Massachusetts surrogacy laws & gestational process guidelines

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In the Massachusetts Surrogacy Guide, SurrogateFirst compiles the latest available information from official sources to answer key questions, including:
  • Is gestational and traditional surrogacy legal in Massachusetts?
  • What specific surrogacy requirements apply in Massachusetts, if any?
  • What must be included in a legally valid Massachusetts surrogacy contract?
  • What factors influence the cost of surrogacy in Massachusetts, including s compensation and agency fees?
  • What influences how much surrogacy costs and surrogates get compensated in Massachusetts compared to other states?
  • How friendly is LGBTQ+ surrogacy in Massachusetts?

General Surrogacy context in Massachusetts

Massachusetts has a clear legal framework for surrogacy under the Massachusetts Parentage Act, which took effect on January 1, 2025. The law establishes requirements for gestational and genetic surrogacy agreements, surrogate and intended-parent eligibility, compensation, legal representation, and parentage.

Before 2025, surrogacy in Massachusetts has a process based on three published surrogacy cases, established by the highest court in Massachusetts: Hodas v. Morin (2004); Culliton v. Beth Israel Deaconess Med. Ctr.(2002); R.R. v. M.H. (1998).

Surrogacy is thereby a common and accepted practice in Massachusetts.

Although the following guide can give you a better understanding of the general rules and regulations of surrogacy in Massachusetts, it is not meant to be used as legal advice. It is important to consult with an experienced attorney to guide you through your unique journey.

Below is a list of some of the most frequently asked questions about surrogacy in Massachusetts.

Is Gestational Surrogacy Legal in Massachusetts?

Yes. Gestational surrogacy is legal in Massachusetts and is specifically regulated under the Massachusetts Parentage Act. The law sets requirements for surrogacy agreements and provides a clear process for establishing the intended parents’ legal parentage.

Is Traditional Surrogacy Legal in Massachusetts?

Yes. Massachusetts law recognizes genetic surrogacy, also known as traditional surrogacy, but it has additional legal requirements. Unlike a gestational surrogacy agreement, a genetic surrogacy agreement must be validated by a Probate and Family Court before assisted reproduction related to the agreement begins.

Because the surrogate is genetically related to the child, genetic surrogacy involves additional legal considerations and is used far less often than gestational surrogacy.

Is Compensated Surrogacy Legal in Massachusetts?

Yes. Compensated surrogacy is legal in Massachusetts. Under the Massachusetts Parentage Act, a surrogacy agreement may provide for compensation and reasonable expenses. The intended parents are also responsible for surrogacy-related expenses that are not covered by insurance, as provided by law and the agreement. These expenses include the following:

  • Mock cycle compensation
  • Embryo transfer compensation
  • Starting medication compensation
  • Monthly allowance for miscellaneous expenses
  • Monthly Housekeeping budget
  • Maternity clothing budget
  • Medical expenses
  • Travel to and from clinic/hospital
  • Lost wages if applicable
  • Child care if bed rest is required
  • Term life insurance
  • Medical insurance
  • Independent legal counsel
  • Psychological counseling
  • Other depending on agency

Creating a Massachusetts Surrogacy Contract

Massachusetts law now sets specific requirements for an enforceable surrogacy agreement.

The agreement must be in writing and signed before embryo or gamete transfer. The parties must meet the state’s eligibility requirements, signatures must be notarized, and the surrogate and intended parent or parents must have independent legal representation. At least one party must also be a Massachusetts resident, or, if no party lives in Massachusetts, at least one qualifying medical evaluation, procedure, or mental health consultation must take place in the state.

The agreement must also address parentage, financial responsibilities and expenses, the surrogate’s health and medical decision-making rights, and each party’s right to terminate the agreement where permitted by law.

Determining Legal Parentage in Massachusetts

Massachusetts law provides a clear path for establishing parentage in gestational surrogacy. Under a compliant agreement, the intended parent or parents become the child’s legal parents by operation of law when the child is born.

A party to the surrogacy agreement may also ask the court for a judgment of parentage before, on, or after the birth. That order can confirm the intended parents’ legal parentage and direct that they be listed on the child’s birth record. 

Most Common FAQ about surrogacy in Massachusetts

Below is a list of some of the most frequently asked questions about surrogacy in Massachusetts:

Are Surrogacy Contracts (Whether Compensated or Altruistic) Enforceable in Massachusetts?

Yes. Massachusetts law expressly provides for enforceable surrogacy agreements when the requirements of the Massachusetts Parentage Act are met. Gestational surrogacy agreements that substantially comply with the statutory requirements are enforceable under state law.

Are There Any Particular Laws for Parents Outside the U.S. Who Complete a Surrogacy in Massachusetts?

Massachusetts does not prohibit international intended parents, but the agreement must have the required connection to Massachusetts. At least one party must be a Massachusetts resident or, if none of the parties live there, at least one medical evaluation, medical procedure, or mental health consultation under the agreement must occur in Massachusetts.

When do Intended Parents Need to Complete an Adoption After Birth?

When a gestational surrogacy agreement complies with Massachusetts law, intended parents generally do not need to complete an adoption simply because one or both parents are not genetically related to the child. Parentage is established under the Massachusetts Parentage Act. Additional legal procedures may still be necessary if an agreement does not meet statutory requirements or unusual circumstances arise.

Does Massachusetts Allow Second-Parent Adoptions?

Yes. Second-parent adoptions are available in Massachusetts. Unmarried intended parents who cannot establish their parentage through a parentage order can complete a post-birth adoption. Married intended parents can complete a stepparent adoption.

What Happens in Cases Where Intended Parents Use a Donor Egg, Sperm or Embryo?

Massachusetts expressly allows a person to become an intended parent whether or not genetically related to the child.

Same Sex surrogacy in Massachusetts

Is Same-Sex Surrogacy Legal in Massachusetts?

Yes. Same-sex couples and LGBTQ+ intended parents can pursue surrogacy in Massachusetts under the same statutory framework as other intended parents. The law does not require intended parents to be married or genetically related to the child in order to enter into a qualifying surrogacy agreement.

Are There any Additional Laws Impacting Same-Sex Parenting in Massachusetts?

No. There are no additional laws impacting same-sex parents in this state.

Law Firm

Molly O’Brien, Esq. – International Fertility Law Group

LA, NY, FL, Beijing
(323) 331-9343
Molly@iflg.net
Visit the website: http://www.IFLG.net 

Modern Fertility Law

Milena O’Hara Esq. (Speaks French, Licensed in CA and WA)
13527 Ventura Blvd., Sherman Oaks, CA 91423
(818) 783-111 EXT. 11

milena@modernfertilitylaw.com

Visit the website: www.ModernFertilityLaw.com

PRACTICING SINCE 1997 IN THE AREAS OF SURROGACY, EGG DONATION, EMBRYO DONATION, SPERM DONATION

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Michelle A. Keeyes, Managing Partner

Reproductive Law Center
8340 Allison Ave, Ste A
La Mesa, CA 91942
(619) 464-6640
Visit the website: http://www.rlcsd.com/keeyes.html

Tsong Law Group

Ralph Tsong / Rainie Fang

(Licensed in CA/AZ/OK/NY/WA)

Visit the website: https://tsonglawgroup.com

Phone: (562) 274-7807

Email: ralph@tsonglaw.comrainie@tsonglaw.com

Ask about GSA drafting discount exclusive to SurrogateFirst intended parents.

Reproductive law Practitioner in Massachusetts

Molly O’Brien, Esq. – International Fertility Law Group

LA, NY, FL, Beijing
(323) 331-9343
Molly@iflg.net
Visit the International Fertility Law group to know more details

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