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Terms of Reference

The Advisory Committee on Assisted Reproductive Procedures and Human Reproductive Research (‘the Advisory Committee on Assisted Reproductive Technology’ or ACART) is established under section 32 of the Human Assisted Reproductive Technology (HART) Act 2004. These Terms of Reference outline the role and functions of ACART.

Functions of ACART

ACART has the following functions:

to issue guidelines and advice to the Ethics Committee on Assisted Reproductive Technology (ECART) on any matter relating to any kind of assisted reproductive procedure or human reproductive research and to keep such guidelines and advice under review
to provide the Minister of Health with advice on aspects of, or issues arising out of, kinds of assisted reproductive procedure or human reproductive research and, without limitation, advice as to whether:
- the HART Act should be amended to prohibit or provide for any kind of assisted reproductive procedure or human reproductive research
- any kind of procedure or treatment should be declared an established procedure, on the basis of the information, assessment, advice, and ethical analysis required to declare a procedure to be an established procedure under section 6 of the HART Act
- any established procedure should be modified or should cease to be an established procedure
- a moratorium should be imposed on any kind of assisted reproductive procedure or human reproductive research
- regulations should be made under section 76 of the HART Act to regulate the performance of any kind of assisted reproductive procedure or the conduct of any kind of human reproductive research
to liaise with ECART on general and specific matters relating to assisted reproductive procedures or human reproductive research
to consult with any persons who, in the opinion of ACART, are able to assist it to perform its functions
any other function that the Minister of Health assigns to ACART by written notice.

For the purposes of performing the above functions, ACART must monitor:

the application, and health outcomes, of assisted reproductive procedures and established procedures
developments in human reproductive research.

ACART should also monitor the decisions of ECART to ensure that they fall within the guidelines as intended by ACART. If, after consideration of one of ECART’s decisions, ACART considers that the decision falls outside of its guidelines, ACART should inform ECART of this.

Guiding principles

ACART shall be guided by the following principles:

the health and well-being of children born as a result of the performance of an assisted reproductive procedure or an established procedure should be an important consideration in all decisions about that procedure
the human health, safety, and dignity of present and future generations should be preserved and promoted
while all persons are affected by assisted reproductive procedures and established procedures, women, more than men, are directly and significantly affected by their application and the health and well-being of women must be protected in the use of these procedures
no assisted reproductive procedure should be performed on an individual and no human reproductive research should be conducted on an individual unless the individual has made an informed choice and given informed consent
donor offspring should be made aware of their genetic origins and be able to access information about those origins
the needs, values, and beliefs of Mäori should be considered and treated with respect
the different ethical, spiritual, and cultural perspectives in society should be considered and treated with respect.

Guidelines

ACART may issue guidelines to ECART only after it has:

consulted on the proposed guidelines with the Minister of Health
on the basis of a discussion paper or an outline of the proposed guidelines, given interested parties and members of the public a reasonable opportunity to make submissions
taken any such submissions into account.

When ACART issues guidelines to ECART, it must:

give copies of the guidelines to the Minister, the Director-General of Health, to ECART, and to providers; and
publish the guidelines on the internet and in any other publications (if any) that the Committee thinks appropriate; and
give public notice of the issue of the guidelines by publishing in any publication that it considers appropriate for the purpose a notice that states:
- the date and subject matter of the guidelines
- the internet website on which they are published.

Specific advice

ACART must, within time frames agreed with the Minister, provide the Minister with information, advice, and if it thinks fit, recommendations on the following matters in relation to the use of gametes and human embryos in human reproductive research:

cloned embryos
donations of human embryos
genetic modification of human gametes and human embryos
human gametes derived from foetuses or deceased persons
hybrid embryos
requirements for informed consent
the import into, or export from, New Zealand of in vitro human gametes or in vitro human embryos.

ACART must, within the time frames agreed with the Minister, provide the Minister with information, advice, and if it thinks fit, recommendations on the following matters in relation to human assisted reproductive technology:

donations of human embryos
embryo splitting
gametes derived from deceased persons
requirements for informed consent
selection of embryos using preimplantation genetic diagnosis
the import into, or export from, New Zealand of in vitro donated cells or in vitro donated gametes.

ACART may give advice on the above areas only after it has:

on the basis of a discussion paper or an outline of the proposed advice, given interested parties and members of the public a reasonable opportunity to make submissions; and
taken any such submissions into account.

Public meetings on proposed significant advice

If, in the opinion of ACART, a significant number of persons wish to make oral submissions on a proposal to give specific advice on any of the above human reproductive research or human assisted reproductive technologies, ACART must hold as many meetings as are required to enable those submissions to be made.

ACART must:

notify the persons who wish to make oral submissions of the time and place of any meeting to be held; and
publish a notice on the internet and in any other publication the committee thinks appropriate that states the time, place, and purpose of any such meeting and that will be held in public.

Consultation

Before ACART gives advice to the Minister or issues guidelines to ECART, it must consult on the proposed advice or guidelines with:

any members of the public that the committee considers appropriate
appropriate government departments and agencies
any other person or group that the committee considers appropriate.

Composition and membership

The Minister may appoint any person to be a member of ACART and must, before doing so, consult any persons who, in the Minister’s opinion, are able to provide advice on prospective appointees who have the required expertise and the ability to reflect relevant perspectives and concerns, including, without limitation, the perspectives and concerns of women.

Guiding principle

The primary guiding principle for appointing members to ACART is to ensure that ACART has the appropriate expertise, skills, knowledge and perspectives to provide advice and guidelines of the highest quality.

Member numbers

ACART must consist of not fewer than 8 and not more than 12 members appointed by the Minister of Health.

Lay/Non-lay membership

At least half of the members of ACART must be lay members.

For the purposes of these Terms of Reference, a layperson is a person who, at no time during the person’s membership of ACART or in the 3 years before becoming a member of ACART:

is a health practitioner within the meaning of the Health Practitioners Competence Assurance Act 2003; or
is involved in health research; or
is employed by or associated with, or has a pecuniary interest in, a fertility service provider.

Ex-officio attendance

The chairperson of ACART, or a member of ACART nominated by the chairperson of ACART for the meeting may attend each meeting of the National Ethics Committee on Assisted Reproductive Technologies (ECART). The ACART member or Chair attending the Advisory Group meeting is not a member of the committee.

The chairperson of ECART, or a member of ECART nominated by the chairperson of ECART for the meeting may attend each meeting of ACART. ECART member or Chair attending the ACART meeting is not a member of the committee.

Member categories

ACART’s membership must include:

one or more members with expertise in assisted reproductive procedures
one or more members with expertise in human reproductive research
one or more members with expertise in ethics
one or more Mäori members with expertise in Mäori customary values and practice and the ability to articulate issues from a Mäori perspective
one or more members with the ability to articulate issues from a consumer perspective
one or more members with the ability to articulate issues from a disability perspective
one or more members with the ability to articulate the interests of children who, at the time of his or her appointment, holds the office of Children’s Commissioner or is a representative or employee of the person who holds that office
one or more members with expertise in relevant areas of the law.

Whole committee requirements

Members should possess an attitude that is accepting of the values of different professions and community perspectives, and it is important that ACART be comprise people from a range of backgrounds and ethnicities. All members of ACART are expected to have an understanding of how the health sector responds to Mäori issues and their application to ethical review.

Despite being drawn from groups identified with particular interests or responsibilities in connection with health and community issues, Advisory Committee members are not in any way the representatives of those groups. They are appointed in their own right, to participate in the work of ACART as equal individuals of sound judgement and relevant experience.

Terms and conditions of appointment

Members of ACART are appointed by the Minister of Health for a term of office of up to three years. The terms of office of members of ACART will be staggered to ensure continuity of membership. Members may be reappointed from time to time. No member may hold office for more than six consecutive years.

Persons who have served six consecutive years as members of the previous National Ethics Committee on Assisted Human Reproduction (NECAHR) shall not be immediately eligible for appointment to ACART.

A person may not be a member of ACART and ECART simultaneously.

Unless a person sooner vacates their office, every appointed member of ACART shall continue in office until their successor comes into office. Any member of ACART may at any time resign as a member by advising the Minister of Health in writing.

The Minister may, by written notice, terminate the appointment of a member or chairperson of the advisory committee.

The Minister may from time to time alter or reconstitute ACART, or discharge any member of ACART, or appoint new members to ACART for the purpose of decreasing or increasing the membership or filling any vacancies.

Chairperson and Deputy Chairperson

The Minister may appoint any person to be a chairperson of ACART and must, before doing so, consult any persons who, in the Minister’s opinion, are able to provide advice on prospective appointees who have the required expertise and the ability to reflect relevant perspectives and concerns, including, without limitation, the perspectives and concerns of women.

ACART may appoint one of its members to be Deputy Chairperson.

The Chairperson will preside at every meeting of ACART at which they are present.

Duties and responsibilities of a member

This section sets out the Minister of Health’s expectations regarding the duties and responsibilities of a person appointed as a member of ACART. This is intended to aid members of ACART by providing them with a common set of principles for appropriate conduct and behaviour and serves to protect ACART and its members.

As an independent statutory body, ACART has an obligation to conduct its activities in an open and ethical manner. ACART has a duty to operate in an effective manner within the parameters of its functions as set out in its Terms of Reference and in accordance with the HART Act.

General

ACART members should have a commitment to work for the greater good of the Committee.

There is an expectation that members will make every effort to attend all ACART meetings and devote sufficient time to become familiar with the affairs of ACART and the wider environment within which it operates.

Members have a duty to act responsibly with regard to the effective and efficient administration of ACART and the use of ACART funds.

Conflicts of interest

ACART members must perform their functions in good faith, honestly and impartially and avoid situations that might compromise their integrity or otherwise lead to conflicts of interest. Proper observation of these principles will protect ACART and its members and will ensure that it retains public confidence.

Members attend meetings and undertake committee activities as independent persons responsible to ACART as a whole. Members are not appointed as representatives of professional organisations and or particular community bodies. ACART should not, therefore, assume that a particular group’s interests have been taken into account because a member is associated with a particular group.

Members should declare, and the committee regularly review their actual and potential conflicts of interest. ACART must exhibit transparency in avoiding or managing any real or perceived conflict of interest.

Confidentiality and information sharing

The public has a right to be informed about the issues being considered by ACART. The chairperson of ACART must ensure that the agenda and minutes are published on the internet as soon as possible after they are confirmed by the members of the committee. ACART should have procedures in place regarding the release of information and processing requests for information.

Individual members must observe the following duties in relation to ACART information. These provisions ensure that ACART as a whole maintains control over the appropriate release of information concerning issues before it.

Meetings of ACART, including agenda papers and draft minutes, are confidential. Members must ensure that the confidentiality of ACART business is maintained.
Members are free to express their own view within the context of committee meetings or the general business of ACART.
Members must publicly support a course of action decided by ACART. If unable to do so, members must not publicly comment on decisions.
At no time should members individually divulge details of ACART matters or decisions of ACART to persons who are not ACART members. Disclosure of ACART business to anyone outside ACART must be on the decision of ACART, or at the discretion of the Chairperson of ACART between meetings. In choosing to release or withhold information, the Committee must comply with the Official Information Act 1982 and the Privacy Act 1993.
ACART members must ensure that ACART documents are kept secure to ensure that the confidentiality of committee work is maintained. Release of committee correspondence or papers can only be made with the approval of ACART.

Meetings of the Committee

Meetings shall be held at such times and places as ACART or the Chairperson of ACART decides.

When ACART has 12 members, at least seven members must be present to constitute a majority. When the number of appointed members is less than 12, a quorum is the minimum number constituting a majority. The quorum must include a reasonable representation of members with health practitioner, research, ethical and community/consumer expertise, knowledge and perspectives.

Every question before any meeting shall generally be determined by consensus decision-making. Where a consensus cannot be reached a simple majority vote will apply. In such circumstances, the Chairperson shall have the casting vote.

Subject to the provisions set out above, ACART may regulate its own procedures.

Reporting requirements

ACART must, as soon as practicable after each 12-month period ending on 30 June, give the Minister of Health a report:

on its progress in carrying out its functions; and
on the number and kinds of decisions given by ECART in that period.

Fees and allowances

Members of ACART are entitled to be paid fees for attendance at meetings. The level of attendance fees are set in accordance with the State Services Commission’s framework for fees for statutory bodies.

The Chairperson will receive $542.50 per day (plus half a day’s preparation fee) and an allowance of two extra days per month to cover additional work undertaken by the Chairperson. The attendance fee for the Deputy Chairperson is set at $428 per day (plus half a day’s preparation fee). The attendance fee for members is set at $342.50 per day (plus half a day’s preparation fee). The Ministry of Health pays actual and reasonable travel and accommodation expenses of ACART members.

Servicing of ACART

ACART will agree a work programme with the Minister of Health. ACART will be serviced by permanent staff, sufficient to meet the Committee’s statutory requirements, who will be based in the Ministry of Health.