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2025 Supreme(Ker) 570

IN THE HIGH COURT OF KERALA AT ERNAKULAM
C.S. DIAS, J.
Beena, W/o. Rajan & Ors. - Appellants
Versus
Union of India, Represented by Its Secretary, Ministry of Health and Family Welfare & Ors. - Respondents
WP(C) No. 9309 of 2025
Decided On : 08-04-2025

Advocates:
Advocate Appeared:
For the Appellant : BY ADVS. AKASH S. GIRISH KUMAR M S RICHU HANNA RANJITH
For the Respondent: BY ADV VISHNU J DSGI SRI.DINESH GOVT.PLEADER SMT.VIDYA KURIAKOSE

IMPORTANT POINT
The Assisted Reproductive Technology Act allows individual eligibility for ART services, independent of a partner's age, ensuring equitable access for married and single women.

Headnote:

(A) Assisted Reproductive Technology (Regulation) Act, 2021 - Sections 2(1)(e), 2(1)(u), and 21(g) - Petitioners, a married couple, sought ART services; hospital denied based on husband's age exceeding 55 years - Court held that age restrictions apply only to individuals, not couples, allowing the wife to proceed with ART independently of husband's age - The refusal infringes on the right to life. (Paras 1 , 10 , 19 )

(B) Constitutional Law - The court emphasized that imposing age restrictions on commissioning couples creates an unconstitutional classification, treating married women unfairly compared to single women. (Paras 20 )

Facts of the case:

The petitioners, aged 49 and 59, sought ART services after the hospital denied treatment due to the husband's age exceeding the statutory limit. The wife, eligible under the Act, argued that her husband's age should not restrict her access to ART. (Paras 1 , 10 )

Findings of Court:

The court found that the 1st petitioner can avail ART services independently, provided the husband consents, as the Act does not impose a composite age limit on commissioning couples. (Paras 19 )

Issues: Whether the 1st petitioner can avail ART services despite the husband's age exceeding the limit set by the Act. (Paras 4 )

Ratio Decidendi: The court ruled that the Act treats men and women as distinct legal entities, allowing the wife to proceed with ART independently of her husband's age, thus ensuring equitable access to reproductive assistance. (Paras 19 )

Result: Writ petition allowed, directing the hospital to provide ART services to the 1st petitioner.

JUDGMENT :

The 1st petitioner is the wife of the 2nd petitioner. The petitioners are aged 49 and 59 years, respectively. They are issueless. The 1st petitioner has undergone in-vitro fertilisation (IVF) procedures at the 4th respondent hospital. Although the doctors have advised the 1st petitioner to undergo another IVF procedure, the hospital has declined the procedure for the reason that the 2nd petitioner has surpassed the age of 55 years as stipulated under Section 21 (g) (ii) of the Assisted Reproductive Technology (Regulation) Act, 2021 ('Act', for brevity) and the petitioners fall within the purview of the term “commissioning couple” defined under the Act. Since the 1st petitioner is 49 years of age and she is a “woman” as defined under Section 2 (1)(u) of the Act, and further, the 2nd petitioner has given his consent for the procedure; the 1st petitioner is entitled to undergo the procedure. The refusal of the hospital to provide treatment to the petitioners is an infringement of their right to life. The age restrictions laid down under the Act apply only if the man and woman participate in the Assisted Reproductive Technology (‘ART’) procedure. In the present case, only the 1st petitioner needs to undergo the procedure. Hence, the respondents may be directed to permit the 1st petitioner to avail of the ART procedure using donor male gamete.

2. In W.P(C) No.31161/2024, a case of identical nature, the 1st respondent has filed a counter affidavit contending that, as the 2nd petitioner has exceeded the age criteria prescribed under Section 21(g)(ii) of the Act, the petitioners are ineligible to avail the ART services. Merely because the 1st petitioner has not surpassed the age prescribed under Section 21(g)(i) of the Act, she is not entitled to proceed with the procedure. In view of Section 2(1)(e) of the Act, which explicitly defines a commissioning couple, the petitioners have to fulfil the conditions under Sections 2(1)(e) and 21(g) of the Act. The Act has been enacted considering the status of a single woman (unmarried, divorcee and widow) and a married woman. The criteria for selecting the beneficiaries under the Act was discussed by the Parliamentary Committee as per Ext.R1(a) report. The age restrictions in the Act have been laid down after considering the best interest of the child to be born through the ART procedure. The petitioners have filed the writ petition as a couple; therefore, they fall within the definition of a commissioning couple. Section 21(g) requires a man and a woman to complete the procedure. Any married woman or married man constituting a commissioning couple and wanting to undergo an ART procedure has to simultaneously qualify the twin conditions under Sections 21(g)(i) and 21 (g) (ii) of the Act. There is no indication in the Act that only one among the men or women constitutes a commissioning couple. The age restrictions have been imposed on both parties, keeping in view the social responsibilities of the father. As per Section 2(1)(e) of the Act, when a woman approaches an ART clinic with her man as a “commissioning couple”, they should be married and infertile as provided under Section 2(1)(j). Moreover, as per Rule 13(1)(f)(iii) of the Assisted Reproductive Technology (Regulation) Rules, 2022, a married woman is required to submit the consent of her husband in Form 8. If a married woman is permitted to approach the clinic as a woman, her husband will not come into the picture, and she will escape the stipulation under Rule 13(1)(f)(iii), which would defeat the condition under the Act and the Rules. The Act does not envisage a married woman approaching a clinic as a woman. In the process of fulfilling the desire of a couple to become parents, the rights and welfare of the unborn child should not be neglected, which is of paramount importance. To ensure the above matters are addressed, the 1st respondent has issued Ext.R1(b) instructions. The constitutional validity of Section 21(g) is under

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