On April 7, 2025, the Pennsylvania Legislature introduced House Bill 350, a significant piece of legislation aimed at regulating surrogacy agreements within the state. The bill seeks to establish clear guidelines for the rights and responsibilities of intended parents and surrogates, addressing critical issues surrounding medical expenses, decision-making autonomy, and the overall welfare of both the surrogate and the resulting child.

One of the key provisions of House Bill 350 mandates that intended parents are responsible for all surrogacy-related medical expenses. This includes costs associated with assisted reproduction, prenatal care, labor and delivery, and any medical expenses for the child that are not covered by insurance. Importantly, the bill clarifies that this requirement does not alter existing health insurance coverage for either the surrogate or the intended parents, ensuring that insurance companies remain liable under their policies.

Another notable aspect of the bill is its emphasis on the surrogate's autonomy. It explicitly prohibits any surrogacy agreement from infringing on the surrogate's rights to make decisions regarding her health and welfare throughout the pregnancy. This includes the right to refuse non-medically indicated procedures, such as scheduled cesarean sections or multiple embryo transfers. The legislation asserts that any agreement attempting to limit these rights would be considered void, reinforcing the importance of the surrogate's autonomy in the surrogacy process.

The introduction of House Bill 350 has sparked discussions among lawmakers, advocacy groups, and the public. Supporters argue that the bill provides essential protections for surrogates, ensuring they are not coerced into medical decisions and that their health is prioritized. Critics, however, express concerns about the potential implications for intended parents, particularly regarding the financial responsibilities outlined in the bill.

The economic implications of House Bill 350 could be significant, as it may affect the costs associated with surrogacy arrangements in Pennsylvania. By clearly defining financial responsibilities, the bill could lead to increased transparency and potentially higher costs for intended parents, which may impact their decisions regarding surrogacy.

As the bill moves through the legislative process, its future remains uncertain. Stakeholders are closely monitoring developments, and further debates are expected as lawmakers consider amendments and address concerns raised by various interest groups. The outcome of House Bill 350 could set a precedent for surrogacy laws in Pennsylvania, influencing how surrogacy is approached in the state for years to come.