Tex. Fam. Code Section 154.181
Medical Support Order


(a)

The court shall render an order for the medical support of the child as provided by this section and Section 154.182 (Health Care Coverage for Child) in:

(1)

a proceeding in which periodic payments of child support are ordered under this chapter or modified under Chapter 156 (Modification);

(2)

any other suit affecting the parent-child relationship in which the court determines that medical support of the child must be established, modified, or clarified; or

(3)

a proceeding under Chapter 159 (Uniform Interstate Family Support Act).

(b)

Before a hearing on temporary orders or a final order, if no hearing on temporary orders is held, the court shall require the parties to the proceedings to disclose in a pleading or other statement:

(1)

if private health insurance is in effect for the child, the identity of the insurance company providing the coverage, the policy number, which parent is responsible for payment of any insurance premium for the coverage, whether the coverage is provided through a parent’s employment, and the cost of the premium; or

(2)

if private health insurance is not in effect for the child, whether:

(A)

the child is receiving medical assistance under Chapter 32 (Medical Assistance Program), Human Resources Code;

(B)

the child is receiving health benefits coverage under the state child health plan under Chapter 62 (Child Health Plan for Certain Low-income Children), Health and Safety Code, and the cost of any premium; and

(C)

either parent has access to private health insurance at reasonable cost to the obligor.

(c)

In rendering temporary orders, the court shall, except for good cause shown, order that any health insurance coverage in effect for the child continue in effect pending the rendition of a final order, except that the court may not require the continuation of any health insurance that is not available to the parent at reasonable cost to the obligor. If there is no health insurance coverage in effect for the child or if the insurance in effect is not available at a reasonable cost to the obligor, the court shall, except for good cause shown, order health care coverage for the child as provided under Section 154.182 (Health Care Coverage for Child).

(d)

On rendering a final order the court shall:

(1)

make specific findings with respect to the manner in which health care coverage is to be provided for the child, in accordance with the priorities identified under Section 154.182 (Health Care Coverage for Child); and

(2)

except for good cause shown or on agreement of the parties, require the parent ordered to provide health care coverage for the child as provided under Section 154.182 (Health Care Coverage for Child) to produce evidence to the court’s satisfaction that the parent has applied for or secured health insurance or has otherwise taken necessary action to provide for health care coverage for the child, as ordered by the court.

(e)

In this section, “reasonable cost” means the cost of health insurance coverage for a child that does not exceed nine percent of the obligor’s annual resources, as described by Section 154.062 (Net Resources)(b), if the obligor is responsible under a medical support order for the cost of health insurance coverage for only one child. If the obligor is responsible under a medical support order for the cost of health insurance coverage for more than one child, “reasonable cost” means the total cost of health insurance coverage for all children for which the obligor is responsible under a medical support order that does not exceed nine percent of the obligor’s annual resources, as described by Section 154.062 (Net Resources)(b).
Added by Acts 1995, 74th Leg., ch. 20, Sec. 1, eff. April 20, 1995. Amended by Acts 2001, 77th Leg., ch. 449, Sec. 1, eff. June 5, 2001; Acts 2003, 78th Leg., ch. 610, Sec. 1, eff. Sept. 1, 2003.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 363 (S.B. 303), Sec. 2, eff. September 1, 2007.
Acts 2009, 81st Leg., R.S., Ch. 767 (S.B. 865), Sec. 7, eff. June 19, 2009.

Source: Section 154.181 — Medical Support Order, https://statutes.­capitol.­texas.­gov/Docs/FA/htm/FA.­154.­htm#154.­181 (accessed Apr. 13, 2024).

154.001
Support of Child
154.002
Child Support Through High School Graduation
154.003
Manner of Payment
154.004
Place of Payment
154.005
Payments of Support Obligation by Trust
154.006
Termination of Duty of Support
154.007
Order to Withhold Child Support from Income
154.008
Provision for Medical Support and Dental Support
154.009
Retroactive Child Support
154.010
No Discrimination Based on Marital Status of Parents or Sex
154.011
Support Not Conditioned on Possession or Access
154.012
Support Paid in Excess of Support Order
154.013
Continuation of Duty to Pay Support After Death of Obligee
154.014
Payments in Excess of Court-ordered Amount
154.015
Acceleration of Unpaid Child Support Obligation
154.016
Provision of Support in Event of Death of Parent
154.017
Employment Services-related Orders for Unemployed and Underemployed Obligors
154.061
Computing Net Monthly Income
154.062
Net Resources
154.063
Party to Furnish Information
154.064
Medical Support and Dental Support for Child Presumptively Provided by Obligor
154.065
Self-employment Income
154.066
Intentional Unemployment or Underemployment
154.067
Deemed Income
154.068
Wage and Salary Presumption
154.069
Net Resources of Spouse
154.070
Child Support Received by Obligor
154.121
Guidelines for the Support of a Child
154.122
Application of Guidelines Rebuttably Presumed in Best Interest of Child
154.123
Additional Factors for Court to Consider
154.124
Agreement Concerning Support
154.125
Application of Guidelines to Net Resources
154.126
Application of Guidelines to Additional Net Resources
154.127
Partial Termination of Support Obligation
154.128
Computing Support for Children in More than One Household
154.129
Alternative Method of Computing Support for Children in More than One Household
154.130
Findings in Child Support Order
154.131
Retroactive Child Support
154.132
Application of Guidelines to Children of Certain Disabled Obligors
154.133
Application of Guidelines to Children of Obligors Receiving Social Security
154.181
Medical Support Order
154.182
Health Care Coverage for Child
154.183
Medical and Dental Support Additional Support Duty of Obligor
154.184
Effect of Order
154.185
Parent to Furnish Information
154.186
Notice to Employer Concerning Medical Support or Dental Support
154.187
Duties of Employer
154.188
Failure to Provide or Pay for Required Health Insurance or Dental Insurance
154.189
Notice of Termination or Lapse of Insurance Coverage
154.190
Reenrolling Child for Insurance Coverage
154.191
Remedy Not Exclusive
154.192
Cancellation or Elimination of Insurance Coverage for Child
154.193
Medical Support Order or Dental Support Order Not Qualified
154.241
Local Registry
154.242
Payment or Transfer of Child Support Payments by Electronic Funds Transfer
154.243
Production of Child Support Payment Record
154.301
Definitions
154.302
Court-ordered Support for Disabled Child
154.303
Standing to Sue
154.304
General Procedure
154.305
Specific Procedures
154.307
Modification and Enforcement
154.308
Remedy Not Exclusive
154.309
Possession of or Access to Adult Disabled Child
154.0655
Imputation of Income
154.1815
Dental Support Order
154.1825
Dental Care Coverage for Child
154.1826
Health Care Program for Certain Children in Title Iv-d Cases
154.1827
Administrative Adjustment of Medical Support Order

Accessed:
Apr. 13, 2024

§ 154.181’s source at texas​.gov