AT-06-04, Notice of Proposed Rulemaking: Child Support Enforcement Program Medical Support

ACTION TRANSMITTAL

AT-06-04

SUPERSEDED BY: AT-08-08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. You may also transmit written comments electronically to tgmiller@acf.hhs.gov.

INQUIRES: ACF OCSE Regional Program Managers

Margot Bean
Commissioner
Office of Child Support Enforcement