40-5-208. Medical support — obligation enforcement. (1) In any proceeding initiated pursuant to this part to establish a child support order, whether final or temporary, and in each modification of an existing order, the support order must include a medical support order as defined in 40-5-804. The department may initiate an independent proceeding pursuant to 40-5-225 to establish a medical support order, as defined in 40-5-804, without establishing a child support order in the proceeding.

Terms Used In Montana Code 40-5-208

  • Child: means :

    (i)a person under 18 years of age who is not otherwise emancipated, self-supporting, married, or a member of the armed forces of the United States;

    (ii)a person under 19 years of age and still in high school;

    (iii)a person who is mentally or physically incapacitated if the incapacity began prior to the person's 18th birthday; or

    (iv)in a IV-D case, a person for whom:

    (A)support rights are assigned under 53-2-613;

    (B)a public assistance payment has been made;

    (C)the department is providing support enforcement services under 40-5-203; or

    (D)the department has received a referral for IV-D services from an agency of another state or an Indian tribe under the provisions of the Uniform Interstate Family Support Act, the Revised Uniform Reciprocal Enforcement of Support Act, the Uniform Reciprocal Enforcement of Support Act, or Title IV-D of the Social Security Act. See Montana Code 40-5-201

  • Department: means the department of public health and human services. See Montana Code 40-5-201
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Parent: means the natural or adoptive parent of a child. See Montana Code 40-5-201
  • Support order: means an order, whether temporary or final, that:

    (a)provides for the payment of a specific amount of money, expressed in periodic increments or as a lump-sum amount, for the support of the child, including an amount expressed in dollars for medical and health needs, child care, education, recreation, clothing, transportation, and other related expenses and costs specific to the needs of the child;

    (b)is issued by:

    (i)a district court of this state;

    (ii)a court of appropriate jurisdiction of another state, Indian tribe, or foreign country;

    (iii)an administrative agency pursuant to proceedings under this part; or

    (iv)an administrative agency of another state, Indian tribe, or foreign country with a hearing function and process similar to those of the department under this part; and

    (c)when the context requires, includes:

    (i)judgments and orders providing periodic payments for the maintenance or support of the custodial parent of a child receiving services under this chapter; and

    (ii)amounts for the recovery of fines, fees, penalties, interest, and other funds and costs that the department is authorized under this chapter to collect by the use of any procedure available for the payment, enforcement, and collection of child support or spousal maintenance or support. See Montana Code 40-5-201

(2)If the department is providing IV-D services for a child, the department shall also enforce any order issued by a court or administrative agency of competent jurisdiction that:

(a)requires the parent to make payments for the health or medical needs of the child, whether expressed in monthly dollar amounts or in a lump-sum dollar amount. The department shall apply the same enforcement remedies as are available for the enforcement of child support as if those remedies expressly applied to medical or health obligations.

(b)requires the parent to enroll a child in a health benefit plan or individual insurance as defined in 40-5-804. The department may take action to enforce the order under the provisions of part 8 or may impose any other appropriate remedy.

(3)(a) To permit the department to determine whether enforcement action is necessary, if the parent is required to enroll the child in a health benefit plan or individual insurance, upon written request by the department, the parent shall provide the name of the individual insurance carrier or health benefit plan, the policy identification name and number, the names of the persons covered, and any other pertinent information regarding coverage.

(b)Failure of the parent to provide the requisite information to the department may be punished as a contempt under 40-5-226.

(4)If the department is providing services for a child and a child support order or modification of a child support order does not include a medical support order as defined in 40-5-804 or fails to include any other provision for the health and medical needs of the child:

(a)upon notice to the parent, the parent shall enroll the child in a health or medical insurance plan available to the parent through an employer or other group for which the premium is partially or entirely paid by the employer or other group; and

(b)the parent shall continue enrollment of the child in the plan until:

(i)a medical support order is entered;

(ii)the parent can demonstrate to the department that the cost of providing coverage is not reasonable;

(iii)the parent’s employment or membership in the group has terminated and the plan is no longer available to the parent;

(iv)the employer or group eliminates coverage for all employees or members; or

(v)the department ceases to provide services for the child.

(5)If the parent fails to enroll a child in a health or medical insurance plan under subsection (4) or lets coverage lapse, the failure or lapse may be punished as a contempt under 40-5-226. A contempt may not be found if the parent shows that the cost of providing coverage for the child is not reasonable.