Chapter 524 – Embryo Protection Act
What is this act about?
This law, called the Embryo Protection Act, is about safeguarding human embryos and regulating medically assisted procreation procedures. It establishes an Authority to oversee these processes and ensure ethical standards.
Who it applies to: Prospective parents seeking medically assisted procreation; Medical practitioners and other personnel involved in these procedures.
At a glance
- Country
- Malta
- Area of law
- Health and pharmaceutical law
- Articles
- 23
- Source
- legislation.mt
- Text retrieved
- Explanation updated
What does this act regulate?
- The protection of human embryos.
- Medically assisted procreation procedures, including in vitro fertilisation and embryo transfer.
- The donation and adoption of embryos.
- The establishment and functions of the Embryo Protection Authority.
Who does this act apply to?
- Prospective parents seeking medically assisted procreation.
- Medical practitioners and other personnel involved in these procedures.
- Donors of germ line cells.
What are the key points?
- Donations of germ line cells between ascendants and descendants, or between full or half-blood siblings, are not permitted.
- An "embryo" includes the human organism from fertilisation, and also totipotent cells capable of developing into a human being.
- The Embryo Protection Authority ensures high ethical standards and compliance with regulations.
- The Authority maintains registers of all medically assisted procreation procedures, donations, and adoptions, which remain confidential.
- Embryo adoption is a process where untransferred embryos are gratuitously donated to prospective parents, but it does not have the same legal meaning as "adoption" under the Civil Code.
- The Authority can give embryos for adoption if implantation cannot occur, including if the prospective parent refuses, reaches the maximum permissible age, or fails to renew a storage contract.
- The identity of the adopter and the persons from whom germ line cells originated must remain anonymous, with only generic information provided.
- The simultaneous implantation of embryos from different persons in a prospective parent during the same cycle is prohibited.
Health and pharmaceutical law
Legal text
Legal text
EMBRYO PROTECTION
CHAPTER 524
EMBRYO PROTECTION ACT To provide for the protection of human embryos and other ancillary matters.
1st January, 2013* ACT XXI of 2012, as amended by Acts XXIV of 2018 and XI of 2022.
Art. 1
The short title of this Act is the Embryo Protection Act.
Short title.
Art. 2
In this Act, unless the context otherwise requires:
Interpretation.
Amended by:
XXIV.2018.2;
XI.2022.3. "Authority" means the Embryo Protection Authority established by article 3; "the Council" means the Medical Council established by article 9 of the Health Care Professions Act; "Directive" means the Commission Directive 2004/23/EC of the European Parliament and of the Council of 31 March, 2004 on setting standards of quality and safety for the donation, procurement, testing, processing, preservation, storage and distribution of human tissues and cells; "donor" means a third party who donates germ line cells to be used in medically assisted procreation:
Provided that donations by an ascendant to a descendant, descendant to an ascendant, from sibling to sibling, whether of the full or half-blood, shall not be permissible; "embryo" means the human organism that results from the fertilisation of a human egg cell by a human sperm cell which is capable of developing and shall further include each totipotent cell removed from a human embryo or otherwise produced, that is assumed to be able to divide and to develop as a human being under the appropriate conditions; "embryo adoption" means that process established in this Act whereby embryos that are not transferred are gratuitously donated to the prospective parent or prospective parents:
Provided that this term does not have the same meaning and shall not produce the same effects of "adoption" under the Civil Code and the term "adoptive" shall be construed accordingly; "embryo donation" means the transfer of an embryo resulting from gametes (spermatozoa and oocytes) that did not originate from the prospective parent or prospective parents; "germ line cells" means all egg and sperm cells which may lead to the resultant human being; "health care professional" shall have the same meaning assigned to it by article 2 of the Health Care Professions Act; " m e d i c a l l y a s s i s t e d p r o c r e a t i o n " means all treatments or procedures that include the in vitro handling of human oocytes, *see article 1(2) as originally enacted, and Legal Notice 455 of 2012 .
EMBRYO PROTECTION spermatozoa or embryos for establishing a pregnancy. This includes, but is not limited to, intra-uterine insemination, in vitro fertilisation, intracytoplasmic sperm injection, embryo transfer, gamete, germinal tissue and embryo cryo-preservation, oocyte and embryo donation; "medical practitioner" means a person licensed under the Health Care Professions Act to practice as a medical practitioner; "Minister" means the Minister responsible for health; "prospective parent" means any person regardless of gender or sexual orientation, who has attained the age of majority and is a receiver or user of the medically assisted procreation techniques regulated under this Act; "Protocol" means the Protocol established in writing by the Authority and brought into force by regulations made by the Minister under this Act, as published in the Gazette; "tissue establishment" means a facility or a unit of a hospital or another body where the activities of processing, preservation, storage or distribution of human tissues and cells for human application are undertaken and it may also be responsible for procurement and, or testing of tissues and cells.
Establishment and composition of the Embryo Protection Authority.
Art. 3
Art. 4
Amended by:
XXIV.2018.3;
XI.2022.4.
EMBRYO PROTECTION procreation procedure, germ line cell donation, cryopreservation of germ line cells, cryo-preservation of embryos and embryo donation and adoption in terms of this Act which shall in all cases remain confidential; (h) to perform such other functions as may, from time to time, be prescribed by regulations made under this Act; (i) to establish and maintain a Protocol in writing, which shall consist of the regulatory principles that shall be followed in carrying out its functions under this Act:
Provided that such Protocol shall be discussed in the Standing Committee on Health within four (4) weeks from the date of publication of the regulations referred to in the definition "Protocol" in article 2.
Provided that the Authority shall give for adoption the embryos when the prospective parent has reached the maximum permissible age for the implantation thereof.
Provided that the Authority shall only issue its authorisation if the prospective parent or prospective parents have been declared as physically fit by a medical practitioner for the transfer of an embryo and following a favourable recommendation issued by the Adoption Board in accordance with the Adoption Administration Act determining the eligibility and suitability or otherwise of the prospective parent or prospective parents:
Provided further that the Authority shall make all reasonable efforts to match prospective adoptive parents with the embryos who require an adoption placement:
Provided further that, without prejudice to the provisions of sub-article (4) of article 9, the identity of the adopter or adopters and the EMBRYO PROTECTION persons from whom the germ line cells originated shall in all cases remain anonymous and the prospective parents shall only be entitled to such generic information as specified in the Protocol:
Provided further that the Authority shall be obliged to provide the prospective parent or prospective parents with medical and, or diagnostic information concerning the embryo as specified in the Protocol defined in article 2:
Provided further that the simultaneous implantation of embryos originating from different persons in a prospective parent during the same cycle is prohibited.
Provided that in the exceptional case when the embryo has not yet been adopted by the prospective parent or prospective parents during the period from the day in which the implantation of the fertilized embryo into the womb of the prospective parent cannot take place for the reasons mentioned in this article until the day of giving the embryo for adoption, the Authority shall be deemed to be curator of the embryo for all intents and purposes of the law and the Authority shall immediately and during the duration of the curatorship inform and consult with the prospective parent or parents, or in their absence their legal heir, on the decisions which need to be taken on the embryo. In the case that both prospective parents can still be consulted, the Authority shall, in so far as it is possible, respect the wishes of the prospective parents within the parameters of this Act:
Provided that any person having a juridical interest, or in their absence their legal heir, within twenty days from the date of decision of the Authority for giving for adoption the embryos may file a sworn application in the Civil Court (Family Section) to enquire into the validity of the decision of the Authority and there shall be a right of appeal therefrom to the Civil Court (Family Section) before the Court of Appeal by means of an application filed within twenty days from the date of the decision of the Civil Court (Family Section). Where no application is filed before the Civil Court (Family Section) according to the provisions of this article, or where the judicial proceedings are withdrawn or discontinued, or where the judicial proceedings become res judicata, the decision of the Authority or the court becomes final:
Provided further that the embryo shall remain cryo-preserved until the decision of the Authority or the court becomes final.
Entitlement to medically assisted procreation procedures.
Art. 5
Provided that these procedures may only be resorted to where there is a reasonable chance of success and the procedures do not entail any known undue risk to the health of the woman or the child, beyond those already well known as inherently associated with the procedure itself.
Provided that where the person is a medical practitioner, who performs the said procedure, the medical practitioner shall be exempt from criminal liability where he shows that he took reasonable care to determine that the person on whom the procedure was performed or attempted was entitled to access to such procedure.
Unlawful procedures.
Amended by:
XXIV.2018.4;
XI.2022.5.
Art. 6
Whosoever (a) artificially fertilizes any egg cell for any purpose other than that of bringing about the pregnancy of the prospective parent; (b) intentionally fertilizes more egg cells than the maximum amount established by the Protocol from one woman in one cycle of treatment:
Provided that the medical practitioner in charge of the medically assisted procreation may, in consultation with the multidisciplinary team and with the permission of the Authority, decide to fertilize more than two egg cells within one (1) treatment cycle provided that this is done in accordance with the Protocol:
Provided further that no more egg cells can be fertilized until all the cryo-preserved embryos have been implanted in the prospective parent from whom they originate from any prior medically assisted procreation treatments except in those instances which may be specified in the Protocol and with the prior authorisation of the Authority, in which case, the fertilisation of more egg cells shall be permissible:
Provided further that where the prospective parent or prospective parents undergoing medically assisted procreation procedures do not expressly give their consent to the cryo-preservation of embryos and to the donation of fertilized eggs if necessary, in terms of article 18, it shall not be lawful to fertilize more than two (2) eggs within each treatment cycle. (c) transfers more than two embryos into the prospective parent within each treatment cycle;
EMBRYO PROTECTION (d) removes an embryo from a woman before the completion of implantation in the womb in order to transfer the embryo to another woman; (e) selects or discards an embryo for eugenic purposes:
Provided that the Protocol may specify that certain exceptional circumstances shall not constitute selection of embryos for eugenic purposes; provided, however, also that the medical experts as listed in the Protocol shall provide information and explanations relating to the testing of human egg cells (oocytes) and other testing which is available to the prospective parent or prospective parents and the said prospective parent or prospective parents shall decide which testing shall be carried out after consulting with the medical experts; (f) carries out an artificial fertilization of, or transfers a human embryo into, a woman who is prepared to give up her child permanently after birth (surrogate mother), shall be guilty of an offence and, on conviction, shall be liable to the punishment of a fine (multa) of not less than five thousand euro (€5,000) and not exceeding fifteen thousand euro (€15,000) or to imprisonment not exceeding three years or to both such fine and imprisonment:
Provided that (i) the prospective parent in respect of the conduct referred to in paragraphs (a) and (d); and, or (ii) the woman into whom the egg cell or embryo will be transferred, in respect of the conduct referred to in paragraph (f); shall have the punishment decreased by one or two degrees.
Art. 7
Provided that, in any case, it shall not be lawful to extract and commence cryo-preservation of oocytes after the death of the person from whom they originate.
Provided that the cryo-preservation of embryos shall be regulated by an agreement between the prospective parent or prospective parents and the licensee subject to the prior authorisation Cryo-preservation of germ line cells and embryos.
Substituted by:
XXIV.2018.5.
Amended by:
XI.2022.6.
EMBRYO PROTECTION of the Authority and shall have a maximum term of validity of five years renewable up to a maximum permissible age for the transfer thereof into the prospective parent in terms of the Protocol:
Provided further that when the maximum permissible age for the transfer of the embryo into the prospective parent is reached, the Authority shall authorize the donation of the cryo-preservated embryo.
Provided that when there has been a breach of any provision of this Act, the Authority may order the cryo-preservation of any embryo.
Provided that the Authority shall not authorise the transfer of more than two embryos for each cycle.
Improper use of human embryos.
Amended by:
XXIV.2018.6.
Art. 8
Donation and use of germ line cells.
Substituted by:
XXIV.2018.7.
Amended by:
XI.2022.7.
Art. 9
Provided that prior to entering into such an agreement, the licensee shall duly inform the donor of the consequences thereof in terms of this Act:
EMBRYO PROTECTION Provided further that where the donor has donated the germ line cells in a tissue establishment abroad in accordance with the Human Blood and Transplants Act and these germ line cells are to be distributed and, or imported to a tissue establishment in Malta, there shall be a third-party agreement signed between the Maltese licensee and the licensee of the foreign tissue establishment:
Provided further that there shall be no link of filiation in accordance with the provisions of the Civil Code between the embryo fertilised using donated germ line cells and the donor.
Provided that the Authority may authorise a donor above this age limit in exceptional circumstances specified in the Protocol.
Provided that the medical records that may affect the health of the child and the identity of the donor or of the persons from whom an adopted embryo originated shall be accessible to the child conceived from the germ line cells of such donor upon the child reaching eighteen (18) years of age and, subject to the consent of the Authority, the medical records that may affect the health of the child shall be accessible to the parent or parents at any earlier stage in exceptional circumstances in which the life or health of the child born from such germ line cells is at risk:
Provided further that the Authority shall keep the records traceable to the identity of the donor for a period of sixty-five (65) years:
Provided further that if the Authority becomes aware of serious illness it shall be obliged to disclose the information to the parent or parents and, in the case that the child has attained majority, to the child.
Provided further that the exportation and, or distribution of germ line cells to tissue establishments abroad shall be recorded in EMBRYO PROTECTION such a way as to ensure their traceability and such record shall be forwarded to the Authority without delay.
Provided that where the person is a medical practitioner he shall be exempt from criminal liability where he shows that he took reasonable care to determine that the person from whom the germ line cells originated was a prospective parent or an eligible donor within the meaning of this Act.
Provided that oocytes donors may be compensated for the costs and expenses of the stimulation treatments.
Prohibition of selection of sex.
Art. 10
Prohibition of cloning.
Art. 11
Art. 12
Unauthorised fertilisation, embryo transfer, and artificial fertilisation after death.
Amended by:
XXIV.2018.8. (b) transfers an embryo into a woman without her consent; (c) knowingly artificially fertilizes an egg cell with the sperm of a man before or after his death, except in the case where the deceased has donated his sperm; (d) knowingly artificially fertilizes an egg cell of a woman before or after her death, except in the case where the deceased has donated her egg cells, shall be guilty of an offence and shall, on conviction, be liable to a fine (multa) of not less than ten thousand euro (€10,000) and not exceeding twenty-five thousand euro (€25,000):
Provided that the punishment shall be decreased by one or two degrees (i) as regards the woman whose egg has been fertilized, in respect of paragraph (c); and (ii) as regards the man whose sperm was used for fertilisation in respect of paragraph (d).
Art. 13
Prohibition of artificial alteration of human germ line cells.
Art. 14
EMBRYO PROTECTION conglomerate using at least one human embryo; or (b) joins a human embryo with a cell that contains genetic information different from the embryo cells and induces them to develop further; or (c) fertilizes a human egg cell with the sperm of an animal or fertilizes an animal’s egg cell with the sperm of a man, with the intention of generating an embryo capable of development, shall be guilty of an offence and, on conviction, shall liable to the punishment of a fine (multa) not less than ten thousand euro (€10,000) and not exceeding seventy thousand euro (€70,000) or to imprisonment not exceeding seven years or to both such fine and imprisonment.
Prohibition of experimentation on human embryos.
Amended by:
XI.2022.8.
Art. 15
Provided that nothing in this sub-article shall in any way be construed as prohibiting clinical interventions deemed permissible in terms of the Protocol, nor prohibiting the prospective parent and, or prospective parents from opting for the cryopreservation of the human embryo after the carrying out of any such intervention wherever such an option is deemed permissible in terms of the Protocol.
Wilful cause of death of embryos.
Art. 16
Application of articles 121D and 248E(3) of the Criminal Code.
Art. 17
EMBRYO PROTECTION
Art. 18
Provided that where the prospective parents are married or in a stable relationship, their consent shall be expressed jointly in writing in the prescribed form:
Provided further that when the prospective parent or prospective parents give their consent to cryo-preservation of any supernumerary embryos and for the donation of embryos if necessary, the medical practitioner in charge of the procedure shall implant up to a maximum of two embryos:
Provided further that when the prospective parent or prospective parents do not give their consent to the cryopreservation of any supernumerary embryos and to the donation of fertilised eggs if necessary, the medical practitioner in charge of the procedure shall only fertilize up to a maximum of two eggs:
Provided further that consent to cryo-preservation may only be withdrawn in writing by the prospective parent or prospective parents before fertilisation.
Amended by:
XXIV.2018.9.
EMBRYO PROTECTION medically assisted procreation shall ensure that a copy is kept of all the documentation required under this Act, including such documentation certifying that the informed consent required under this article was obtained after the same medical practitioner gave the prospective parents all the information and after ensuring that the prospective parent or prospective parents received the required counselling.
Status of child born.
Substituted by:
XXIV.2018.10.
Art. 19
Conscientious objection.
Art. 20
Additional penalties.
Art. 21
EMBRYO PROTECTION
Art. 22
Licence for premises.
Substituted by:
XXIV.2018.11.
Art. 23
Power to make regulations.
Amended by:
XI.2022.9.