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2025 Supreme(Online)(KER) 11144

IN THE HIGH COURT OF KERALA AT ERNAKULAM PRESENT THE HONOURABLE MR.JUSTICE C.S.DIAS TUESDAY, THE 8 TH DAY OF APRIL 2025 / 18TH CHAITHRA, 1947 WP(C) NO. 9289 OF 2025 PETITIONERS:
1 MARY JOSPHIN VIJILA AGED 48 YEARS WIFE OF GEORGE M, MARIA BHAVANAM’, KUNTHIRICKAL PO, THALAVADY, ALAPPUZHA, PIN – 689572.
2 GEORGE M AGED 55 YEARS, SON OF MARIA MAICHEL, ‘MARIA BHAVANAM’, KUNTHIRICKAL PO, THALAVADY, ALAPPUZHA, PIN –
689572.
BY ADVS. AKASH S.
GIRISH KUMAR M S RICHU THERESA ROBERT RESPONDENTS:
1 UNION OF INDIA REPRESENTED BY ITS SECRETARY, MINISTRY OF HEALTH AND FAMILY WELFARE, SASTHRI BHAVAN, NEW DELHI, PIN - 110001
2 STATE OF KERALA REPRESENTED BY ITS SECRETARY, MINISTRY OF HEALTH AND FAMILY WELFARE, SECRETARIAT, THIRUVANANTHAPURAM, PIN – 695001, 3 THE DISTRICT REPRODUCTIVE & CHILD HEALTH ("RCH")
OFFICER, DISTRICT MEDICAL OFFICE, ERNAKULAM, PARK AVENUE, MARINE DRIVE, ERNAKULAM, PIN – 682011.
4 LIFELINE SUPER SPECIALTY HOSPITAL, REPRESENTED BY ITS MANAGING DIRECTOR, MELOOD PO, ADOOR, PATHANAMTHITTA, PIN – 691554.
BY ADV K.ARJUN VENUGOPAL DSGI SRI.DINESH GOVT.PLEADER SMT.VIDYA KURIAKOSE THIS WRIT PETITION (CIVIL) HAVING COME UP FOR ADMISSION ON 08.04.2025, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:

Advocates:
Advocate Appeared:
For the Appellant : ADVS. AKASH S. GIRISH KUMAR M S RICHU THERESA ROBERT
For the Respondent: ADV K.ARJUN VENUGOPAL DSGI SRI.DINESH GOVT.PLEADER SMT.VIDYA KURIAKOSE

The Assisted Reproductive Technology (Regulation) Act mandates individual age restrictions for ART services, allowing a woman to access treatment independently of her husband's age, provided he consents.

Headnote:(A) Assisted Reproductive Technology (Regulation) Act, 2021 - Section 21(g)(ii) - The petitioners sought ART services, but the hospital refused based on the 2nd petitioner's age exceeding 55 years - The court found that the 1st petitioner, being under 50, is entitled to the procedure independently of her husband's age, as age restrictions apply only to individuals, not couples. (Paras 1, 10, 19)

(B) Rights of individuals - The refusal of ART services based on the husband's age infringes the 1st petitioner's right to life and does not create a reasonable classification. (Paras 20)

Facts of the case:
The petitioners, a married couple, sought ART services after the 1st petitioner underwent IVF procedures. The hospital declined further treatment due to the 2nd petitioner's age exceeding the statutory limit under the Act. (Para 1)

Findings of Court:
The court ruled that the 1st petitioner can undergo the ART procedure independently of her husband's age, provided he gives consent, thus allowing the writ petition. (Para 19)

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

Ratio Decidendi: The court held that the age restrictions in the Act apply individually rather than collectively to couples, thereby affirming the 1st petitioner's right to treatment. (Para 19)

Result: Writ petition allowed.

JUDGMENT :

The 1st petitioner is the wife of the 2nd petitioner.The petitioners are aged 48 and 55 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 2 1 (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 48 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 2 1 (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 2 1 (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 2 1 (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 2 1 (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 Sec

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