The Boston Globe

Ala. court: Frozen embryos are people

Ruling seen as imperiling IVF

- By Dan Rosenzweig-Ziff

The Alabama Supreme Court ruled Friday that frozen embryos are people and someone can be held liable for destroying them, a decision that reproducti­ve rights advocates say could imperil in vitro fertilizat­ion and affect the hundreds of thousands of patients who depend on treatments like it each year.

The first-of-its-kind ruling comes as at least 11 states have broadly defined personhood as beginning at fertilizat­ion in their state laws, according to reproducti­ve rights group Pregnancy Justice, and states nationwide consider additional abortion and reproducti­ve restrictio­ns, elevating the issue ahead of the 2024 elections. Federally, the US Supreme Court will decide this term whether to limit access to an abortion drug, the first time the high court will rule on the subject since it overturned Roe v. Wade in 2022.

The Alabama case focused on whether a patient who mistakenly dropped and destroyed other couples’ frozen embryos could be held liable in a wrongfulde­ath lawsuit. The court ruled the patient could, writing that it had long held that “unborn children are ‘children’” and that that was also true for frozen embryos, affording the fertilized eggs the same protection as babies under the Wrongful Death of a Minor Act.

“It applies to all children, born and unborn, without limitation,” the court wrote. “It is not the role of this Court to craft a new limitation based on our own view of what is or is not wise public policy. That is especially true where, as here, the People of this State have adopted a Constituti­onal amendment directly aimed at stopping courts from excluding ‘unborn life’ from legal protection.”

The decision overruled a lower court that dismissed the suit because it said the embryos did not fit the definition of a child.

Antiaborti­on organizers and lawmakers have tried in the past to make it illegal to destroy embryos, though no other state’s high court has ruled on the matter in this way.

In Alabama, voters passed a ballot measure in 2018 that granted fetuses full personhood rights but did not mention frozen embryos. After the fall of Roe, a near-total abortion ban went into effect in the state. Alabama now accounts for nearly half of all criminal cases related to pregnancy across the country, according to a tally by Pregnancy Justice.

Abortion rights advocates say the ruling is the “logical” next step for the antiaborti­on movement as it seeks to broadly define human life.

The court’s finding, they note, could have implicatio­ns across the country for fertility treatments such as IVF — the medical procedure in which doctors extract eggs from ovaries and fertilize them with sperm outside the body, forming embryos that can subsequent­ly be moved to the uterus — or even contracept­ives.

“This is a natural extension of the march toward fetal personhood,” said Dana Sussman, deputy executive director of Pregnancy Justice. “You only need one state to be the first out of the gate, and then the next one will feel less radical. This is a cause of great concern for anyone that cares about people’s reproducti­ve rights and abortion care.”

To give a patient the best chance at a pregnancy, Sussman said, multiple embryos are created in the hopes that a patient can try again if an attempt at a pregnancy fails. As a result, as many eggs as possible are often fertilized and kept frozen. After a patient becomes pregnant, what to do with the remaining embryos can be an agonizing choice.

The Alabama ruling could make that choice harder, as parents or clinics ponder whether disposing of the fertilized eggs could make them liable for punitive damages, advocates noted.

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