# Child Support Enforcement Program; Medical Support
> **US Department of Health and Human Services** · Final regulation. · Published 2008-07-21 · Effective 2008-07-21 · 73 FR 42416
## Document
- **Document number:** E8-15771
- **Category:** other
- **Sub-agency:** US Department of Health and Human Services
- **Federal Register citation:** 73 FR 42416
- **CFR reference:** 45 CFR 302
- **Publication date:** 2008-07-21
- **Effective date:** 2008-07-21
## Abstract

This regulation revises Federal requirements for establishing and enforcing medical support obligations in Child Support Enforcement (CSE) program cases receiving services under title IV-D of the Social Security Act (the Act). The changes: require that all support orders in the IV-D program address medical support; redefine reasonable-cost health insurance; require health insurance to be accessible, as defined by the State; and make conforming changes to the Federal interstate, substantial-compliance audit, and State self-assessment requirements.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2008/07/21/E8-15771/child-support-enforcement-program-medical-support)
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