Surrogacy in New Hampshire Grants Pre-Birth Parentage Orders Without a Court Hearing
New Hampshire's RSA 168-B, recodified in 2014, covers all intended parents pursuing gestational surrogacy regardless of family structure, marital status or genetic connection to the child. Pre-birth parentage orders are available on an expedited basis without a court hearing, placing only the intended parents on the birth certificate before the child is born. Surrogate Alternatives works with intended parents and surrogates across the state from its San Diego, California headquarters.
The Surrogate Alternatives team is made up of current and former surrogates who have lived the experience they guide others through. Founded in 1998, the agency serves families in New Hampshire and throughout the United States.

New Hampshire's Surrogacy Statute Grants Expedited Pre-Birth Orders for All Intended Parents
Expedited Pre-Birth Parentage Orders Without a Court Hearing
New Hampshire's RSA 168-B grants pre-birth parentage orders on an expedited basis when all parties meet the statutory requirements. A court issues the order without a hearing, placing only the intended parents on the birth certificate. The statute requires no genetic connection between the intended parents and the child and permits the use of donor eggs, donor sperm and donor embryos.
All Family Structures and Donor Gamete Use Explicitly Covered Under RSA 168-B
The 2014 recodification of RSA 168-B extended surrogacy protections to married and unmarried individuals, LGBTQ+ couples and single parents. Same-sex couples using donor eggs and sperm can obtain birth certificates listing both intended parents without post-birth paternity testing. The statute covers all intended parents regardless of marital status, sexual orientation or genetic connection to the child.
Written Agreement and Legal Counsel Requirements in New Hampshire
The statute requires all parties to execute a written surrogacy agreement before the embryo transfer begins. Both the intended parents and the surrogate must retain independent legal counsel. Surrogate Alternatives coordinates with reproductive law attorneys to manage the agreement, pre-birth parentage order and the birth certificate naming the intended parents as the legal parents to the child prior to birth.
How Intended Parents in New Hampshire Work with Surrogate Alternatives
Surrogate Alternatives serves New Hampshire intended parents from its San Diego headquarters. Intended parents connect with the team by phone, video or in person for a free, no-obligation consultation, where an agency director walks them through the full surrogacy process and answers all questions about medical, legal and financial requirements. The journey follows four phases: consultation, matching, medical and legal coordination, then pregnancy and birth.
There is no waiting list. Many intended parents begin reviewing potential matches within days, based on compatibility rather than location. Only about 5% of surrogate applicants move forward after screening. Surrogate Alternatives coordinates with fertility clinics, monitoring clinics and reproductive law attorneys in New Hampshire and nationwide.
SeedTrust holds all client funds in a 100% third-party escrow account. Surrogate Alternatives does not hold or control escrowed funds at any point. Intended parents receive a detailed cost breakdown before the journey begins, and agency fees are fixed.

Become a Surrogate in New Hampshire and Help a Family Grow
Surrogate Alternatives is looking for qualified women across New Hampshire and the United States who want to help intended parents build the family they have been working toward. The team includes current and former surrogates who provide guidance, community and support from application through delivery.

Statutory Requirements and Agency Screening Standards for Surrogates
Surrogate Alternatives screens candidates to meet both the statutory requirements of RSA 168-B and its own program standards. Candidates must have at least one prior healthy pregnancy and delivery, maintain a healthy lifestyle and be free from illegal substances and tobacco, and be financially stable and a U.S. citizen or permanent resident. RSA 168-B also requires the surrogate to be at least 21 years old. After matching, surrogates complete a psychological evaluation and medical screening.
Base Compensation, Allowances and Financial Benefits for Surrogates
Surrogate Alternatives offers competitive base compensation, with experienced surrogates eligible for higher rates. Surrogate Alternatives provides additional compensation for a twin pregnancy, and surrogates receive a monthly non-accountable expense allowance and a maternity clothing allowance. SeedTrust manages all surrogate compensation through third-party escrow. Visit the surrogate compensation page for full details.
Pregnancy Wellness, Surrogate Community and 24/7 Support
Surrogate Alternatives provides a Pregnancy Wellness Program that includes dietary and nutritional counseling, acupuncture, massage and prenatal vitamins. Surrogate Alternatives was the first surrogacy agency to offer a wellness package. Surrogates also have access to an online support group, mentorship from experienced surrogates and annual retreats. Surrogate Alternatives maintains a 24/7 emergency line so surrogates can reach management throughout the journey.
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Frequently Asked Questions About Surrogacy in California
Is surrogacy legal in New Hampshire?
Surrogate Alternatives confirms gestational surrogacy is legal in New Hampshire under RSA Chapter 168-B, recodified in 2014. Pre-birth parentage orders are available on an expedited basis without a court hearing when all parties meet the statutory requirements, placing the intended parents on the birth certificate as the legal parents to the child prior to birth.
How much does surrogacy cost for intended parents working with Surrogate Alternatives in New Hampshire?
Surrogate Alternatives provides New Hampshire intended parents with a detailed cost breakdown before the journey begins. Total costs include but are not limited to surrogate base compensation, medical and insurance expenses, legal fees and fixed agency fees. Surrogate Alternatives explains all remaining costs in advance. SeedTrust holds all client funds in a 100% third-party escrow account.
What affects surrogacy costs in New Hampshire compared to other states?
Surrogate Alternatives notes that RSA 168-B requires both the surrogate and the intended parents to retain independent legal counsel, and all parties must execute the surrogacy agreement before the embryo transfer begins. New Hampshire's RSA 417-G, effective January 2020, requires most health insurers to cover medically necessary fertility treatment including IVF, which may reduce those costs for intended parents with compliant plans.
Does insurance cover surrogate pregnancies in New Hampshire?
Surrogate Alternatives notes that New Hampshire requires most health insurers to cover medically necessary fertility treatment including IVF under RSA 417-G, effective January 2020. A 2024 amendment extended that mandate to cover up to six rounds of IUI per plan year without requiring an infertility diagnosis. Coverage for surrogate pregnancy medical costs depends on the surrogate's own health insurance plan, and Surrogate Alternatives reviews options with a licensed insurance broker during open enrollment.
Do I need to live in New Hampshire to work with Surrogate Alternatives?
Surrogate Alternatives confirms intended parents do not need to reside in New Hampshire to work with the agency. RSA 168-B imposes no residency requirement on intended parents or the surrogate, making the state accessible to out-of-state families matched with a local surrogate. Surrogate Alternatives serves families from its San Diego, California headquarters and coordinates all medical, legal and logistical steps regardless of where the intended parents live.
What happens if the intended parent and surrogate are in different states?
Surrogate Alternatives coordinates multi-state journeys and refers to a reproductive attorney with experience in both jurisdictions when the intended parents and surrogate live in different states. Surrogate Alternatives manages all medical coordination, monitoring clinic logistics and legal steps when the journey crosses state lines. Intended parents receive guidance on travel expectations and coordination steps before the journey begins.
How much travel is involved for out-of-state intended parents?
Surrogate Alternatives advises intended parents to plan to arrive in the surrogate's area at least a month before the due date and to be available on shorter notice during the final weeks of pregnancy. Intended parents sometimes travel for the embryo transfer as well. Surrogate Alternatives coordinates these logistics as part of the journey and walks intended parents through expectations during the consultation.
Does Surrogate Alternatives support LGBTQ+ intended parents in New Hampshire?
Surrogate Alternatives proudly supports LGBTQ+ couples and individuals pursuing surrogacy in New Hampshire. RSA 168-B explicitly covers same-sex couples, unmarried individuals and single parents regardless of sexual orientation or marital status, and same-sex couples using donor gametes can obtain birth certificates naming both intended parents as the legal parents to the child prior to birth. Surrogate Alternatives coordinates with reproductive law attorneys to manage parentage for every family structure.
What are the requirements to become a surrogate in New Hampshire with Surrogate Alternatives?
Surrogate Alternatives requires surrogate candidates to have at least one prior healthy pregnancy and delivery, maintain a healthy lifestyle and be free from illegal substances and tobacco, and be financially stable and a U.S. citizen or permanent resident. New Hampshire's RSA 168-B also requires the surrogate to be at least 21 years old and to complete medical and mental health evaluations before the parties sign the agreement. After matching, surrogates complete Surrogate Alternatives' psychological evaluation and medical screening.
How much are surrogates compensated in New Hampshire through Surrogate Alternatives?
Surrogate Alternatives offers competitive base compensation for surrogates in New Hampshire, with experienced surrogates eligible for higher rates. Surrogate Alternatives provides additional compensation for a twin pregnancy. Surrogates also receive a monthly non-accountable expense allowance and a maternity clothing allowance. SeedTrust manages all surrogate compensation through third-party escrow.