentioned in the preamble. Within this framework, there is, however,
little contextual support for the proposition of the word ‘parent’ has some
restrictive meaning, signifying only a biological parent, as opposed to a
parent, whoever that may be, within ordinary meaning of the word. Biological parentage can scarcely be the sine
qua non of a meaningful connection to the Australian community…..Bearing this
in mind, the more rational approach is not to attribute some technical meaning
to the word ‘parent’ in s16(2), but instead to attribute to the word its
ordinary meaning as evident in ordinary contemporary English usage.”
The Court went on to say[37]:
“There
is nothing in the legislative object, the legislative text, or the legislative
structure of the Citizenship Act that requires the Court to conclude that, in
the specific context of the s16(2), has the meaning it bears in ordinary
contemporary English usage. Indeed
legislative history confirms that this approach is most in keeping with the
development of citizenship legislation over time and with the spirit and
intendment of the current Citizenship Act.
No sound reason has been advanced to warrant a more limited reading of
the word.
The
word ‘parent’ is an everyday word in the English language, expressive of both
the status and the relationship to another.
Today, in the Citizenship Act it self-recognizes, not all parents become
parents in the same way….This is not to say that parents do not share common
characteristics; an everyday use of the
word indicates that they do.
Being
a parent within the ordinary meaning of the word may depend on various factors,
including social, legal and biological.
Once, in the case of an illegitimate child, biological connection was
not enough; Today, biological connection
in specific incidences may not be enough………. Perhaps in a typical case, almost
all the relevant considerations, whether biological, legal, or social will
point to the same person as being ‘the parents’ of a person. Typically,
parentage is not just a matter of biology but of intense commitment to another,
expressed by acknowledging that other person is one’s own and treating him or
her as one’s own.
The
ordinary meaning of the word ‘parent’ is, however, clearly a question of fact,
as is the question of whether a particular person qualifies as a parent within
that ordinary meaning, implying s16(2)(a) the Tribunal is bound to determine
whether or not, at the time of the applicant’s birth, he or she had a citizen
parent. In deciding whether a person can
be property described as the applicant’s parent, the Tribunal is obliged to
consider the evidence before it, including evidence as to the supposed parents’
conduct before and at the time of birth and evidence as to the conduct of any
other person who may be supposed to have had some relevant knowledge. Evidence as to conduct after the birth may be
relevant as confirming that parentage at the time of birth. For example, evidence that a person
acknowledges the applicant as his own before and at the time of birth and,
thereafter treated the applicant as his own, may justify a finding of that
person as a parent of the applicant within the ordinary meaning of the word
‘parent’ at the time of the birth…….
We
can discern no relevant justification for holding…….that a person can only be a
‘parent’ within the meaning of s16(2) where it can be established that he or
she has a relevant link to the applicant.
If the Minister’s arguments in this case were accepted, a person could
be treated as a citizen from birth and believe himself to be a citizen, only to
find years later, based on a DNA test undertaken for other reason, that under
the law he is not and never was a citizen……….As a practical matter, we do not
consider that Parliament would have intended the likely unfortunately results
of the Minister’s construction……….The
practical effect of this construction would be to accord the science of
genetics a status Parliament has not given it.”(emphasis added)
Significantly, the court found that:
· An
Australian man who met a Chinese woman on the internet when she was pregnant to
a Chinese man, and agreed to marry her, have his name on the birth certificate
as the father of the child and raise the
child as his own, was a parent. On this point the court took a similar approach
to the US Supreme Court; and
· An
Australian man who for 30 years had believed he was the father of a child, but
was not, but had acknowledged paternity, brought the child into his family
including paying child support, and he and his wife and children visited the
child, was also a parent.
The significance of the case is:
o
It sets the benchmark for who is or who
is not a “parent” of a child for the purposes of the Australian Citizenship Act;
o
It sets out clearly that proscriptive
definitions of who is or who is not a parent can fail because they do not take
into account unusual or unexpected cases.
In neither case was there any DNA link between the
two men and their children. Neither did the Family
Law Act definitions apply.
Clearly, if an intended parent enters into a
surrogacy arrangement with the intention of raising a child of their own (even
if they do not supply their own DNA) then they may well be a “parent” having
regard to the facts of the case as decided in H.
This approach was similarly accepted in Re Blake , where the Family Court of
Western Australia noted that if the birth definition of who is a parent were
adopted, under that State’s Artificial
Conception Act 1985 (WA), then
neither of the intended parents would be recognised as parents, but instead
looked to the intention of those concerned, or as her Honour referred to it,
the reality- who was parenting the children.
9.5
Why
are custody orders needed in the US, sometimes in Thailand but not in India?
Each overseas country has its own procedures. Officers of the Department of Immigration and
Citizenship wish to ensure, as part of Australia’s international obligations,
as Australia is a signatory to both the Hague
Inter-Country Adoption Convention and the Hague Abduction Convention, that children born through surrogacy
arrangements aren’t children who have been improperly abducted, sold or adopted
in the overseas jurisdiction.
India is not a signatory to the Hague Abduction Convention, but Thailand and the United States
are. Because Thailand and the United
States are both signatories to the Abduction
Convention, the best practice is to have court orders in place to overcome
issues to do with the Abduction
Convention. As Ellison and Karnchanit
made clear, to all intents and purposes there is not an ability to obtain an
order in Thailand. Therefore intended parents were applying in the Family Court
for parenting orders.
However the Department of Immigration and Citizenship
has in respect of intended parents in Thailand since late 2011 not required the
obtaining of court orders, but instead has interviewed the surrogate at the
Embassy, to establish that she consents to the removal of the child from
Thailand.
One feature of Ellison
and Karnchanit is that the Australian intended parents simply did not know
the marital status of the surrogate. If the surrogate had been married, her
husband could quite properly make complaint to Thai authorities that his child,
who was habitually resident in Thailand at the time of birth, had been removed
from Thailand without his consent, prompting action under the Abduction Convention.
Example:
Bill and Joe
Bloggs undertake surrogacy through the You Beauty Rippa Surrogacy Agency in
Kerala which specialises in surrogacies for Australians. The surrogate is implanted with an embryo
comprised of Bill’s sperm and the egg of an anonymous Caucasian donor. When the child is born it is clearly not
Caucasian. Despite the terms of the
surrogacy agreement, the surrogate did not stop having sex with her
husband. The child was found to be
genetically the child of the surrogate and her husband.
The Department would not ordinarily consider Bill and Joe to
be “parents” of the child if they are not genetically related to the
child. However despite everything that
had occurred, they decided to raise the child as their own then within the
meaning of H v Minister for Immigration
and Citizenship, it is likely that they would be the “parents” of the
“child” who would be entitled to Australian citizenship by descent. It is unlikely that the Department would
accept that the child is an Australian citizen.
Example:
Bruce and Matt
are a gay couple who have undertaken surrogacy with the Ripsnorter Surrogacy
Agency in Bangkok. Bruce is an
Australian citizen. Matt is not. Each supply a sample of sperm at the request
of the agency, for testing purposes. It
is determined that Bruce has the best quality sperm. He is to be the father. The child is conceived and born. Bruce is named on the Thai birth certificate
as dad. The application for Australian
citizenship is made with Bruce as the father.
At the request of the Department the DNA test is undertaken. This demonstrates that Bruce is not the
father. Subsequent tests determine that
Matt is the father. Under the approach
taken by the Department, it is unlikely that the Department would accept the
child as being an Australian citizen.
Under the test in H v Minister for
Immigration and Citizenship, Bruce would be considered to be the parent of
the child.
9.6
Comparison with the US
The three bases of determining legal parentage in
the US by the courts have been on the same bases as the tests in Australia:
1.
intent
2.
genetics
3.
birth
As leading authors Kindregan and McBrien state :
“Each
test provides different results.”
The general trend in the US is toward honouring the intent of the parties when they entered
into a surrogacy arrangement. The leading cases on intention in the US are
Californian:
·
Johnson
v Calvert (1993)
·
Buzzanca
and Buzzanca (1998)
Johnson
v Calvert
The court ruled that the intended parents under a
surrogacy arrangement, who were also the genetic parents, were the parents,
despite opposition from the surrogate. The surrogate had argued that she was
the mother as she had given birth. The case stands for the proposition that
when genetic consanguinity and giving birth do not coincide in the one woman:
“She
who intended to bring about the birth of a child that she intended to raise as
her own is the natural mother.”
Buzzanca
and Buzzanca
Mr and Mrs Buzzanca entered into a surrogacy
arrangement in which both donor egg and sperm was used. There was no genetic
relationship between the child and either Mr or Mrs Buzzanca or the surrogate.
Mr and Mrs Buzzanca separated. Mr Buzzanca stated that as he was not genetically
related to the child, he was not liable to pay child support[38].
As Mr and Mrs Buzzanca had originally intended to
rear the child as their own, Mr Buzzanca was a parent.
9.7
So what if they are not parents?
It is of great surprise to intended parents to be
told that although in the overseas jurisdiction they were recognised as
parents, for example on the birth certificate, surrogacy contract or in the
court order, that they might be recognised under the Australian Citizenship Act as parents, that the overseas birth
certificate is disregarded for these purposes (such as seen in Ellison and Karnchanit), and that for
parenting presumptions under State and Territory laws (with now the possible
exception of Western Australia given the decision in Re Blake) they are not parents.
They wonder, quite rightly, how they could be
parents for some purposes of Australian law, and not others.
Not being a “parent” generally makes little
practical difference by the time intended parents seek advice, as:
o The
child is probably already an Australian citizen;
o The
child as a citizen is entitled to a Medicare card, and with the birth
certificate Centrelink benefits can be
claimed, and the child can be enrolled at school;
o Arriving
at accident and emergency at 2am with the child in tow, the parents are not going to be asked about the legality of
parenthood. More likely they will be asked to fill
out a form, and for Medicare and health insurance details.
The differences come later on:
·
If the intended parents separate, there
may then be argument about whether or not they were a “couple”. If the court
forms the view that they were not, then that may prevent the non-biological
parent having a relationship with the child[39].
·
The theoretical difference that they are
not viewed as “parents” in the eyes of the State, at least for some purposes.
·
Sooner or later it might be argued that
child support is not payable .
·
That the child may be accidentally
disinherited, due to a lack of a (or poorly drawn) will of the parent.
Submission
1. The
process of determining citizenship of the child should remain with the Department of Immigration and Citizenship.
There should not be the need to make
applications to the Family Court to determine as to who is a parent, and as to whether or not the child is therefore
entitled to Australian citizenship. Going to
court is slow, costly, cumbersome, burdensome on taxpayers, judges and other court users, and most importantly
leaves the citizenship of the child unresolved. A quick, cheap, simple and transparent administrative test
is in the public interest.
2. The
test of determining whether a child is an Australian citizen who is a “child” of
a “parent” for the purposes of the Australian Citizenship Act 2007 when a
child has been born overseas
and where a surrogacy arrangement or agreement has been entered into ought to be:
a. A
rebuttable presumption that the “parent”
is any intended parent named in a written
surrogacy arrangement or agreement;
b. A
rebuttable presumption that a court order granting the person parental responsibility however defined means that
that person is a “parent”;
c. A
rebuttable presumption that if a person is named under a legal, administrative or judicial process of an overseas
jurisdiction (such as a court order or birth certificate)
as a “parent” then that person is a “parent”;
d. The
person is genetically a “parent” of
the child; or
e. The
spouse of a person is a “parent” of
the child.
3. That
the same test be applied under the Family
Law Act 1975 and for other Commonwealth legislation, such as the Child Support (Assessment) Act 1989 and the Australian
Passports Act 2005.
4. This
change ought to be retrospective.
5. That
if a person acquires Australian citizenship by descent by virtue of section 16(2)(a), then the person is presumed
to be the child for all purposes (Commonwealth,
State and Territory) of the “parent”.
10.
Passports
As of 22 April, 2013, Passports Australia has
required intended parents ensure that they secure the signature of any person
who has parental responsibility for a child so that a passport issue for a
child[40].
Passports Australia has in turn defined the person who has parental
responsibility as the surrogate. What Passports Australia has not said is that
if the surrogate were in a de facto relationship or married at the time of
conception, then the consent of her partner or husband is also required.
Be that as it may, in the set and forget model of
surrogacy seen in India and Thailand in particular, this issue will
increasingly cause intended parents grief when children’s passports need to be
renewed every 5 years. It may prove impossible to locate, let alone obtain the
consent of the surrogate and her husband/partner to a new passport issuing.
Before 22 April, 2013, Passports Australia did not
need the written consent of the surrogate and her husband/partner to the issue
of the birth certificate. Therefore passports have issued for children where
that consent was not required, but when a renewal of that passport is sought,
the consent of the surrogate (and her husband/partner) will be required.
Submission:
6. That to obtain an Australian passport
for a child born overseas where a surrogacy
arrangement or agreement has been entered into, the following test should apply:
a. There can be more than two “parents” of the child;
b. The consent of all of those who have
parental responsibility for the child is required
before a passport will issue for the child, subject to the ability to dispense with that consent, and subject to an
order of an Australian court as currently
provided in the Australian Passports Act
2005 (Cth); s.11;
c. If a court order of another country
terminates the parental rights of a person, that
person will not be recognised as having parental responsibility for the child for the purposes of the Australian Passports Act 2005 (Cth);
d. If what appears in the opinion of the
delegate to be a binding agreement has been entered
into that terminates the parental rights of a person in accordance with foreign law, that person will not be recognised as having parental
responsibility for the child for the
purposes of the Australian Passports Act
2005 (Cth);
e. There be Regulations stating in what
jurisdictions surrogacy agreements are considered
binding on this point; and
f. If a child has previously had an
Australian passport, the people deemed to have parental
responsibility for the child shall be no greater than the people who had parental responsibility the previous
time a passport issued for the child.
11.
Recognition of overseas orders
It is possible to register overseas child orders
under the Family Law Act. Section 70G
provides:
“The
regulations may make provision for and in relation to the registration in
courts in Australia of overseas child orders, other than excluded orders.”
The Family Law
Regulations allow for orders made in prescribed overseas jurisdictions,
primarily the United States, to be registered under the Family Law Act, which
then have the effect by virtue of sections 70H and 70J of the Act as if they were
made by the overseas court under Part VII of the Family Law Act[41]
.
Anecdotal evidence exists that it is not possible to
register a surrogacy order made in the United States in Australia because such
an order involves the termination of parental rights, an order that is not
otherwise possible under Part VII of the Family
Law Act. An order terminating parental rights is to the Australian public
benefit, because it terminates rights of custody under the Hague Abduction Convention. The existence of such an order is
considered by the Department when considering citizenship of the child. Such an
order also ought be determinative in Australia of parentage.
Example
Reuben and Jack
undertake commercial surrogacy in California. They are Australian. A child is
carried by a gestational surrogate. The child is genetically that of Reuben and
an egg donor. The surrogate and her husband have no genetic relationship with
the child. The surrogate is paid a fee. Prior to the birth of the child, the
surrogate and her husband consent to an order being made in the Superior Court
of California at Los Angeles granting custody to Reuben and Jack, naming Reuben
and Jack as the parents, and terminating the parental rights of the surrogate
and her husband. The surrogate and her husband were represented in those
proceedings. Reuben and Jack are then named on the birth certificate as the
parents.
Armed with that
order, Reuben and Jack seek to register the order with the Family Court.
Registration is refused because, they are told by a Registrar, as the Family
Court does not have the power under Part VII of the Family Law Act to terminate
parental rights, then the order is not capable of being registered.
Submission:
7.Any
administrative barriers that exist to prevent the registration of overseas
custody orders under the Family Law Act, such as those made in the United
States, should be removed.
12.
Recognition of overseas birth certificates
It is an absurdity worthy of Sir Humphrey Appleby
that s.69R of the Family Law Act
states the possibility of recognising overseas birth certificates, but no
overseas jurisdictions are prescribed. Intended parents are stunned to learn
that their name on the birth certificate is not, on the face of it, recognised
in Australia.
However, as they are keen to point out, that same
birth certificate is recognised by the local school, Medicare and Centrelink
offices as to parentage and identity for the child. As they have pointed out to
me, it enables the payment of money to them on the basis of parenthood by the
same Government that says that they are not parents!
The impact of the failure to prescribe any
jurisdiction is also felt at the State level, as part of the statutory scheme,
for example, section 25 of the Status of
Children Act 1978 (Qld). It seems extraordinary that no jurisdiction in the
world, such as California or the UK, for example, is recognised here.
12.1
Section 70H
By omission, as a matter of biology this section
discriminates. It enables the recognition of lesbian co-mothers (amongst
others) as part of a nationwide statutory scheme. It is worthy for that
purpose, although doubts have been expressed as to the drafting. For example in
Lusito and Lusito [2011] , her Honour
FM Purdon-Sully (as she then was) questioned the “Chemin de Jerusalem” type
labyrinth that is contained within the section before finally concluding that
the co-mother was not only deemed to be a parent but was also a parent of the
child by virtue of the section.
Section 70H discriminates by omission because it
allows for the recognition of co-parenting to lesbian couples, but does not do
so for gay couples, who must as a matter of biology use surrogacy. This is a
matter that some gay clients of mine have keenly noted.
Submission:
8.
That the Commonwealth immediately prescribe jurisdictions by regulation for the
recognition of overseas birth certificates.
13.
Where do Australians access surrogacy?
According to community group Surrogacy Australia, in
2011 Australian babies born to surrogacy were:
Country
|
Number
|
Australia
|
11
|
USA
|
45
|
Thailand
|
45
|
India
|
242
|
Current
trends on where Australians are going
Given the relevantly recent changes in law in most
jurisdictions, and the changes to the availability of donors and surrogates, it
is likely that the Australian figure will increase. However, it will be some
time for these numbers to show themselves properly due to the long lead times.
My experience is that the average surrogacy arrangement takes 18 months to 2
years.[42]
This is irrespective of where the surrogacy takes place, unless the clinic does
not use sexually transmitted infection control protocols, in which case the
period will be shorter[43].
Are
Australians going overseas when it is illegal?
Yes. On too many occasions prospective clients have
entered into surrogacy agreements overseas, and have a child on the way, to
only then discover that what they have done is illegal. It would appear that
the changes in NSW made an immediate change in early 2011, but by 2012,
intended parents going overseas was back to where it was before the changes.
The key factor influencing numbers is an outside
influence. On 9 July, 2012 India changed the rules, although it did not
publicise the change for months. It decided that those seeking surrogacy from
Australia could only do so if they were:
·
Married, for a minimum of 2 years (gay
marriage being specifically excluded)
·
From a jurisdiction which did not
criminalise overseas surrogacy: Victoria, Tasmania, SA, WA, NT.
The change in the Indian position immediately
excluded:
·
Intended parents from Queensland, NSW
and the ACT;
·
Those in de facto relationships
·
Same sex couples
·
Singles.
The direct effect of the change as well as the
regulatory risk involved with going to India has seen an increase in intended
parents wanting to:
·
Undertake surrogacy in Australia, but
being frustrated at difficulties in being able to locate donors and surrogates,
and the barriers to treatment erected by some clinics.
·
Therefore undertake surrogacy in the US,
Thailand, and more exotic locations such as Ukraine and the Republic of
Georgia.
Did
you know?
Australians desperate to become parents and not commit
offences have upended businesses and careers to move to where undertaking
commercial surrogacy overseas is legal.
Clients of mine have moved:
From Qld to
|
From NSW to
|
||
Victoria
|
Victoria
|
||
NT
|
NT
|
||
WA
|
USA
|
The current trend that I am seeing is an increase in
the number of Australian intended parents going to Thailand and the USA. Unless
and until there is fundamental reform of Australia’s surrogacy laws, this trend
is likely to continue, notwithstanding State bans on overseas commercial surrogacy.
14.
Going overseas
It is legal to undertake altruistic surrogacy
overseas for residents of every State and Territory. However, it may not be practical to do so.
Clients of mine who were Indian-Australians wanted to undertake altruistic
surrogacy in India with a close relative. It would appear that because Indian
practice (and the approach of the Department of Immigration and Citizenship) is
heavily tilted towards commercial surrogacy in India, undertaking altruistic
surrogacy there is extremely difficult.
It is illegal for those ordinarily resident[44]
in Queensland, NSW and the ACT to undertake commercial surrogacy overseas[45].
This statement by the Chief Federal Magistrate[46]
is therefore incorrect:
“New South Wales is the only state to attach criminal penalties to
commercial surrogacy completed overseas.”
There is a time limit for prosecution for those from
Queensland of in effect of up to a year after the baby returns home, and no
time limit in NSW[47]
and the ACT.
By contrast it is legal for those from Victoria,
Tasmania, SA, WA and the NT to undertake commercial surrogacy overseas.
Did
you know?
The regulator of
Victoria’s IVF clinics is VARTA (Victorian Assisted Reproductive Treatment
Authority). In April 2011 VARTA held a seminar for prospective intended parents
looking at undertaking surrogacy overseas called “Cross-border reproductive Care”. VARTA ensured that a fertility
doctor from India spoke at the seminar. By contrast, to engage in overseas
commercial surrogacy for Queensland residents attracts a maximum 3 year term of
imprisonment, and for those from NSW and the ACT a maximum 2 or 1 year term
respectively.
Example
George and
Mildred are itinerants. Due to George’s highly desired work skills, they move
from workplace to workplace. They are not “ordinarily resident” in any State as
a result. This means that although at all times they are living in Australia
(and are Australian citizens) they cannot access surrogacy in Australia as
State (and ACT) laws in effect require them to reside in that
jurisdiction.
Faced with the
difficulty of not being able to access altruistic surrogacy, they decide that
they wish to undertake commercial surrogacy in India. Here they are also
caught. They cannot prove to Indian authorities that they are ordinarily
resident in Victoria, Tasmania, SA, WA and the NT and not ordinarily resident in Queensland, NSW or the ACT.
Example
Barney and Betty
are married. Betty lives in Brisbane. Barney works on a fly in fly out basis in
the Pilbara. He works 3 weeks on, and one week off. On his week off, Barney
returns to Brisbane. Is Barney “ordinarily resident” in Queensland or Western
Australia? Barney may or may not be
ordinarily resident in Queensland or Western Australia and therefore may be
unable to access surrogacy in either place. Betty because she is resident in
Queensland, can only undertake surrogacy in Queensland. Barney may be unable to
access surrogacy in WA, and will have to show that he is resident in
Queensland. If they wish to undertake surrogacy in India, Betty cannot as she
is resident in Queensland.
Example
Bill and Ben
live at Griffith Street, Coolangatta. They are a gay couple. They wish to
undertake surrogacy. Fearful of the Newman government’s views about gay men
undertaking surrogacy, they undertake commercial surrogacy overseas. Bill and
Ben have committed offences in Queensland of entering into a commercial
surrogacy arrangement, and of making payment under a commercial surrogacy
arrangement. By the time they bring the baby home, they cannot be prosecuted
for the entering into a commercial surrogacy arrangement offence, as the time
limit has expired. However, they are liable to up to 3 years imprisonment for
the offence of making payment under a commercial surrogacy arrangement, for
which they could be prosecuted for up to a year after payment, i.e., when their
child is a year old.
By contrast, Bill
and Ben move to live on the other side of the street in Griffith Street, Tweed
Heads. The offence in NSW is entering into the commercial surrogacy
arrangement. They have not been prosecuted. Their son is by now 16. During a
show and tell, he tells the class that his dads paid for commercial surrogacy
overseas. Another class member goes home and tells his dad of what happened in
the class room. That dad complains to police. Bill and Ben are prosecuted for
the offence- for which there is no time limit in NSW.
15.
Swapping roles: NSW and Victoria
One has to wonder at the utility of banning
Australians from undertaking commercial surrogacy overseas. It has not worked.
Queensland has had such a ban in place since 1988. From 1988 to 2010, the Surrogate Parenthood Act 1988 (Qld)
criminalised all forms of surrogacy, both within Queensland, and by those
undertaking commercial surrogacy overseas who were ordinarily resident in
Queensland.
In 2008 the Lavarch committee of inquiry undertook
research as to what prosecutions had occurred in the previous 20 years. The
conclusion: between 2 and 7[48].
The maximum penalty available was imprisonment for 3 years. The maximum penalty
handed out: a fine of $200.
The ACT ban has been in place since 2004. I am not
aware of any prosecutions.
Victoria had a similar ban- from 1995 to 2010. There
was only one prosecution that I have been advised about under that legislation.
The ban was removed on 1 January 2010. It is now legal in Victoria to undertake
commercial surrogacy overseas. As I said above, the Victorian regulator even
ran a how to seminar in 2011.
The absurdity of the previous ban in Victoria is
illustrated by:
·
The gay couple who underwent surrogacy
in California, turning their journey into a series on SBS. They were not
prosecuted.
·
The gay couple in Australia’s first
surrogacy case, Re Mark[49]
in the Family Court. They were not prosecuted.
By contrast, NSW imposed a ban on 1 March, 2011. As
far as I am aware, no one has been prosecuted.
Stepping on mines: the Dudley’s (or Dennis’s)
Mr and Mrs Dudley[50]
(or Dennis[51])-
same couple, different names used in different decisions in the Family Court,
were a Queensland couple who undertook commercial surrogacy in Thailand, after
10 years of trying to become parents.
Their plan was to have two children. Two embryos
comprising the husband’s sperm and from the eggs of anonymous donors were
created. One embryo was implanted in one surrogate. Twins were conceived. The
other embryo was implanted in another surrogate. One child was conceived.
With their 3 children, the husband and wife then
applied for parentage orders in the Family Court.When they came before Justice
Stevenson, her Honour made a parentage order in their favour for one child. When
they came before Justice Watts concerning the twins, his Honour made a
parentage order regarding the twins and referred them to the Queensland
Director of Public Prosecutions.
A different approach as to referral to the DPP was
taken by other judges, for example:
- Justice
Stevenson in the earlier decision.
Justice Watts referred because he believed, probably
correctly, that there had been an offence committed under the then Surrogate Parenthood Act 1988 (Qld).
However, at the time of the referral, the time for prosecution had passed. The
children were born in August 2009. The time of the referral was 30 June 2011.
Almost two years had passed. Prosecution in Queensland for the relevant
offences had to be commenced within 1 year of the commission of the offence[55]. My understanding is that the husband and wife
were not prosecuted.
On the same day, Justice Watts referred another Queensland couple to the DPP for possible
prosecution[56].
They were well and truly inside the limitation period. My understanding is that
they were not prosecuted either.
Charmyne
Palavi
Ms Palavi is best known for having admitted to Four
Corners in 2009 to having had sex with several high profile NRL players. She
then became the subject of a hate campaign via Facebook. Seemingly her every
move was covered in the media, which often described her as a celebrity cougar.
In 2011 Ms Palavi, from Queensland, undertook
commercial surrogacy in India. If she did so, Ms Pahlavi committed a criminal
offence in Queensland. She was not prosecuted. Her actions were greatly
publicised, for example:
·
In February, 2010 as reported by the Brisbane Times[57],
initially her sister was to be the surrogate;
·
In June 2010 it looked as though a
Townsville woman was to be the surrogate, according to the Townsville Bulletin[58];
·
In June 2010, the Daily Telegraph and reported[59]
about dates being set for the commercial surrogacy in India:
·
In November 2010, the Daily Telegraph[60]
and Digital Spy[61] reported
about going to India for commercial surrogacy;
·
In November 2010 the Courier-Mail[62]
and Indian media[63]
reported the name of the surrogate and the location in India after Ms Palavi
posted a video on her Facebook page;
·
The journey to India was followed on A Current Affair[64];
·
In June 2011, there was publicity in the
Courier-Mail[65]
and New Idea about the loss of the
baby in India, three months before.
Example
of absurdity
Fred and Ethel
are high school teachers in the NSW school system. They live and work in
Albury. They wish to undertake commercial surrogacy overseas. To do so in NSW
they run the gauntlet of a triple penalty: not only possible conviction, but
loss of jobs in the public service and deregistration as teachers.
They make a
decision. They rent a house in Wodonga, about 15 minutes away. They remain
employed as NSW high school teachers and commute between Wodonga and Albury.
After moving, and now being ordinarily resident in Victoria, they enter into a
commercial surrogacy arrangement in India. It is legal for them to do so.
16.
Easier, quicker, binding, legal: perceptions by Australian intended parents of
surrogacy overseas
I agree with the comments by Chief Federal
Magistrate Pascoe[66],
so far as they go:
“There
are a number of reasons for this rise in the prevalence and visibility of surrogacy
services, including: a drop in the number of children available for adoption domestically;
a tightening of inter-country adoption procedures; increasing infertility in
western countries coupled with a trend towards having children later in life;
the existence of a new, global surrogacy marketplace; and new technologies,
which have made gestational surrogacy possible, affordable and reliable.”
I do not agree with the Chief Federal Magistrate as
to these comments in the same paper:
“Due
to the divergent approaches to surrogacy regulation around the world, many Australian
couples are now travelling overseas to pursue surrogacy.”
From information supplied to me, primarily by my
clients, the reasons why Australian intended parents go overseas for surrogacy
are as follows:
·
A perception that surrogacy overseas is
easier than in Australia;
·
A perception that the surrogate will
hand over the child overseas, and may not do so in Australia, i.e. that the
intended parents can enter into a binding contract, whereas they cannot do so
in Australia;
·
A perception that surrogacy overseas is
cheaper than in Australia;
·
A perception that surrogacy overseas is
quicker than in Australia;
·
A perception that all forms of surrogacy
are illegal in Australia, or not available;
·
A perception that they will not be
prosecuted in Australia;
·
A perception that it is easier to access
egg donors overseas than in Australia;
·
A perception that it is impossible to
locate a surrogate in Australia;
·
A perception that surrogates are not
screened in Australia;
·
Obtaining US citizenship for the child;
·
Australian expatriates.
16.1
A perception that surrogacy overseas is easier than in Australia
This is a common perception. It is clearly accurate
for those intended parents who cannot access surrogacy in Australia due to
their location. Several jurisdictions discriminate, or propose to discriminate.
The perception is inaccurate for several jurisdictions.
16.2
How Australian States discriminate about surrogacy in law and practice
State/Territory
|
Comment
|
Qld
|
No
discrimination. The Newman government has flagged the possibility of
discriminating against intended parents who are same sex couples, single or
in heterosexual de facto relationships of less than 2 years. The status of
the proposal is unclear.
|
NSW
|
No
discrimination. One prominent clinic requires the surrogate and intended
parents to have known intended parents for at least 1 year, preferably for 2
years.
|
ACT
|
Treatment
must be in the ACT. Intending parents must be a couple. Surrogate must be
part of a couple.
|
Vic
|
No
discrimination, except that in effect treatment must be in Victoria. Two
dominant clinics require the surrogate to have known the intended parents for
at least 1 year. There are varying reports about lengthy delays through
Victoria’s system.
|
Tas
|
The
Surrogacy Act 2012 allows
altruistic surrogacy, but at the time of entry into the surrogacy arrangement
each party must ordinarily be resident in Tasmania[67].
|
SA
|
Surrogacy
is only available to married couples or heterosexual de facto couples of
greater than 3 years. It is not available to same sex couples, singles or
heterosexual de facto couples of less than 3 years. Treatment must be in SA.
The dominant clinic requires the surrogate to have known the intended parents
for at least 2 years.
|
WA
|
Surrogacy
is only available to married or heterosexual de facto couples, single women
and lesbian couples. It is not available to single men, or gay couples. In
effect treatment must be in WA. Statistics indicate a very slow process for
surrogacy in WA.
|
NT
|
As
there are no laws about surrogacy, the only IVF clinic will not offer
surrogacy because of the inability to obtain a parentage order.
|
Therefore the following would consider seriously
accessing surrogacy overseas:
- NSW:
Anyone who cannot find a surrogate they have known for 2 years.
- ACT:
Anyone who is single, or is unable to find a surrogate who is part of a
couple.
- Victoria:
Many intended parents concerned about delays in the system.
- Tasmania:
Any intended parent unable to find a surrogate in Tasmania.
- SA:
Any single, gay, lesbian intended parents or de facto heterosexual couples
of less than 3 years.
- WA:
Many intended parents concerned about delays in the system. Any single men
or gay couples.
- NT:
Any intended parent.
Submission:
9.
Internal barriers to surrogacy ought to
be removed:
1.
The
Commonwealth ought to persuade WA, SA and the ACT to legislate, failing which it
should legislate itself to remove discrimination against intended parents based
on their sexuality or relationship status where such barriers currently exist;
2.
The
Commonwealth ought to persuade Tasmania to legislate, failing which should
legislate itself to remove discrimination against intended surrogates and their
partners based on their location;
3.
The
Commonwealth ought to persuade each of the States and the ACT, failing which it
should legislate itself, that intended parents have freedom of choice as to
which clinic and court they access in Australia, and therefore they need not
reside in a particular jurisdiction or access doctors in that jurisdiction to
be able to access surrogacy;
4.
The
Commonwealth ought to persuade each of the States to legislate to remove any
requirement by clinics requiring the surrogates and intended parents to have
known each other for one year or more.
It is a condition of the licensing of IVF clinics in
Australia that they comply with the National Health and Medical Research
Council, Ethical Guidelines on the Use of
Assisted Reproductive Technology in Clinical Practice and Research
(2007). It is a requirement of those
“guidelines” that clinics not engage in commercial surrogacy[68].
Through an arcane statutory process, those “guidelines” are licensing
requirements for the clinics concerned. There are also other licensing
requirements in various States.
16.3
The three models of surrogacy regulation in Australia
There is little commonality as to regulation of
surrogacy in Australia. There appears to be little if any recognition that
other parties may be outside State boundaries, and little commonality of
approach. The best that can be said is that the then Standing Committee of
Attorneys-General came to draft guidelines as to surrogacy. These guidelines
have never been finalised, and nor have the laws been harmonised.
There are three models of surrogacy regulation throughout
Australia:
16.4
Model 1: No laws: NT
The Northern Territory has no laws about surrogacy.
This means that it is legal to engage in surrogacy in the Northern Territory.
In reality, all that is available is:
·
Traditional, altruistic surrogacy
·
Traditional, commercial surrogacy
As there are no laws, there is no ability to obtain
a parentage order. This then impacts on any potential surrogates who live in
the Northern Territory when the intended parents live interstate: if the
surrogate gives birth in the Northern Territory, then a parentage order made
interstate will not be able to name the intended parents as the parents of the
child, as there is no ability to alter the birth register.
For the same reason, namely the inability to obtain
an order, the only IVF clinic will not provide surrogacy services. Because of
the NHMRC Guidelines the clinic
cannot offer commercial surrogacy services.
Example
Benny and
Belinda live in Cairns. They need to undertake surrogacy. Belinda’s sister,
Bella, lives in Darwin. Bella offers to
be their surrogate. Bella operates her own business. If Bella gives birth in
Darwin, Benny and Belinda cannot ever be named as parents on the birth
certificate. The ability to privately adopt in Queensland for example is highly
circumscribed[69].
If Bella travels to Queensland to give birth, this might have a devastating
effect on her business.
Example
Jack and Marjory
wish to undertake surrogacy. They live in Darwin. They are both in secure
employment. They would prefer to undertake altruistic surrogacy. Given the barriers
facing them, they either have a choice of moving interstate, or undertaking
surrogacy overseas. They choose to undertake commercial surrogacy in India.
16.5
Model 2: Light regulation: Qld/NSW/ACT/SA/Tas
The key feature about this model is the need to have
a surrogacy arrangement. The arrangement is not required to be in writing, but
if not obtained, doctors will not treat and courts will not make parentage
orders.
The common feature is that there is mandatory
counselling and legal advice before the surrogacy arrangement is signed and
that before a parentage order is obtained, an independent report is obtained,
similar to a family report, to ascertain if the making of the order is in the
best interests of the child[70].
Queensland
requires counselling beforehand, and an independent assessment after.
NSW,
when it followed the Queensland model, requires
this too, but also requires relinquishment counselling of the surrogate and her
partner after having given over the child. In practice there appears to be
little benefit in relinquishment counselling, as any issues that might be
raised there can be adequately raised in initial counselling, in the obtaining
of legal advice and in the report process.
ACT
requires counselling and assessment from an independent counsellor which can
have occurred before or after the surrogacy arrangement is entered into.
SA
is
similar to Queensland, but before the surrogacy arrangement is signed up, there
must be a counsellor who makes an assessment of the suitability of the
surrogate (it is not said how this will be achieved, nor whether the intended
parents are to be counselled at this point) and more counselling, from different counsellors of the intended
parents and the surrogate and her partner.
Tasmania
largely follows on the Queensland model, with some additions from SA and
NSW. While a magistrate can order an
independent report, the requirement is that a counsellor see the parties before and after the process.
My views as to best practice:
·
Have one counsellor undertake
pre-signing counselling for all parties, who provides a written report to the
IVF clinic, which is also made available to the parties, and if the matter
proceeds to court, to the court. It is essential in my view for issues of
difference to be sorted out in counselling, and that the parties although they
have different perspectives have a common shared vision for the child and the
surrogacy arrangement. It is my view that the South Australian model
potentially hampers this process at commencement.
·
There ought to be a post-birth
independent assessment much like a family report, so that the court can be assured
that the orders it makes are in the best interests of the child.
·
The practice of one of the pioneers of
surrogacy in Australia, the Canberra Fertility Clinic is the ideal as to
counselling: namely after initial
counselling, that there be counselling between the key parties (typically the
intended mother and the surrogate) at:
·
3 months pregnant
·
6 months pregnant
·
3 months post-birth
I am of the view that it is essential that any
possible difficulties are likely to be ironed out through counselling. Given
that it is likely that the surrogate and her partner will play a part in the
child’s life for the rest of their lives, a smooth start for that child’s life
is essential. I don’t believe that this process of extra counselling on the
Canberra model needs to be part of regulation, but part of best practice
standards adopted by, say, ANZICA[71].
16.6
Model 3 Heavy regulation: Vic and WA
Both Victoria and WA have a State regulator. The
perception of IVF clinics and of intended parents is that the system is very
slow, costly, and invasive. I am told that the process to obtain approval from
the Patient Review Panel in Victoria takes 2-4 months, but I have had clients
who spent 18 months before treatment could commence. They gave up, and decided
to go overseas instead.
The most damning words about what has happened in
Western Australia were those of the Tasmanian Leader of Government Business in the
Legislative Council, Mr Farrell, when rejecting the Western Australian model as
a model for Tasmanian laws on surrogacy[72]:
“I
have been provided with a report that shows that when debating the surrogacy
reforms in Western Australia the Attorney-General stated there were between 40
and 50 couples awaiting the passing of surrogacy legislation and that the
government anticipated approximately 25 applications per year for parentage
orders. After the legislation was passed
[73]it
was nearly two years before any applications were received by the approval
body. By November 2010, two applications
for surrogacy had been approved and a further one was under consideration. The author of the report surveyed those
people who had identified as wishing to utilise surrogacy but who had not done
so. Overwhelmingly, the response was
that the people simply could not meet the requirements of the legislation. Of those surveyed the majority were still
intending to pursue surrogacy but outside the parameters of the
legislation. The result of this is that
there will continue to be children being raised by people who do not have legal
parentage of them. As I outlined
earlier, this is not in the best interests of the child.”
Submission:
10.
It is recommended that the
Commonwealth press for uniform surrogacy laws, if as to altruistic surrogacy to be on the Queensland model and
related matters, such as alteration of
birth records for children born via surrogacy.
11.
Preferably the Commonwealth will
seek to either have a referral of power, or seek
to legislate using its legislative powers to enable uniform national laws as to
surrogacy, and related
matters, such as alteration of birth records for children born via surrogacy.
16.7
Possibility of exploitation
A worry of intended parents in undertaking surrogacy
overseas include the possibility of exploitation. They do not want to exploit a
surrogate. They do not want to exploit a child, and they do not want to be
exploited themselves.
Certainly the reports from the United States
indicate that transactions are above board, that there is complete
transparency, that there is no exploitation of the intended parents, surrogate
and her partner, the child or donors, and above all there are clear rules
backed by the rule of law in case anything goes wrong.
I do not hold the same confidence about some other
jurisdictions.
The concern raised with me about India by clients
is: “What’s next?” This is a fair
question to ask when India changed the rules without notice, on a
discriminatory basis, and did not advise intended parents until almost 4 months
later.
Children born via surrogacy in India are born
Stateless. Historically both Australian heterosexual parents have been named on
the birth certificate, and one of gay intended parents.
Children born via surrogacy in Thailand will always
have the name of the surrogate as the mother on the birth certificate, not that
of the Australian intended mother. For gay couples, only one will be named on
the birth certificate, usually the genetic father.
It is of concern to me that in India and Thailand,
for example, that intended parents may not have an ongoing relationship with
the surrogate (although there are exceptions to this), and the child may not
know truly where they have come from. Not only will the child likely not have
an ongoing relationship with the surrogate, but any donors will be anonymous.
The only concern I have about the US (for those
jurisdictions in Australia where it legal for Australian intended parents to
access commercial surrogacy overseas, and aside from citizenship issues) is the
cost, especially the at times uncertain and high medical and insurance cost.
Many of my clients have said that they chose to undertake surrogacy in India or
Thailand over the US for one reason- the much lower cost.
16.8
A perception that the surrogate will hand over the child overseas, and may not
do so in Australia
This perception is real. It is the fear of every
intended parent for whom I have ever acted (with the exception of
mother/daughter or sister cases), the predominant fear, that the surrogate will
not hand over the child.
The reality is that because commercial surrogacy has
not been adopted in Australia, there are not binding contracts. The surrogate
can refuse to hand over the child, or refuse to co-operate with the process.
However, properly managed this should not happen. It would be helpful to have
proper screening of potential surrogates to minimise this risk.
If there were to be binding contracts there would,
no doubt, be the rise of surrogacy agencies, which would have the ability to
screen both intended parents and surrogates, in a completely transparent
manner, as has happened now in the US very successfully, for 33 years.
Conversely, the fear of every surrogate for whom I have acted or with whom I have talked is
a fear that the intended parents will not take the child.
My clients who have decided to go overseas have very
strong views: that if they go to overseas jurisdictions that they will be
entering into binding contracts so that a paid surrogate will be required to
hand over the child.
Example:
things that can go wrong
Ricky and Lucy
live in Melbourne. They undertake surrogacy in India. They plan to have one
child. Twins are conceived. This was not part of Lucy’s plans. She decides to
separate. Ricky becomes the single father to twins. Who should be the parent as
a matter of law?
Example:
things that can go wrong
Ron and Margaret
live in Adelaide. They undertake surrogacy in Adelaide. During the pregnancy,
Ron and Margaret separate. Neither want the resulting child. What happens to
the child? They are not legally obliged to take the child as there is no
contract. The child would be the child of the surrogate and her partner as a
matter of law, although the child is genetically the child of Ron and Margaret.
The surrogate and her husband could either keep the child or put it up for
adoption. If they decide to keep the child, they might be able to sue Ron and
Margaret for damages for issue estoppel, but are unable to receive child
support, and the basis for the payment of damages is based on Ron and Margaret
having property or income that can be recovered against.
The only way that this perception can be adequately
dealt with is by allowing commercial surrogacy to occur in Australia. Unless
and until this happens, Australian intended parents will continue to access
surrogacy overseas. Commercial surrogacy could be easily able to be done in
Australia without fear of exploitation of intended parents, surrogates and
their partners or the children. The framework for the licensing of clinics is
already there. Australians have world class medical services and world class
clinics. It is preferable that Australian surrogates have the option of being
paid, to be compensated for the risk that they undertake. To follow the example
of Western Australia, the intent of legislation which is to prevent commercial
surrogacy is achieving the opposite- driving people to commercial surrogacy
operations overseas.
16.9
A perception that surrogacy overseas is cheaper than in Australia
It can be considerably cheaper undertaking surrogacy
in Australia than going overseas. I estimate that the cost for intended parents
undertaking surrogacy is as follows:
Estimated
surrogacy cost
Country
|
Total Cost
|
Source
|
Australia
|
$45-60,000
|
$45,000
: Surrogacy Australia survey 2012,
after another 5 years of IVF treatment, also costing $45,000. Writer’s
experience from clients’ advice and evidence: $45,000-60,000
|
India
|
$76,000
|
Surrogacy
Australia survey 2012
|
Thailand
|
$76,000
|
From
the writer’s experience, the cost is approximately the same as India. If
Family Court action is taken, as per Ellison
and Karnchanit[74]
add another $50,000-100,000.
|
USA
|
$100-250,000
|
$176,000:
Surrogacy Australia survey 2012. Writer’s experience- cost varies greatly
depending on the State in which the agency operates, the State in which court
proceedings occur, individual agency charges, and insurance criteria.
Insurance may cost as much as US$35-50,000. Agencies charge between US$60,000
and $170,000.
|
It may seem bizarre, but at a time when Australian
internet screens are awash with advertising of overseas surrogacy agencies,
Australian IVF clinics are prohibited from advertising that they undertake
surrogacy services.
16.10
A perception that surrogacy overseas is quicker than in Australia
From my experience, and from talking to counsellors,
fellow colleagues and agency owners in Australia and the US, the average time
from beginning to end is 18 months to 2 years, i.e., from commencing the
process to obtaining a parentage order.
From talking to clients, there is a similar amount of time for those who
undertake surrogacy in India.
In other words, it would appear that in the light
regulation States, the process of surrogacy is as quick as that overseas. The
clear perception of intended parents is that the process is slower in Victoria
and Western Australia.
The two key time periods in the 18 months to 2 years
are:
·
Pregnancy: 9 months
·
Sexually transmitted infection controls: typically 6 months for HIV/AIDS
The variables are:
·
The process of having counselling, legal
advice and signing the surrogacy arrangement. Typically my clients do this in
about 2-4 weeks. I recently took over a matter when at the beginning that
process (when handled by other lawyers) took about 5 months.
·
How many IVF cycles are required.
·
Delays within clinics. Some clinics are
able to make ethical approval for treatment quickly. In at least one clinic,
the ethics committee meets only once every 4 months.
·
Delays in appointments for the
independent assessment report.
·
Delays in listing at court.
16.11
A perception that all forms of surrogacy are illegal in Australia, or not
available
I am constantly amazed to be told by clients
contemplating surrogacy overseas that they did not know that surrogacy services
were available in Australia at all. I should not be amazed. Overseas agencies
are able to advertise on the internet. Australian clinics are banned from
advertising that they supply surrogacy services. It seems purely by chance that
Australian intended parents become aware that surrogacy services are offered by
clinics.
The NHMRC
Guidelines, binding on every Australian IVF clinic, provide[75]:
“Clinicians
should not advertise a service to provide or facilitate surrogacy arrangements,
nor receive a fee for services to facilitate surrogacy arrangements.”
Politicians of both colours have said to me that
they are concerned about the possible exploitation of women in developing
countries through surrogacy arrangements. If we as a country were so concerned,
we would make it easier for intended parents to undertake surrogacy at home,
including by altering the Guidelines to allow clinics to advertise. If we as a
country were truly concerned about the possible exploitation of women in
developing countries through surrogacy, we would allow commercial surrogacy to
occur here. If commercial surrogacy can occur successfully in the US without
exploitation, and with full transparency provided by world class clinicians,
why can’t Australia’s world class clinicians also provide that service?
It is illegal in all States and the ACT to advertise
to seek a surrogate or to say that a woman is prepared to be a surrogate,
although NSW has an exception if the advertising is for altruistic surrogacy
and is for free.
Is it any wonder that intended parents think that
surrogacy services are not available in Australia?
Number
of clinics offering surrogacy services
State/Territory
|
Number
|
Qld
|
7
|
NSW
|
3[76]
|
ACT
|
3
|
Vic
|
3
|
Tas
|
1
|
SA
|
3
|
WA
|
N/K
|
NT
|
0
|
Submission
12.
Amend the NHMRC Ethical Guidelines to allow for Australian doctors to advise
that they provide surrogacy services.
13.
If there are to be laws allowing commercial surrogacy, amend the NHMRC Ethical
Guidelines, to enable Australian doctors to engage in commercial surrogacy.
16.12
A perception that they will not be prosecuted in Australia for pursuing
surrogacy overseas
This perception appears to be real.
16.13
A perception that it is easier to obtain egg donors overseas than in Australia
At the moment there is no great delay in obtaining the help of an egg donor, whereas a
year ago there were monumental delays. A year ago, the advice from clinics was:
“If you don’t bring a donor, forget it.”[77]
The landscape has changed. It would appear that the
more publicity is given to infertility issues, the more women come forward to
be donors. Websites have sprung up whereby women are saying that they are
prepared to be donors. It now takes intended parents approximately 6 to 8 weeks
to locate a suitable donor.
Presumably there is a purpose in laws preventing the
payment of donors, except for reasonable expenses, punishable by up to 15 years
imprisonment, and to stop donors advertising. However, the existence of those
laws at times appears cruel, and in part has the impact that Australian
intended parents vote with their feet and go offshore.
It is an offence by virtue of Commonwealth law ,
State and ACT law (with the State and ACT laws to run
together with Commonwealth law ) to engage in the commercial trade in eggs,
sperm and embryos.
It is commonplace for fertility doctors to advise
their patients that as eggs are so hard to source in Australia that they should
consider going overseas to acquire eggs there.
While it may seem unlikely, in at least two
jurisdictions, Queensland and NSW if not handled correctly, the patients and
their husbands or partners may be committing a criminal offence punishable by
up to 15 years imprisonment by engaging in the commercial trade in eggs in say
California, even though commercial donors there are legal.
Similarly, doctors by advising their patients to
undertake this process, might also be parties to the offence.
For example, in NSW an offence is committed if part
of the offence is committed in that State or the effect of the offence is in
that State[78].
Thus if an intended parent signs an egg donor contract in NSW, scans it and
emails it back to the overseas agency, he or she may have committed part of the
offence. If payment is made to the agency from an account in NSW, he or she may
have committed part of the offence, or the offence may have had an effect,
namely a withdrawal from the account.
Submission
14.
The Commonwealth should legislate to
ensure that there is not an unintended extra-territorial effect of offences
relating to the commercial trade in eggs, so that if the offences remain, they only
apply to offences committed wholly in Australia.
The reason that intended parents go overseas for egg
donors is in part because of the great difficulty in obtaining eggs in
Australia. It would appear that the main reasons for this are:
• The
inability in some States at least to be able to advertise seeking egg donors,
or seeking recipients;
• The
inability for egg donors to be paid.
Submission
15.
Egg donors and intended recipients ought to be able to advertise to seek eggs
or egg donors.
16.
Egg donors ought to be able to be paid for their services.
16.14
A perception that it is impossible to locate a surrogate in Australia
This is now not the case. Surrogates are advertising
freely, despite laws prohibiting them from doing so. As of a year ago it was
very hard to locate surrogates, so intended parents (rarely) gave up; or
undertook surrogacy overseas (legally or not).
Several clinics have a rule that the surrogate and
the intended parents must have known each other for some time, and if they
haven’t that clinic refuses to provide treatment. The impact of that view is
that intended parents decide that to undertake surrogacy in Australia is all
too hard, and decide to go overseas instead- the exact opposite of what our
lawmakers appear to want.
The view that surrogates found over the internet,
with no prior connection with the intended parents, are inherently inferior to
family members or friends is in my view inherently fallacious. What is
essential in my view to make surrogacy arrangements to work is that there is
thorough screening undertaken by properly trained, experienced professionals,
such as by the initial counsellor, along with a commitment by the intended
parents, the surrogate and her partner to:
·
Communicate with each other openly
·
To be flexible
·
To be respectful of each other
If these ingredients are missing, then no matter the
length of time of the relationship between the parties, then it may end up on
the rocky shores of the Family Law Courts, as did the two couples, long term
friends, in Re Evelyn[79] .
There is a prohibition in allowing brokers or
agencies in several States. The experience in the United States is that
agencies allow the proper screening of both surrogates and intended parents, so
as to minimise exploitation, and increase the quality of care provided, and
therefore the outcome for all concerned, but especially for the child.
It appears clear to me that the more controversy
that there has been about surrogacy, the more women are prepared to come
forward and become surrogates. The impact of Nicole Kidman and Keith Urban, or
Elton John and David Furnish having children by surrogacy should not be
underestimated.
16.15
A perception that surrogates are not screened in Australia
While there is psychological testing of surrogates
as part of the counselling process in Australia, and criminal and child
protection checks in Victoria, this perception is largely accurate. Unlike the
systems of surrogacy agencies in the US, here intended parents have to run the
gauntlet in choosing a surrogate.
16.16
Obtaining US citizenship for your child
Any child born in the US is automatically as a
matter of law a US citizen. For some intending parents, choosing where to
undertake surrogacy is a simple choice: they can obtain the best quality
medical care in the US and give their child a leg up- guaranteed American
citizenship. Children born in the US to Australian citizens will on the face of
it have dual citizenship.
Submission:
17.
There ought to be the ability of intended parents and intended surrogates to advertise.
The Commonwealth can easily legislate to allow such advertising on the
internet.
18.
If there is to be commercial surrogacy in Australia, there ought to be
commercial agencies which are properly licenced, in accordance with standards
set by an industry body, such as the Fertility Society of Australia, failing
which legislated by national standards.
16.17
The needs of expatriate Australians
Some expatriate Australians would rather undertake
surrogacy in Australia than overseas, for a number of reasons. The current
State based laws make no allowance for Australians who live overseas who wish
to engage in altruistic surrogacy in Australia. There is generally a residence
requirement- that the intended parents must be resident in that State at all material
times, or at the very least at the time of the making of the application for a
parentage order.
Australians who live overseas worry about how our
laws affect them. Those born in NSW or wanting to return to NSW worry that the
domicile provision of that State’s Surrogacy
Act, whereby someone domiciled in NSW might be liable for prosecution for
committing the offence of entering into a commercial surrogacy arrangement
outside NSW, might apply to them. In theory they could be liable, if the person
were born in NSW and then wanders the globe without permanent residence.
Those expatriate Australians who wish to undertake
altruistic surrogacy at home are also caught. They are faced with a myriad of
conflicting rules, not only within Australia, before they can make an informed
choice.
Example
Michael and John
live in London. They both come from South Australia. John’s sister Judy has
offered to be their surrogate. Judy lives in South Australia. At first blush, a
surrogacy arrangement could not occur: the Family
Relationships Act requires the intended parents to be married or in a
heterosexual de facto relationship[80].
It also requires the intended parents to be domiciled in South Australia[81].
To achieve a surrogacy, surrogacy would need to occur in NSW or Queensland,
provided that:
o
Judy was prepared to travel to Sydney or
Brisbane for treatment. The effects of the Family
Relationships Act mean that treatment for surrogacy in South Australia has
to occur in South Australia[82],
and it is unlikely that an Adelaide IVF clinic would offer treatment.
o
Michael and John move to live in
Queensland or NSW. It is a requirement under those States’ Surrogacy Acts[83],
the most liberal on this point, that they have to reside in those States at the
time of the hearing of the application for a parentage order.
Submission:
19.
Expatriate Australian citizens as intended parents should be able to access
Australian surrogacy arrangements without penalty. The Commonwealth should
persuade the States and the ACT on point, failing which the Commonwealth should
legislate.
17.
Legal overview of surrogacy
There is a minefield of legislation and practices
that intended parents (and surrogates and their partners) have to negotiate in
their dream of becoming parents. This legislation is often inconsistent.
17.1
Legislation directly impacting on surrogacy and parentage arrangements
Jurisdiction
|
Legislation/Regulation
|
Purpose/Effect
|
Cth
|
Australian Citizenship Act 2007, s.16
|
Citizenship
of “child”
born to Australian “parent”
overseas
|
Australian Passports Act 2005
|
s.11:
issuing of passports to child in absence of consent of those with “parental
responsibility”
|
|
Child Support (Assessment) Act 1989,
ss 5, 20
|
“Parent”, “eligible child” by reference
back to Family Law Act
|
|
Family Law Act 1975
|
“Parent”, child” especially in
ss60H and 60HB, parenting presumptions
|
|
National
Health and Medical Research Council, Ethical
Guidelines on the Use of Assisted Reproductive Technology in Clinical
Practice and Research, 2007
|
Licensing,
prohibition of IVF clinics engaging in commercial surrogacy nor advertising surrogacy
services
|
|
Prohibition of Human Cloning for
Reproduction Act 2002, s.21
|
Ban
on commercial trade in eggs, sperm, embryos, max penalty 15 year imp.
|
|
s.24
|
State
laws operate concurrently
|
|
Qld
|
Births, Deaths and Marriages
Registration Act 2003
|
Altering
birth register
|
Research Involving Human Embryos and
Prohibition of Human Cloning for Reproduction Act 2003, s.17
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp.
|
|
Status of Children Act 1978
|
Parenting
presumptions
|
|
Surrogacy Act 2010
|
Regulation
of altruistic surrogacy, ban of commercial surrogacy
|
|
NSW
|
Assisted Reproductive Technology Act
2007
|
Regulation
of IVF clinics
|
Births, Deaths and Marriages
Registration Act 1995
|
Altering
birth register
|
|
Human Cloning for Reproduction and
Other Prohibited Practices Act 2003, s.26
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp.
|
|
Status of Children Act 1996
|
Parenting
presumptions
|
|
Surrogacy Act 2010
|
Regulation
of altruistic surrogacy, ban of commercial surrogacy
|
|
ACT
|
Births, Deaths and Marriages
Registration Act 1997
|
Altering
birth register
|
Human Cloning and Embryo Research Act
2004, s.19
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp.
|
|
Parentage Act 2004
|
Parenting
presumptions, regulation of altruistic surrogacy, ban of commercial surrogacy
|
|
Vic.
|
Assisted Reproductive Treatment Act
2008
|
Regulation
of altruistic surrogacy, ban of commercial surrogacy
|
Births, Deaths and Marriages
Registration Act 1996
|
Altering
birth register. Note: there is no stated ability to recognise interstate
parentage orders.
|
|
Prohibition of Human Cloning for
Reproduction Act 2008, s.17
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp.
|
|
Status of Children Act 1974
|
Parenting
presumptions, parentage orders
|
|
Tas.
|
Births, Deaths and Marriages
Registration Act 1999
|
Altering
birth register
|
Human Cloning for Reproduction and
Other Prohibited Practices Act 2003, s.20
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp.
|
|
Surrogacy Act 2012
|
Regulation
of altruistic surrogacy, ban of commercial surrogacy,
|
|
Status of Children Act 1974
|
Parenting
presumptions
|
|
SA
|
Births, Deaths and Marriages
Registration Act 1996
|
Altering
birth register
|
Family Relationships Act 1975
|
Parenting
presumptions, regulation of altruistic surrogacy, ban of commercial surrogacy
|
|
Prohibition of Human Cloning for
Reproduction Act 2003, s.16
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp.
|
|
WA
|
Artificial Conception Act 1985
|
Parenting
presumptions
|
Births, Deaths and Marriages
Registration Act 1998
|
Altering
birth register
|
|
Human Reproductive Technology Act
1991, s.53Q
|
Ban
on commercial trade in eggs, sperm, embryos, max 15 years imp
|
|
Surrogacy Act 2008
|
Regulation
of altruistic surrogacy, ban of commercial surrogacy
|
|
NT
|
Births, Deaths and Marriages
Registration Act
|
Not altering birth register
|
Status of Children Act
|
Parenting
presumptions
|
|
It is unclear from the laws in several States as to
whether a parentage order made in another State will be recognised in that
State and alter the birth register accordingly. In at least the NT, it would
appear that a parentage order made interstate will NOT be recognised in the NT.
Examples
of interstate absurdity
Example
1
Although
surrogacy was legal in NSW it was not legislated for. It was not possible to
obtain parentage orders. In 2010, then NSW Attorney-General John Hatzistergos
announced that NSW would have laws based on the Queensland model.
One would think
that this would involve copying the drafting of the Queensland legislation. It
didn’t. No apparent thought was given to those who live across State borders.
One might have thought that this was obvious, given that IVF clinics on the
Gold Coast are the only clinics providing services to the far north coast of
NSW. No, it was not to be.
Mike and Tyson
live in Queensland. They want to undertake surrogacy. Mike’s friend Polly
living in NSW offers to be the surrogate. When I looked at the equivalent
section of the NSW Bill to that in the Queensland Act covering allowable
expenses, it appeared to be comparing chalk with cheese. I could not tell
whether they were the same or different. The drafting was quite different. It
was important to know: otherwise the surrogate might be inadvertently
committing a serious criminal offence in NSW by entering into a commercial
surrogacy arrangement. Two paralegals in my office were given the task of
reading the two provisions side by side. The verdict: they were the same!
Mike,
Tyson and Polly’s children are born in NSW. Because Mike and Tyson live in
Queensland they must apply for a parentage order in Queensland. The judge
questions why the application is brought there, until it is pointed out that
they cannot bring an application in NSW and must bring the application in
Queensland, in accordance with the scheme. A parentage order is obtained. It is
forwarded to the NSW Registrar of Births, Deaths and Marriages in accordance
with the procedure outlined by that office. It is the first interstate matter
before the NSW Registry. It took 5 months to have the children’s birth register altered! This is
despite NSW and WA being the only States to specifically provide for alteration
of birth records resulting from interstate parentage orders. By contrast,
processing time for a parentage order made in the Children’s Court of
Queensland by the Registry in Queensland is 2 to 3 days!
The officer of
the Registry suggested to me:
The order should have been made by
the Supreme Court of NSW. I pointed out that the
Supreme Court could not do so as the intended parents reside in Queensland.
The order should have been
transmitted to the NSW Registry by the Queensland Registry of Births, Deaths and Marriages. It was pointed out by me
that the view of the Qld Registrar was
that because the children were not born in Queensland, the Queensland Registrar has no interest in
them[84]and
will therefore not transmit.
The order should have been
transmitted by the Children’s Court as the official could not be satisfied that the order was made
by the court. I pointed out that the court does not transmit orders as a matter of practice, In any Case the
Registry had the duplicate sealed
order!
The order should have been sent to
the Supreme Court of NSW for transmission. I pointed
out that that court would not want the matter as it lacked jurisdiction.
The matter should be dealt with in
Queensland because it was akin to adoption. I pointed
out that it was surrogacy, not adoption, and that there was specific NSW legislation on point.
I note that
because the Queensland Parliament chose for the Children’s Court to make
parentage orders (and similar approaches are taken in Victoria[85],
South Australia and Tasmania), there is an inability of the Queensland court to
exercise the cross-vested jurisdiction of the NSW Supreme Court.
In my view surrogates are amazing people. They are
prepared to risk their lives to enable others to achieve the joy of parentage.
In my view they ought to be cherished. South Australia and Victoria apparently
gave little thought about how to protect them.
Example
2: South Australia: outrageously failing to care for the surrogate
Pam and Martina
are sisters. Pam lives in Adelaide, Martina in Brisbane. Both are married. Pam
offered to be Martina’s surrogate. It is my invariable practice that intended
parents provide adequate life insurance, health
insurance and disability insurance for the surrogate. If she dies or is
severely injured in childbirth, what impact will that have on her husband and
children?
Luckily, Pam had
adequate insurance anyway and did not need to be covered. If she had insurance
provided by Martina and Martina’s husband, Pam would have committed a criminal
offence because under South Australia’s Family
Relationships Act, that payment was not allowable[86],
and would have meant that the surrogacy arrangement was a commercial
arrangement, which would have been the commission by Pam and her husband of a
criminal offence.
Example
3
Roger
and Venus live in NSW. They are the intended parents. Rod and Yvonne live in
Queensland. Yvonne is the surrogate. The child is born in Queensland, and
therefore registered in Queensland. Because Roger and Venus live in NSW, they
must necessarily make a parentage order application in NSW. The application is
heard in the NSW Supreme Court, but is dealt with on the papers, in accordance
with the process of the adoption list of that court. The result? The order
refers to adoption, even though it is a surrogacy case. If the matter had been
heard in open court, this might have been avoided. It is the second or third
interstate matter to be processed by the Queensland Registrar of Births, Deaths
and Marriages. The Registrar proposes to deal with the alteration of the birth
record as an adoption matter because of the word “adoption” on the order. The
previous matter, also marked “adoption” from a NSW Supreme Court parentage
order, has resulted in the birth record being sealed, to the potential
detriment of the child. The same sealing would not occur in a surrogacy case. The
Supreme Court ultimately removes the
word “adoption” from the form of order, allowing the alteration of the register
to recognise a parentage order.
Example
4
Greg and Marcia
are intended parents who live in NSW. The surrogacy arrangement must therefore
be a NSW arrangement. Marcia’s sister Jan lives in Victoria. Jan gives birth to
the child in Victoria. Greg and Marcia obtain a parentage order from the NSW
Supreme Court. They attempt to have the birth register altered in Victoria-
without luck- because Victorian legislation does not recognise a parentage
order made outside Victoria!
Example
5
Chandler
and Monica live at Jerrabombera, a Canberra suburb, but in NSW. They want to
undertake surrogacy through their local IVF clinic, the Canberra Fertility
Clinic. To be able to do so, and to obtain a parentage order in Canberra, they
have to move home to the ACT, even though they are only 20 minutes from the
centre of Canberra!
Submission:
20.
The Commonwealth ought to work with the States to remove any practical barriers
that prevent the timely recognition of alteration of birth registers of
children following the making of parentage orders.
18:
A call for commercial surrogacy in Australia
No politician in Australia has called for the
introduction in Australia of commercial surrogacy. No politician has called for
an inquiry or discussion about commercial surrogacy. For politicians,
commercial surrogacy is seen as a great taboo. Following the well publicised
dramas of Senator Conroy and his partner, and the response by the then
Attorney, Phillip Ruddock, all the States undertook inquiries about altruistic surrogacy. The terms of
reference were quite clear, as seen for example with the Lavarch committee in
my home State of Queensland. There was no discussion at all about commercial
surrogacy. It was seen as a bridge too far.
The failure of Australia’s political class to
properly deal with commercial surrogacy, together with the inevitable limitations
of adoption and altruistic surrogacy, have meant that Australian intended
parents have voted with their feet and undertaken commercial surrogacy
overseas. Attempts to prevent this are futile because intended parents read the
web, they are informed, and will do anything to become parents. Desperation is the keyword. They are desperate to become parents.
A failure to ensure that there is commercial
surrogacy within Australia will mean inevitably an increase in Australians
seeking commercial surrogacy overseas. In my view properly regulated commercial
surrogacy will ensure a transparent process that avoids exploitation of
intended parents, the surrogate and her partner, and donors, and most
importantly any children born through the process. The proof is in the pudding:
if the US is able to have such a successful program in place for over a
generation, why can’t we?
By making available commercial surrogacy in
Australia, there will be fewer Australian intended parents making the journey
overseas, especially to developing countries such as India and Thailand.
19.
International human rights treaties
The UN Population Fund (UNFPA) has set out a useful
summary of reproductive rights[87]:
“Attaining
the goals of sustainable, equitable development requires that individuals are
able to exercise control over their sexual and reproductive lives. This
includes the rights to:
·
Reproductive
health as a component of overall health, throughout the life cycle, for both
men and women
·
Reproductive
decision-making, including voluntary
choice in marriage, family formation and determination of the number,
timing and spacing of one's children
and the right to have access to the information and means needed to exercise
voluntary choice
·
Equality
and equity for men and women, to enable individuals to make free and informed
choices in all spheres of life, free from discrimination based on gender
·
Sexual
and reproductive security, including
freedom from sexual violence and coercion, and the right to privacy.”
The Universal
Declaration of Human Rights provides:
“Everyone
is entitled to all the rights and freedoms set forth in this
Declaration,
without distinction of any kind, such as race, colour, sex, language,
religion,
political or other opinion, national or social origin, property, birth, or
other
status.”[88]
“All are equal before the law and are entitled
without any discrimination
to
equal protection of the law. All are entitled to equal protection against
any
discrimination in violation of this Declaration and against any incitement
to
such discrimination.”[89]
The International
Covenant on Civil and Political Rights
provides, in addition to the quoted passages at the beginning of this
submission:
“Each
State Party to the present Covenant undertakes to respect and to ensure to all
individuals within its territory and subject to its jurisdiction the rights
recognized in the present Covenant, without distinction of any kind, such as
race, colour, sex, language, religion, political or other opinion, national or
social origin, property, birth or other status.”[90]
“All
persons are equal before the law and are entitled without any discrimination to
the equal protection of the law. In this respect, the law shall prohibit any
discrimination and guarantee to all persons equal and effective protection against
discrimination on any ground such as race, colour, sex, language, religion,
political or other opinion, national or social origin, property, birth or other
status.”[91]
The International
Covenant on Economic, Social and Cultural Rights, provides:
“recognition
of the inherent dignity and of the equal and inalienable rights of all members
of the human family is the foundation of freedom, justice and peace in the
world…
“these rights derive from the
inherent dignity of the human person
“The
widest possible protection and assistance should be accorded to the family,
which is the natural and fundamental group unit of society, particularly for
its establishment…
The Convention
on the Elimination of all Forms of Discrimination Against Women provides[92]:
“States
Parties shall take all appropriate measures to eliminate discrimination against
women in all matters relating to marriage and family relations and in
particular shall ensure, on a basis of equality of men and women:……
(e)
The same rights to decide freely and responsibly on the number and spacing of
their children and to have access to the information, education and means to
enable them to exercise these rights.”
The Convention
on the Rights of the Child provides[93]:
“States
Parties shall respect and ensure the rights set forth in the present Convention
to each child within their jurisdiction without discrimination of any kind,
irrespective of the child’s or his or her parent’s or legal guardian’s race, colour,
sex, language, religion, political or other opinion, national, ethnic or social
origin, property, disability, birth or other status.”
The United Nations Human Rights Office of the High
Commissioner stated quite clearly last year in “Born Free and Equal: Sexual Orientation and Gender Identity in International
Human Rights Law”[94]
that it is incumbent on nations to stop discrimination based on sexual
orientation and gender identity. In that very chapter is reference to Toonen v Australia, the case taken to
the UN that led to the abolition by the Commonwealth of Tasmania’s anti-sodomy
law, and Young v Australia (which
dealt with different pension rights). It is incumbent on the Commonwealth to
end the discrimination that currently exists in legislation in WA and SA.
Example:
Gay intended parents
I was asked recently by a judge why the matter was
before the court; why my clients as intended parents were before the court.
My answer was blunt: Most people when they try to have children have sex. If
children could be conceived that way, no one would want to subject themselves
to the alternative: a barrage of counsellors, doctors, lawyers and a judge,
(and at a substantial cost) as a means of conceiving children. Surrogacy is the option of last resort.
For my clients, who were gay, the options of
fathering children were limited:
·
Having sex with a woman;
·
Becoming known donors (but then
not parenting the child, except at a distance);
·
Adopting (but there are very few
children available, almost none internationally to gay and lesbian intended
parents, but in any case as they were Queenslanders, adoption as a matter of
law is not available to them); or
·
Surrogacy
|
The effect of surrogacy laws, by virtue of biology,
fall disproportionately upon gay men. There is a risk that preventing gay men
from forming families, by denying or restricting their ability to access
surrogacy is discriminatory.
In reality for gay men, surrogacy is often the only
option to achieve parenthood.
20.
Referral of powers
Back in the 1980’s it was recognised the law was
attempting to keep up with changes in society- specifically the large increase
in the number of children born out of wedlock, typically when their parents
were living in de facto relationships. It was quickly recognised that
ex-nuptial custody cases, as they were called, were not best dealt with in the
Supreme Courts, but best dealt with in a court that specialises in children’s
cases: the Family Court.
The situation we now face is a repeat of what
happened in the 1980’s. There will be an increase in the number of cases
involving surrogacy. These do not come before specialist judges who deal with
family law matters day in and day out, but in the interests of children should
do so.
All the States, with the exception of Western
Australia, which had the benefit of a standalone Family Court, referred powers
to the Commonwealth. The referral from NSW for example, included[95]:
“(b)
the custody and guardianship of, and access to, children,
(c)
the determination of a child’s parentage for the purposes of the law of the
Commonwealth, whether or not the determination of the child’s parentage is
incidental to the determination of any other matter within the legislative
powers of the Commonwealth”
It may well be that the Commonwealth can legislate
about surrogacy based on those referrals of power, or ought to seek a further
referral of power if it does not believe it has the necessary power.
Submission:
21.
The Commonwealth ought to consider whether or not it has the constitutional
power to legislate for national laws concerning surrogacy.
22.
If it does not have such power, the Commonwealth should consider seeking a
referral of power from the States concerning surrogacy.
23.
If it is necessary to, the Commonwealth should legislate for uniform surrogacy
laws, including the referral of surrogacy matters to the Family Court and the Federal Circuit Court of Australia.
17. Removal of inconsistent
language
A
symptom of the current lack of uniformity of legislation is the variation in
language. The common term, the internationally used term, for the intended
parents is exactly that- intended parents. Other terms are also used:
·
For example, in Victoria and South Australia
it is that of “commissioning parents”- as though they are buying an object; or
·
In the ACT it is that of “substitute
parents”, when typically they are the one who intend to be parents, and are
often the only genetic parents.
Orders
made under State surrogacy legislation are called “parentage” orders, as opposed to “parenting” orders under the Family
Law Act. Either an entirely different term should be used, to remove
confusion, or if the Commonwealth is to legislate, the use of “parenting” orders throughout, orders as
to surrogacy being a form of parenting orders.
Submission:
24.
If national legislation is not pursued, the Commonwealth should lead the states
to have nationally consistent terms used in surrogacy legislation, consistent
with international norms.
25.
“Parentage” orders should be renamed “parenting” orders, in accordance with the
scheme of the Family Law Act.
18. Extra-territoriality of State
and Territory laws
Currently,
Queensland, NSW and the ACT extend their criminal laws extra-territorially concerning commercial
surrogacy. These laws are in the same category as child sex offences and
terrorism, but involve intended parents seeking to exercise their human right
to reproduce. They are not enforced. They are not effective. Victoria worked
out that they don’t work back in 2008 and repealed its overseas ban. They ought
to be repealed.
Submission:
26.
The Commonwealth should legislate to remove the extra-territoriality of laws
banning commercial surrogacy.
19. International lobbying
Australian
intended parents travel far and wide in pursuit of their dream of becoming
parents. Ultimately there is probably little that Australia can do directed towards
other independent nation states, except to make diplomatic representations either
bilaterally or in a multilateral environment.
There
have been news media reports of exploitation of surrogates in some agencies in
developing countries.
It
is a requirement in Thailand and India that the anonymity of egg donors is
supreme. The child will never get to know its genetic mother.
International
best practice seeks:
·
To have an ongoing relationship between
the surrogate and the child, wherever possible;
·
That the child knows who its egg donor
is, at least when the child reaches the age of majority, and that it knows the
medical history of the donor. Not all family medical history may be known to
the donor at the time of donation; and
·
That there be no discrimination based on
sexuality or relationship status.
It is desirable that if Australian intended parents
are accessing overseas agencies:
·
That those agencies meet standards
recognised internationally by prominent organisations like the Fertility
Society of Australia or the American Society of Reproductive Medicine;
·
That children, intended parents,
surrogates, their partners, donors, and their partners are not exploited.
Submission:
27.
The Commonwealth should legislate for Australia to encourage overseas
jurisdictions to ensure that appropriate standards are met for commercial
surrogacy including:
a. To
ensure that IVF clinics and surrogacy agencies are licensed so that they meet quality
standards similar to those of the Fertility Society of Australia or other like organisations, such as the
American Society of Reproductive Medicine;
b. To ensure that children, intended
parents, surrogates, their partners, donors,
and their partners are not
exploited;
c. To encourage the ability of intended
parents, the children and the surrogates to
have long term relationships, with
the aim of ensuring that the child knows where
they came from;
d.
That overseas jurisdictions do not
discriminate against intended parents based
on their sexuality or as to whether they are married, de facto or single.
e. To
ensure that children are aware of their genetic history.
[1]
Buzzanca and Buzzanca 61 Cal. App. 4th 1410 (1998)
[2]
Statements by a client to the writer, 2012 and 2013. The client was a surrogate
for her daughter.
[3]
International Covenant on Civil and Political Rights (1966), Article 24
[4]
Ibid., Article 26
[5] Ibid.,
Article 23. A similar phrase appears in the International Covenant on
Economic, Social and Cultural Rights 1966, Article 10 ; a phrase adopted nine
years later in the enactment of the Family Law Act 1975, s.43(1)(b): “the need to give the widest
possible protection and assistance to the family as the natural and
fundamental group unit of society, particularly while it is responsible for the
care and education of dependent children”
[6]
Ibid.
[7]
Ibid., Article 24
[8]
Lowe and Barry [2011] FamCA 625,
[4]-[6] per Barry J.
[9]
Ellison and Karnchanit [2012] FamCA
602, [104] per Ryan J.
[10]
Hodas v Morin (2004) 614 NE 2d 320,
327 n. 16 (Massachusetts)
[11]
Mr Farrell, second reading speech, Surrogacy
Bill, Tasmanian Upper House, 23 August, 2012
[12]
Chief Federal Magistrate Pascoe, speech viewed at http://www.federalcircuitcourt.gov.au/pubs/docs/Speech%20-%20Pascoe%20-%20LawAsia%20-%202011.pdf
on 28/4/13
[13]
Ibid.
[14]
John Weltman, Weltman Law Group and Founder and President of Circle Surrogacy,
Ltd, Boston; April 2013
[15]
Steven H Snyder, Steven H Snyder and Associates, chair of the American Bar
Association, Assisted Reproductive Technology Committee, April, 2013
[16]
With Ms Alexandra Harland, as she then was.
[17]
Lusito and Lusito [2011] FMCAfam 55
[18]
Prohibition of Human Cloning for
Reproduction Act 2002 (Cth), s.21. There is complementary legislation in
each State and Territory as well, except for the NT. The maximum penalty is up
to 15 years imprisonment. By comparison the criminalisation of overseas
commercial surrogacy has a maximum of 1, 2 or 3 years imprisonment in those
jurisdictions prohibiting that behaviour.
[19]
I understand that Australians have also accessed egg donations in Argentina,
South Africa, India and Thailand.
[20]
However, there are surrogates who have not previously had children before, but
have a strong desire to help others. I believe that provided that there is
thorough screening so that both the surrogates and the intended parents are
fully informed of the risks and proper consent is given, that there should be
the ability for those women to be surrogates. To automatically exclude those
women from being surrogates risks in my view a result of unintended
consequences. In my view to have thorough counselling from experienced
counsellors is part of the key to making a surrogacy arrangement work. A
surrogate in this category might be, for example, the sister of the intended
mother.
[21]
I haven’t seen any great difference as to the relationship status of the
surrogate. However, if she is in a relationship, the support of her husband or
partner is essential.
[22]
And typically is happy to help others, irrespective of their sexuality or relationship
status.
[23]
Psychologist, and co-owner of Growing Generations, Los Angeles, a leading
surrogacy agency.
[24]
Presentation in Sydney, September, 2012. The writer also presented- about
surrogacy in NSW.
[25]
Fertility doctor, associated with IVF Australia, Sydney, previously President
of the Fertility Society of Australia, although these views were his own.
[26]
Organised by Surrogacy Australia, September 2012. The writer was also a
speaker.
[27]
One of the two litigated cases was
reported: Re Evelyn [1998] Fam CA
2378; [1998] FamCA 55
[28]
Kindregan, C.P. and McBrien, M., Assisted
Reproductive Technology: A Lawyer’s Guide to Emerging Law And Science, 2nd
ed., American Bar Association, 2011, p.157.
[29]
Statement by a client who was a surrogate to the writer, 2012
[30]
Assisted Reproductive Treatment Act 2008
(Vic.), s.40(1)(ab)
[31]
Supra.
[32]
Re Evelyn [1998] FamCA 2378; [1998]
FamCA 55
[33]
http://www.news.com.au/national-news/gay-parents-of-queenslands-first-surrogate-baby-are-rapt-but-birth-mother-has-bitter-regrets/story-e6frfkvr-1226052962974
[34]
[2012] FamCA 602
[35]
Factsheet 36a, viewed on 2/6/13 at http://www.immi.gov.au/media/fact-sheets/36a_surrogacy.htm
; Australian Citizenship Instructions
are viewable at: http://www.citizenship.gov.au/_pdf/acis-jan-2013.pdf viewed on 2/6/13
[36]
At [54]
[37]
At [127]-[131]
[38]
Currently in an Australian context he would be likely right, though possibly
liable to pay damages for issue estoppel.
[39]
Cf. Verner and Vine [2005] FamCA 763
[41]
A circuitous journey: s.70G, then s.4 “overseas
child order” and “prescribed overseas
jurisdiction”, then reg. 14, then, voila!, Schedule 1A to the Regulations.
[42]
The two longest portions of
that time total 15 months: 9 months for pregnancy and 6 months for sexually
transmitted infection quarantine controls. However I had clients from Victoria
who spent 18 months in various counselling and related processes before they could proceed with
surrogacy.
[43]
It is always alarming to know if a clinic does not follow these protocols.
[44]
Or domiciled in NSW
[45]
Surrogacy Act 2010 (Qld), ss 54, 56,
57; Surrogacy Act 2010 (NSW) ,
ss8,11,58 cf. Surrogacy Regulation 2011 (NSW),
reg. 8; Parentage Act 2004 (ACT), ss.
41, 45
[46]
See footnote 11
[47]
The provision in NSW is that the offence may be prosecuted summarily. If a
summary prosecution there is a 6 month time limit. If an indictable prosecution
there is no time limit.
[48]
Discussions that the writer has had with the Hon. Linda Lavarch and Associate
Professor Jenni Millbank respectively, 2011.
[49]
Re Mark (2004) 31 Fam LR 162
[50]
Dudley and Anor & Chedi [2011]
FamCA 502 – Watts J
[51]
Dennis and Anor & Pradchaphet
[2011] FamCA 123- Stevenson J
[52]
[2003] FamCA 822
[53]
Supra at [23].
[54]
Supra.
[55]
Justices Act 1886 (Qld), s52(1)
[56]
Findlay and Anor & Punyawong
[2011] FamCA 503
[57]
Viewed on 3 March, 2013: http://www.brisbanetimes.com.au/queensland/cougar-charmynes-surrogacy-bid-20100215-nzv4.html
[58]
Viewed on 3 March, 2013: http://www.townsvillebulletin.com.au/article/2010/06/09/145035_news.html
[61]
Viewed on 3 March, 2013: http://www.digitalspy.com.au/showbiz/news/a287199/palavi-flies-to-india-to-meet-surrogate.html
[63]
Viewed on 3 March, 2013: http://m.oneindia.in/news/2010/11/17/celebritycougar-charmyne-palavi-browne-in-india-for-her3rd.html
[66]
“The rise of surrogate parenting: Family
law and Human Rights implications in
Australia and
Internationally”, viewed on 2 March, 2013 at http://www.fmc.gov.au/pubs/docs/The+rise+of+surrogate+parenting,+Chief+Federal+Magistrate+Pascoe+10+October+2011.pdf
[67]
S.16(2)(g); s.22(2)(c)(ii).
[68]
13.1.
[69]
See for example: Adoption Act 2009
(Qld), s.189
[70]
However such a report is not required in Tasmania.
[71]
Australia and New Zealand Infertility Counsellors Association. ANZICA has done
a tremendous amount of work around the issue of surrogacy.
[72]
Hansard 23 August, 2012
[73]
In 2008
[74]
[2012] FamCA 602
[75]
At [13.2.1]
[76]
Plus Gold Coast and Brisbane clinics offering IVF/surrogacy services to
northern NSW.
[77]
Statement by IVF clinic manager to the writer, May, 2012
[78] Crimes Act 1900, s.10C
[79]
Re Evelyn [1998] FamCA 2378; [1998]
FamCA 55; [1998] FamCA 2379; [1998] FamCA 103
[80]
S.10HA(2)(b)(iii)
[81]
S.10HA(2)(b)(iv)
[82]
S.10HA(2)(viii)(A)
[83]
Surrogacy Act 2010 (Qld), s.22(2)(g)(ii) ; Surrogacy Act 2010 (NSW), s.32
[84]
Based on Births, Deaths and Marriages
Registration Act (Qld), s.11
[85]
Primarily the County Court , although there can also be the option of the
Supreme Court.
[86]
Ss. 10G, 10H, 10HA(2)(ix); Victoria allows health insurance, but not disability
or life insurance!: Assisted Reproductive
Treatment Act 2008 (Vic.), s. 44; Assisted
Reproductive Treatment Regulations 2009 (Vic.), s.10. Too bad if the
surrogate dies or suffers injury due to pregnancy or childbirth.
[88]
Article 2
[89]
Article 7
[90]
Article 2
[91]
Article 26
[92]
Article 16
[93]
Article 2
[95]
Commonwealth Powers( Family Law-
Children) Act 1986 (NSW), s.3(1), (b), (c)
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