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US Supreme Court Lets California Surrogacy Parentage Ruling Stand in Dispute Over Termination Refusal and Medical Authority

US Supreme Court Lets California Surrogacy Parentage Ruling Stand in Dispute Over Termination Refusal and Medical Authority

The US Supreme Court has declined to block the California surrogacy parentage ruling that declared Nausheen Gilkar and Omar Ahmed the legal parents of a boy born to their surrogate, McKenna West. West, who refused a request to terminate the pregnancy after a severe cardiac defect diagnosis, had sought emergency Supreme Court intervention.

By FertilityIn

30 Sept 2026

1 min read

US Supreme Court

US Supreme Court

The United States Supreme Court has declined to halt a judicial ruling declaring a California couple the legal parents of an infant born to their surrogate, who refused their request to terminate the pregnancy after the fetus was diagnosed with a severe cardiac defect and who later sought a role in decisions affecting the boy's medical care.


The court denied a request by McKenna West, the woman hired by Nausheen Gilkar and Omar Ahmed to serve as their surrogate, to block the California surrogacy parentage ruling while she pursues a full appeal to the Supreme Court. The order was issued unilaterally by Justice Elena Kagan, who handles emergency applications arising from California and the surrounding region. Kagan provided no rationale.


How the Dispute Arose

The case began when West agreed to act as a surrogate for Gilkar and Ahmed. During the pregnancy, the fetus was diagnosed with a severe cardiac defect. Gilkar and Ahmed subsequently requested that West terminate the pregnancy, a request she refused. Following that refusal, Gilkar and Ahmed brought proceedings against West, alleging breaches of the surrogacy agreement, with the termination refusal among the matters cited. West, in turn, later sought a role in decisions affecting the boy's medical care. In June, a California trial court issued its ruling: Gilkar and Ahmed were the child's legal parents. The court also rejected West's argument that it lacked jurisdiction over her, a contention that sits at the heart of West's ongoing challenge to the decision.


The Path to the Supreme Court

Following the June trial court decision, West sought to have the ruling stayed while she appealed. California's state appellate courts declined to grant that stay. With domestic options exhausted, West brought her emergency application to the Supreme Court.


Gilkar and Ahmed filed Supreme Court papers last Friday in which they argued that they are committed to the same lifesaving care for the boy that West has stated she wants. That commitment formed part of their argument against granting the stay West was seeking.


Justice Kagan's denial of the emergency application does not decide the underlying disputes on their merits. The California surrogacy parentage ruling, establishing Gilkar and Ahmed as the child's legal parents, remains in place while the legal proceedings continue.


The Broader Legal Questions at Stake

While the Supreme Court's order is narrow in scope, the case it arises from raises several substantial family law questions that extend well beyond the immediate facts.


Jurisdiction is among the most significant. The dispute has involved California and Texas, while West herself resides in Alaska. When a parentage judgment is issued in one state, it can carry immediate legal consequences in others, particularly when parties in competing proceedings seek recognition or enforcement of that order across state lines. Which state has the authority to determine parentage is therefore not a procedural technicality but a question with real consequences for how the case resolves.


The legal weight of a surrogacy agreement is a second unresolved dimension. The distinction between what a surrogacy contract requires and what legal parentage ultimately means, and which takes precedence when the two diverge, is a question the courts below have begun to address but have not fully settled.


Decision-making authority during contested proceedings is the third. When competing legal proceedings are underway and parentage itself is in dispute, the question of who has authority to make decisions for a child particularly medical decisions, remains legally complex and practically urgent.


The case is, at its core, a collision between the contractual framework of surrogacy arrangements and the legal and moral autonomy of the surrogate herself. It has drawn attention for the way it brings together surrogacy law, abortion rights, parental rights, and inter-state jurisdiction in a single set of facts and it is not yet over. West's appeal to the Supreme Court remains pending, and the court's decision on the emergency stay is only the first word on whether the justices will ultimately take up the case.

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