## Report on The Assisted Reproductive Technology Regulation Act, 2021
**1. Executive Summary:**
This report provides an overview of The Assisted Reproductive Technology Regulation Act, 2021 (referred to as "the Act"), based on the provided government policy text. The Act aims to regulate and supervise assisted reproductive technology (ART) clinics and banks, prevent misuse, ensure safe and ethical practices, and regulate research and development in the field. Key provisions establish a National Board, State Boards, a National Registry, and Appropriate Authorities for the regulation of ART services. The report highlights the functions of these bodies, registration procedures for clinics and banks, duties of these establishments, and potential offences and penalties.
**2. Introduction:**
The purpose of this report is to provide an informative overview of The Assisted Reproductive Technology Regulation Act, 2021, as outlined in the provided government policy text. This report summarizes the key aspects of the Act, focusing on its objectives, provisions, implementation, and potential impact, based solely on the details contained within the provided text.
**3. Policy Overview:**
* Core Objective(s): The Act seeks to:
* Regulate and supervise ART clinics and banks.
* Prevent misuse and ensure safe and ethical practice of ART services.
* Address issues of reproductive health related to infertility, disease, or social/medical concerns.
* Regulate and supervise research and development in ART.
**4. Background and Rationale:**
As a new policy, The Assisted Reproductive Technology Regulation Act, 2021, likely addresses a gap in regulation and oversight within the growing field of ART. The policy is inferred to address the potential for misuse, unethical practices, and safety concerns associated with ART services. The text implies the need for standardized practices, infrastructure, and expertise within ART clinics and banks. The absence of which could lead to inconsistent quality of service and potential harm to individuals seeking ART treatments.
**5. Key Provisions / Changes:**
The Act establishes several key provisions:
* **Establishment of Regulatory Bodies:** The Act establishes a multi-tiered regulatory framework including:
* **National Assisted Reproductive Technology and Surrogacy Board:** Responsible for advising the Central Government, reviewing implementation of the Act, setting standards of conduct, overseeing performance of other bodies, supervising the National Registry, and making policy. This Board is constituted under the Surrogacy Act.
* **State Assisted Reproductive Technology and Surrogacy Board:** Responsible for following policies and plans laid by the National Board. These Boards are constituted under the Surrogacy Act.
* **National Assisted Reproductive Technology and Surrogacy Registry:** A central database for all ART clinics and banks in the country, gathering data on services provided, outcomes, and other relevant information.
* **Appropriate Authorities:** Appointed by the Central and State Governments to grant, suspend, or cancel registration of clinics and banks, enforce standards, investigate complaints, and take legal action.
* **Registration of Clinics and Banks:** All ART clinics and banks must be registered under the Act. Registration requires meeting prescribed standards for facilities, equipment, specialized manpower, physical infrastructure, and diagnostic facilities.
* **Duties of Clinics and Banks:** The Act outlines various duties for clinics and banks, including:
* Ensuring eligibility of commissioning couples, women, and gamete donors.
* Obtaining donor gametes from banks that have medically tested donors.
* Providing professional counseling and informed consent to commissioning couples and women.
* Maintaining confidentiality.
* Maintaining grievance cells.
* Issuing discharge certificates.
* Cooperating with inspections.
* Providing information to the National Registry.
* **Gamete and Embryo Handling:** The Act regulates the handling of gametes and embryos, including:
* Setting age limits for gamete donors.
* Limiting the number of oocytes retrieved from a donor and embryos placed in a woman's uterus.
* Prohibiting sex selection.
* Regulating the storage and use of gametes and embryos.
* **Offences and Penalties:** The Act defines offences related to sex selection, abandonment/exploitation of children born through ART, sale of gametes/embryos, and other violations. Penalties include fines and imprisonment.
* **Rights of Children Born Through ART** The Act specifies that a child born through ART is the biological child of the commissioning couple. The donor relinquishes all parental rights to the child.
**6. Target Audience and Stakeholders:**
Based on the provided text, the primary target audience and stakeholders include:
* Assisted Reproductive Technology (ART) Clinics
* Assisted Reproductive Technology (ART) Banks
* Medical professionals involved in ART (e.g., gynaecologists, medical geneticists)
* Commissioning couples seeking ART services
* Women seeking ART services
* Gamete donors
* Children born through ART
**7. Implementation Aspects (Inferred):**
* **Responsible agency/bodies mentioned:** The National Board, State Boards, National Registry, and Appropriate Authorities are the key bodies responsible for implementing the Act. The Central and State Governments also play a role in appointing authorities and issuing directions.
* **Timelines or procedures specified:**
* Clinics and banks conducting ART at the time of the Act's commencement must apply for registration within 60 days of the establishment of the National Registry and cease operations within six months if not registered.
* The Central Government must establish the National Registry and appoint Appropriate Authorities within 90 days of the Act's commencement.
* The appropriate authority must grant or reject the registration of clinics and banks within 30 days of application.
**8. Expected Outcomes / Impact of Changes:**
The likely intended outcomes of The Assisted Reproductive Technology Regulation Act, 2021, based on the policy's stated provisions, include:
* Standardization of ART practices across clinics and banks.
* Improved safety and ethical conduct within the ART industry.
* Increased transparency and accountability of ART service providers.
* Protection of the rights of commissioning couples, women, gamete donors, and children born through ART.
* Effective monitoring and regulation of research and development in ART.
* A reduction of instances of misuse and exploitation within the ART sector.
**9. Conclusion:**
The Assisted Reproductive Technology Regulation Act, 2021, represents a comprehensive framework for regulating the ART industry in India. It establishes a multi-tiered regulatory structure, outlines specific duties and responsibilities for clinics and banks, addresses ethical concerns related to gamete and embryo handling, and defines offences and penalties for violations. The Act aims to promote safe, ethical, and standardized ART practices, ultimately safeguarding the rights and well-being of all stakeholders involved. The effective implementation of this Act is crucial to ensuring the responsible and ethical development of the ART industry.
Key Entities Referenced
THE ASSISTED REPRODUCTIVE TECHNOLOGY REGULATION ACT, 2021: The title of the Act of Parliament being published.
Parliament: The legislative body that enacted the Assisted Reproductive Technology Regulation Act, 2021.
Republic of India: The nation governed by the constitution under which the Assisted Reproductive Technology Regulation Act, 2021 was enacted.
Central Government: The governing body that will appoint the date the Act comes into force.
Official Gazette: The official publication in which the Central Government will announce the date the Act comes into force.
National Medical Commission: The regulatory body with which medical practitioners must be registered to carry out procedures related to assisted reproductive technology.
National Assisted Reproductive Technology and Surrogacy Board: A board constituted under the Surrogacy Act that also functions as the National Board for the purposes of the Assisted Reproductive Technology Regulation Act.
Surrogacy Act: A separate act (Surrogacy Regulation Act, 2021) that is closely linked to the Assisted Reproductive Technology Regulation Act, particularly concerning the National and State Boards.
National Assisted Reproductive Technology and Surrogacy Registry: A registry established under section 9 to maintain details of all clinics and banks in the country.
Union territories: The territories governed by the Central Government for which appropriate assisted reproductive technology and surrogacy authorities will be appointed.
State Government: The governing body at the state level that will appoint appropriate assisted reproductive technology and surrogacy authorities for the state.
Health and Family Welfare Department: The department to which officers in the appropriate authority belong.
Law Department: The department to which officers in the appropriate authority belong.
State Assisted Reproductive Technology and Surrogacy Board: The board constituted under the Surrogacy Act that also functions as the State Board for the purposes of this Act.
Insurance Regulatory and Development Authority: The body established under the Insurance Regulatory and Development Authority Act, 1999.
India: Country within and outside which sale, transfer or use of gametes, zygotes and embryos is restricted.
Code of Criminal Procedure, 1973: The legal code governing criminal procedure in India, relevant to offences under this Act.
Preconception and Prenatal Diagnostic Techniques Prohibition of Sex Selection Act, 1994: An existing law related to sex selection, which the Assisted Reproductive Technology Regulation Act complements.
Clinical Establishment Registration and Regulation Act, 2010: An existing law related to clinical establishments, which the Assisted Reproductive Technology Regulation Act complements.
Aadhaar Targeted Delivery of Financial and other Subsidies, Benefits and Services Act, 2016: Act defining Aadhaar number, which is required information for sperm and oocyte donors.
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MINISTRY OF LAW AND JUSTICE
(Legislative Department)
New Delhi, the 20th December, 2021/Agrahayana 29, 1943 (Saka)
The following Act of Parliament received the assent of the President on the
18th December, 2021 and is hereby published for general information:—
THE ASSISTED REPRODUCTIVE TECHNOLOGY (REGULATION)
ACT, 2021
(NO. 42 OF 2021)
[18th December, 2021]
An Act for the regulation and supervision of the assisted reproductive technology
clinics and the assisted reproductive technology banks, prevention of misuse,
safe and ethical practice of assisted reproductive technology services for
addressing the issues of reproductive health where assisted reproductive
technlogy is required for becoming a parent or for freezing gametes, embryos,
embryonic tissues for further use due to infertility, disease or social or medical
concerns and for regulation and supervision of research and development and
for matters connected therewith or incidental thereto.
BE it enacted by Parliament in the Seventy-second Year of the Republic of India as
follows:—
CHAPTER I
PRELIMINARY
1. (1) This Act may be called the Assisted Reproductive Technology (Regulation) Short title and
Act, 2021. commencement.2 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
(2) It shall come into force on such date as the Central Government may, by notification
in the Official Gazette, appoint.
2. (1) In this Act, unless the context otherwise requires,—
Definitions.
(a) "assisted reproductive technology" with its grammatical variations and
cognate expressions, means all techniques that attempt to obtain a pregnancy by
handling the sperm or the oocyte outside the human body and transferring the gamete
or the embryo into the reproductive system of a woman;
(b) “assisted reproductive technology bank” means an organisation which
shall be responsible for collection of gametes, storage of gametes and embryos
and supply of gametes to the assisted reproductive technology clinics or their
patients;
(c) "assisted reproductive technology clinic" means any premises equipped
with requisite facilities and medical practitioners registered with the National Medical
Commission for carrying out the procedures related to the assisted reproductive
technology;
(d) "child" means any individual born through the use of the assisted
reproductive technology;
(e) "commissioning couple" means an infertile married couple who approach an
assisted reproductive technology clinic or assisted reproductive technology bank
for obtaining the services authorised of the said clinic or bank;
(f) "embryo" means a developing or developed organism after fertilisation till
the end of fifty-six days from the day of fertilisation;
(g) "gamete" means sperm and oocyte;
(h) "gamete donor" means a person who provides sperm or oocyte with the
objective of enabling an infertile couple or woman to have a child;
(i) "gynaecologist" shall have the same meaning as assigned to it in the
Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection)
Act, 1994; 57 of 1994.
(j) "infertility" means the inability to conceive after one year of unprotected
coitus or other proven medical condition preventing a couple from conception;
(k) "National Board" means the National Assisted Reproductive Technology
and Surrogacy Board to be constituted under sub-section (1) of section 15 of the
Surrogacy Act;
(l) “National Registry” means the National Assisted Reproductive Technology
and Surrogacy Registry established under section 9;
(m) "notification" means a notification published in the Official Gazette;
(n) "patients" means an individual or couple who comes to any registered
assisted reproductive technology clinic for management of infertility;
(o) "prescribed" means prescribed by rules made under this Act;
(p) "appropriate authority" means the authority appointed under section 12;
(q) "regulations" means the regulations made by the National Board under this
Act;
(r) "sperm" means the mature male gamete;
(s) "State Board" means a State Assisted Reproductive Technology and
Surrogacy Board to be constituted under sub-section (1) of section 24 of the Surrogacy
Act;
(t) "Surrogacy Act" means the Surrogacy (Regulation) Act, 2021; andSEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 3
(u) "woman" means any woman above the age of twenty-one years who
approaches an assisted reproductive technology clinic or assisted reproductive
technology bank for obtaining the authorised services of the clinic or bank.
(2) The expressions "clinics" and "banks" occurring in this Act shall be construed as
"assisted reproductive technology clinics" and "assisted reproductive technology banks".
(3) Words and expressions used herein and not defined in this Act but defined in the
Surrogacy (Regulation) Act shall have the meanings respectively assigned to them in that Act.
CHAPTER II
AUTHORITIES TO REGULATE ASSISTED REPRODUCTIVE TECHNOLOGY
A. THE NATIONAL ASSISTED REPRODUCTIVE TECHNOLOGY
AND SURROGACY BOARD
3. The National Assisted Reproductive Technology and Surrogacy Board to be National
constituted under sub-section (1) of section 15 of the Surrogacy Act shall be the National Assisted
Reproductive
Board for the purposes of this Act.
Technology
and Surrogacy
Board.
4. Subject to the provisions of this Act and the rules made thereunder, the provisions Application of
of the Surrogacy Act relating to— provisions of
Surrogacy Act
(i) constitution of the National Assisted Reproductive Technology and with respect
Surrogacy Board; to National
Board.
(ii) term of office of Members of the National Board;
(iii) meetings of the National Board;
(iv) vacancies, etc., not to invalidate proceedings of the National Board;
(v) disqualifications for appointment as Member of the National Board;
(vi) temporary association of persons with the National Board for particular
purposes;
(vii) authentication of orders and other instruments of the National Board; and
(viii) eligibility of Members of the National Board for re-appointment,
shall, mutatis mutandis, apply, so far as may be, in relation to assisted reproductive technology
as they apply in relation to surrogacy, as if they are enacted under this Act.
5. The National Board shall exercise and discharge the following powers and functions, Powers and
namely:— functions of
National
(a) to advise the Central Government on policy matters relating to the assisted Board.
reproductive technology;
(b) to review and monitor the implementation of the Act, rules and regulations
made thereunder and recommend to the Central Government, any suitable changes therein;
(c) to lay down code of conduct to be observed by persons working at clinics
and banks, to set the minimum standards of physical infrastructure, laboratory and
diagnostic equipment and expert manpower to be employed by clinics and banks;
(d) to oversee the performance of various bodies constituted under this Act
and take appropriate steps to ensure their effective performance;
(e) to supervise the functioning of the National Registry and liaison with the
State Boards;
(f) to pass orders as per the provisions made under this Act; and
(g) such other powers and functions as may be prescribed.4 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
B. STATE ASSISTED REPRODUCTIVE TECHNOLOGY AND SURROGACY BOARD
State Assisted 6. The State Assisted Reproductive Technology and Surrogacy Board to be
Reproductive constituted under sub-section (1) of section 24 of the Surrogacy Act shall be the State
Technology
Board for the purposes of this Act.
and Surrogacy
Board.
Application 7. Subject to the provisions of this Act and the rules made thereunder, the provisions
of provisions of the Surrogacy Act relating to—
of Surrogacy
Act with (i) constitution of the State Assisted Reproductive Technology and Surrogacy
respect to Board;
State Board.
(ii) composition of the State Board;
(iii) term of office of members of the State Board;
(iv) meetings of the State Board;
(v) vacancies, etc., not to invalidate proceedings of the State Board;
(vi) disqualifications for appointment as member of the State Board;
(vii) temporary association of persons with the State Board for particular purposes;
(viii) authentication of orders and other instruments of the State Board; and
(ix) eligibility of member of the State Board for re-appointment,
shall, mutatis mutandis, apply, so far as may be, in relation to assisted reproductive technology
as they apply in relation to surrogacy, as if they are enacted under this Act.
Powers and 8. (1) Subject to the provisions of this Act and the rules and regulations made
functions of thereunder, the State Board shall have the responsibility to follow the policies and plans
State Board.
laid by the National Board for clinics and banks in the State.
(2) Without prejudice to the generality of the provisions contained in sub-section (1),
the State Board, taking into account the recommendations, policies and regulations of the
National Board, shall—
(a) co-ordinate the enforcement and implementation of the policies and guidelines
for assisted reproduction; and
(b) such other powers and functions as may be prescribed.
(3) In the exercise of its functions under this Act, the State Board shall give such
directions or pass such orders as directed by the National Board.
C. THE NATIONAL ASSISTED REPRODUCTIVE TECHNOLOGY AND SURROGACY
REGISTRY AND THE APPROPRIATE ASSISTED REPRODUCTIVE TECHNOLOGY
AND SURROGACY AUTHORITY
Establishment 9. The Central Government may, within a period of ninety days from the date of
of National commencement of this Act, by notification, establish for the purposes of this Act and
Registry of
Surrogacy Act, a Registry to be called the National Assisted Reproductive Technology and
clinics and
banks. Surrogacy Registry.
Composition 10. The National Registry referred to in section 9 shall consist of such scientific,
of National technical, administrative and supportive staff and the terms and conditions of their service
Registry.
shall be such as may be prescribed.
Functions of 11. The National Registry shall discharge the following functions, namely:—
National
(a) it shall act as a central database in the country through which the details of
Registry.
all the clinics and banks of the country including nature and types of services provided
by them, outcome of the services and other relevant information shall be obtained on
regular basis;
(b) it shall assist the National Board in its functioning by providing the data
generated from the central database of the Registry;SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 5
(c) the data generated from the National Registry shall be utilised by the National
Board for making policies, guidelines and shall help in identifying new research areas
and conducting research in the area of assisted reproduction and other related fields
in the country; and
(d) such other functions as may be prescribed.
12. (1) The Central Government shall, within a period of ninety days from the date of Appointment
commencement of this Act, by notification, appoint one or more appropriate assisted of appropriate
authority.
reproductive technology and surrogacy authorities for each of the Union territories for the
purposes of this Act and the Surrogacy Act.
(2) The State Government shall, within a period of ninety days from the date of
commencement of this Act, by notification, appoint one or more appropriate assisted
reproductive technology and surrogacy authorities for the whole or any part of the State for
the purposes of this Act and the Surrogacy Act.
(3) The appropriate authority, under sub-section (1) or sub-section (2), shall,—
(a) when appointed for the whole of the State or the Union territory, consist of—
(i) an officer of or above the rank of the Joint Secretary of the Health and
Family Welfare Department—Chairperson, ex officio;
(ii) an officer of or above the rank of the Joint Director of the Health and
Family Welfare Department — Vice Chairperson, ex officio;
(iii) an eminent woman representing women's organisation—member;
(iv) an officer of Law Department of the State or the Union territory
concerned not below the rank of a Deputy Secretary—member, ex officio; and
(v) an eminent registered medical practitioner—member:
Provided that any vacancy occurring therein shall be filled within one
month of the occurrence of such vacancy;
(b) when appointed for any part of the State or the Union territory, the officers
of such other rank as the State Government or the Central Government, as the case
may be, may deem fit.
(4) The members of appropriate authority, other than ex officio members, shall receive
only compensatory travelling expenses for attending the meetings of such Authority.
13. The appropriate authority shall discharge the following functions, namely:— Functions of
appropriate
(a) to grant, suspend or cancel registration of a clinic or bank; authority.
(b) to enforce the standards to be fulfilled by the clinic or bank;
(c) to investigate complaints of breach of the provisions of this Act, rules and
regulations made thereunder and take legal action as per provisions of this Act;
(d) to take appropriate legal action against the misuse of assisted reproductive
technology by any person and also to initiate independent investigations in such matter;
(e) to supervise the implementation of the provisions of this Act and the rules
and regulations made thereunder;
(f) to recommend to the National Board and State Boards about the modifications
required in the rules and regulations in accordance with changes in technology or
social conditions;
(g) to take action after investigation of complaints received by it against the
assisted reproductive technology clinics or banks; and
(h) such other functions as may be prescribed.6 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
Powers of 14. (1) The appropriate authority shall exercise the powers in respect of the following
appropriate matters, namely:—
authority.
(a) summoning of any person who is in possession of any information relating
to violation of the provisions of this Act and the rules and regulations made thereunder;
(b) production of any document or material object relating to clause (a);
(c) searching of any place suspected to be violating the provisions of this Act
and the rules and regulations made thereunder; and
(d) such other powers as may be prescribed.
(2) The appropriate authority shall maintain the details of registration of assisted
reproductive technology clinics and banks, cancellation of registration, renewal of
registration, grant of certificates to the commissioning couple and woman or any other
matter pertaining to grant of licence and the like of the clinic or bank in such format as may
be prescribed and submit the same to the National Board.
CHAPTER III
PROCEDURES FOR REGISTRATION
Registration 15. (1) No person shall establish any clinic or bank for undertaking assisted
of assisted reproductive technology or to render assisted reproductive technology procedures in any
reproductive
form unless such clinic or bank is duly registered under this Act.
technology
clinic or (2) Every application for registration under sub-section (1) shall be made to the
assisted
National Registry through the appropriate assisted reproductive technology and surrogacy
reproductive
technology authority in such form, manner and shall be accompanied by such fees as may be prescribed.
bank.
(3) Every clinic or bank which is conducting assisted reproductive technology, partly
or exclusively shall, within a period of sixty days from the date of establishment of the
National Registry, apply for registration:
Provided that such clinics and banks shall cease to conduct any such counselling or
procedures on the expiry of six months from the date of commencement of this Act, unless
such clinics and banks have applied for registration and is so registered separately or till
such application is disposed of, whichever is earlier.
(4) No clinics or banks shall be registered under this Act, unless the appropriate
authority is satisfied that such clinics and banks are in a position to provide such facilities
and maintain such equipment and standards including specialised manpower, physical
infrastructure and diagnostic facilities as may be prescribed.
Grant of 16. (1) On receipt of the application under sub-section (1) of section 15, the appropriate
registration. authority shall within a period of thirty days—
(i) grant registration subject to the provisions of this Act and the rules and
regulations made thereunder, and provide a registration number to the applicant; or
(ii) reject the application for reasons to be recorded in writing, if such application
does not conform to the provisions of this Act or the rules or regulations made
thereunder:
Provided that no application shall be rejected unless the applicant has been
given an opportunity of being heard in the matter.
(2) If the appropriate authority fails to grant the registration or reject the application,
as the case may be, as provided under sub-section (1), the appropriate authority shall,
within a period of seven days from the expiry of the said period of thirty days specified
under sub-section (1), provide a reason for the failure to process the application.SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 7
(3) The appropriate authority shall, within a period of one month of registration being
granted under this section, intimate such registration to the State Board.
(4) The State Board shall maintain a record of all registrations applied for and granted
under this section.
(5) No registration shall be granted unless the State Board has inspected the premises
of the applicant.
(6) The registration granted under this section shall be valid for a period of five years
from the date of registration granted by the appropriate authority.
(7) The certificate of registration shall be displayed by the clinic or bank at a
conspicuous place and such certificate shall contain the duration of validity of such
registration.
17. The registration granted under section 16, may be renewed for a further period of Renewal of
five years by the appropriate authority, on an application made by the applicant, under such registration.
conditions, in such form and on payment of such fee as may be prescribed:
Provided that no application for renewal of registration shall be rejected without
giving an opportunity of being heard to the applicant.
18. (1) The appropriate authority may on receipt of a complaint, issue a notice to the Suspension or
clinic or bank to show cause as to why its registration should not be suspended or cancelled cancellation of
for the reasons mentioned in the notice. registration.
(2) If after giving a reasonable opportunity of being heard to the clinic or bank, the
appropriate authority is satisfied that there has been a breach of the provision of this Act or
the rules or regulations made thereunder or if the data obtained from them periodically do
not satisfy the provisions of this Act, the rules and regulations made thereunder, it may,
without prejudice to any criminal action, suspend its registration for such period as it may
deem fit or cancel its registration.
(3) On cancellation of registration, a copy of the cancellation letter shall be sent to
the respective State Board and accordingly the State Board shall cancel the registration of
such clinics and banks.
19. The clinic or bank or the commissioning couple or the woman may, within a Appeal.
period of thirty days from the date of receipt of the communication relating to order of
rejection of application, suspension or cancellation of registration passed by the appropriate
authority under section 16 or section 18, prefer an appeal against such order to—
(a) the State Government, where the appeal is against the order of the appropriate
authority of a State;
(b) the Central Government, where the appeal is against the order of the
appropriated authority of a Union territory,
in such manner as may be prescribed.
20. The National Board, the National Registry and the State Board shall have the Power to
power to,— inspect
premises, etc.
(i) inspect, any premises relating to assisted reproductive technology; or
(ii) call for any document or material,
in exercise of their powers and discharge of their functions.
CHAPTER IV
DUTIES OF ASSISTED REPRODUCTIVE TECHNOLOGY CLINIC AND ASSISTED REPRODUCTIVE
TECHNOLOGY BANK
21. The clinics and banks shall perform the following duties, namely:— General duties
of assisted
(a) the clinics and banks shall ensure that commissioning couple, woman and
reproductive
donors of gametes are eligible to avail the assisted reproductive technology technology
procedures subject to such criteria as may be prescribed; clinics and
banks.8 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
(b) the clinics shall obtain donor gametes from the banks and such banks shall
ensure that the donor has been medically tested for such diseases as may be
prescribed;
(c) the clinics shall—
(i) provide professional counselling to commissioning couple and woman
about all the implications and chances of success of assisted reproductive
technology procedures in the clinic;
(ii) inform the commissioning couple and woman of the advantages,
disadvantages and cost of the procedures, their medical side effects, risks
including the risk of multiple pregnancy; and
(iii) help the commissioning couple or woman to arrive at an informed
decision on such matters that would most likely be the best for the
commissioning couple;
(d) the clinics shall make commissioning couple or woman, aware of the rights
of a child born through the use of assisted reproductive technology;
(e) the clinics and banks shall ensure that information about the commissioning
couple, woman and donor shall be kept confidential and the information about treatment
shall not be disclosed to anyone except to the database to be maintained by the
National Registry, in a medical emergency at the request of the commissioning couple
to whom the information relates, or by an order of a court of competent jurisdiction;
(f) every clinic and every bank shall maintain a grievance cell in respect of
matters relating to such clinics and banks and the manner of making a compliant
before such grievance cell shall be such as may be prescribed;
(g) the clinics shall apply the assisted reproductive technology services,—
(i) to a woman above the age of twenty-one years and below the age of
fifty years;
(ii) to a man above the age of twenty-one years and below the age of
fifty-five years;
(h) the clinics shall issue to the commissioning couple or woman a discharge
certificate stating details of the assisted reproductive technology procedure performed
on the commissioning couple or woman;
(i) all clinics and banks shall co-operate and make available their premises for
physical inspection by the National Board, National Registry and State Boards;
(j) all clinics and banks shall provide all information related to—
(i) enrolment of the commissioning couple, woman and gamete donors;
(ii) the procedure being undertaken; and
(iii) outcome of the procedure, complications, if any, to the National
Registry periodically, in such manner as may be prescribed.
Written 22. (1) The clinic shall not perform any treatment or procedure without—
informed
consent. (a) the written informed consent of all the parties seeking assisted reproductive
technology;
(b) an insurance coverage of such amount as may be prescribed for a period of
twelve months in favour of the oocyte donor by the commissioning couple or woman
from an insurance company or an agent recognised by the Insurance Regulatory and
Development Authority established under the provisions of the Insurance Regulatory
and Development Authority Act, 1999. 41 of 1999.SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 9
(2) The clinics and banks shall not cryo-preserve any human embryos or gamete,
without specific instructions and consent in writing from all the parties seeking assisted
reproductive technology, in case of death or incapacity of any of the parties.
(3) The clinic shall not use any human reproductive material, except in accordance
with the provisions of this Act to create a human embryo or use an in-vitro human embryo
for any purpose without the specific consent in writing of all the concerned persons to
whom the assisted reproductive technology relates.
(4) Any of the commissioning couple may withdraw his or her consent under
sub-section (1), any time before the human embryos or the gametes are transferred to the
concerned woman's uterus.
Explanation.—For the purposes of this section, the expressions—
(i) "cryo-preserve" means the freezing and storing of gametes, zygotes, embryos,
ovarian and testicular tissues;
(ii) "insurance" means an arrangement by which a company, individual or
commissioning couple undertake to provide a guarantee of compensation for specified
loss, damage, complication or death of oocyte donor during the process of oocyte
retrieval; and
(iii) "parties" includes the commissioning couple or woman and the donor.
23. The duties of clinics and banks while keeping the records relating to such clinics Duties of
and banks are as under:— assisted
reproductive
(a) all clinics and banks shall maintain detailed records of all donor’s oocytes, technology
sperm or embryos used or unused, the manner and technique of their use in such clinics and
manner as may be prescribed; banks to keep
accurate
(b) all clinics and banks shall, as and when the National Registry is established, records.
submit by online,—
(i) all information available with them in regard to progress of the
commissioning couple or woman; and
(ii) information about number of donors (sperm and oocyte), screened,
maintained and supplied and the like to the National Registry within a period of
one month from the date of receipt of such information;
(c) the records maintained under clause (a) shall be maintained for at least a
period of ten years, upon the expiry of which the clinic and bank shall transfer the
records to a central database of the National Registry:
Provided that if any criminal or other proceedings are instituted against any
clinics or banks, the records and all other documents of such clinics and banks shall
be preserved till the final disposal of such proceedings;
(d) in the event of the closure of any clinic or bank before the expiry of the
period of ten years under clause (c), such clinic or bank shall immediately transfer the
records to the central database of the National Registry; and
(e) all such records shall, at all reasonable times, be made available for inspection
to the National Board or the National Registry or the State Board or to any other
person authorised by the National Board in this behalf.
24. While using human gametes and embryos, the duties to be performed by the Duties of
clinics and banks shall be as under:— assisted
reproductive
(a) the clinics shall retrieve oocytes in such manner as may be specified by technology
regulations; clinics using
human
(b) not more than three oocytes or embryos may be placed in the uterus of a gametes and
woman during the treatment cycle in such manner as may be specified by regulations; embryos.10 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
(c) a woman shall not be treated with gametes or embryos derived from more
than one man or woman during any one treatment cycle;
(d) a clinic shall never mix semen from two individuals for the procedures specified
under this Act;
(e) the embryos shall not be split and used for twinning to increase the number
of available embryos;
(f) the collection of gametes posthumously shall be done only if prior consent
of the commissioning couple is available in such manner as may be prescribed;
(g) the clinic shall not use ovum that are derived from a foetus, in any process
of in-vitro fertilisation; and
(h) such other duties as may be prescribed.
Explanation.—For the purposes of this section, the expression—
(i) "fertilisation" means the penetration of the ovum by the spermatozoon
and fusion of genetic materials resulting in the development of a zygote; and
(ii) "foetus" means a human organism during the period of its development
beginning on the fifty-seventh day following fertilisation and ending at birth or
abortion.
Pre- 25. (1) The Pre-implantation Genetic testing shall be used to screen the human embryo
implantation for known, pre-existing, heritable or genetic diseases only.
Genetic
Diagnosis. (2) The donation of an embryo after Pre-implantation Genetic Diagnosis to an approved
research laboratory for research purposes shall be done only-—
(a) with the approval of the commissioning couple or woman; and
(b) when the embryo suffers from pre-existing, heritable, life-threatening or
genetic diseases.
(3) The National Board may lay down such other conditions as it deems fit in the
interests of the Pre-implantation Genetic testing.
Explanation.—For the purposes of this section, the expression—
(i) "Pre-implantation Genetic Diagnosis" means the genetic diagnosis when
one or both genetic parents has a known genetic abnormality and testing is performed
on an embryo to determine if it also carries a genetic abnormality; and
(ii) "Pre-implantation Genetic testing" means a technique used to identify genetic
defects in embryos created through in-vitro fertilisation before pregnancy.
Sex selection. 26. (1) Subject to the provisions of the Pre-conception and Pre-natal Diagnostic
Techniques (Prohibition of Sex Selection) Act, 1994, the clinic shall not offer to provide a 57 of 1994.
couple or woman with a child of a pre-determined sex.
(2) It is prohibited for anyone to do any act, at any stage, to determine the sex of the
child to be born through the process of assisted reproductive technology to separate, or
yield fractions enriched in sperm of X or Y variations.
(3) A person shall not knowingly provide, prescribe or administer anything that shall
ensure or increase the probability that an embryo shall be of a particular sex, or that shall
identify the sex of an in-vitro embryo, except to diagnose, prevent or treat a sex-linked
disorder or disease.
Sourcing of 27. (1) The screening of gamete donors, the collection, screening and storage of
gametes by semen; and provision of oocyte donor, shall be done only by a bank registered as an
assisted
independent entity under the provisions of this Act.
reproductive
technology
banks.SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 11
(2) The banks shall—
(a) obtain semen from males between twenty-one years of age and fifty-five
years of age, both inclusive;
(b) obtain oocytes from females between twenty-three years of age and
thirty-five years of age; and
(c) examine the donors for such diseases, as may be prescribed.
(3) A bank shall not supply the sperm or oocyte of a single donor to more than one
commissioning couple.
(4) An oocyte donor shall donate oocytes only once in her life and not more than
seven oocyte shall be retrieved from the oocyte donor.
(5) All unused oocytes shall be preserved by the banks for use on the same recipient,
or given for research to an organisation registered under this Act after seeking written
consent from the commissioning couple.
(6) A bank shall obtain all necessary information in respect of a sperm or oocyte
donor, including the name, Aadhaar number as defined in clause (a) of section 2 of the
Aadhaar (Targeted Delivery of Financial and other Subsidies, Benefits and Services)
18 of 2016. Act, 2016, address and any other details of such donor, in such manner as may be prescribed,
and shall undertake in writing from such donor about the confidentiality of such information.
Explanation.—For the purposes of this section, the expressions—
(i) "retrieval" means a procedure of removing oocytes from the ovaries of a
woman;
(ii) "screening" means the genetic test performed on embryos produced through
in-vitro fertilisation.
28. (1) The standards for the storage and handling of gametes, gonadal tissues and Storage and
human embryos in respect of their security, recording and identification shall be such as handling of
human
may be prescribed.
gametes and
(2) The gamete of a donor or embryo shall be stored for a period of not more than ten embryos.
years and at the end of such period such gamete or embryo shall be allowed to perish or be
donated to a research organisations registered under this Act for research purposes with
the consent of the commissioning couple or individual, in such manner as may be prescribed.
29. The sale, transfer or use of gametes, zygotes and embryos, or any part thereof or Restriction on
information related thereto, directly or indirectly to any party within or outside India shall sale, etc., of
human
be prohibited except in the case of transfer of own gametes and embryos for personal use
gametes,
with the permission of the National Board.
zygotes and
embryos.
Explanation.—For the purposes of this section, the expression "zygote" means the
fertilised oocyte prior to the first cell division.
30. (1) The use of any human gametes and embryos or their transfer to any country Research on
outside India for research shall be absolutely prohibited. human
gametes and
(2) The research on human gamete or embryo within India shall be performed in such embryos.
manner as may be prescribed.
31. (1) The child born through assisted reproductive technology shall be deemed to Rights of child
be a biological child of the commissioning couple and the said child shall be entitled to all born through
assisted
the rights and privileges available to a natural child only from the commissioning couple
reproductive
under any law for the time being in force.
technology.
(2) A donor shall relinquish all parental rights over the child or children which may be
born from his or her gamete.12 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
CHAPTER V
OFFENCES AND PENALTIES
Sex selective 32. (1) The clinic, or bank or agent thereof, shall not issue, publish, distribute,
assisted communicate or cause to be issued, published, distributed or communicated any
reproductive advertisement in any manner including internet, regarding facilities of sex selective assisted
technology.
reproductive technology.
(2) Whoever contravenes the provisions of sub-section (1) shall be punishable with
imprisonment for a term which shall not be less than five years but may extend to ten years
or with fine which shall not be less than ten lakh rupees but may extend to twenty-five lakh
rupees or with both.
Offences and 33. (1) Any medical geneticist, gynaecologist, registered medical practitioner or any
penalties. person shall not—
(a) abandon, disown or exploit or cause to be abandoned, disowned or exploited
in any form the child or children born through assisted reproductive technology;
(b) sell human embryos or gametes, run an agency, a racket or an organisation
for selling, purchasing or trading in human embryos or gametes;
(c) import or help in getting imported in whatsoever manner, the human embryos
or human gametes;
(d) exploit the commissioning couple, woman or the gamete donor in any form;
(e) transfer human embryo into a male person or an animal;
(f) sell any human embryo or gamete for the purpose of research; or
(g) use any intermediates to obtain gamete donors or purchase gamete donors.
(2) Whoever contravenes the provisions of clauses (a) to (g) of sub-section (1), shall
be punishable with a fine which shall not be less than five lakh rupees but may extend to ten
lakh rupees for the first contravention and for subsequent contravention, shall be punishable
with imprisonment for a term which shall not be less than three years but may extend to
eight years and with fine which shall not be less than ten lakh rupees but may extend to
twenty lakh rupees.
Punishment 34. Whoever contravenes any of the provisions of this Act or any rules made
for thereunder, for which no penalty has been provided in this Act shall be punishable as per
contravention
sub-section (2) of section 33.
of provisions
of Act or rules
for which no
specific
punishment
is provided.
Cognizance of 35. (1) No court shall take cognizance of any offence punishable under this Act, save
offences. on a complaint made by the National Board or the State Board or by an officer authorised by
it.
(2) No court inferior to that of a Metropolitan Magistrate or a Judicial Magistrate of
the first class shall try any offence punishable under this Act.
Offences to be 36. Notwithstanding anything contained in the Code of Crimincal Procedure, 1973, all 2 of 1974.
cognizable and the offences under this Act shall be cognizable and bailable.
bailable.
Offences by 37. (1) Where an offence under this Act has been committed by any clinic or bank, the
clinics or executive head of such clinic or bank shall be deemed to be guilty of an offence and shall be
banks.
liable to be proceeded against and punished accordingly unless he proves that the offence
was committed without his knowledge or that he had exercised all due diligence to prevent
the commission of such offence.SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 13
(2) Notwithstanding anything contained in sub-section (1), where an offence under
this Act has been committed by any clinic or bank and it is proved that the offence has been
committed with the consent or connivance of, or is attributable to any neglect on the part of
any officer, other than the executive head of the clinic or bank, such officer shall also be
deemed to be guilty of that offence and shall be liable to be proceeded against and punished
accordingly.
CHAPTER VI
MISCELLANEOUS
38. (1) The Central Government may, from time to time issue to the National Board, the Power of
National Registry and the appropriate authority with respect to the Union territory, such Central
directions as it may think necessary in the interest of the sovereignty and integrity of India, Government
to issue
security of the State, friendly relation with foreign States, public order, decency or morality.
directions to
(2) Without prejudice to the foregoing provisions of this Act, the National Board, the National
Board,
National Registry and the appropriate authority shall, in exercise of its powers or the
National
performance of its functions under this Act, be bound by such directions on questions of Registry and
policy as the Central Government or the State Government, as the case may be, may give in appropriate
writing to it from time to time: authority.
Provided that the National Board shall, as far as practicable, be given an opportunity
to express its views before any direction is given under sub-section (1).
(3) If any dispute arises between the Central Government and the National Board as
to whether a question is or is not a question of policy, the decision of the Central Government
shall be final.
39. (1) The State Government may, from time to time issue to the State Board and to
Power of State
the appropriate authority with respect to the State Government such directions as it may Government
think necessary in the interest of the sovereignty and integrity of India, security of the to issue
directions to
State, friendly relation with foreign States, public order, decency or morality.
State Board,
(2) Without prejudice to the foregoing provisions of this Act, the State Board and the etc.
appropriate authority shall, in exercise of its powers or the performance of its functions
under this Act, be bound by such directions on questions of policy as the State Government
may give in writing to it from time to time:
Provided that the State Board and the appropriate authority shall, as far as practicable,
be given an opportunity to express its views before any direction is given under
sub-section (1).
(3) If any dispute arises between the State Government and the State Board as to
whether a question is or is not a question of policy, the decision of the State Government
shall be final.
40. (1) If the National Board, the National Registry or the State Board has reason to Power to
believe that an offence under this Act has been or is being committed at any facility using search and
assisted reproductive technology, such Board or any officer authorised in this behalf may, seize records,
etc.
subject to such rules as may be prescribed, enter and search at all reasonable times with
such assistance, if any, as such Board or officer considers necessary, such facility using
assisted reproductive technology and examine any record, register, document, book,
pamphlet, advertisement or any other material object found therein and seize the same, if the
said Board has reason to believe that it may furnish evidence of the commission of an
offence punishable under this Act.
2 of 1974. (2) The provisions of the Code of Criminal Procedure, 1973, relating to searches and
seizures shall, so far as may be, apply to every search or seizure made under this Act.
41. No suit, prosecution or other legal proceeding shall lie against the Central Protection of
Government or the State Government or the National Board or the National Registry or the action taken
State Board or the appropriate authority or any other officer authorised by the Central in good faith.14 THE GAZETTE OF INDIA EXTRAORDINARY [PART II—
Government or the State Government or the National Board or the National Registry or the
State Board or the appropriate authority for anything which is done in good faith or intended
to be done in pursuance of the provisions of this Act or the rules or regulations made
thereunder.
Power to 42. (1) The Central Government may by notification make rules for carrying out the
make rules. provisions of this Act.
(2) In particular, and without prejudice to the generality of the foregoing power, such
rules may provide for—
(a) the other powers and functions of the National Board under clause (g) of
section 5;
(b) the other powers and functions of the State Board under clause (b) of
sub-section (2) of section 8;
(c) the terms of office and other conditions of service of scientific, technical and
other employees of the National Registry under section 10;
(d) the other functions of the National Registry under clause (d) of section 11;
(e) the other functions of the appropriate authority under clause (h) of section 13;
(f) the other powers to be exercised by the appropriate authority under
clause (d) of sub-section (1) of section 14;
(g) the format for granting of licences to the clinic or bank by the appropriate
authority under sub-section (2) of section 14;
(h) the form and manner in which an application shall be made for registration
and fee payable thereof under sub-section (2) of section 15;
(i) the facilities and equipments to be provided and maintained by the clinics
and banks under sub-section (4) of section 15;
(j) the conditions, form and fee for application of renewal of the registration of
clinic or bank under section 17;
(k) the manner in which an appeal may be preferred to the State Government or
the Central Government under section 19;
(l) the criteria for availing the assisted reproductive technology procedures
under clause (a) of section 21;
(m) the medical examination of the diseases with respect to which the donor
shall be tested under clause (b) of section 21;
(n) the manner of making a complaint before a grievance cell and the mechanism
adopted by the clinic under clause (f) of section 21;
(o) the manner of providing information by the clinics and banks to the National
Registry under clause (j) of section 21;
(p) the amount of insurance coverage for oocyte donor under clause (b) of
sub-section (1) of section 22;
(q) the manner of maintaining the records by the clinics and banks under
clause (a) of section 23;
(r) the manner of collection of gametes posthumously under clause (f) of
section 24;
(s) the other duties of clinics under clause (h) of section 24;
(t) the examination of the donors by the assisted reproductive technology
banks for diseases under clause (c) of sub-section (2) of section 27;SEC. 1] THE GAZETTE OF INDIA EXTRAORDINARY 15
(u) the manner of obtaining information in respect of a sperm or oocyte donor
by a bank under sub-section (6) of section 27;
(v) the standards for the storage and handling of gametes, human embryos in
respect of their security, recording and identification under sub-section (1) of
section 28;
(w) the manner of obtaining the consent of the commissioning couple or
individual for perishing or donating the gametes of a donor or embryo under
sub-section (2) of section 28;
(x) the manner of performing research on human gametes or embryo within
India under sub-section (2) of section 30;
(y) the manner of entry and search by the National Board, the National Registry
or the State Board or any officer authorised by it under sub-section (1) of section 40;
(z) any other matter which is to be, or may be prescribed, or in respect of which
provision is to be made by rules.
43. (1) The National Board may, with the prior approval of the Central Government, Power to
by notification make regulations consistent with this Act and the rules made thereunder to make
regulations.
carry out the provisions of the Act;
(2) In particular, and without prejudice to the generality of the foregoing power, such
regulations may provide for—
(a) the manner of retrieving the oocytes under clause (a) of section 24;
(b) the manner of placing the oocytes or embryos in the uterus of a woman
under clause (b) of section 24; and
(c) any other matter which is required to be, specified by regulations or in
respect of which provision is to be made by regulations.
44. Every rule or regulation made and notification issued under this Act shall be laid, Laying of
as soon as may be after it is made or issued, before each House of Parliament, while it is in rules,
regulations and
session, for a total period of thirty days which may be comprised in one session or in two or
notifications.
more successive sessions, and if, before the expiry of the session immediately following the
session or the successive sessions aforesaid, both Houses agree in making any modification
in the rules or regulations or notifications, as the case may be or both Houses agree that the
rules or regulations or notifications, as the case may be, should not be made or issued, such
rules or regulations or notifications, as the case may be, shall thereafter have effect only in
such modified form or be of no effect, as the case may be; so, however, that any such
modification or annulment shall be without prejudice to the validity of anything previously
done under that rule or regulation or notification, as the case may be.
45. The provisions of this Act shall be in addition to, and not in derogation of, the Application of
provisions of the Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex other laws not
barred.
57 of 1994. Selection) Act, 1994 and the Clinical Establishment (Registration and Regulation) Act, 2010
23 of 2010. or of any other law for the time being in force.
46. (1) If any difficulty arises in giving effect to the provisions of this Act, the Central Power to
Government may, by order published in the Official Gazette, make such provisions not remove
difficulties.
inconsistent with the provisions of this Act as may appear to it to be necessary or expedient
for removing the difficulty:16 THE GAZETTE OF INDIA EXTRAORDINARY [PART II— SEC. 1]
Provided that no such order shall be made after the expiry of a period of three years
from the date of commencement of this Act.
(2) Every order made under this section shall, as soon as may be made, be laid before
each House of Parliament.
————
DR. REETA VASISHTA,
Secretary to the Govt. of India.
UPLOADED BY THE MANAGER, GOVERNMENT OF INDIA PRESS, MINTO ROAD, NEW DELHI–110002
AND PUBLISHED BY THE CONTROLLER OF PUBLICATIONS, DELHI–110054.
MGIPMRND—1654GI(S3)—20-12-2021.