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Surrogacy in India and Indian surrogates became increasingly popular amongst intended parents in industrialised nations because of the relatively low costs and easy access offered by Indian surrogacy agencies.[1] Clinics charged patients between $10,000 and $28,000 for the complete package, including fertilization, the surrogate's fee, and delivery of the baby at a hospital.[2] Including the costs of flight tickets, medical procedures and hotels, this represented roughly a third of the price of the procedure in the UK and a fifth of that in the US.[3][4] Surrogate mothers received medical, nutritional and overall health care through surrogacy agreements.[5][6]
In 2005, the government approved the 2002 draft of the National Guidelines for the Accreditation, Supervision and Regulation of ART Clinics in India, in 2002.[7] Before commercial surrogacy was banned in 2015, India was a popular destination for surrogacy. The economic scale of surrogacy in India is unknown, but study backed by the United Nations in July 2012 estimated the business at more than $400 million a year, with over 3,000 fertility clinics across India.[8]
In 2013, surrogacy by foreign homosexual couples and single parents was banned.[9] In 2015, the government banned commercial surrogacy in India and permitted entry of embryos only for research purposes.[7] Shortly thereafter in 2016, a Surrogacy (Regulation) Bill[10] was introduced and passed by Lok Sabha, the lower house of the Indian parliament, proposing to permit only heterosexual Indian couples married for at least five years with infertility problems to access altruistic or unpaid surrogacy and thereby further banning commercial surrogacy.[11] The 2016 bill lapsed owing to the adjournment sine die of the parliament session.[12] The bill was reintroduced and passed by the Lok Sabha in 2019.[13][14] The bill would require to be passed by the Rajya Sabha, upper house of the Indian parliament and presidential assent before it becomes an act and thereby a law.[15]