1 | 1 | | 83R30035 KKA-F |
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2 | 2 | | By: Uresti S.B. No. 774 |
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3 | 3 | | (Guillen) |
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4 | 4 | | Substitute the following for S.B. No. 774: No. |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to requiring dental support for a child subject to a child |
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10 | 10 | | support order. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Subsection (e), Section 54.06, Family Code, is |
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13 | 13 | | amended to read as follows: |
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14 | 14 | | (e) The court shall apply the child support guidelines under |
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15 | 15 | | Subchapter C, Chapter 154, in an order requiring the payment of |
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16 | 16 | | child support under this section. The court shall also require in |
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17 | 17 | | an order to pay child support under this section that health |
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18 | 18 | | insurance and dental insurance be provided for the child. |
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19 | 19 | | Subchapter D, Chapter 154, applies to an order requiring health |
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20 | 20 | | insurance and dental insurance for a child under this section. |
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21 | 21 | | SECTION 2. Section 101.006, Family Code, is amended to read |
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22 | 22 | | as follows: |
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23 | 23 | | Sec. 101.006. CHILD SUPPORT SERVICES. "Child support |
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24 | 24 | | services" means administrative or court actions to: |
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25 | 25 | | (1) establish paternity; |
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26 | 26 | | (2) establish, modify, or enforce child support, [or] |
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27 | 27 | | medical support, or dental support obligations; |
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28 | 28 | | (3) locate absent parents; or |
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29 | 29 | | (4) cooperate with other states in these actions and |
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30 | 30 | | any other action authorized or required under Part D of Title IV of |
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31 | 31 | | the federal Social Security Act (42 U.S.C. Section 651 et seq.) or |
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32 | 32 | | Chapter 231. |
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33 | 33 | | SECTION 3. Chapter 101, Family Code, is amended by adding |
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34 | 34 | | Sections 101.0094 and 101.0095 to read as follows: |
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35 | 35 | | Sec. 101.0094. DENTAL INSURANCE. "Dental insurance" means |
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36 | 36 | | insurance coverage that provides preventive dental care and other |
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37 | 37 | | dental services, including usual dentist services, office visits, |
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38 | 38 | | examinations, X-rays, and emergency services, that may be provided |
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39 | 39 | | through a single service health maintenance organization or other |
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40 | 40 | | private or public organization. |
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41 | 41 | | Sec. 101.0095. DENTAL SUPPORT. "Dental support" means |
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42 | 42 | | periodic payments or a lump-sum payment made under an order to cover |
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43 | 43 | | dental expenses, including dental insurance coverage, incurred for |
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44 | 44 | | the benefit of a child. |
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45 | 45 | | SECTION 4. Section 101.012, Family Code, is amended to read |
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46 | 46 | | as follows: |
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47 | 47 | | Sec. 101.012. EMPLOYER. "Employer" means a person, |
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48 | 48 | | corporation, partnership, workers' compensation insurance carrier, |
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49 | 49 | | governmental entity, the United States, or any other entity that |
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50 | 50 | | pays or owes earnings to an individual. The term includes, for the |
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51 | 51 | | purposes of enrolling dependents in a group health or dental |
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52 | 52 | | insurance plan, a union, trade association, or other similar |
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53 | 53 | | organization. |
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54 | 54 | | SECTION 5. Subsection (b), Section 101.024, Family Code, is |
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55 | 55 | | amended to read as follows: |
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56 | 56 | | (b) For purposes of establishing, determining the terms of, |
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57 | 57 | | modifying, or enforcing an order, a reference in this title to a |
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58 | 58 | | parent includes a person ordered to pay child support under Section |
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59 | 59 | | 154.001(a-1) or to provide medical support or dental support for a |
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60 | 60 | | child. |
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61 | 61 | | SECTION 6. Section 101.034, Family Code, is amended to read |
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62 | 62 | | as follows: |
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63 | 63 | | Sec. 101.034. TITLE IV-D CASE. "Title IV-D case" means an |
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64 | 64 | | action in which services are provided by the Title IV-D agency under |
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65 | 65 | | Part D, Title IV, of the federal Social Security Act (42 U.S.C. |
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66 | 66 | | Section 651 et seq.), relating to the location of an absent parent, |
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67 | 67 | | determination of parentage, or establishment, modification, or |
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68 | 68 | | enforcement of a child support, [or] medical support, or dental |
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69 | 69 | | support obligation. |
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70 | 70 | | SECTION 7. Section 153.611, Family Code, is amended to read |
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71 | 71 | | as follows: |
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72 | 72 | | Sec. 153.611. EXCEPTION FOR CERTAIN TITLE IV-D PROCEEDINGS. |
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73 | 73 | | Notwithstanding any other provision of this subchapter, this |
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74 | 74 | | subchapter does not apply to a proceeding in a Title IV-D case |
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75 | 75 | | relating to the determination of parentage or establishment, |
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76 | 76 | | modification, or enforcement of a child support, [or] medical |
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77 | 77 | | support, or dental support obligation. |
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78 | 78 | | SECTION 8. Section 154.008, Family Code, is amended to read |
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79 | 79 | | as follows: |
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80 | 80 | | Sec. 154.008. PROVISION FOR MEDICAL SUPPORT AND DENTAL |
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81 | 81 | | SUPPORT. The court shall order medical support and dental support |
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82 | 82 | | for the child as provided by Subchapters B and D. |
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83 | 83 | | SECTION 9. Subsection (c), Section 154.015, Family Code, is |
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84 | 84 | | amended to read as follows: |
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85 | 85 | | (c) For purposes of this section, the court of continuing |
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86 | 86 | | jurisdiction shall determine the amount of the unpaid child support |
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87 | 87 | | obligation for each child of the deceased obligor. In determining |
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88 | 88 | | the amount of the unpaid child support obligation, the court shall |
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89 | 89 | | consider all relevant factors, including: |
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90 | 90 | | (1) the present value of the total amount of monthly |
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91 | 91 | | periodic child support payments that would become due between the |
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92 | 92 | | month in which the obligor dies and the month in which the child |
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93 | 93 | | turns 18 years of age, based on the amount of the periodic monthly |
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94 | 94 | | child support payments under the child support order in effect on |
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95 | 95 | | the date of the obligor's death; |
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96 | 96 | | (2) the present value of the total amount of health |
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97 | 97 | | insurance and dental insurance premiums payable for the benefit of |
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98 | 98 | | the child from the month in which the obligor dies until the month |
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99 | 99 | | in which the child turns 18 years of age, based on the cost of health |
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100 | 100 | | insurance and dental insurance for the child ordered to be paid on |
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101 | 101 | | the date of the obligor's death; |
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102 | 102 | | (3) in the case of a disabled child under 18 years of |
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103 | 103 | | age or an adult disabled child, an amount to be determined by the |
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104 | 104 | | court under Section 154.306; |
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105 | 105 | | (4) the nature and amount of any benefit to which the |
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106 | 106 | | child would be entitled as a result of the obligor's death, |
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107 | 107 | | including life insurance proceeds, annuity payments, trust |
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108 | 108 | | distributions, social security death benefits, and retirement |
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109 | 109 | | survivor benefits; and |
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110 | 110 | | (5) any other financial resource available for the |
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111 | 111 | | support of the child. |
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112 | 112 | | SECTION 10. Subsection (b), Section 154.016, Family Code, |
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113 | 113 | | is amended to read as follows: |
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114 | 114 | | (b) In determining the nature and extent of the obligation |
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115 | 115 | | to provide for the support of the child in the event of the death of |
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116 | 116 | | the obligor, the court shall consider all relevant factors, |
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117 | 117 | | including: |
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118 | 118 | | (1) the present value of the total amount of monthly |
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119 | 119 | | periodic child support payments from the date the child support |
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120 | 120 | | order is rendered until the month in which the child turns 18 years |
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121 | 121 | | of age, based on the amount of the periodic monthly child support |
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122 | 122 | | payment under the child support order; |
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123 | 123 | | (2) the present value of the total amount of health |
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124 | 124 | | insurance and dental insurance premiums payable for the benefit of |
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125 | 125 | | the child from the date the child support order is rendered until |
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126 | 126 | | the month in which the child turns 18 years of age, based on the cost |
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127 | 127 | | of health insurance and dental insurance for the child ordered to be |
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128 | 128 | | paid; and |
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129 | 129 | | (3) in the case of a disabled child under 18 years of |
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130 | 130 | | age or an adult disabled child, an amount to be determined by the |
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131 | 131 | | court under Section 154.306. |
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132 | 132 | | SECTION 11. Subsections (d) and (e), Section 154.062, |
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133 | 133 | | Family Code, are amended to read as follows: |
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134 | 134 | | (d) The court shall deduct the following items from |
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135 | 135 | | resources to determine the net resources available for child |
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136 | 136 | | support: |
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137 | 137 | | (1) social security taxes; |
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138 | 138 | | (2) federal income tax based on the tax rate for a |
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139 | 139 | | single person claiming one personal exemption and the standard |
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140 | 140 | | deduction; |
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141 | 141 | | (3) state income tax; |
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142 | 142 | | (4) union dues; |
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143 | 143 | | (5) expenses for the cost of health insurance, dental |
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144 | 144 | | insurance, or cash medical support for the obligor's child ordered |
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145 | 145 | | by the court under Sections [Section] 154.182 and 154.1825; and |
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146 | 146 | | (6) if the obligor does not pay social security taxes, |
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147 | 147 | | nondiscretionary retirement plan contributions. |
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148 | 148 | | (e) In calculating the amount of the deduction for health |
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149 | 149 | | care or dental coverage for a child under Subsection (d)(5), if the |
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150 | 150 | | obligor has other minor dependents covered under the same health or |
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151 | 151 | | dental insurance plan, the court shall divide the total cost to the |
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152 | 152 | | obligor for the insurance by the total number of minor dependents, |
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153 | 153 | | including the child, covered under the plan. |
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154 | 154 | | SECTION 12. Section 154.064, Family Code, is amended to |
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155 | 155 | | read as follows: |
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156 | 156 | | Sec. 154.064. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD |
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157 | 157 | | PRESUMPTIVELY PROVIDED BY OBLIGOR. The guidelines for support of a |
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158 | 158 | | child are based on the assumption that the court will order the |
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159 | 159 | | obligor to provide medical support and dental support for the child |
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160 | 160 | | in addition to the amount of child support calculated in accordance |
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161 | 161 | | with those guidelines. |
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162 | 162 | | SECTION 13. The heading to Subchapter D, Chapter 154, |
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163 | 163 | | Family Code, is amended to read as follows: |
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164 | 164 | | SUBCHAPTER D. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD |
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165 | 165 | | SECTION 14. Subchapter D, Chapter 154, Family Code, is |
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166 | 166 | | amended by adding Section 154.1815 to read as follows: |
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167 | 167 | | Sec. 154.1815. DENTAL SUPPORT ORDER. (a) In this section, |
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168 | 168 | | "reasonable cost" means the cost of a dental insurance premium that |
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169 | 169 | | does not exceed 1.5 percent of the obligor's annual resources, as |
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170 | 170 | | described by Section 154.062(b), if the obligor is responsible |
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171 | 171 | | under a dental support order for the cost of dental insurance |
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172 | 172 | | coverage for only one child. If the obligor is responsible under a |
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173 | 173 | | dental support order for the cost of dental insurance coverage for |
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174 | 174 | | more than one child, "reasonable cost" means the total cost of |
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175 | 175 | | dental insurance coverage for all children for which the obligor is |
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176 | 176 | | responsible under a dental support order that does not exceed 1.5 |
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177 | 177 | | percent of the obligor's annual resources, as described by Section |
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178 | 178 | | 154.062(b). |
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179 | 179 | | (b) In a suit affecting the parent-child relationship or in |
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180 | 180 | | a proceeding under Chapter 159, the court shall render an order for |
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181 | 181 | | the dental support of the child as provided by this section and |
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182 | 182 | | Section 154.1825. |
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183 | 183 | | (c) Before a hearing on temporary orders, or a final order |
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184 | 184 | | if no hearing on temporary orders is held, the court shall require |
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185 | 185 | | the parties to the proceedings to disclose in a pleading or other |
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186 | 186 | | document whether the child is covered by dental insurance and, if |
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187 | 187 | | the child is covered, the identity of the insurer providing the |
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188 | 188 | | coverage, the policy number, which parent is responsible for |
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189 | 189 | | payment of any insurance premium for the coverage, whether the |
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190 | 190 | | coverage is provided through a parent's employment, and the cost of |
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191 | 191 | | the premium. If dental insurance is not in effect for the child, |
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192 | 192 | | the parties must disclose to the court whether either parent has |
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193 | 193 | | access to dental insurance at a reasonable cost to the obligor. |
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194 | 194 | | (d) In rendering temporary orders, the court shall, except |
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195 | 195 | | for good cause shown, order that any dental insurance coverage in |
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196 | 196 | | effect for the child continue in effect pending the rendition of a |
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197 | 197 | | final order, except that the court may not require the continuation |
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198 | 198 | | of any dental insurance that is not available to the parent at a |
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199 | 199 | | reasonable cost to the obligor. If dental insurance coverage is not |
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200 | 200 | | in effect for the child or if the insurance in effect is not |
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201 | 201 | | available at a reasonable cost to the obligor, the court shall, |
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202 | 202 | | except for good cause shown, order dental insurance coverage for |
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203 | 203 | | the child as provided by Section 154.1825. |
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204 | 204 | | (e) On rendering a final order the court shall: |
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205 | 205 | | (1) make specific findings with respect to the manner |
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206 | 206 | | in which dental insurance coverage is to be provided for the child, |
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207 | 207 | | in accordance with the priorities identified under Section |
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208 | 208 | | 154.1825; and |
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209 | 209 | | (2) except for good cause shown or on agreement of the |
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210 | 210 | | parties, require the parent ordered to provide dental insurance |
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211 | 211 | | coverage for the child as provided by Section 154.1825 to produce |
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212 | 212 | | evidence to the court's satisfaction that the parent has applied |
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213 | 213 | | for or secured dental insurance or has otherwise taken necessary |
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214 | 214 | | action to provide for dental insurance coverage for the child, as |
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215 | 215 | | ordered by the court. |
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216 | 216 | | SECTION 15. Subchapter D, Chapter 154, Family Code, is |
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217 | 217 | | amended by adding Section 154.1825 to read as follows: |
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218 | 218 | | Sec. 154.1825. DENTAL CARE COVERAGE FOR CHILD. (a) In |
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219 | 219 | | this section: |
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220 | 220 | | (1) "Accessibility" means the extent to which dental |
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221 | 221 | | insurance coverage for a child provides for the availability of |
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222 | 222 | | dental care within a reasonable traveling distance and time from |
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223 | 223 | | the child's primary residence, as determined by the court. |
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224 | 224 | | (2) "Reasonable cost" has the meaning assigned by |
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225 | 225 | | Section 154.1815(a). |
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226 | 226 | | (b) The court shall consider the cost, accessibility, and |
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227 | 227 | | quality of dental insurance coverage available to the parties and |
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228 | 228 | | shall give priority to dental insurance coverage available through |
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229 | 229 | | the employment of one of the parties if the coverage is available at |
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230 | 230 | | a reasonable cost to the obligor. |
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231 | 231 | | (c) In determining the manner in which dental care coverage |
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232 | 232 | | for the child is to be ordered, the court shall render its order in |
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233 | 233 | | accordance with the following priorities, unless a party shows good |
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234 | 234 | | cause why a particular order is not in the best interest of the |
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235 | 235 | | child: |
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236 | 236 | | (1) if dental insurance is available for the child |
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237 | 237 | | through a parent's employment or membership in a union, trade |
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238 | 238 | | association, or other organization at reasonable cost, the court |
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239 | 239 | | shall order that parent to include the child in the parent's dental |
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240 | 240 | | insurance; or |
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241 | 241 | | (2) if dental insurance is not available for the child |
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242 | 242 | | under Subdivision (1) but is available to a parent from another |
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243 | 243 | | source and at a reasonable cost, the court may order that parent to |
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244 | 244 | | provide dental insurance for the child. |
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245 | 245 | | (d) If the parent ordered to provide dental insurance under |
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246 | 246 | | Subsection (c)(1) or (2) is the obligee, the court shall order the |
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247 | 247 | | obligor to pay the obligee, as additional child support, an amount |
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248 | 248 | | equal to the actual cost of dental insurance for the child, but not |
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249 | 249 | | to exceed a reasonable cost to the obligor. In calculating the |
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250 | 250 | | actual cost of dental insurance for the child, if the obligee has |
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251 | 251 | | other minor dependents covered under the same dental insurance |
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252 | 252 | | plan, the court shall divide the total cost to the obligee for the |
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253 | 253 | | insurance by the total number of minor dependents, including the |
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254 | 254 | | child covered under the plan. |
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255 | 255 | | SECTION 16. Section 154.183, Family Code, is amended to |
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256 | 256 | | read as follows: |
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257 | 257 | | Sec. 154.183. MEDICAL AND DENTAL SUPPORT ADDITIONAL SUPPORT |
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258 | 258 | | DUTY OF OBLIGOR. (a) An amount that an obligor is ordered to pay |
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259 | 259 | | as medical support or dental support for the child under this |
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260 | 260 | | chapter, including the costs of health insurance coverage or cash |
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261 | 261 | | medical support under Section 154.182 and the costs of dental |
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262 | 262 | | insurance under Section 154.1825: |
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263 | 263 | | (1) is in addition to the amount that the obligor is |
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264 | 264 | | required to pay for child support under the guidelines for child |
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265 | 265 | | support; |
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266 | 266 | | (2) is a child support obligation; and |
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267 | 267 | | (3) may be enforced by any means available for the |
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268 | 268 | | enforcement of child support, including withholding from earnings |
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269 | 269 | | under Chapter 158. |
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270 | 270 | | (b) If the court finds and states in the child support order |
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271 | 271 | | that the obligee will maintain health insurance coverage, dental |
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272 | 272 | | insurance coverage, or both, for the child at the obligee's |
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273 | 273 | | expense, the court shall increase the amount of child support to be |
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274 | 274 | | paid by the obligor in an amount not exceeding the actual cost to |
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275 | 275 | | the obligee for maintaining the [health insurance] coverage, as |
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276 | 276 | | provided under Sections [Section] 154.182(b-1) and 154.1825(d). |
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277 | 277 | | (c) As additional child support, the court shall allocate |
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278 | 278 | | between the parties, according to their circumstances: |
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279 | 279 | | (1) the reasonable and necessary health care expenses, |
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280 | 280 | | including vision and dental expenses, of the child that are not |
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281 | 281 | | reimbursed by health or dental insurance or are not otherwise |
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282 | 282 | | covered by the amount of cash medical support ordered under Section |
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283 | 283 | | 154.182 [154.182(b)(3)]; and |
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284 | 284 | | (2) amounts paid by either party as deductibles or |
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285 | 285 | | copayments in obtaining health care or dental care services for the |
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286 | 286 | | child covered under a health insurance or dental insurance policy. |
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287 | 287 | | SECTION 17. Subsections (a) and (b), Section 154.184, |
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288 | 288 | | Family Code, are amended to read as follows: |
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289 | 289 | | (a) Receipt of a medical support order requiring that health |
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290 | 290 | | insurance be provided for a child or a dental support order |
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291 | 291 | | requiring that dental insurance be provided for a child shall be |
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292 | 292 | | considered a change in the family circumstances of the employee or |
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293 | 293 | | member, for health insurance purposes and dental insurance |
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294 | 294 | | purposes, equivalent to the birth or adoption of a child. |
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295 | 295 | | (b) If the employee or member is eligible for dependent |
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296 | 296 | | health coverage or dependent dental coverage, the employer shall |
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297 | 297 | | automatically enroll the child for the first 31 days after the |
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298 | 298 | | receipt of the order or notice of the medical support order or the |
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299 | 299 | | dental support order under Section 154.186 on the same terms and |
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300 | 300 | | conditions as apply to any other dependent child. |
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301 | 301 | | SECTION 18. Section 154.185, Family Code, is amended to |
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302 | 302 | | read as follows: |
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303 | 303 | | Sec. 154.185. PARENT TO FURNISH INFORMATION. (a) The |
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304 | 304 | | court shall order a parent providing health insurance or dental |
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305 | 305 | | insurance to furnish to either the obligee, obligor, or child |
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306 | 306 | | support agency the following information not later than the 30th |
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307 | 307 | | day after the date the notice of rendition of the order is received: |
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308 | 308 | | (1) the social security number of the parent; |
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309 | 309 | | (2) the name and address of the parent's employer; |
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310 | 310 | | (3) with regard to health insurance: |
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311 | 311 | | (A) whether the employer is self-insured or has |
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312 | 312 | | health insurance available; |
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313 | 313 | | (B) [(4)] proof that health insurance has been |
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314 | 314 | | provided for the child; |
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315 | 315 | | (C) [(5)] if the employer has health insurance |
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316 | 316 | | available, the name of the health insurance carrier, the number of |
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317 | 317 | | the policy, a copy of the policy and schedule of benefits, a health |
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318 | 318 | | insurance membership card, claim forms, and any other information |
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319 | 319 | | necessary to submit a claim; and |
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320 | 320 | | (D) [(6)] if the employer is self-insured, a copy |
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321 | 321 | | of the schedule of benefits, a membership card, claim forms, and any |
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322 | 322 | | other information necessary to submit a claim; and |
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323 | 323 | | (4) with regard to dental insurance: |
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324 | 324 | | (A) whether the employer is self-insured or has |
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325 | 325 | | dental insurance available; |
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326 | 326 | | (B) proof that dental insurance has been provided |
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327 | 327 | | for the child; |
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328 | 328 | | (C) if the employer has dental insurance |
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329 | 329 | | available, the name of the dental insurance carrier, the number of |
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330 | 330 | | the policy, a copy of the policy and schedule of benefits, a dental |
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331 | 331 | | insurance membership card, claim forms, and any other information |
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332 | 332 | | necessary to submit a claim; and |
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333 | 333 | | (D) if the employer is self-insured, a copy of |
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334 | 334 | | the schedule of benefits, a membership card, claim forms, and any |
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335 | 335 | | other information necessary to submit a claim. |
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336 | 336 | | (b) The court shall also order a parent providing health |
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337 | 337 | | insurance or dental insurance to furnish the obligor, obligee, or |
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338 | 338 | | child support agency with additional information regarding the |
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339 | 339 | | health insurance coverage or dental insurance coverage not later |
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340 | 340 | | than the 15th day after the date the information is received by the |
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341 | 341 | | parent. |
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342 | 342 | | SECTION 19. The heading to Section 154.186, Family Code, is |
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343 | 343 | | amended to read as follows: |
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344 | 344 | | Sec. 154.186. NOTICE TO EMPLOYER CONCERNING MEDICAL SUPPORT |
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345 | 345 | | OR DENTAL SUPPORT. |
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346 | 346 | | SECTION 20. Subsection (a), Section 154.186, Family Code, |
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347 | 347 | | is amended to read as follows: |
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348 | 348 | | (a) The obligee, obligor, or a child support agency of this |
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349 | 349 | | state or another state may send to the employer a copy of the order |
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350 | 350 | | requiring an employee to provide health insurance coverage or |
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351 | 351 | | dental insurance coverage for a child or may include notice of the |
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352 | 352 | | medical support order or dental support order in an order or writ of |
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353 | 353 | | withholding sent to the employer in accordance with Chapter 158. |
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354 | 354 | | SECTION 21. Subsections (a), (b), (c), (d), (e), and (g), |
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355 | 355 | | Section 154.187, Family Code, are amended to read as follows: |
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356 | 356 | | (a) An order or notice under this subchapter to an employer |
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357 | 357 | | directing that health insurance coverage or dental insurance |
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358 | 358 | | coverage be provided to a child of an employee or member is binding |
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359 | 359 | | on a current or subsequent employer on receipt without regard to the |
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360 | 360 | | date the order was rendered. If the employee or member is eligible |
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361 | 361 | | for dependent health coverage or dental coverage for the child, the |
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362 | 362 | | employer shall immediately enroll the child in a health insurance |
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363 | 363 | | plan or dental insurance plan regardless of whether the employee is |
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364 | 364 | | enrolled in the plan. If dependent coverage is not available to the |
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365 | 365 | | employee or member through the employer's health insurance plan or |
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366 | 366 | | dental insurance plan or enrollment cannot be made permanent or if |
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367 | 367 | | the employer is not responsible or otherwise liable for providing |
---|
368 | 368 | | such coverage, the employer shall provide notice to the sender in |
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369 | 369 | | accordance with Subsection (c). |
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370 | 370 | | (b) If additional premiums are incurred as a result of |
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371 | 371 | | adding the child to the health insurance plan or the dental |
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372 | 372 | | insurance plan, the employer shall deduct the health insurance |
---|
373 | 373 | | premium or the dental insurance premium from the earnings of the |
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374 | 374 | | employee in accordance with Chapter 158 and apply the amount |
---|
375 | 375 | | withheld to payment of the insurance premium. |
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376 | 376 | | (c) An employer who has received an order or notice under |
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377 | 377 | | this subchapter shall provide to the sender, by first class mail not |
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378 | 378 | | later than the 40th day after the date the employer receives the |
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379 | 379 | | order or notice, a statement that the child: |
---|
380 | 380 | | (1) has been enrolled in the employer's health |
---|
381 | 381 | | insurance plan or dental insurance plan, or is already enrolled in |
---|
382 | 382 | | another health insurance plan or dental insurance plan in |
---|
383 | 383 | | accordance with a previous child support, [or] medical support, or |
---|
384 | 384 | | dental support order to which the employee is subject; or |
---|
385 | 385 | | (2) cannot be enrolled or cannot be enrolled |
---|
386 | 386 | | permanently in the employer's health insurance plan or dental |
---|
387 | 387 | | insurance plan and provide the reason why coverage or permanent |
---|
388 | 388 | | coverage cannot be provided. |
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389 | 389 | | (d) If the employee ceases employment or if the health |
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390 | 390 | | insurance coverage or dental insurance coverage lapses, the |
---|
391 | 391 | | employer shall provide to the sender, by first class mail not later |
---|
392 | 392 | | than the 15th day after the date of the termination of employment or |
---|
393 | 393 | | the lapse of the coverage, notice of the termination or lapse and of |
---|
394 | 394 | | the availability of any conversion privileges. |
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395 | 395 | | (e) On request, the employer shall release to the sender |
---|
396 | 396 | | information concerning the available health insurance coverage or |
---|
397 | 397 | | dental insurance coverage, including the name of the health |
---|
398 | 398 | | insurance carrier or dental insurance carrier, the policy number, a |
---|
399 | 399 | | copy of the policy and schedule of benefits, a health insurance or |
---|
400 | 400 | | dental insurance membership card, and claim forms. |
---|
401 | 401 | | (g) An employer who fails to enroll a child, fails to |
---|
402 | 402 | | withhold or remit premiums or cash medical support, or |
---|
403 | 403 | | discriminates in hiring or employment on the basis of a medical |
---|
404 | 404 | | support order or notice or a dental support order or notice under |
---|
405 | 405 | | this subchapter shall be subject to the penalties and fines in |
---|
406 | 406 | | Subchapter C, Chapter 158. |
---|
407 | 407 | | SECTION 22. Section 154.188, Family Code, is amended to |
---|
408 | 408 | | read as follows: |
---|
409 | 409 | | Sec. 154.188. FAILURE TO PROVIDE OR PAY FOR REQUIRED HEALTH |
---|
410 | 410 | | INSURANCE OR DENTAL INSURANCE. A parent ordered to provide health |
---|
411 | 411 | | insurance or dental insurance or to pay the other parent additional |
---|
412 | 412 | | child support for the cost of health insurance or dental insurance |
---|
413 | 413 | | who fails to do so is liable for: |
---|
414 | 414 | | (1) necessary medical expenses or dental expenses of |
---|
415 | 415 | | the child, without regard to whether the expenses would have been |
---|
416 | 416 | | paid if health insurance or dental insurance had been provided; and |
---|
417 | 417 | | (2) the cost of health insurance premiums, dental |
---|
418 | 418 | | insurance premiums, or contributions, if any, paid on behalf of the |
---|
419 | 419 | | child. |
---|
420 | 420 | | SECTION 23. Section 154.189, Family Code, is amended to |
---|
421 | 421 | | read as follows: |
---|
422 | 422 | | Sec. 154.189. NOTICE OF TERMINATION OR LAPSE OF INSURANCE |
---|
423 | 423 | | COVERAGE. (a) An obligor ordered to provide health insurance |
---|
424 | 424 | | coverage or dental insurance coverage for a child must notify the |
---|
425 | 425 | | obligee and any child support agency enforcing a support obligation |
---|
426 | 426 | | against the obligor of the: |
---|
427 | 427 | | (1) termination or lapse of health insurance coverage |
---|
428 | 428 | | or dental insurance coverage for the child not later than the 15th |
---|
429 | 429 | | day after the date of a termination or lapse; and |
---|
430 | 430 | | (2) availability of additional health insurance or |
---|
431 | 431 | | dental insurance to the obligor for the child after a termination or |
---|
432 | 432 | | lapse of coverage not later than the 15th day after the date the |
---|
433 | 433 | | insurance becomes available. |
---|
434 | 434 | | (b) If termination of coverage results from a change of |
---|
435 | 435 | | employers, the obligor, the obligee, or the child support agency |
---|
436 | 436 | | may send the new employer a copy of the order requiring the employee |
---|
437 | 437 | | to provide health insurance or dental insurance for a child or |
---|
438 | 438 | | notice of the medical support order or the dental support order as |
---|
439 | 439 | | provided by this subchapter. |
---|
440 | 440 | | SECTION 24. Section 154.190, Family Code, is amended to |
---|
441 | 441 | | read as follows: |
---|
442 | 442 | | Sec. 154.190. REENROLLING CHILD FOR INSURANCE COVERAGE. |
---|
443 | 443 | | After health insurance or dental insurance has been terminated or |
---|
444 | 444 | | has lapsed, an obligor ordered to provide health insurance coverage |
---|
445 | 445 | | or dental insurance coverage for the child must enroll the child in |
---|
446 | 446 | | a health insurance plan or a dental insurance plan at the next |
---|
447 | 447 | | available enrollment period. |
---|
448 | 448 | | SECTION 25. Section 154.191, Family Code, is amended to |
---|
449 | 449 | | read as follows: |
---|
450 | 450 | | Sec. 154.191. REMEDY NOT EXCLUSIVE. (a) This subchapter |
---|
451 | 451 | | does not limit the rights of the obligor, obligee, local domestic |
---|
452 | 452 | | relations office, or Title IV-D agency to enforce, modify, or |
---|
453 | 453 | | clarify the medical support order or dental support order. |
---|
454 | 454 | | (b) This subchapter does not limit the authority of the |
---|
455 | 455 | | court to render or modify a medical support order or dental support |
---|
456 | 456 | | order to provide for payment of uninsured health expenses, health |
---|
457 | 457 | | care costs, [or] health insurance premiums, uninsured dental |
---|
458 | 458 | | expenses, dental costs, or dental insurance premiums in a manner |
---|
459 | 459 | | consistent with this subchapter. |
---|
460 | 460 | | SECTION 26. Section 154.192, Family Code, is amended to |
---|
461 | 461 | | read as follows: |
---|
462 | 462 | | Sec. 154.192. CANCELLATION OR ELIMINATION OF INSURANCE |
---|
463 | 463 | | COVERAGE FOR CHILD. [(a)] Unless the employee or member ceases to |
---|
464 | 464 | | be eligible for dependent coverage, or the employer has eliminated |
---|
465 | 465 | | dependent health coverage or dental coverage for all of the |
---|
466 | 466 | | employer's employees or members, the employer may not cancel or |
---|
467 | 467 | | eliminate coverage of a child enrolled under this subchapter until |
---|
468 | 468 | | the employer is provided satisfactory written evidence that: |
---|
469 | 469 | | (1) the court order or administrative order requiring |
---|
470 | 470 | | the coverage is no longer in effect; or |
---|
471 | 471 | | (2) the child is enrolled in comparable [health] |
---|
472 | 472 | | insurance coverage or will be enrolled in comparable coverage that |
---|
473 | 473 | | will take effect not later than the effective date of the |
---|
474 | 474 | | cancellation or elimination of the employer's coverage. |
---|
475 | 475 | | SECTION 27. The heading to Section 154.193, Family Code, is |
---|
476 | 476 | | amended to read as follows: |
---|
477 | 477 | | Sec. 154.193. MEDICAL SUPPORT ORDER OR DENTAL SUPPORT ORDER |
---|
478 | 478 | | NOT QUALIFIED. |
---|
479 | 479 | | SECTION 28. Subsection (a), Section 154.193, Family Code, |
---|
480 | 480 | | is amended to read as follows: |
---|
481 | 481 | | (a) If a plan administrator or other person acting in an |
---|
482 | 482 | | equivalent position determines that a medical support order or |
---|
483 | 483 | | dental support order issued under this subchapter does not qualify |
---|
484 | 484 | | for enforcement under federal law, the tribunal may, on its own |
---|
485 | 485 | | motion or the motion of a party, render an order that qualifies for |
---|
486 | 486 | | enforcement under federal law. |
---|
487 | 487 | | SECTION 29. Subsections (a) and (a-2), Section 156.401, |
---|
488 | 488 | | Family Code, are amended to read as follows: |
---|
489 | 489 | | (a) Except as provided by Subsection (a-1), (a-2), or (b), |
---|
490 | 490 | | the court may modify an order that provides for the support of a |
---|
491 | 491 | | child, including an order for health care coverage under Section |
---|
492 | 492 | | 154.182 or an order for dental care coverage under Section |
---|
493 | 493 | | 154.1825, if: |
---|
494 | 494 | | (1) the circumstances of the child or a person |
---|
495 | 495 | | affected by the order have materially and substantially changed |
---|
496 | 496 | | since the earlier of: |
---|
497 | 497 | | (A) the date of the order's rendition; or |
---|
498 | 498 | | (B) the date of the signing of a mediated or |
---|
499 | 499 | | collaborative law settlement agreement on which the order is based; |
---|
500 | 500 | | or |
---|
501 | 501 | | (2) it has been three years since the order was |
---|
502 | 502 | | rendered or last modified and the monthly amount of the child |
---|
503 | 503 | | support award under the order differs by either 20 percent or $100 |
---|
504 | 504 | | from the amount that would be awarded in accordance with the child |
---|
505 | 505 | | support guidelines. |
---|
506 | 506 | | (a-2) A court or administrative order for child support in a |
---|
507 | 507 | | Title IV-D case may be modified as provided under Section |
---|
508 | 508 | | 233.013(c) to provide for medical support or dental support for |
---|
509 | 509 | | [of] a child. |
---|
510 | 510 | | SECTION 30. Section 157.269, Family Code, is amended to |
---|
511 | 511 | | read as follows: |
---|
512 | 512 | | Sec. 157.269. RETENTION OF JURISDICTION. A court that |
---|
513 | 513 | | renders an order providing for the payment of child support retains |
---|
514 | 514 | | continuing jurisdiction to enforce the order, including by |
---|
515 | 515 | | adjusting the amount of the periodic payments to be made by the |
---|
516 | 516 | | obligor or the amount to be withheld from the obligor's disposable |
---|
517 | 517 | | earnings, until all current support, [and] medical support, dental |
---|
518 | 518 | | support, and child support arrearages, including interest and any |
---|
519 | 519 | | applicable fees and costs, have been paid. |
---|
520 | 520 | | SECTION 31. Subsections (a) and (b), Section 158.206, |
---|
521 | 521 | | Family Code, are amended to read as follows: |
---|
522 | 522 | | (a) An employer receiving an order or a writ of withholding |
---|
523 | 523 | | under this chapter, including an order or writ directing that |
---|
524 | 524 | | health insurance or dental insurance be provided to a child, who |
---|
525 | 525 | | complies with the order or writ is not liable to the obligor for the |
---|
526 | 526 | | amount of income withheld and paid as required by the order or writ. |
---|
527 | 527 | | (b) An employer receiving an order or writ of withholding |
---|
528 | 528 | | who does not comply with the order or writ is liable: |
---|
529 | 529 | | (1) to the obligee for the amount not paid in |
---|
530 | 530 | | compliance with the order or writ, including the amount the obligor |
---|
531 | 531 | | is required to pay for health insurance or dental insurance under |
---|
532 | 532 | | Chapter 154; |
---|
533 | 533 | | (2) to the obligor for: |
---|
534 | 534 | | (A) the amount withheld and not paid as required |
---|
535 | 535 | | by the order or writ; and |
---|
536 | 536 | | (B) an amount equal to the interest that accrues |
---|
537 | 537 | | under Section 157.265 on the amount withheld and not paid; and |
---|
538 | 538 | | (3) for reasonable attorney's fees and court costs. |
---|
539 | 539 | | SECTION 32. Section 158.302, Family Code, is amended to |
---|
540 | 540 | | read as follows: |
---|
541 | 541 | | Sec. 158.302. CONTENTS OF NOTICE OF APPLICATION FOR |
---|
542 | 542 | | JUDICIAL WRIT OF WITHHOLDING. The notice of application for |
---|
543 | 543 | | judicial writ of withholding shall be verified and: |
---|
544 | 544 | | (1) state the amount of monthly support due, including |
---|
545 | 545 | | medical support and dental support, the amount of arrearages or |
---|
546 | 546 | | anticipated arrearages, including accrued interest, and the amount |
---|
547 | 547 | | of wages that will be withheld in accordance with a judicial writ of |
---|
548 | 548 | | withholding; |
---|
549 | 549 | | (2) state that the withholding applies to each current |
---|
550 | 550 | | or subsequent employer or period of employment; |
---|
551 | 551 | | (3) state that if the obligor does not contest the |
---|
552 | 552 | | withholding within 10 days after the date of receipt of the notice, |
---|
553 | 553 | | the obligor's employer will be notified to begin the withholding; |
---|
554 | 554 | | (4) describe the procedures for contesting the |
---|
555 | 555 | | issuance and delivery of a writ of withholding; |
---|
556 | 556 | | (5) state that if the obligor contests the |
---|
557 | 557 | | withholding, the obligor will be afforded an opportunity for a |
---|
558 | 558 | | hearing by the court not later than the 30th day after the date of |
---|
559 | 559 | | receipt of the notice of contest; |
---|
560 | 560 | | (6) state that the sole ground for successfully |
---|
561 | 561 | | contesting the issuance of a writ of withholding is a dispute |
---|
562 | 562 | | concerning the identity of the obligor or the existence or amount of |
---|
563 | 563 | | the arrearages, including accrued interest; |
---|
564 | 564 | | (7) describe the actions that may be taken if the |
---|
565 | 565 | | obligor contests the notice of application for judicial writ of |
---|
566 | 566 | | withholding, including the procedures for suspending issuance of a |
---|
567 | 567 | | writ of withholding; and |
---|
568 | 568 | | (8) include with the notice a suggested form for the |
---|
569 | 569 | | motion to stay issuance and delivery of the judicial writ of |
---|
570 | 570 | | withholding that the obligor may file with the clerk of the |
---|
571 | 571 | | appropriate court. |
---|
572 | 572 | | SECTION 33. Subsection (c), Section 158.309, Family Code, |
---|
573 | 573 | | is amended to read as follows: |
---|
574 | 574 | | (c) Upon hearing, the court shall: |
---|
575 | 575 | | (1) render an order for income withholding that |
---|
576 | 576 | | includes a determination of the amount of child support arrearages, |
---|
577 | 577 | | including medical support, dental support, and interest; or |
---|
578 | 578 | | (2) grant the motion to stay. |
---|
579 | 579 | | SECTION 34. Subsection (a), Section 158.312, Family Code, |
---|
580 | 580 | | is amended to read as follows: |
---|
581 | 581 | | (a) If a notice of application for judicial writ of |
---|
582 | 582 | | withholding is delivered and a motion to stay is not filed within |
---|
583 | 583 | | the time limits provided by Section 158.307, the party who filed the |
---|
584 | 584 | | notice shall file with the clerk of the court a request for issuance |
---|
585 | 585 | | of the writ of withholding stating the amount of current support, |
---|
586 | 586 | | including medical support and dental support, the amount of |
---|
587 | 587 | | arrearages, and the amount to be withheld from the obligor's |
---|
588 | 588 | | income. |
---|
589 | 589 | | SECTION 35. Section 158.314, Family Code, is amended to |
---|
590 | 590 | | read as follows: |
---|
591 | 591 | | Sec. 158.314. CONTENTS OF WRIT OF WITHHOLDING. The |
---|
592 | 592 | | judicial writ of income withholding issued by the clerk must direct |
---|
593 | 593 | | that the employer or a subsequent employer withhold from the |
---|
594 | 594 | | obligor's disposable income for current child support, including |
---|
595 | 595 | | medical support and dental support, and child support arrearages an |
---|
596 | 596 | | amount that is consistent with the provisions of this chapter |
---|
597 | 597 | | regarding orders of withholding. |
---|
598 | 598 | | SECTION 36. Subsection (a), Section 158.502, Family Code, |
---|
599 | 599 | | is amended to read as follows: |
---|
600 | 600 | | (a) An administrative writ of withholding under this |
---|
601 | 601 | | subchapter may be issued by the Title IV-D agency at any time until |
---|
602 | 602 | | all current support, including medical support and dental support, |
---|
603 | 603 | | [and] child support arrearages, and Title IV-D service fees |
---|
604 | 604 | | authorized under Section 231.103 for which the obligor is |
---|
605 | 605 | | responsible[,] have been paid. The writ issued under this |
---|
606 | 606 | | subsection may be based on an obligation in more than one support |
---|
607 | 607 | | order. |
---|
608 | 608 | | SECTION 37. Subsection (b), Section 158.504, Family Code, |
---|
609 | 609 | | is amended to read as follows: |
---|
610 | 610 | | (b) An administrative writ of withholding issued under this |
---|
611 | 611 | | subchapter may contain only the information that is necessary for |
---|
612 | 612 | | the employer to withhold income for child support, [and] medical |
---|
613 | 613 | | support, and dental support and shall specify the place where the |
---|
614 | 614 | | withheld income is to be paid. |
---|
615 | 615 | | SECTION 38. Section 158.507, Family Code, is amended to |
---|
616 | 616 | | read as follows: |
---|
617 | 617 | | Sec. 158.507. ADMINISTRATIVE WRIT TERMINATING WITHHOLDING. |
---|
618 | 618 | | An administrative writ to terminate withholding may be issued and |
---|
619 | 619 | | delivered to an employer by the Title IV-D agency when all current |
---|
620 | 620 | | support, including medical support and dental support, [and] child |
---|
621 | 621 | | support arrearages, and Title IV-D service fees authorized under |
---|
622 | 622 | | Section 231.103 for which the obligor is responsible[,] have been |
---|
623 | 623 | | paid. |
---|
624 | 624 | | SECTION 39. Subsection (c), Section 159.502, Family Code, |
---|
625 | 625 | | is amended to read as follows: |
---|
626 | 626 | | (c) Except as otherwise provided in Subsection (d) and |
---|
627 | 627 | | Section 159.503, the employer shall withhold and distribute the |
---|
628 | 628 | | funds as directed in the withholding order by complying with terms |
---|
629 | 629 | | of the order that specify: |
---|
630 | 630 | | (1) the duration and amount of periodic payments of |
---|
631 | 631 | | current child support, stated as a sum certain; |
---|
632 | 632 | | (2) the person designated to receive payments and the |
---|
633 | 633 | | address to which the payments are to be forwarded; |
---|
634 | 634 | | (3) medical support and dental support, whether in the |
---|
635 | 635 | | form of periodic cash payments, stated as a sum certain, or ordering |
---|
636 | 636 | | the obligor to provide health insurance coverage or dental |
---|
637 | 637 | | insurance coverage for the child under a policy available through |
---|
638 | 638 | | the obligor's employment; |
---|
639 | 639 | | (4) the amount of periodic payments of fees and costs |
---|
640 | 640 | | for a support enforcement agency, the issuing tribunal, and the |
---|
641 | 641 | | obligee's attorney, stated as sums certain; and |
---|
642 | 642 | | (5) the amount of periodic payments of arrearages and |
---|
643 | 643 | | interest on arrearages, stated as sums certain. |
---|
644 | 644 | | SECTION 40. The heading to Section 231.0011, Family Code, |
---|
645 | 645 | | is amended to read as follows: |
---|
646 | 646 | | Sec. 231.0011. DEVELOPMENT OF STATEWIDE INTEGRATED SYSTEM |
---|
647 | 647 | | FOR CHILD SUPPORT, [AND] MEDICAL SUPPORT, AND DENTAL SUPPORT |
---|
648 | 648 | | ENFORCEMENT. |
---|
649 | 649 | | SECTION 41. Subsections (a) and (g), Section 231.0011, |
---|
650 | 650 | | Family Code, are amended to read as follows: |
---|
651 | 651 | | (a) The Title IV-D agency shall have final approval |
---|
652 | 652 | | authority on any contract or proposal for delivery of Title IV-D |
---|
653 | 653 | | services under this section and in coordination with the Texas |
---|
654 | 654 | | Judicial Council, the Office of Court Administration of the Texas |
---|
655 | 655 | | Judicial System, the federal Office of Child Support Enforcement, |
---|
656 | 656 | | and state, county, and local officials, shall develop and implement |
---|
657 | 657 | | a statewide integrated system for child support, [and] medical |
---|
658 | 658 | | support, and dental support enforcement, employing federal, state, |
---|
659 | 659 | | local, and private resources to: |
---|
660 | 660 | | (1) unify child support registry functions; |
---|
661 | 661 | | (2) record and track all child support orders entered |
---|
662 | 662 | | in the state; |
---|
663 | 663 | | (3) establish an automated enforcement process which |
---|
664 | 664 | | will use delinquency monitoring, billing, and other enforcement |
---|
665 | 665 | | techniques to ensure the payment of current support; |
---|
666 | 666 | | (4) incorporate existing enforcement resources into |
---|
667 | 667 | | the system to obtain maximum benefit from state and federal |
---|
668 | 668 | | funding; and |
---|
669 | 669 | | (5) ensure accountability for all participants in the |
---|
670 | 670 | | process, including state, county, and local officials, private |
---|
671 | 671 | | contractors, and the judiciary. |
---|
672 | 672 | | (g) Participation in the statewide integrated system for |
---|
673 | 673 | | child support, [and] medical support, and dental support |
---|
674 | 674 | | enforcement by a county is voluntary, and nothing in this section |
---|
675 | 675 | | shall be construed to mandate participation. |
---|
676 | 676 | | SECTION 42. Subsection (e), Section 231.002, Family Code, |
---|
677 | 677 | | is amended to read as follows: |
---|
678 | 678 | | (e) The Title IV-D agency may take the following |
---|
679 | 679 | | administrative actions with respect to the location of a parent, |
---|
680 | 680 | | the determination of parentage, and the establishment, |
---|
681 | 681 | | modification, and enforcement of child support, [and] medical |
---|
682 | 682 | | support, and dental support orders required by 42 U.S.C. Section |
---|
683 | 683 | | 666(c), without obtaining an order from any other judicial or |
---|
684 | 684 | | administrative tribunal: |
---|
685 | 685 | | (1) issue an administrative subpoena, as provided by |
---|
686 | 686 | | Section 231.303, to obtain financial or other information; |
---|
687 | 687 | | (2) order genetic testing for parentage |
---|
688 | 688 | | determination, as provided by Chapter 233; |
---|
689 | 689 | | (3) order income withholding, as provided by Chapter |
---|
690 | 690 | | 233, and issue an administrative writ of withholding, as provided |
---|
691 | 691 | | by Chapter 158; and |
---|
692 | 692 | | (4) take any action with respect to execution, |
---|
693 | 693 | | collection, and release of a judgment or lien for child support |
---|
694 | 694 | | necessary to satisfy the judgment or lien, as provided by Chapter |
---|
695 | 695 | | 157. |
---|
696 | 696 | | SECTION 43. Subsection (a), Section 231.101, Family Code, |
---|
697 | 697 | | is amended to read as follows: |
---|
698 | 698 | | (a) The Title IV-D agency may provide all services required |
---|
699 | 699 | | or authorized to be provided by Part D of Title IV of the federal |
---|
700 | 700 | | Social Security Act (42 U.S.C. Section 651 et seq.), including: |
---|
701 | 701 | | (1) parent locator services; |
---|
702 | 702 | | (2) paternity determination; |
---|
703 | 703 | | (3) child support, [and] medical support, and dental |
---|
704 | 704 | | support establishment; |
---|
705 | 705 | | (4) review and adjustment of child support orders; |
---|
706 | 706 | | (5) enforcement of child support, [and] medical |
---|
707 | 707 | | support, and dental support orders; and |
---|
708 | 708 | | (6) collection and distribution of child support |
---|
709 | 709 | | payments. |
---|
710 | 710 | | SECTION 44. Subsection (b), Section 231.104, Family Code, |
---|
711 | 711 | | is amended to read as follows: |
---|
712 | 712 | | (b) An application for child support services is an |
---|
713 | 713 | | assignment of support rights to enable the Title IV-D agency to |
---|
714 | 714 | | establish and enforce child support, [and] medical support, and |
---|
715 | 715 | | dental support obligations, but an assignment is not a condition of |
---|
716 | 716 | | eligibility for services. |
---|
717 | 717 | | SECTION 45. Subsection (a), Section 231.123, Family Code, |
---|
718 | 718 | | is amended to read as follows: |
---|
719 | 719 | | (a) In order to maximize the amount of any tax refund to |
---|
720 | 720 | | which an obligor may be entitled and which may be applied to child |
---|
721 | 721 | | support, [and] medical support, and dental support obligations, the |
---|
722 | 722 | | Title IV-D agency shall cooperate with volunteer income tax |
---|
723 | 723 | | assistance programs in the state in informing obligors of the |
---|
724 | 724 | | availability of the programs. |
---|
725 | 725 | | SECTION 46. Subsection (a), Section 231.301, Family Code, |
---|
726 | 726 | | is amended to read as follows: |
---|
727 | 727 | | (a) The parent locator service conducted by the Title IV-D |
---|
728 | 728 | | agency shall be used to obtain information for: |
---|
729 | 729 | | (1) child support establishment and enforcement |
---|
730 | 730 | | purposes regarding the identity, social security number, location, |
---|
731 | 731 | | employer and employment benefits, income, and assets or debts of |
---|
732 | 732 | | any individual under an obligation to pay child support, [or] |
---|
733 | 733 | | medical support, or dental support or to whom a support obligation |
---|
734 | 734 | | is owed; or |
---|
735 | 735 | | (2) the establishment of paternity. |
---|
736 | 736 | | SECTION 47. Section 231.306, Family Code, is amended to |
---|
737 | 737 | | read as follows: |
---|
738 | 738 | | Sec. 231.306. MAXIMIZING MEDICAL SUPPORT AND DENTAL SUPPORT |
---|
739 | 739 | | ESTABLISHMENT AND COLLECTION BY THE TITLE IV-D AGENCY. (a) On the |
---|
740 | 740 | | installation of an automated child support enforcement system, the |
---|
741 | 741 | | Title IV-D agency is strongly encouraged to: |
---|
742 | 742 | | (1) maximize the collection of medical support and |
---|
743 | 743 | | dental support; and |
---|
744 | 744 | | (2) establish cash medical support orders for children |
---|
745 | 745 | | eligible for medical assistance under the state Medicaid program |
---|
746 | 746 | | for whom private insurance coverage is not available. |
---|
747 | 747 | | (b) In this section: |
---|
748 | 748 | | (1) "Medical[, "medical] support" has the meaning |
---|
749 | 749 | | assigned by Section 101.020. |
---|
750 | 750 | | (2) "Dental support" has the meaning assigned by |
---|
751 | 751 | | Section 101.0095. |
---|
752 | 752 | | SECTION 48. Subsection (a), Section 233.001, Family Code, |
---|
753 | 753 | | is amended to read as follows: |
---|
754 | 754 | | (a) The purpose of the procedures specified in the child |
---|
755 | 755 | | support review process authorized by this chapter is to enable the |
---|
756 | 756 | | Title IV-D agency to take expedited administrative actions to |
---|
757 | 757 | | establish, modify, and enforce child support, [and] medical |
---|
758 | 758 | | support, and dental support obligations, to determine parentage, or |
---|
759 | 759 | | to take any other action authorized or required under Part D, Title |
---|
760 | 760 | | IV, of the federal Social Security Act (42 U.S.C. Section 651 et |
---|
761 | 761 | | seq.), and Chapter 231. |
---|
762 | 762 | | SECTION 49. Subsection (b), Section 233.009, Family Code, |
---|
763 | 763 | | is amended to read as follows: |
---|
764 | 764 | | (b) The notice of proposed child support review order shall |
---|
765 | 765 | | state: |
---|
766 | 766 | | (1) the amount of periodic payment of child support |
---|
767 | 767 | | due, the amount of any overdue support that is owed as an arrearage |
---|
768 | 768 | | as of the date of the notice, and the amounts that are to be paid by |
---|
769 | 769 | | the obligor for current support due and in payment on the arrearage |
---|
770 | 770 | | owed; |
---|
771 | 771 | | (2) that the person identified in the notice as the |
---|
772 | 772 | | party responsible for payment of the support amounts may contest |
---|
773 | 773 | | the notice order on the grounds that: |
---|
774 | 774 | | (A) the respondent is not the responsible party; |
---|
775 | 775 | | (B) the dependent child is no longer entitled to |
---|
776 | 776 | | child support; or |
---|
777 | 777 | | (C) the amount of monthly support or arrearage is |
---|
778 | 778 | | incorrectly stated; and |
---|
779 | 779 | | (3) that, if the person identified in the notice as the |
---|
780 | 780 | | party responsible for payment of the support amounts does not |
---|
781 | 781 | | contest the notice in writing or request a negotiation conference |
---|
782 | 782 | | to discuss the notice not later than the 15th day after the date the |
---|
783 | 783 | | notice was delivered, the Title IV-D agency may file a child support |
---|
784 | 784 | | review order for child support, [and for] medical support, and |
---|
785 | 785 | | dental support for the child as provided by Chapter 154 according to |
---|
786 | 786 | | the information available to the agency. |
---|
787 | 787 | | SECTION 50. Subsection (b), Section 233.0095, Family Code, |
---|
788 | 788 | | is amended to read as follows: |
---|
789 | 789 | | (b) The notice of proposed child support review order shall |
---|
790 | 790 | | state: |
---|
791 | 791 | | (1) the amount of periodic payment of child support |
---|
792 | 792 | | due; |
---|
793 | 793 | | (2) that the person identified in the notice as the |
---|
794 | 794 | | party responsible for payment of the support amounts may only |
---|
795 | 795 | | contest the amount of monthly support; and |
---|
796 | 796 | | (3) that, if the person identified in the notice as the |
---|
797 | 797 | | party responsible for payment of the support amounts does not |
---|
798 | 798 | | contest the notice in writing or request a negotiation conference |
---|
799 | 799 | | to discuss the notice not later than the 15th day after the date the |
---|
800 | 800 | | notice was delivered, the Title IV-D agency may file the child |
---|
801 | 801 | | support order for child support, [and for] medical support, and |
---|
802 | 802 | | dental support for the child as provided by Chapter 154 according to |
---|
803 | 803 | | the information available to the agency. |
---|
804 | 804 | | SECTION 51. Subsection (c), Section 233.013, Family Code, |
---|
805 | 805 | | is amended to read as follows: |
---|
806 | 806 | | (c) Notwithstanding Subsection (b), the Title IV-D agency |
---|
807 | 807 | | may, at any time and without a showing of material and substantial |
---|
808 | 808 | | change in the circumstances of the parties, file a child support |
---|
809 | 809 | | review order that has the effect of modifying an existing order for |
---|
810 | 810 | | child support to provide medical support or dental support for a |
---|
811 | 811 | | child if the existing order does not provide health care coverage |
---|
812 | 812 | | for the child as required under Section 154.182 or dental care |
---|
813 | 813 | | coverage for the child as required under Section 154.1825. |
---|
814 | 814 | | SECTION 52. Subsection (a), Section 233.017, Family Code, |
---|
815 | 815 | | is amended to read as follows: |
---|
816 | 816 | | (a) An order issued under this chapter must be reviewed and |
---|
817 | 817 | | signed by an attorney of the Title IV-D agency and must contain all |
---|
818 | 818 | | provisions that are appropriate for an order under this title, |
---|
819 | 819 | | including current child support, medical support, dental support, a |
---|
820 | 820 | | determination of any arrearages or retroactive support, and, if not |
---|
821 | 821 | | otherwise ordered, income withholding. |
---|
822 | 822 | | SECTION 53. Section 234.002, Family Code, is amended to |
---|
823 | 823 | | read as follows: |
---|
824 | 824 | | Sec. 234.002. INTEGRATED SYSTEM FOR CHILD SUPPORT, [AND] |
---|
825 | 825 | | MEDICAL SUPPORT, AND DENTAL SUPPORT ENFORCEMENT. The statewide |
---|
826 | 826 | | integrated system for child support, [and] medical support, and |
---|
827 | 827 | | dental support enforcement under Chapter 231 shall be part of the |
---|
828 | 828 | | state case registry and state disbursement unit authorized by this |
---|
829 | 829 | | subchapter. |
---|
830 | 830 | | SECTION 54. Subsection (a), Section 71.035, Government |
---|
831 | 831 | | Code, is amended to read as follows: |
---|
832 | 832 | | (a) The council shall gather judicial statistics and other |
---|
833 | 833 | | pertinent information from the several state judges and other court |
---|
834 | 834 | | officials of this state. In addition, the council shall implement a |
---|
835 | 835 | | monthly tracking system to ensure accountability for counties and |
---|
836 | 836 | | courts which participate in the statewide integrated system for |
---|
837 | 837 | | child support, [and] medical support, and dental support |
---|
838 | 838 | | enforcement established under Section 231.0011, Family Code. As a |
---|
839 | 839 | | duty of office, the district clerks and county clerks serving the |
---|
840 | 840 | | affected courts shall report monthly such information as may be |
---|
841 | 841 | | required by the council, including, at a minimum, the time required |
---|
842 | 842 | | to enforce cases from date of delinquency, from date of filing, and |
---|
843 | 843 | | from date of service until date of disposition. Such information as |
---|
844 | 844 | | is necessary to complete the report and not directly within the |
---|
845 | 845 | | control of the district or county clerk, such as date of |
---|
846 | 846 | | delinquency, shall be provided to the clerk by the child support |
---|
847 | 847 | | registry or by the enforcement agency providing Title IV-D |
---|
848 | 848 | | enforcement services in the court. The monthly report shall be |
---|
849 | 849 | | transmitted to the Office of Court Administration of the Texas |
---|
850 | 850 | | Judicial System no later than the 20th day of the month following |
---|
851 | 851 | | the month reported, in such form as may be prescribed by the Office |
---|
852 | 852 | | of Court Administration, which may include electronic data |
---|
853 | 853 | | transfer. Copies of such reports shall be maintained in the office |
---|
854 | 854 | | of the appropriate district or county clerk for a period of at least |
---|
855 | 855 | | two years and shall be available to the public for inspection and |
---|
856 | 856 | | reproduction. |
---|
857 | 857 | | SECTION 55. Subsection (c), Section 848.006, Insurance |
---|
858 | 858 | | Code, is amended to read as follows: |
---|
859 | 859 | | (c) Subsection (a) does not apply to an individual: |
---|
860 | 860 | | (1) who is required to obtain or maintain health |
---|
861 | 861 | | benefit plan coverage: |
---|
862 | 862 | | (A) written by an institution of higher education |
---|
863 | 863 | | at which the individual is or will be enrolled as a student; or |
---|
864 | 864 | | (B) under an order requiring medical support or |
---|
865 | 865 | | dental support for a child; or |
---|
866 | 866 | | (2) who voluntarily applies for benefits under a state |
---|
867 | 867 | | administered program under Title XIX of the Social Security Act (42 |
---|
868 | 868 | | U.S.C. Section 1396 et seq.), or Title XXI of the Social Security |
---|
869 | 869 | | Act (42 U.S.C. Section 1397aa et seq.). |
---|
870 | 870 | | SECTION 56. Subsection (b), Section 1201.053, Insurance |
---|
871 | 871 | | Code, is amended to read as follows: |
---|
872 | 872 | | (b) On the application of an adult member of a family, an |
---|
873 | 873 | | individual accident and health insurance policy may, at the time of |
---|
874 | 874 | | original issuance or by subsequent amendment, insure two or more |
---|
875 | 875 | | eligible members of the adult's family, including a spouse, |
---|
876 | 876 | | unmarried children younger than 25 years of age, including a |
---|
877 | 877 | | grandchild of the adult as described by Section 1201.062(a)(1), a |
---|
878 | 878 | | child the adult is required to insure under a medical support order |
---|
879 | 879 | | or dental support order, if the policy provides dental coverage, |
---|
880 | 880 | | issued under Chapter 154, Family Code, or enforceable by a court in |
---|
881 | 881 | | this state, and any other individual dependent on the adult. |
---|
882 | 882 | | SECTION 57. Subsection (a), Section 1201.062, Insurance |
---|
883 | 883 | | Code, is amended to read as follows: |
---|
884 | 884 | | (a) An individual or group accident and health insurance |
---|
885 | 885 | | policy that is delivered, issued for delivery, or renewed in this |
---|
886 | 886 | | state, including a policy issued by a corporation operating under |
---|
887 | 887 | | Chapter 842, or a self-funded or self-insured welfare or benefit |
---|
888 | 888 | | plan or program, to the extent that regulation of the plan or |
---|
889 | 889 | | program is not preempted by federal law, that provides coverage for |
---|
890 | 890 | | a child of an insured or group member, on payment of a premium, must |
---|
891 | 891 | | provide coverage for: |
---|
892 | 892 | | (1) each grandchild of the insured or group member if |
---|
893 | 893 | | the grandchild is: |
---|
894 | 894 | | (A) unmarried; |
---|
895 | 895 | | (B) younger than 25 years of age; and |
---|
896 | 896 | | (C) a dependent of the insured or group member |
---|
897 | 897 | | for federal income tax purposes at the time application for |
---|
898 | 898 | | coverage of the grandchild is made; and |
---|
899 | 899 | | (2) each child for whom the insured or group member |
---|
900 | 900 | | must provide medical support or dental support, if the policy |
---|
901 | 901 | | provides dental coverage, under an order issued under Chapter 154, |
---|
902 | 902 | | Family Code, or enforceable by a court in this state. |
---|
903 | 903 | | SECTION 58. Section 1201.063, Insurance Code, is amended to |
---|
904 | 904 | | read as follows: |
---|
905 | 905 | | Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO |
---|
906 | 906 | | CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY. Regarding a |
---|
907 | 907 | | natural or adopted child of an insured or group member or a child |
---|
908 | 908 | | for whom the insured or group member must provide medical support or |
---|
909 | 909 | | dental support, if the policy provides dental coverage, under an |
---|
910 | 910 | | order issued under Chapter 154, Family Code, or enforceable by a |
---|
911 | 911 | | court in this state, an individual or group accident and health |
---|
912 | 912 | | insurance policy that provides coverage for a child of an insured or |
---|
913 | 913 | | group member may not set a different premium for the child, exclude |
---|
914 | 914 | | the child from coverage, or discontinue coverage of the child |
---|
915 | 915 | | because: |
---|
916 | 916 | | (1) the child does not reside with the insured or group |
---|
917 | 917 | | member; or |
---|
918 | 918 | | (2) the insured or group member does not claim the |
---|
919 | 919 | | child as an exemption for federal income tax purposes under Section |
---|
920 | 920 | | 151(c) [151(c)(1)(B)], Internal Revenue Code of 1986. |
---|
921 | 921 | | SECTION 59. The heading to Chapter 1504, Insurance Code, is |
---|
922 | 922 | | amended to read as follows: |
---|
923 | 923 | | CHAPTER 1504. MEDICAL AND DENTAL CHILD SUPPORT |
---|
924 | 924 | | SECTION 60. Subdivision (4), Section 1504.001, Insurance |
---|
925 | 925 | | Code, is amended to read as follows: |
---|
926 | 926 | | (4) "Benefit [Health benefit] plan issuer" means: |
---|
927 | 927 | | (A) an insurance company, group hospital service |
---|
928 | 928 | | corporation, or health maintenance organization that delivers or |
---|
929 | 929 | | issues for delivery an individual, group, blanket, or franchise |
---|
930 | 930 | | insurance policy or agreement, a group hospital service contract, |
---|
931 | 931 | | or an evidence of coverage that provides benefits for medical or |
---|
932 | 932 | | surgical expenses incurred as a result of an accident or sickness, |
---|
933 | 933 | | or dental expenses; |
---|
934 | 934 | | (B) a governmental entity subject to Subchapter |
---|
935 | 935 | | D, Chapter 1355, Subchapter C, Chapter 1364, Chapter 1578, Article |
---|
936 | 936 | | 3.51-1, 3.51-4, or 3.51-5, or Chapter 177, Local Government Code; |
---|
937 | 937 | | (C) the issuer of a multiple employer welfare |
---|
938 | 938 | | arrangement as defined by Section 846.001; or |
---|
939 | 939 | | (D) the issuer of a group health plan as defined |
---|
940 | 940 | | by Section 607, Employee Retirement Income Security Act of 1974 (29 |
---|
941 | 941 | | U.S.C. Section 1167). |
---|
942 | 942 | | SECTION 61. Subsection (b), Section 1504.002, Insurance |
---|
943 | 943 | | Code, is amended to read as follows: |
---|
944 | 944 | | (b) The commissioner shall adopt rules that define |
---|
945 | 945 | | "comparable health or dental coverage" in a manner that: |
---|
946 | 946 | | (1) is consistent with federal law; and |
---|
947 | 947 | | (2) complies with the requirements necessary to |
---|
948 | 948 | | maintain federal Medicaid funding. |
---|
949 | 949 | | SECTION 62. Section 1504.003, Insurance Code, is amended to |
---|
950 | 950 | | read as follows: |
---|
951 | 951 | | Sec. 1504.003. VIOLATION OF CHAPTER: RELIEF AVAILABLE TO |
---|
952 | 952 | | INJURED PERSON. A [health] benefit plan issuer that violates this |
---|
953 | 953 | | chapter is subject to the same penalties, and an injured person has |
---|
954 | 954 | | the same rights and remedies, as those provided by Subchapter D, |
---|
955 | 955 | | Chapter 541. |
---|
956 | 956 | | SECTION 63. The heading to Subchapter B, Chapter 1504, |
---|
957 | 957 | | Insurance Code, is amended to read as follows: |
---|
958 | 958 | | SUBCHAPTER B. DUTIES OF [HEALTH] BENEFIT PLAN ISSUER |
---|
959 | 959 | | SECTION 64. Section 1504.051, Insurance Code, is amended to |
---|
960 | 960 | | read as follows: |
---|
961 | 961 | | Sec. 1504.051. ENROLLMENT OF CERTAIN CHILDREN REQUIRED. |
---|
962 | 962 | | (a) A [health] benefit plan issuer shall permit a parent to enroll |
---|
963 | 963 | | a child in dependent health or dental coverage offered through the |
---|
964 | 964 | | issuer regardless of any enrollment period restriction if the |
---|
965 | 965 | | parent is: |
---|
966 | 966 | | (1) eligible for dependent health or dental coverage; |
---|
967 | 967 | | and |
---|
968 | 968 | | (2) required by a court order or administrative order |
---|
969 | 969 | | to provide health or dental insurance coverage for the child. |
---|
970 | 970 | | (b) A [health] benefit plan issuer shall enroll a child of a |
---|
971 | 971 | | parent described by Subsection (a) in dependent health or dental |
---|
972 | 972 | | coverage offered through the issuer if: |
---|
973 | 973 | | (1) the parent does not apply to obtain health or |
---|
974 | 974 | | dental coverage for the child through the issuer; and |
---|
975 | 975 | | (2) the child, a custodial parent of the child, or a |
---|
976 | 976 | | child support agency having a duty to collect or enforce support for |
---|
977 | 977 | | the child applies for the coverage. |
---|
978 | 978 | | SECTION 65. Section 1504.052, Insurance Code, is amended to |
---|
979 | 979 | | read as follows: |
---|
980 | 980 | | Sec. 1504.052. CHILD RESIDING OUTSIDE SERVICE AREA; |
---|
981 | 981 | | COMPARABLE HEALTH OR DENTAL COVERAGE REQUIRED. (a) A [health] |
---|
982 | 982 | | benefit plan issuer may not deny enrollment of a child under the |
---|
983 | 983 | | health or dental coverage of the child's parent on the ground that |
---|
984 | 984 | | the child does not reside in the issuer's service area. |
---|
985 | 985 | | (b) A [health] benefit plan issuer may not enforce an |
---|
986 | 986 | | otherwise applicable provision of the health or dental coverage |
---|
987 | 987 | | that would deny, limit, or reduce payment of a claim for a covered |
---|
988 | 988 | | child who resides outside the issuer's service area but inside the |
---|
989 | 989 | | United States. |
---|
990 | 990 | | (c) For a covered child who resides outside the [health] |
---|
991 | 991 | | benefit plan issuer's service area and whose coverage under a |
---|
992 | 992 | | policy or plan is required by a medical support order or dental |
---|
993 | 993 | | support order, the issuer shall provide coverage that is comparable |
---|
994 | 994 | | health or dental coverage to that provided to other dependents |
---|
995 | 995 | | under the policy or plan. |
---|
996 | 996 | | (d) Comparable health or dental coverage may include |
---|
997 | 997 | | coverage in which a [health] benefit plan issuer uses different |
---|
998 | 998 | | procedures for service delivery and health care provider |
---|
999 | 999 | | reimbursement. Comparable health or dental coverage may not |
---|
1000 | 1000 | | include coverage: |
---|
1001 | 1001 | | (1) that is limited to emergency services only; or |
---|
1002 | 1002 | | (2) for which the issuer charges a higher premium. |
---|
1003 | 1003 | | SECTION 66. Section 1504.053, Insurance Code, is amended to |
---|
1004 | 1004 | | read as follows: |
---|
1005 | 1005 | | Sec. 1504.053. CANCELLATION OR NONRENEWAL OF COVERAGE FOR |
---|
1006 | 1006 | | CERTAIN CHILDREN. (a) A [health] benefit plan issuer may not |
---|
1007 | 1007 | | cancel or refuse to renew health or dental coverage provided to a |
---|
1008 | 1008 | | child who is enrolled or entitled to enrollment under this chapter |
---|
1009 | 1009 | | unless satisfactory written evidence is filed with the issuer |
---|
1010 | 1010 | | showing that: |
---|
1011 | 1011 | | (1) the court or administrative order that required |
---|
1012 | 1012 | | the coverage is not in effect; or |
---|
1013 | 1013 | | (2) the child: |
---|
1014 | 1014 | | (A) is enrolled in comparable health or dental |
---|
1015 | 1015 | | coverage; or |
---|
1016 | 1016 | | (B) will be enrolled in comparable health or |
---|
1017 | 1017 | | dental coverage that takes effect not later than the effective date |
---|
1018 | 1018 | | of the cancellation or nonrenewal. |
---|
1019 | 1019 | | (b) For purposes of this section, a child is not enrolled or |
---|
1020 | 1020 | | entitled to enrollment under this chapter if the child's |
---|
1021 | 1021 | | eligibility for health or dental coverage ends because the parent |
---|
1022 | 1022 | | ceases to be eligible for dependent health or dental coverage. |
---|
1023 | 1023 | | SECTION 67. Section 1504.054, Insurance Code, is amended to |
---|
1024 | 1024 | | read as follows: |
---|
1025 | 1025 | | Sec. 1504.054. CONTINUATION OR CONVERSION OF COVERAGE. |
---|
1026 | 1026 | | (a) If a child's eligibility for dependent health or dental |
---|
1027 | 1027 | | coverage ends because the parent ceases to be eligible for the |
---|
1028 | 1028 | | coverage and the coverage provides for the continuation or |
---|
1029 | 1029 | | conversion of the coverage for the child, the [health] benefit plan |
---|
1030 | 1030 | | issuer shall notify the custodial parent and the child support |
---|
1031 | 1031 | | agency of the costs and other requirements for continuing or |
---|
1032 | 1032 | | converting the coverage. |
---|
1033 | 1033 | | (b) The [health] benefit plan issuer shall, on application |
---|
1034 | 1034 | | of a parent of the child, a child support agency, or the child, |
---|
1035 | 1035 | | enroll or continue enrollment of a child whose eligibility for |
---|
1036 | 1036 | | coverage ended under Subsection (a). |
---|
1037 | 1037 | | SECTION 68. Section 1504.055, Insurance Code, is amended to |
---|
1038 | 1038 | | read as follows: |
---|
1039 | 1039 | | Sec. 1504.055. PROCEDURE FOR CLAIMS. (a) A [health] |
---|
1040 | 1040 | | benefit plan issuer that provides health or dental coverage to a |
---|
1041 | 1041 | | child through a covered parent of the child shall: |
---|
1042 | 1042 | | (1) provide to each custodial parent of the child or to |
---|
1043 | 1043 | | an adult child documents and other information necessary for the |
---|
1044 | 1044 | | child to obtain benefits under the coverage, including: |
---|
1045 | 1045 | | (A) the name of the issuer; |
---|
1046 | 1046 | | (B) the number of the policy or evidence of |
---|
1047 | 1047 | | coverage; |
---|
1048 | 1048 | | (C) a copy of the policy or evidence of coverage |
---|
1049 | 1049 | | and schedule of benefits; |
---|
1050 | 1050 | | (D) a health or dental coverage membership card; |
---|
1051 | 1051 | | (E) claim forms; and |
---|
1052 | 1052 | | (F) any other document or information necessary |
---|
1053 | 1053 | | to submit a claim in accordance with the issuer's policies and |
---|
1054 | 1054 | | procedures; |
---|
1055 | 1055 | | (2) permit a custodial parent, health care provider, |
---|
1056 | 1056 | | state agency that has been assigned medical or dental support |
---|
1057 | 1057 | | rights, or adult child to submit claims for covered services |
---|
1058 | 1058 | | without the approval of the covered parent; and |
---|
1059 | 1059 | | (3) make payments on covered claims submitted in |
---|
1060 | 1060 | | accordance with this subsection directly to a custodial parent, |
---|
1061 | 1061 | | health care or dental care provider, adult child, or state agency |
---|
1062 | 1062 | | making a claim. |
---|
1063 | 1063 | | (b) A [health] benefit plan issuer shall provide to a state |
---|
1064 | 1064 | | agency that provides medical assistance, including medical |
---|
1065 | 1065 | | assistance for dental services, to the child or shall provide to a |
---|
1066 | 1066 | | child support agency that enforces medical or dental support on |
---|
1067 | 1067 | | behalf of a child the information necessary to obtain reimbursement |
---|
1068 | 1068 | | of medical or dental services provided to or paid on behalf of the |
---|
1069 | 1069 | | child. |
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1070 | 1070 | | SECTION 69. Section 1504.101, Insurance Code, is amended to |
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1071 | 1071 | | read as follows: |
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1072 | 1072 | | Sec. 1504.101. DENIAL OF ENROLLMENT ON CERTAIN GROUNDS |
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1073 | 1073 | | PROHIBITED. A [health] benefit plan issuer may not deny enrollment |
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1074 | 1074 | | of a child under the health or dental coverage of the child's parent |
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1075 | 1075 | | on the ground that the child: |
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1076 | 1076 | | (1) has a preexisting condition; |
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1077 | 1077 | | (2) was born out of wedlock; |
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1078 | 1078 | | (3) is not claimed as a dependent on the parent's |
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1079 | 1079 | | federal income tax return; |
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1080 | 1080 | | (4) does not reside with the parent; or |
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1081 | 1081 | | (5) receives or has applied for medical assistance. |
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1082 | 1082 | | SECTION 70. Section 1504.102, Insurance Code, is amended to |
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1083 | 1083 | | read as follows: |
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1084 | 1084 | | Sec. 1504.102. ASSIGNMENT OF MEDICAL OR DENTAL SUPPORT |
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1085 | 1085 | | RIGHTS: DIFFERENT REQUIREMENTS PROHIBITED. A [health] benefit |
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1086 | 1086 | | plan issuer may not require a state agency that has been assigned |
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1087 | 1087 | | the rights of an individual who is eligible for medical assistance |
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1088 | 1088 | | and is covered for health or dental benefits from the issuer to |
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1089 | 1089 | | comply with a requirement that is different from a requirement |
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1090 | 1090 | | imposed on an agent or assignee of any other covered individual. |
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1091 | 1091 | | SECTION 71. Section 402.085, Labor Code, is amended to read |
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1092 | 1092 | | as follows: |
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1093 | 1093 | | Sec. 402.085. EXCEPTIONS TO CONFIDENTIALITY. (a) The |
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1094 | 1094 | | division shall release information on a claim to: |
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1095 | 1095 | | (1) the Texas Department of Insurance for any |
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1096 | 1096 | | statutory or regulatory purpose, including a research purpose under |
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1097 | 1097 | | Chapter 405; |
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1098 | 1098 | | (2) a legislative committee for legislative purposes; |
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1099 | 1099 | | (3) a state or federal elected official requested in |
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1100 | 1100 | | writing to provide assistance by a constituent who qualifies to |
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1101 | 1101 | | obtain injury information under Section 402.084(b), if the request |
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1102 | 1102 | | for assistance is provided to the division; |
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1103 | 1103 | | (4) the attorney general or another entity that |
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1104 | 1104 | | provides child support services under Part D, Title IV, Social |
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1105 | 1105 | | Security Act (42 U.S.C. Section 651 et seq.), relating to: |
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1106 | 1106 | | (A) establishing, modifying, or enforcing a |
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1107 | 1107 | | child support, [or] medical support, or dental support obligation; |
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1108 | 1108 | | or |
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1109 | 1109 | | (B) locating an absent parent; or |
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1110 | 1110 | | (5) the office of injured employee counsel for any |
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1111 | 1111 | | statutory or regulatory purpose that relates to a duty of that |
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1112 | 1112 | | office as provided by Section 404.111(a). |
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1113 | 1113 | | (b) The division may release information on a claim to a |
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1114 | 1114 | | governmental agency, political subdivision, or regulatory body to |
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1115 | 1115 | | use to: |
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1116 | 1116 | | (1) investigate an allegation of a criminal offense or |
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1117 | 1117 | | licensing or regulatory violation; |
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1118 | 1118 | | (2) provide: |
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1119 | 1119 | | (A) unemployment compensation benefits; |
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1120 | 1120 | | (B) crime victims compensation benefits; |
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1121 | 1121 | | (C) vocational rehabilitation services; or |
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1122 | 1122 | | (D) health care benefits; |
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1123 | 1123 | | (3) investigate occupational safety or health |
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1124 | 1124 | | violations; |
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1125 | 1125 | | (4) verify income on an application for benefits under |
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1126 | 1126 | | an income-based state or federal assistance program; or |
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1127 | 1127 | | (5) assess financial resources in an action, including |
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1128 | 1128 | | an administrative action, to: |
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1129 | 1129 | | (A) establish, modify, or enforce a child |
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1130 | 1130 | | support, [or] medical support, or dental support obligation; |
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1131 | 1131 | | (B) establish paternity; |
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1132 | 1132 | | (C) locate an absent parent; or |
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1133 | 1133 | | (D) cooperate with another state in an action |
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1134 | 1134 | | authorized under Part D, Title IV, Social Security Act (42 U.S.C. |
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1135 | 1135 | | Section 651 et seq.), or Chapter 231, Family Code. |
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1136 | 1136 | | SECTION 72. (a) The changes in law made by this Act apply |
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1137 | 1137 | | to a suit affecting the parent-child relationship filed on or after |
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1138 | 1138 | | the effective date of this Act. A suit affecting the parent-child |
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1139 | 1139 | | relationship filed before the effective date of this Act is |
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1140 | 1140 | | governed by the law in effect on the date the suit was filed, and the |
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1141 | 1141 | | former law is continued in effect for that purpose. |
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1142 | 1142 | | (b) The change in law made by this Act does not by itself |
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1143 | 1143 | | constitute a material and substantial change of circumstances under |
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1144 | 1144 | | Section 156.401, Family Code, sufficient to warrant modification of |
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1145 | 1145 | | a court order or a portion of a decree that provides for the support |
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1146 | 1146 | | of a child rendered before the effective date of this Act. |
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1147 | 1147 | | SECTION 73. This Act takes effect September 1, 2013. |
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