As any parent knows, welcoming a little bundle of joy into your life can take up a huge portion of your finances. Those costs are even higher when your parenthood is made possible through surrogacy.

Intended Parents face a vast array of expenses: agency fees, surrogate compensation and expenses, clinic fees, and legal costs. While financing options are available, it’s a good idea to figure out how to best spend your money, and also to seek out every means of saving it where possible. After all, you may have college tuition to pay for later on down the track!

Before embarking on your surrogacy journey, you should have a good understanding of what expenses are involved and what may or may not be tax-deductible. It’s also important to understand the tax laws that apply to your own state, as these vary between states. This means doing some homework! Consulting with an accountant can help immensely as they will be able to explain more about taxation policies as they pertain to your own situation. Tax laws can change regularly, so what is true right now may not be true in six months’ time.

What surrogacy expenses are tax-deductible?

Generally speaking, surrogacy and donation expenses are not tax-deductible. However, there are ways around this.

Under the Tax Cuts and Jobs Act (TCJA) of 2017, some significant changes were made regarding the ability of Intended Parents to claim tax back on surrogacy expenses.

The changes to the deductibility of medical expenses have been a little tricky for some IPs who have created families through third-party reproduction (also known as assisted reproductive technology or ART). ART includes clinic fees for standard procedures involved in surrogacy, as well as hormone therapy and sperm donation. It also covers more advanced procedures such as IVF and the use of egg donation.

In most cases, if medical expenses such as ART exceed a certain percentage of the parents’ Adjusted Gross Income (AGI), they can be deducted in the same year that expenses not reimbursed by healthcare insurance are paid. When applying for medical deductions, there may be instances in which you will need to exceed a certain limit.

AGI comprises all an individual’s income before other deductions or decreases are made.

From 2019 through to 2025, qualifying medical expenses are only deductible to the extent they exceed 10% of AGI.

The good news is that most forms of ART are deductible under the Tax Cuts and Jobs Act.

The following surrogacy expenses are generally deductible:

  • Any medical fees directly involving you and/or your spouse
  • Egg retrieval
  • Sperm donation
  • Sperm freezing
  • IVF-related fees

However, surrogacy is not. This is because the expenses incurred in using a surrogate are not for medical procedures performed on the bodies of Intended Parents (the taxpayers). Instead, surrogacy requires the participation of a third party.

Non-deductible surrogacy expenses include:

  • Compensation for your surrogate
  • The surrogate’s medical bills
  • The surrogate’s medical insurance
  • Any costs for procedures or tests not directly attributed to you or your spouse

Other avenues for obtaining surrogacy tax deductions

There are cases in which Intended Parents may obtain a Private Letter Ruling (PLR) from The Internal Revenue Service (IRS). The purpose of a PLR is to get permission from the IRS to deduct specific expenses that are not made clear by law. If you are successful in getting a private ruling awarded in your favor as Intended Parents, the entire process including the surrogacy agency fees could be tax-deductible.

Obtaining a PLR would involve the Intended Parents engaging with a CPA to write a letter to the IRS requesting permission to deduct the expenses. The letter should encompass all the expenses that are likely to be involved in their surrogacy journey. It should detail why the parents are incapable of having children (due to a structure or function of the body) and that their situation may qualify as medical care under section 213. The IRS would then respond with their decision. If the PLR is ruled in their favor, the Intended Parent would be provided with a letter to attach to their tax return.

Can I claim a tax deduction on egg donation?

There are previous cases in which parents using PLR for egg donation have been approved by the IRS, allowing all surrogacy and egg donation expenses. However, it must be pointed out that PLRs cannot be cited for future use in other cases. An accountant would help you to pursue this avenue.

How do you obtain a Private Letter Ruling (PLR)?

To obtain a PLR, the taxpayer must be able to show that they have been tested and confirmed as infertile. Most previous cases involving PLRs have involved heterosexual couples. Homosexual couples may have some difficulties in providing evidence of infertility if neither are actually infertile. Instead, there must be a medical need to pursue the deduction.

It is important to note that the PLR process is neither quick nor simple. Once you’ve submitted your documentation, the ruling may take 3 to 6 months to finalize.

Alternative ways to save money on taxes

Edward Brockschmidt, CEO and Founder of SeedTrust Escrow, advises that “Your goal should be to use your tax savings accounts to pay for expenses, rather than attempting to deduct the expenses from your taxes. Since the money is taken pre-tax, using your FSA or HSA can save you up to 40%, depending on your tax rate. For example, if you are at a 25% tax rate you would be saving 25% on all the expenses for which you can be reimbursed.” 

Getting help with your surrogacy tax deductions 

We understand that it can be tricky for Intended Parents to get their heads around tax and finances. After all, you have lots of other things to think about! We recommend that you locate an accountant in your area who is familiar with surrogacy laws to guide you through the process.

Staci Swiderski, CEO and owner of Family Source Consultants has been involved in the field of reproductive medicine since 2002. Staci has vigorously grown the comprehensive egg donation and gestational surrogacy agency to become a worldwide leader in the third-party reproduction field. Staci is a former intended parent herself. She and her husband welcomed their son via gestational surrogacy in 2005. Additionally, Staci had the experience of assisting an infertile couple (AKA Recipient Parents) build their family through her efforts as an egg donor, with her donation resulting in the births of their son and daughter.