NPRM: Child Support Enforcement Program Medical Support
SUPERSEDED BY: AT-08-08
DATE: September 20, 2006
TO: State and Tribal Agencies Administrating Child Support Enforcement Plans under Title IV-D of the Social Security Act and Other Interested Individuals
SUBJECT: Notice of Proposed Rulemaking: Child Support Enforcement Program Medical Support
ATTACHMENT: Attached is a Notice of Proposed Rulemaking, published in the Federal Register on September 20, 2006 (71 FR 54965), which prescribes requirements for the Child Support Enforcement Program to address medical support coverage in IV-D cases.
SUMMARY: This proposed rule:
- defines cash medical support;
- requires that all support orders in the IV-D program address medical support;
- requires that States consider health insurance available to either parent;
- redefines health insurance that is available at "reasonable cost";
- requires health insurance coverage to be "accessible";
- establishes a priority for satisfaction of child and medical support responsibility;
- allows States to close child-only Medicaid cases under certain circumstances; and
- makes changes to Federal substantial-compliance audit and State self-assessment to address medical support requirements.
REFERENCES: 45 CFR Parts 302, 303, 304, 305, and 308
COMMENTS: Consideration will be given to comments received by November 20, 2006. Address comments to: Office of Child Support Enforcement, Administration for Children and Families, 370 L'Enfant Promenade, SW, 7th Floor, Washington, DC 20447, Attention: Director, Division of Policy, Mail Stop: OCSE/DP.
INQUIRES: ACF OCSE Regional Program Managers
Office of Child Support Enforcement
- NPRM on Medical Child Support.pdf (92.73 KB)