U.S. Gestational Surrogacy: Laws, Costs and Process

Gestational surrogacy in the United States is governed primarily by state law, not one nationwide process. States differ on enforceability, compensation, parentage, residency, marital status and legal procedure, so a fixed list of “legal states” cannot replace advice about the states connected to a specific arrangement. New York’s Child-Parent Security Act took effect on February 15, 2021 and regulates qualifying gestational-surrogacy arrangements. Michigan’s 2024 Family Protection Act took effect on April 2, 2025, repealed the former criminal prohibition on surrogacy contracts and established a new protective framework. Laws and procedures can change, so independent counsel in each relevant state should verify current requirements before an arrangement begins. A typical process may involve medical and psychological screening of the gestational carrier, separate legal counsel, an agreement, embryo transfer, obstetric care and parentage documentation. The full budget may also include IVF care, insurance review, escrow, travel and contingencies. This page is general information, not medical or legal advice.
Author LinkedIVF Editorial TeamPublished 2026-07-10Updated 2026-08-05
This guide was prepared with AI assistance and checked against the cited sources. No named medical or legal reviewer is listed.
This page is general information, not medical or legal advice. Verify current state law with independent counsel and clinical decisions with licensed professionals. Content guidelines & editorial policy

What to verify before entering a U.S. gestational surrogacy arrangement

State law varies; a single “surrogacy-friendly states” list is not enough

The United States has no single nationwide surrogacy process. States differ on enforceability, compensation, parentage, residency, marital status and legal procedure. New York’s Child-Parent Security Act took effect on February 15, 2021. Michigan’s 2024 Family Protection Act took effect on April 2, 2025 and repealed its former criminal ban. Independent counsel in each relevant state should verify current law before any arrangement begins.

The process needs medical, psychological and independent legal safeguards

A typical path includes needs assessment, gestational-carrier screening, separate legal counsel for the parties, completion of the agreement, embryo transfer and obstetric care, followed by parentage documentation under applicable state law. Medical decisions remain between the carrier and her clinical team, and a contract cannot replace informed consent.

Compare the complete risk-adjusted budget

The overall budget may include IVF care, carrier-related compensation or expenses, separate attorneys, insurance review, psychological screening, escrow, travel and contingencies during pregnancy. Compare itemized estimates, payment milestones, cancellation terms and provisions for complications—not only an agency fee.

Official and professional sources

Prepared through the LinkedIVF editorial workflow and checked against the cited sources. No named medical or legal reviewer is listed. Last updated: Aug 5, 2026

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