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Surrogacy, a method of assisted reproduction where a woman agrees to carry and give birth to a child for another person or couple, has been a topic of intense debate and discussion in India. Over the years, India became a global hub for surrogacy, particularly commercial surrogacy, due to its relatively low costs, advanced medical facilities, and the availability of willing surrogate mothers. However, the rise of commercial surrogacy also brought with it numerous ethical, legal, and social challenges, leading to the enactment of the Surrogacy (Regulation) Act, 2021. This Act marks a significant shift in India’s approach to surrogacy, aiming to address concerns of exploitation while balancing the rights and needs of those seeking to become parents.

The Rise and Regulation of Surrogacy in India

Before the enactment of the Surrogacy (Regulation) Act, 2021, India’s surrogacy industry was largely unregulated. The country was often referred to as the “surrogacy capital of the world,” with thousands of surrogacy arrangements taking place annually, many involving foreign nationals. The lack of regulation led to several issues, including the exploitation of poor women, legal disputes over parental rights, and the abandonment of children born through surrogacy, particularly those with disabilities.

Recognizing these challenges, the Indian government introduced the Surrogacy (Regulation) Bill in 2019, which eventually became law in 2021. The primary objective of the Act is to protect the rights of surrogate mothers, ensure the ethical practice of surrogacy, and prevent its commercialization.

Key Provisions of the Surrogacy (Regulation) Act, 2021

The Surrogacy (Regulation) Act, 2021, lays down specific guidelines and conditions under which surrogacy can be practiced in India. Some of the key provisions of the Act include:

1. Ban on Commercial Surrogacy: One of the most significant aspects of the Act is the complete prohibition of commercial surrogacy. This means that surrogates cannot be paid for their services beyond reasonable medical expenses and insurance coverage. The aim is to prevent the exploitation of economically disadvantaged women who might be coerced into surrogacy for financial reasons. Only altruistic surrogacy, where the surrogate mother volunteers to carry the child without any monetary compensation, is permitted under the law.
2. Eligibility Criteria for Surrogacy: The Act sets stringent criteria for those who wish to opt for surrogacy. Only Indian couples who have been married for at least five years and are facing proven infertility are allowed to engage in surrogacy. The couple must be heterosexual, and the wife must be between the ages of 23 and 50, while the husband must be between 26 and 55 years old. Single individuals, live-in partners, and LGBTQ+ couples are barred from opting for surrogacy, which has sparked criticism and debates about inclusivity and discrimination.
3. Eligibility of the Surrogate Mother: The Act also lays down specific criteria for the surrogate mother. She must be a close relative of the intending couple, married, and have at least one child of her own. Additionally, a woman can only act as a surrogate once in her lifetime. These provisions are intended to safeguard the surrogate mother’s health and prevent the commercialization of surrogacy.
4. Establishment of National and State Surrogacy Boards: To regulate and oversee surrogacy practices across the country, the Act mandates the establishment of a National Surrogacy Board at the central level and State Surrogacy Boards at the state level. These boards are responsible for ensuring that surrogacy arrangements are conducted ethically, and they have the authority to grant or revoke licenses to surrogacy clinics.
5. Registration of Surrogacy Clinics: All surrogacy clinics in India must be registered and accredited by the appropriate authorities. The Act stipulates that only registered clinics can perform surrogacy procedures, ensuring that the clinics adhere to ethical standards and medical guidelines.
6. Rights of the Child: The Act emphasizes the protection of the rights of the child born through surrogacy. The child is considered the biological offspring of the intending couple and is entitled to all the rights and privileges of a natural-born child.
7. Insurance for Surrogate Mothers: The Act requires that surrogate mothers be provided with adequate insurance coverage to protect them from any health-related complications that may arise during the pregnancy or after childbirth.

Ethical Considerations and Controversies

While the Surrogacy (Regulation) Act, 2021, was introduced with the intent to address the ethical concerns surrounding surrogacy, it has not been without controversy. Several aspects of the Act have sparked debates and raised questions about its implications.

1. Exclusion of Certain Groups: The Act’s exclusion of single individuals, live-in partners, and LGBTQ+ couples from surrogacy has been widely criticized as discriminatory. Critics argue that the Act reinforces traditional notions of family and fails to recognize the diverse forms of families that exist today. The prohibition on foreign nationals from opting for surrogacy in India has also been contested, as it limits access to surrogacy for many who may not have other options for starting a family.
2. Impact on Surrogate Mothers: The ban on commercial surrogacy, while aimed at preventing exploitation, has raised concerns about the potential for driving the practice underground. Some argue that by outlawing commercial surrogacy, the Act may push the industry into the shadows, making it more difficult to monitor and regulate, and potentially exposing surrogate mothers to greater risks.
3. Reproductive Autonomy: The Act’s strict regulations on who can become a surrogate and who can opt for surrogacy have also been criticized for infringing on reproductive autonomy. The requirement that a surrogate must be a close relative of the intending couple has been particularly contentious, as it limits the availability of surrogates and may place undue pressure on women within families.
4. Legal and Practical Challenges: The implementation of the Surrogacy (Regulation) Act, 2021, poses significant challenges. Ensuring compliance with the Act, preventing illegal surrogacy practices, and monitoring the activities of surrogacy clinics require robust mechanisms and resources. There is also the challenge of ensuring that surrogate mothers are adequately informed about their rights and the risks involved in surrogacy.

The Way Forward

The Surrogacy (Regulation) Act, 2021, represents a crucial step in regulating surrogacy in India and addressing the ethical, legal, and social issues that have plagued the industry. However, the Act’s success will depend on its effective implementation and the ability to adapt to the evolving landscape of reproductive rights.

Going forward, there may be a need to revisit some of the provisions of the Act to address the concerns raised by various stakeholders. For instance, expanding the eligibility criteria for those who can opt for surrogacy to include single individuals and LGBTQ+ couples could make the Act more inclusive. Additionally, there may be a need to explore alternative models of surrogacy regulation that balance the protection of surrogate mothers with the reproductive rights of individuals and couples.

In conclusion, the Surrogacy (Regulation) Act, 2021, is a landmark piece of legislation that seeks to regulate surrogacy in India in a manner that is ethical and fair. While it has its shortcomings and has sparked controversy, it also provides a framework for addressing the complex issues associated with surrogacy. As with any legislation, continuous evaluation and refinement will be essential to ensure that it meets the needs of all stakeholders while protecting the rights and well-being of those involved.

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