Artificial insemination parenting bill draws LGBT criticism

Two Tennessee lawmakers want to do away with a 40-year-old state law granting legitimacy to children conceived through artificial insemination. Critics say the bill is aimed at gay couples and their children.

NASHVILLE, Tenn. — The bill would remove a single sentence applying to child custody when artificial insemination is involved, one that’s been interpreted to make no distinction between same-sex and heterosexual couples.

But opponents warn that changing the law could prevent both same-sex parents from appearing on the children’s birth certificates, affecting their ability to make parenting decisions ranging from medical care to education.

“It would affect lesbian couples in particular, because if you have two women who are married and one is the birth mother, the other one is presumed to be parent in Tennessee,” said Chris Sanders, the executive director of the Tennessee Equality Project.anonymous sperm donors

Ever since the 2015 same-sex marriage ruling, Tennessee laws with gender-specific terms have been interpreted as applying to either gender of married couples. But that would change under another Republican bill that is seeking to eliminate gender-neutral interpretations of “mother,” ”father,” ”husband,” and “wife.” 

“Clearly, the legislative intention behind both these bills is to stop lesbian couples from having the same automatic recognition of their parent-child relationships that opposite-sex couples have,” Julia Tate-Keith, a Murfreesboro attorney specializing in adoption and surrogacy issues, said in a legal memo.

State Rep. Terri Lynn Weaver, the sponsor of the artificial insemination bill, in a Facebook post denied that her bill is aimed at same-sex marriage, and argued it would not de-legitimize children because another state law addresses parentage without asking about the method of conception.

“The remaining law that will now govern the situation does not have the government inquiring into the means by which the couple’s child came into existence or whose sperm, the husband’s or a donor’s, was used,” Weaver wrote in the post.

Weaver said there would be no change under her legislation for heterosexual couples. “A child born to a married woman will be considered the child of her husband,” she said in a statement.

But that part of the code refers to circumstances when “a man is rebuttably presumed to be the father of a child.” Tate-Keith said that that language does not carry the same gender-neutral interpretation as other parts of state law.

Sanders said that heterosexual couples would have to go through more legal steps if the bill becomes law.

“Straight couples will lose the presumption of paternity,” Sanders said. “It will require them to go to court.”

“What if you didn’t tell your family and friends you were getting fertility treatment?” he said. “It just creates more hardship, more hoops to jump through.”

By ERIK SCHELZIG Associated Press, February 13, 2017

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Should A Same Sex Couple Get Fertility Benefits?

Are A Same Sex Couple Entitled to Fertility Benefits?

Same sex couple Sarah Soller-Mihlek, a Brooklyn guitar instructor, and Jill Soller-Mihlek say, “We want to start a family,” speaking into a camera focused on Sarah and “We’ve always dreamed of becoming parents,” adds her wife, Jill.

The couple made the video last year and posted it to Indiegogo, a crowdfunding website, in hopes of raising enough money to pay for fertility treatments. Jill Soller-Mihlek, now 33, was hoping to get pregnant via a sperm donor and intrauterine insemination, which can costs tens of thousands of dollars depending on how long it takes to conceive.

Although the couple’s insurance plan typically covers fertility treatment, their insurer, United Healthcare, would not cover the cost. The reason? Jill Soller-Mihlek didn’t meet its definition of infertility because she did not have sex with men.

The couple’s insurance policy defines infertility as an “inability to achieve pregnancy after 12 months of unprotected heterosexual intercourse.” But women who use sperm donors must pay for costly, physician-supervised therapeutic donor insemination for 12 months before they meet the definition of infertility. (Women 35 and older need to go through six failed attempts before meeting the clinical definition of infertility.)

After the Soller-Mihleks paid $13,507 out of pocket for nine unsuccessful cycles of insemination, they decided to chronicle their travails on Indiegogo and Change.org. While the United Healthcare policy tacitly acknowledges single women and same-sex couples, many policies do not. Some even exclude unwed women. Notably, major insurers like United Healthcare often do cover insemination treatments when the issue is male infertility.

The Soller-Mihleks believe their plan’s criteria for granting medical coverage of fertility treatment reveals a subtle form of discrimination against lesbians. (Needless to say, gay men face even greater obstacles in attempting to gain coverage, given that coverage wouldn’t extend to the woman who’d be carrying for them.)

The Soller-Mihleks say their concern is that a female same sex couple, by definition, is incapable of getting pregnant through heterosexual intercourse and requires medical intervention to conceive. They say the subtext of the United Healthcare policy is that a lesbian could get pregnant by having sex with a man, she just chooses not to.

Shannon Price Minter, head of the legal division at the National Center for Lesbian Rights in San Francisco, said: “To me, the central injustice is that when a person has a known condition that precludes them from becoming pregnant, such as a woman who has had her ovaries removed, there is no requirement to go through a period of unprotected intercourse before being recognized as requiring fertility treatments. The same should be true for same-sex couples.”

Tyler Mason, a spokesman for UnitedHealthcare, said the company’s policy is based on the clinical disease of infertility, as defined by the American Society of Reproductive Medicine.

“Our coverage criteria are based on clinical trial data, published literature and recommendations from a wide variety of medical specialty societies and state laws,” Mr. Mason wrote in a statement. “We constantly review and update coverage criteria.”

Aetna also uses the clinical definition of infertility to support its reimbursement policies for fertility treatments.

“It’s not a pregnancy benefit,” said Cynthia B. Michener, an Aetna spokeswoman. “It’s based on the clinical disease of infertility, supported by medical evidence and medical society guidelines, including those set out by the A.S.R.M., and it’s the same for everyone.”

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New York Times, November 2, 2015, by Stephanie Fairyington