For decades, sperm donation in the United States has existed at the intersection of biology, medicine, ethics, and, increasingly, law. While the science of reproduction has advanced rapidly, regulation has often lagged, leaving families, donors, and professionals navigating a system built for a very different era. That gap is beginning to close. Across the U.S., conversations about donor conception are shifting from whether oversight should evolve to how it should, and who should be at the...