New York's Surrogates' Bill of Rights Sets the Standard for Surrogacy Protections
New York prohibited compensated surrogacy until February 2021, when the Child-Parent Security Act legalized gestational surrogacy with enforceable contracts and a Surrogates' Bill of Rights. Intended parents can obtain pre-birth parentage orders, and the state registrar issues a birth certificate naming the intended parents as the legal parents to the child.
Surrogate Alternatives works with intended parents and surrogates in New York from its San Diego, California headquarters. The team is made up of current and former surrogates, so the people walking you through the process have lived it. Surrogate Alternatives has been building families since 1998.

How the Child-Parent Security Act Protects Families and Surrogates
Compensated Gestational Surrogacy with Pre-Birth Parentage Orders
The Child-Parent Security Act (CPSA), effective February 15, 2021, legalized compensated gestational surrogacy in New York. Courts grant pre-birth parentage orders establishing intended parents as the legal parents to the child prior to birth. The CPSA protects all family structures regardless of marital status, sexual orientation or genetic connection to the child. All parties must sign surrogacy agreements before embryo transfer, and intended parents must place compensation in escrow before finalizing the agreement.
The Surrogates' Bill of Rights Protects Health and Autonomy
The CPSA created a Surrogates' Bill of Rights guaranteeing specific protections for every gestational surrogate. Surrogates retain the right to make all healthcare decisions, including whether to continue or terminate a pregnancy. Intended parents must provide comprehensive health insurance, independent legal counsel and a life insurance policy for the surrogate, all at the intended parents' expense. Surrogate Alternatives coordinates with reproductive law attorneys to manage contracts, pre-birth orders and parentage throughout the process.
Insurers Cannot Deny Maternity Coverage to Gestational Surrogates
New York prohibits insurers from denying maternity coverage or seeking reimbursement because a person is acting as a gestational surrogate. The state also mandates IVF coverage for large-group plans with 100 or more employees, covering up to three cycles, which may reduce fertility treatment costs for intended parents. Surrogate Alternatives coordinates with a licensed insurance broker before matching begins to review the surrogate's existing coverage and identify any gaps, so intended parents understand their insurance costs before the journey begins.
How Intended Parents in New York Work with Surrogate Alternatives
Surrogate Alternatives serves New York 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 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 reproductive law attorneys to manage contracts, pre-birth orders and parentage. All client funds are held in a 100% third-party escrow account through SeedTrust, and Surrogate Alternatives does not hold or control escrowed funds at any point.

Become a Surrogate in New York and Help a Family Grow
Surrogate Alternatives is looking for qualified, caring women in New York who want to give intended parents the family they have been hoping for. The team includes current and former surrogates who provide support, guidance and competitive compensation throughout the journey.

Who Should Consider Applying
Surrogate Alternatives requires candidates to have at least one prior healthy pregnancy and delivery. Candidates must maintain a healthy lifestyle, be free from illegal substances and tobacco, be financially stable and be a U.S. citizen or permanent resident. After matching, surrogates complete a psychological evaluation and medical screening.
How Compensation Works
Surrogate Alternatives offers competitive base compensation, with experienced surrogates eligible for higher rates. Additional compensation is provided for a twin pregnancy, and surrogates receive a monthly non-accountable expense allowance and a maternity clothing allowance. All compensation is managed through third-party escrow. Visit the surrogate compensation page for full details.
Your Wellness Team
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. A 24/7 emergency line is available to reach management throughout the journey.
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Serving New York City, Buffalo, Albany and Throughout New York
Frequently Asked Questions About Surrogacy in California
Is surrogacy legal in New York?
Surrogate Alternatives works with intended parents and surrogates in New York under the Child-Parent Security Act (CPSA), effective February 15, 2021. Compensated gestational surrogacy is legal and enforceable. Intended parents can obtain pre-birth parentage orders, and the state registrar issues a birth certificate naming the intended parents as the legal parents to the child.
Was compensated surrogacy previously prohibited in New York?
Surrogate Alternatives now serves New York families under the CPSA, which replaced a prohibition on compensated surrogacy that was in effect until February 2021. Before the CPSA, New York law declared compensated surrogacy contracts void and unenforceable, requiring many families to travel to other states to pursue surrogacy. The Act replaced that prohibition with enforceable contracts, pre-birth parentage orders and a Surrogates' Bill of Rights.
What protections does the Surrogates' Bill of Rights provide?
Surrogate Alternatives coordinates with reproductive law attorneys to ensure all surrogacy agreements comply with the Surrogates' Bill of Rights, which guarantees surrogates the right to make all healthcare decisions including whether to continue or terminate a pregnancy. Intended parents must provide comprehensive health insurance, independent legal counsel and a life insurance policy for the surrogate, all at the intended parents' expense.
How much does surrogacy cost for intended parents working with Surrogate Alternatives in New York?
Surrogate Alternatives provides 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 agency fees. Agency fees are fixed, and all remaining costs are explained in advance. All client funds are held in a 100% third-party escrow account through SeedTrust.
Does insurance cover surrogate pregnancies in New York?
Surrogate Alternatives reviews insurance options with a licensed insurance broker during open enrollment. After match, Surrogate Alternatives assists intended parents with connecting directly with the broker to obtain information about coverage options so families understand these costs before the journey begins. The state mandates IVF coverage for large-group plans with 100 or more employees, covering up to three cycles. Insurers cannot deny maternity coverage or request reimbursement because a person acts as a surrogate.
Does Surrogate Alternatives support LGBTQ+ intended parents in New York?
Surrogate Alternatives proudly supports LGBTQ+ couples and individuals building families through surrogacy. The Child-Parent Security Act extends equal protections to all intended parents regardless of marital status, sexual orientation, gender identity or genetic connection to the child.
Do I need to live in New York to work with Surrogate Alternatives?
Surrogate Alternatives serves intended parents nationwide from its San Diego headquarters. New York law requires that either the surrogate or at least one intended parent has lived in the state for at least six months before the surrogacy agreement. Surrogate Alternatives coordinates all medical, legal and logistical details regardless of where the intended parents live.
What are the requirements to become a surrogate in New York with Surrogate Alternatives?
Surrogate Alternatives requires surrogate candidates to have at least one prior healthy pregnancy and delivery, maintain a healthy lifestyle, be free from illegal substances and tobacco and meet the agency's age and health guidelines. After matching, surrogates complete a psychological evaluation and medical screening. Surrogate Alternatives accepts candidates who meet all program requirements.
How much are surrogates compensated in New York through Surrogate Alternatives?
Surrogate Alternatives offers competitive base compensation, with experienced surrogates eligible for higher rates. Additional compensation is provided for a twin pregnancy. Surrogates also receive a monthly non-accountable expense allowance, maternity clothing allowance and access to the Surrogate Alternatives Pregnancy Wellness Program. All compensation is managed through third-party escrow.
What happens if the intended parent and surrogate are in different states?
Surrogate Alternatives manages multi-state surrogacy journeys where intended parents and surrogates live in different locations. Surrogate Alternatives coordinates with fertility clinics, monitoring clinics and attorneys in both states. If a surrogate in New York is matched with intended parents elsewhere, Surrogate Alternatives arranges local monitoring and refers to a reproductive attorney with experience in both jurisdictions.