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AP Analysis: What to know about Alabama's legislation to protect fertility clinics

A view of some egg samples held inside a smaller cryo storage container, each container capable of holding approximately 150 egg samples immersed in liquid nitrogen, in one of the secured storage areas at the Aspire Houston Fertility Institute in vitro fertilization lab Tuesday, Feb. 27, 2024, in Houston. Women over 35 and those facing serious diseases like cancer, lupus and sickle cell are among the most likely to turn to IVF to build the families they desperately want. But in Alabama, they are among those whose dreams are in limbo after three of the state's largest clinics paused IVF services. (AP Photo/Michael Wyke)
Michael Wyke/AP
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FR33763 AP
A view of some egg samples held inside a smaller cryo storage container, each container capable of holding approximately 150 egg samples immersed in liquid nitrogen, in one of the secured storage areas at the Aspire Houston Fertility Institute in vitro fertilization lab Tuesday, Feb. 27, 2024, in Houston. Women over 35 and those facing serious diseases like cancer, lupus and sickle cell are among the most likely to turn to IVF to build the families they desperately want. But in Alabama, they are among those whose dreams are in limbo after three of the state's largest clinics paused IVF services. (AP Photo/Michael Wyke)

Alabama lawmakers are moving fast to approve measures this week to protect invitro fertilization clinics from lawsuits in response to an uproar sparked by last month's state Supreme Court ruling that found frozen embryos have the rights of children under the state's wrongful death law.

Governor Kay Ivey, a Republican, is expected to sign one of the two bills into law.

Either of the two bills would give legal protection for fertility clinics, at least three of which paused IVF treatments after the court ruling to assess their new liability risks.

Here are things to know about the bills and the process of turning one of them into law.

WHAT'S IN THE LEGISLATION?

Both the state Senate and the House are advancing identical legislation that would protect IVF providers and their employees from civil lawsuits and criminal prosecution over the destruction of or damage to an embryo.

While the legislation protects medical providers, lawmakers amended the bills on Tuesday to allow certain civil lawsuits against companies that make equipment used for IVF if the equipment damages or destroys an embryo.

Either measure, if signed into law, would take effect immediately and would apply retroactively to any past damage or destruction that is not already the subject of a lawsuit.

Lawmakers say IVF providers have told them that the protections are enough to get them to resume services.

WHAT'S NOT ADDRESSED IN THE MEASURES?

The bills are silent on whether embryos outside the body are legally considered children.

In a February ruling to allow wrongful death lawsuits filed by couples whose frozen embryos were destroyed in an accident at a fertility clinic, the Alabama Supreme Court ruled that the wrongful death law "applies to all unborn children, regardless of their location." The ruling cited an anti-abortion provision added to the state constitution in 2018 that protects the "rights of unborn children."

It's not new to apply wrongful death and other laws to fetuses and embryos. But it was a significant development for a court to say that applies to embryos outside the body, too.

The American Society for Reproductive Medicine, which represents IVF providers nationwide, said the legislation is insufficient because it doesn't undo the ruling that considers fertilized eggs to be children.

One lawmaker wanted to amend the House bill to prohibit clinics from intentionally discarding embryos, but that was rejected.

WHY IS THIS ATTRACTING SO MUCH ATTENTION?

The Alabama Supreme Court's ruling is the first time since the U.S. Supreme Court overturned Roe v. Wade and ended a nationwide right to abortion in 2022 that the fallout has extended to restrict IVF.

Many abortion opponents support IVF. But some want embryos and fetuses to be given the legal rights of children, a development that could pave the way to abortion bans.

Alabama is one of the 14 states that has begun enforcing a ban on abortions at all stages of pregnancy in the past two years.

WHO'S BEHIND THE LEGISLATION?

Republican lawmakers are sponsoring both measures in a state where politics are dominated by Republicans.

And they have strong support from lawmakers. The House version moved ahead last week on a 94-6 vote and the Senate one was unanimous, 32-0.

Nathaniel Ledbetter, Alabama's House speaker said it was a priority: "Alabamians strongly believe in protecting the rights of the unborn, but the result of the State Supreme Court ruling denies many couples the opportunity to conceive, which is a direct contradiction."

WHAT'S THE LEGISLATIVE PROCESS?

Lawmakers put these measures on a fast track.

Each one has already been adopted by the chamber where it originated and has been sent to the other.

The bills were both advanced by legislative committees on Tuesday.

Lawmakers are expected to give final approval to one — or maybe both — on Wednesday and send legislation to Governor Ivey, who could sign one into law the same day.

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