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21 J. Health & Biomedical L. 1 (2024)

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1


                                           Journal ofHealth & Biomedical Law, XXI (2024): 001-026
                                                      © 2024 Journal ofHealth & Biomedical Law
                                                                 Suffolk University Law School







Psychology and the Legislative Future of In Vitro

Fertilization


Kerry  Lynn  Macintosh*

        In LePage v. Centerfor Reproductive Medicine, P.C.,1 three couples that had
undergone  in vitro fertilization (hereinafter IVF) sued a fertility clinic and hospital after
their stored embryos were lost in an accident.2 The plaintiffs included claims under
Alabama's  Wrongful  Death  of a Minor Act (hereinafter Act), which imposes liability for
a wrongful act, omission, or negligence that causes the death of a minor child.3 The
trial court dismissed the wrongful death claims, holding that the embryos were not
children.4 The Alabama   Supreme  Court, however,  reversed the dismissal, reasoning that
the lost embryos qualified as unborn children within the Act.5





* Inez Mabie Distinguished Professor of Law, Santa Clara University School of Law. I am
grateful to Professors Gary Spitko and June Carbone for their helpful comments on my draft. I
also thank Thomas Deguzman,  Research Librarian, Wendie Beddingfield, J.D. 2023, and Connor
Haney  and Nicholas Voytilla, J.D. 2025, of Santa Clara University School of Law for their
capable research assistance. Finally, I thank the Journal of Health and Biomedical Law staff and
editors, who made many valuable contributions to this Article.
1 See No. SC-2022-0515, SC-2022-0579, 2024 Ala. LEXIS 60, at *1 (Ala. 2024).
2 See id. at *3. In 2020, a hospital patient at the Mobile Infirmary Medical Center wandered into
The Center for Reproductive Medicine through an unsecured door and entered a room of
storage tanks containing IVF embryos. Id. When she grabbed receptacles containing embryos,
extreme cold seared her hand, and she dropped the receptacles, thereby destroying the embryos.
Id.
3 See ALA. CODE § 6-5-391 (1975).
4 See LePage, 2024 Ala. LEXIS 60, at *4-5 (outlining finding of trial court on wrongful death
claims). The trial court further determined that Alabama's restriction on recovery for
compensatory damages  for loss of human life precludes plaintiffs' negligence and wantonness
claims. Id. at *5.
s Id. at *9, *20. As the Court explained, although the Act did not define the terms child or
minor child, case precedent held it applied to unborn children. Id. at *9-10. Thus, the Court
framed the issue as whether the Act contains an unwritten exception to that rule for
extrauterine children - that is, unborn children. Id. at *1. Further, the Alabama State
Constitution acknowledges, declares, and affirms that it is the public policy of this state to
ensure the protection of the rights of the unborn child in all manners and measures lawful and
appropriate. ALA. CONST. art. I, § 36.06(b) (2022). The Court reasoned that this constitutional
provision functioned as a canon of construction; thus, it must construe the Act in a manner that
protected the rights of born and unborn children equally. LePage, 2024 Ala. LEXIS 60, at *12.
The Act did not contain an exception for extrauterine children, and the Court declined to infer
one based on policy concerns; if its decision made IVF more expensive or cryopreservation more
complicated, that was for the Legislature to resolve. Id. at *17-18.