Is Surrogacy Legal in Tennessee After the 2026 Policy Reforms?

Yes, surrogacy is legal in Tennessee, but only for gestational surrogacy under strict statutory and judicial oversight. The Tennessee General Assembly codified provisions in 2020 (Tenn. Code Ann. § 36-2-301 et seq.), recognizing gestational carrier agreements when the surrogate is not genetically related to the child. The Tennessee Department of Health’s Vital Records Division enforces compliance with pre-birth parentage orders, requiring judicial approval prior to birth. Non-gestational surrogacy remains unregulated, creating ambiguity for intended parents using traditional surrogates.

Key Regulations for Surrogacy in Tennessee

  • Judicial Pre-Approval Required: Intended parents must obtain a pre-birth order from a Tennessee court under Tenn. Code Ann. § 36-2-304, which mandates genetic testing to confirm the surrogate’s lack of biological relation to the child.
  • Residency and Venue Restrictions: At least one intended parent must be a Tennessee resident, and venue is restricted to counties where the surrogate resides or where the intended parents file the petition.
  • Health Department Oversight: The Tennessee Vital Records Division requires submission of the pre-birth order and a post-birth report from the delivering healthcare facility to issue the birth certificate, aligning with 2023 regulatory updates.