Bert Miller and Nancy Duffner v. State of Iowa

Supreme Court of Iowa·Decided March 14, 2025·No. 24-1017·Published

Opinion

In the Iowa Supreme Court No. 24–1017

Submitted February 11, 2025—Filed March 14, 2025 Bert Miller and Nancy Duffner, Appellants,

vs.

State of Iowa,

Appellee.

Appeal from the Iowa District Court for Johnson County, Kevin McKeever, judge.

Plaintiffs appeal the dismissal of their action under the Fraud in Assisted Reproduction Act. Affirmed.

Waterman, J., delivered the opinion of the court, in which all justices joined.

Karen A. Lorenzen (argued), James P. Hayes, and Michael H. Biderman of Hayes Lorenzen Biderman Lawyers PLC, Iowa City, for appellants.

Brenna Bird, Attorney General; Eric H. Wessan (argued), Solicitor General;

William C. Admussen, Assistant Solicitor General; Christopher J. Deist, Assistant Attorney General; and Pope S. Yamada and Carolyn Russell Wallace of Phelan Tucker Law L.L.P., Iowa City, for appellee.

Waterman, Justice.

In this appeal, we must decide whether an Iowa statute enacted in 2022 retrospectively1 imposes new civil liabilities on conduct occurring decades earlier. Iowa is one of many states in recent years to legislatively prohibit fertility doctors from surreptitiously using their own sperm to help infertile couples conceive through artificial insemination. The legislation responded to a wave of highly publicized discoveries of such misconduct discovered after individuals submitted DNA to commercial websites such as 23andMe.com and Ancestry.com. The plaintiffs in this case were shocked to learn that their biological father was actually their parents’ fertility specialist employed by the State at the University of Iowa Hospitals during the 1950s. That doctor and the plaintiffs’ parents are now deceased. These plaintiffs are among the first to sue the State under Iowa’s Fraud in Assisted Reproduction Act (FARA). 2022 Iowa Acts ch. 1123, §§ 1–4 (codified at Iowa Code §§ 714I.1–.4 (2023)). That statute created a new private right of action against such fertility doctors and their employers. The district court granted the State’s motion to dismiss on grounds that FARA operates only prospectively and provides no remedy for conduct occurring before its enactment.

The plaintiffs appealed, arguing that FARA, by eliminating limitation defenses and allowing the biological children of the fertility doctor to sue “at any time,” necessarily applies to fertility fraud occurring years earlier. The State argues that FARA lacks any express retrospective language, and the district court correctly applied the statutory presumption that an enactment imposing new liabilities operates only prospectively. We retained the case.

1“The terms ‘retroactive’ and ‘retrospective’ are synonymous in judicial usage and have

been used interchangeably.” 2 Shambie Singer, Statutes and Statutory Construction § 41:1, at 317 (8th ed. 2022).

On our review, we hold that FARA does not apply to fertility fraud committed before the statute was enacted. FARA has no express retroactivity provision imposing liability for fertility fraud predating its enactment. Without such a provision, statutes creating new substantive liabilities are presumed to operate only prospectively, not to conduct occurring before the law goes into effect. There is no other language in FARA that rebuts the presumption against retroactivity. We affirm the district court’s ruling dismissing this action with prejudice.

I. Background Facts and Proceedings.

Bert Junior Miller and his wife, Donna Miller, lived in Iowa City. In the early 1950s, the couple struggled with fertility and were unable to conceive a child. Like many couples across the state, the Millers sought fertility treatment at the Department of Obstetrics and Gynecology at the University of Iowa Hospitals and Clinics in Iowa City. Dr. John H. Randall, the head of the department from 1952 until 1959, met with the Millers. With Dr. Randall’s fertility treatments, Donna Miller had three children: Nancy (Miller) Duffner in 1954, Bert Jay Miller in 1956, and Randy Miller in 1958. Dr. Randall, who was born in 1899 and graduated from medical school in 1928, died in 1959 at age sixty. Bert Junior Miller died in 2010. Donna Miller died in 2018.

Donna’s adult sons and daughter, now in their sixties, submitted their DNA to Ancestry.com. To their shock and surprise, the results revealed that the man who raised them was the biological father of only the youngest sibling, Randy. Dr. Randall was identified as the biological father of Bert and Nancy. They reasoned that Dr. Randall must have used his own sperm during their mother’s fertility treatments instead of her husband’s. Donna had never told her children that their biological father was anyone other than her husband.

The Millers were not alone in this experience. “Beginning in 2016, cases began to emerge where male OB/GYNs had used their own sperm in the 1970s through 1990s to inseminate unsuspecting patients, only to have their deeds exposed decades later through direct-to-consumer genetic testing services.” Jody Lyneé Madeira, Understanding Illicit Insemination and Fertility Fraud, From Patient Experience to Legal Reform, 39 Colum. J. Gender & L. 110, 112 (2019). This fertility fraud was not actionable under existing criminal statutes, and “it has proven difficult to hold the physicians legally accountable.” Id. at 113.

Some state legislatures responded by enacting statutes creating criminal and civil liability for healthcare providers who deceitfully use their own sperm during fertility treatments.2 As noted, the Iowa Legislature enacted FARA in 2022. See 2022 Iowa Acts, ch. 1123, §§ 1–8 (codified at Iowa Code §§ 714I.1–.4 (2023); id. § 709.4A; id. § 802.2E). FARA prohibits fraud during fertility treatments, including providing false information about “[t]he identity of a donor of human reproductive material used or provided for assisted reproduction.” Iowa Code § 714I.3(1)(b) (2023). FARA imposes criminal liability, with violations constituting sexual abuse in the fourth degree, see id. § 709.4A, and violations may also result in a loss of license to practice medicine, id. § 714I.3(4). FARA also provides civil remedies and a new private cause of action against the medical provider that can be brought by the patient, her spouse, or their children at any time without a statute of limitations. See id. § 714I.4(1), (6).

After discovering the identity of their biological father, Miller and Duffner asserted claims against the State under FARA, alleging that Dr. Randall’s

2See, e.g., Ark. Code Ann. § 16–118–117 (2021); Cal. Penal Code § 367g (West 2011); Colo.

Rev. Stat. § 13–21–132 (2020); 815 Ill. Comp. Stat. 540/15 (2024); Ind. Code § 34–24–5–2 (2019); Ky. Rev. Stat. Ann. § 311.373(2)(b) (West 2022); La. Stat. Ann. § 14:101.2(B) (2024); Nev. Rev. Stat. § 200.975 (2023); Ohio Rev. Code Ann. § 4731.861 (West 2023).

deceitful actions entitled them to damages. The State Appeal Board denied their claims on October 2, 2023. The plaintiffs filed this civil action in district court against the State in February 2024. The plaintiffs sued exclusively under FARA. The plaintiffs alleged that Dr. Randall did not tell their parents that he had used his own sperm during the Millers’ treatments. Specifically, they alleged that Dr. Randall “provid[ed] false information to Donna Miller . . . regarding the identity of a donor (himself) of human reproductive material” in violation of FARA.

The State moved to dismiss the lawsuit on grounds that FARA does not apply retroactively to Dr. Randall’s conduct over sixty-five years earlier. The State argued that because FARA includes no express language providing for retroactive operation, the statute applies only prospectively. The plaintiffs resisted, arguing that magic words such as “retroactive” are not required. They also argued that the provision allowing children of parental victims the ability to bring claims “at any time” and without a statute of limitations evinces “a clear legislative intent that these claims can be brought many years after the provision of fertility fraud services.”

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