Susan Kootnekoff is the founder of Inspire Law, an Okanagan based-law practice. She has been practicing law since 1994, with brief stints away to begin raising children. Susan has experience in many areas of law, but is most drawn to areas in which she can make a positive difference in people’s lives, including employment law. She has been a member of the Law Society of Alberta since 1994 and a member of the Law Society of British Columbia since 2015. Susan grew up in Saskatchewan. Her parents were both entrepreneurs, and her father was also a union leader who worked tirelessly to improve the lives of workers. Before moving to B.C., Susan practiced law in both Calgary and Fort McMurray, AB. Living and practicing law in Fort McMurray made a lasting impression on Susan. It was in this isolated and unique community that her interest in employment law, and Canada’s oil sands industry, took hold. In 2013, Susan moved to the Okanagan with her family, where she currently resides. Photo: Contributed

Kootnekoff: Assisted reproduction in Canada

Part 1 of 3 of the Canadian regulations

Many years ago, the federal government of Canada decided not to allow paid surrogates and “donors”, people who provide their reproductive material to assist someone else to conceive a child.

As a nation, we decided not to promote a trade in the material that has the potential to create human beings. We decided not to exploit vulnerable people by allowing them to sell their reproductive material.

There is a surprising lack of regulation governing third party reproduction in Canada.

In this three-part series, we will look first at proposed new narrow regulations introduced by the federal government. Second, we will look at the regulatory regime in Canada, or lack thereof. Third, we will look at what regulation is required.

The primary legislation in Canada is the Assisted Human Reproduction Act (AHRA). It was introduced in 2004. Many of its provisions refer to non-existent regulations.

Section 7 of the AHRA generally prohibits the purchasing or advertising of reproductive material. Section 6 prohibits paying a female to be a surrogate and advertising surrogacy.

Section 12 of the AHRA states that surrogates and those who provide their reproductive material cannot be paid. Out-of-pocket expenses can be reimbursed, though, if there is a receipt.

Section 12(3) allows a surrogate to be reimbursed for loss of work-related income during pregnancy. A doctor’s certificate is required that makes certain statements. Reimbursement is to be in accordance with the regulations.

However, section 12 was never brought into force. No regulations existed either, to explain what reimbursements were allowed.

That is about to change.

Health Canada has recently put forward draft regulations explaining what can be reimbursed.

The new regulations, which remain subject to change, are to come into force on June 9, 2020.

Under the proposed regulations, for example, a surrogate or a person providing his or her own reproductive material will be able to be reimbursed for the cost of caring for pets and dependents, including aging parents who reside with them. Certain traveling, counseling and other expenses will also be eligible for reimbursement. Exemptions from the receipt requirement are also being added.

If these regulations are brought into force without an adequate and coherent regulatory philosophy, this area will remain without meaningful regulation.

In its 2010 decision in Reference re Assisted Human Reproduction Act, the Supreme Court of Canada essentially decided that it was for the provinces to regulate most aspects of assisted human reproduction. However, since then, only Québec has passed legislation. Only a limited number of colleges of physicians and surgeons have adopted medical practice guidelines in this area. However, they are ill suited to be the sole regulator of practices and procedures conducted primarily on women’s’ bodies, and which bring about the creation of new human beings.

The dearth of adequate overall regulation in this area means that the approximately 42 fertility clinics in the common law provinces lack detailed regulatory oversight.

It makes little sense to open the barn door on expense reimbursement without first having a meaningful regulatory regime in place. It would make sense for the federal government to withhold finalizing these regulations until the provinces implement a meaningful regulatory regime. The top priority must be protecting the best interests of the most vulnerable.

Our provinces have shown an impressive ability to work together in the all-important area of securities regulation. Surely, they can do so in the even more important area of assisted reproduction. After all, how many issues are more important than adequately regulating the creation of human life?

Next week we will look at the regulatory regime in this area, or lack thereof. The following week, we will look at the minimum requirements that ought to be reflected in a regulatory regime.

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