Is Surrogacy Legal in the State of Maryland?

What is the Legal Status
of Surrogacy in Maryland?

Maryland offers a well-established legal framework supporting surrogacy, allowing intended parents to obtain pre-birth parentage orders to secure their parental rights before the child’s birth. The state’s laws provide clear protections and enforceable agreements, fostering a safe, inclusive, and supportive environment for family building through surrogacy.

What are the Current Surrogacy Laws in Maryland?

What are the Current
Surrogacy Laws in Maryland?
  • Maryland legally recognizes and enforces gestational surrogacy agreements, ensuring that contracts between intended parents and surrogates are valid and binding.
  • The state permits pre-birth parentage orders, enabling intended parents to secure legal parental status prior to the child’s birth and simplifying the parentage process.
  • Surrogacy compensation is allowed under regulated agreements that specify reimbursement of medical and related expenses as well as reasonable compensation.
  • Legal counsel, informed consent, and counseling are mandatory for all parties to protect rights and ensure understanding of the surrogacy arrangements.
  • Family courts prioritize the best interests of the child and uphold valid surrogacy contracts in confirming legal parentage efficiently.
History of Surrogacy in Maryland
Major legislative and judicial milestones supporting surrogacy

1998

Judicial Recognition of Surrogacy Agreements

Maryland courts began affirming the enforceability of surrogacy contracts in the late 1990s, establishing early legal precedent and increasing certainty for intended parents and surrogates.

2006

Legislative Codification of Surrogacy Laws

Maryland passed statutes explicitly regulating gestational surrogacy agreements, specifying parental rights and legal procedures associated with these arrangements.

2013

Authorization of Pre-birth Parentage Orders

The state enacted laws permitting pre-birth parentage orders, allowing intended parents to be legally recognized before the child’s birth and reducing the need for post-birth adjudication.

2017

Expanded Protections and Inclusivity

Amendments enhanced protections for surrogates and intended parents, including nondiscrimination provisions guaranteeing access regardless of marital status or sexual orientation.

Surrogacy Statistics in Maryland

Annual Surrogacy Births

Estimated 150 to 250 births annually

Maryland maintains a growing number of surrogacy births each year, reflecting growing awareness, trust in the legal framework, and the state’s robust fertility services.

Average Surrogacy Cost

Ranges from $95,000 to $140,000

Costs for surrogacy in Maryland cover medical care, surrogate compensation, legal fees, and agency assistance, aligning with national averages and ensuring comprehensive protections.

Fertility Clinics and Agencies

Approximately 10 to 15 specialized providers

Maryland offers several fertility clinics and surrogacy agencies experienced in assisting intended parents and surrogates, providing necessary medical, legal, and emotional support.

Client Diversity

Includes LGBTQ+ families, single parents, and international intended parents

Maryland's inclusive laws support a wide range of family structures, encouraging diverse intended parents to pursue surrogacy within the state’s protected legal system.

Surrogacy Myths and Misconceptions in Maryland
Addressing common misinformation about surrogacy legality and practice

Myth Surrogacy agreements are not enforceable in Maryland.


Truth Maryland law explicitly supports the enforceability of gestational surrogacy contracts that meet legal requirements, offering intended parents and surrogates reliable protections.

Myth Only married couples can use surrogacy in Maryland.


Truth Maryland does not restrict surrogacy to married couples. Single individuals, unmarried partners, and LGBTQ+ families have equal legal access to surrogacy services.

Myth Pre-birth parentage orders are unavailable, causing legal delays after birth.


Truth Maryland allows intended parents to secure pre-birth parentage orders, facilitating immediate legal recognition and minimizing post-birth legal challenges.

The Future of Surrogacy in Maryland
Potential developments in surrogacy law and support services
  • Maryland is expected to continue updating its surrogacy laws to reflect advances in reproductive technology and evolving family dynamics, maintaining strong protections and clarity for all parties.
  • Efforts to increase accessibility and reduce financial barriers for intended parents may grow, supporting more equitable surrogacy experiences.
  • Expansion of support programs, including counseling and education for surrogates and intended parents, is anticipated to enhance the overall surrogacy journey.
  • Increased collaboration with other jurisdictions could streamline recognition of parentage and birth records for interstate and international surrogacy cases.
  • Maryland will likely uphold its commitment to inclusive, ethical, and legally sound surrogacy practices, promoting diverse and secure family-building options.