# National Medical Support Notice
> **US Department of Health and Human Services** · Rule · Published 2000-12-27 · Effective 2001-01-26 · 65 FR 82154
## Document
- **Document number:** 00-31611
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 65 FR 82154
- **CFR reference:** 45 CFR 303
- **Publication date:** 2000-12-27
- **Effective date:** 2001-01-26
## Abstract

This rule implements provisions of the Child Support Performance and Incentives Act of 1998 (CSPIA), Public Law 105-200, that require State child support enforcement agencies, under title IV-D of the Social Security Act (the Act), to enforce the health care coverage provision in a child support order through the use of the National Medical Support Notice (NMSN). A proposed rule was published in the Federal Register on November 15, 1999 (64 FR 62074). After consideration of the written comments received, changes have been made in this final regulation, including changes to the NMSN found in the Appendix.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2000/12/27/00-31611/national-medical-support-notice)
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