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ASSISTED REPRODUCTIVE TREATMENT AMENDMENT BILL 2012

         Assisted Reproductive Treatment
               Amendment Bill 2012

                        Introduction Print


              EXPLANATORY MEMORANDUM


                               Clause Notes
Clause 1   sets out the purpose of the Bill.
           The purpose of the Bill is to amend the Assisted Reproductive
           Treatment Act 2008 to--
                    provide that gametes and embryos which are kept in
                    storage at the commencement of the Bill are lawfully
                    stored despite the expiry of the statutory storage period;
                    and
                    permit the Patient Review Panel, in exceptional
                    circumstances, to extend storage periods for gametes
                    and embryos without the written approval of the person
                    who produced the gametes or where the storage period
                    has expired; and
                    increase the statutory storage period for gametes from
                    an initial 10 years to 20 years where the gametes have
                    been obtained from a child or from a person who has
                    been certified as at reasonable risk of premature
                    infertility because of a medical condition or procedure;
                    and
                    allow time for removal of gametes and embryos from
                    storage after expiry of the storage period; and
                    alter the constitution of the Patient Review Panel and
                    make other amendments to improve its operation.




571055                                1        BILL LA INTRODUCTION 12/12/2012

 


 

Clause 2 is the commencement provision. Sections 1 to 8 and 14 will come into operation on the day on which the Bill receives Royal Assent. The remaining provisions will come into effect on a day or days to be proclaimed, or on 1 December 2013 if not proclaimed before that date. Clause 3 provides that for the purposes of the Bill, the Principal Act is the Assisted Reproductive Treatment Act 2008. Clause 4 substitutes a new section 31 into the Principal Act and inserts sections 31A and 31B into the Principal Act. Section 31 establishes how long gametes are to remain in storage. The effect of this amendment will be to extend the statutory storage period from 10 to 20 years for gametes produced by children and persons who are certified by a doctor as being at reasonable risk of becoming prematurely infertile because of a medical procedure or condition. Subsection (1) provides that a person must not cause or permit gametes to remain in storage if the person knows that the person who produced the gametes has asked for the gametes to be removed from storage. If the person who produced the gametes has not asked for their gametes to be removed from storage-- the gametes must not be stored for any longer than 10 years; or if the gametes have been obtained from a child pursuant to section 26(2) of the Principal Act because a doctor has certified that there is a reasonable risk of the child becoming infertile before becoming an adult and the gametes are obtained from the child to be stored for their future benefit, the gametes must not be stored for any longer than 20 years; or if, under subsection (2), a doctor has certified that the person, at the time of producing the gametes, was at reasonable risk of becoming prematurely infertile because of a medical procedure or condition, the gametes must not be stored for any longer than 20 years; or 2

 


 

if the Patient Review Panel has given written approval under section 31A for a longer or further storage period, the gametes must not be stored for any longer than the approved period. Contravention of subsection (1) carries a penalty of 240 penalty units or 2 years imprisonment or both. Subsection (2) provides that a doctor may certify that a person is at reasonable risk of becoming prematurely infertile at the time of producing the gametes because of a medical procedure or condition. Section 31A permits the Patient Review Panel to approve longer or further gamete storage periods. The effect of this amendment will be to empower the Patient Review Panel to approve the extended storage of gametes in exceptional circumstances as described below. Subsection (1) provides that if the person who produced the gametes has given written approval for a specified longer storage period, the Patient Review Panel may approve the longer storage period if it considers that there are reasonable grounds to do so. Subsection (2) provides that if the person who produced the gametes is unable to give written approval, or their written approval cannot be obtained, the Patient Review Panel may approve a longer storage period if it considers that there are exceptional circumstances for doing so. For example, exceptional circumstances may arise where the person experiences temporary incapacity from an accident or illness and is unable to give written approval for their gametes to be stored for a longer period. Under subsection (3), the Patient Review Panel may approve a further gamete storage period even when the application is made after the expiry of the statutory storage period. In order to be able to approve a further storage period, the Panel must consider that there are exceptional circumstances for the failure to seek approval within the statutory storage period. Exceptional circumstances may arise, for example, where the person who produced the gametes did not receive notification from the person responsible for storing their gametes about the impending expiry of the statutory storage period and they intend to retain their gametes for fertility preservation. 3

 


 

Subsection (4) provides that the Patient Review Panel may place conditions on the approval of longer and further storage periods under section 31A. Section 31B deals with the timeframe for removing gametes from storage after the expiry of the storage period. The effect of this amendment will be to allow for gametes to be stored until such time as storage extension approval or review processes are resolved, and after expiry of the storage period, will then enable a person who is responsible for storing gametes to carry out the lawful removal and disposal of gametes within 3 months. Clause 5 inserts the words "except as permitted by section 34A" into section 32(1) of the Principal Act. This amendment is required as a result of the insertion of section 34A into the Principal Act. Clause 6 amends section 33 of the Principal Act. Subclause (1) inserts the words "except as permitted by section 34A" into section 33(2) of the Principal Act. This amendment is required as a result of the insertion of section 34A into the Principal Act. Subclause (2) substitutes a new section 33(2)(b)(iii) into the Principal Act to reflect the insertion of new section 33A. Subclause (3) repeals sections 33(3) and (4) of the Principal Act, which are no longer required as a result of the insertion of section 33A into the Principal Act. Clause 7 inserts section 33A into the Principal Act. Section 33A permits the Patient Review Panel to approve longer or further embryo storage periods. The effect of this amendment will be to empower the Patient Review Panel to approve the extended storage of embryos in exceptional circumstances as described below. Subsection (1) provides that if the persons who produced the gametes from which the embryo has been formed have given written approval for a specified longer storage period, the Patient Review Panel may approve the longer storage period if it considers that there are reasonable grounds to do so. 4

 


 

Subsection (2) provides that if one of the persons who produced the gametes from which the embryo has been formed is unable to give written approval, or their written approval cannot be obtained, the Patient Review Panel may approve a longer storage period if it considers that there are exceptional circumstances for doing so. For example, the embryos in storage were formed using donor sperm and the donor's written approval to continued storage cannot be obtained prior to the expiry of the permitted statutory period because the donor cannot be found or contacted by the ART provider. Under subsection (3), the Patient Review Panel may approve a further embryo storage period even when the application is made after the expiry of the statutory storage period. In order to be able to approve a further storage period, the Panel must consider that there are exceptional circumstances for the failure to seek approval within the statutory storage period. Exceptional circumstances may arise, for example, where the persons for whom the embryo is stored did not receive notification from their ART provider about the impending expiry of the statutory storage period and they intend to retain their remaining embryos for their own use or donation to another couple. Subsection (4) provides that the Patient Review Panel may place conditions on the approval of longer and further storage periods under section 33A. Clause 8 inserts section 34A into the Principal Act. Section 34A deals with the timeframe for removing embryos from storage after the expiry of the storage period. The effect of this amendment will be to allow for embryos to be stored until such time as storage extension approval or review processes are resolved, and after expiry of the storage period, will then enable a registered ART provider who is responsible for storing embryos to carry out the lawful removal and disposal of embryos within 3 months. Clause 9 substitutes a new section 83 into the Principal Act. Section 83 deals with the constitution of the Patient Review Panel. The effect of this amendment will be to alter the constitution of the Patient Review Panel in order to allow the Panel to operate more flexibly and efficiently. 5

 


 

Under its new formulation, the Patient Review Panel is to consist of-- a chairperson appointed by the Governor in Council; and up to 3 deputy chairpersons appointed by the Governor in Council; and as many other members as are required to enable the proper functioning of the Patient Review Panel. These other members are also appointed by the Governor in Council. Clause 10 repeals section 84 of the Principal Act. This provision is being repealed as a result of amendments to section 83 of the Principal Act which alter the constitution of the Patient Review Panel. Clause 11 inserts subsections (2) and (3) into section 85 of the Principal Act. The effect of these amendments will be to allow the Patient Review Panel to operate more flexibly and efficiently. For example, these amendments will allow the Patient Review Panel to be constituted by a single member in order to determine time-sensitive extension of storage period applications as expeditiously as possible. Subsection (2)(a) provides that a Division of the Patient Review Panel may exercise the Panel's functions under subsection (1)(a) to (f). Subsection (2)(b) provides that the chairperson, or a single member of the Patient Review Panel as determined by the chairperson, may exercise the Patient Review Panel's functions under subsection (1)(f) in relation to applications for extended gamete or embryo storage periods or the removal of embryos from storage. Subsection (3) provides that a Division of the Patient Review Panel is constituted by the chairperson and, as determined by the chairperson, a deputy chairperson and 3 other members, at least one of whom must have expertise in child protection matters. 6

 


 

Clause 12 amends section 86 of the Principal Act to alter references to "deputy chairperson" to "deputy chairpersons" and "deputy" to "a deputy". These amendments are required as a result of amendments to section 83 of the Principal Act, which will allow for the appointment of up to 3 deputy chairpersons. Clause 13 substitutes a new section 87 into the Principal Act and inserts section 87A into the Principal Act. Section 87 makes provision for the appointment of an acting chairperson. The amendment will provide a mechanism for the Patient Review Panel to operate efficiently when the chairperson is temporarily absent or unavailable. Subsection (1) provides that the Minister may appoint a deputy chairperson to act as chairperson of the Patient Review Panel if the chairperson is absent or otherwise unable to perform his or her duties and functions. Subsection (2) provides that an acting chairperson holds office for the duration of the chairperson's absence or for the period that the chairperson is unable to perform his or her duties and functions. Subsection (3) provides that the Minister may terminate the appointment of an acting chairperson at any time. Subsection (4) provides that for the duration of his or her appointment, an acting chairperson may exercise all of the powers and perform all of the duties and functions of the chairperson. Section 87A sets out how members of the Patient Review Panel may be appointed and for what duration, how they may resign and how they may be removed from office. Clause 14 inserts Division 4 of Part 13 into the Principal Act. Division 4 deals with transitional and validation provisions for the Bill. Section 136 sets out the relevant definitions for Division 4. Section 137 deals with gametes which, prior to the commencement of the Bill, have been kept in storage beyond the statutory storage period and without further approval under the Principal Act or previous enactments. 7

 


 

Subsection (2) deems these gametes to be lawfully stored for a period of 18 months after the commencement of the Bill. Subsection (3) provides that the person storing these gametes is not liable for an offence under section 31(1) for having stored these gametes beyond the statutory storage period and without the further approval of the Patient Review Panel. Section 138 deals with embryos which, prior to the commencement of the Bill, have been kept in storage beyond the statutory storage period and without further approval under the Principal Act or previous enactments. Subsection (2) deems these embryos to be lawfully stored for a period of 18 months after the commencement of the Bill. Subsection (3) provides that the registered ART provider storing these embryos is not liable for an offence under section 33(2) for having stored these embryos beyond the statutory storage period and without the further approval of the Patient Review Panel. Clause 15 inserts new section 139 into the Principal Act. Section 139 provides that the Patient Review Panel continues to be the same body despite the change to its constitution effected by clause 9. Clause 16 provides for the automatic repeal of the Bill on 1 December 2014, one year after the default commencement day. The repeal of the Bill does not affect in any way the continuing operation of the amendments made by the Bill (see section 15(1) of the Interpretation of Legislation Act 1984). 8

 


 

 


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