Tex. Fam. Code Section 154.182
Health Care Coverage for Child


(a)

The court shall consider the cost, accessibility, and quality of health insurance coverage available to the parties and shall give priority to health insurance coverage available through the employment of one of the parties if the coverage is available at a reasonable cost to the obligor.

(b)

In determining the manner in which health care coverage for the child is to be ordered, the court shall render its order in accordance with the following priorities, unless a party shows good cause why a particular order would not be in the best interest of the child:

(1)

if health insurance is available for the child through a parent’s employment or membership in a union, trade association, or other organization at reasonable cost, the court shall order that parent to include the child in the parent’s health insurance;

(2)

if health insurance is not available for the child under Subdivision (1) but is available to a parent at reasonable cost from another source, including the program under Section 154.1826 (Health Care Program for Certain Children in Title Iv-d Cases) to provide health insurance in Title IV-D cases, the court may order that parent to provide health insurance for the child; or

(3)

if health insurance coverage is not available for the child under Subdivision (1) or (2), the court shall order the obligor to pay the obligee, in addition to any amount ordered under the guidelines for child support, an amount, not to exceed nine percent of the obligor’s annual resources, as described by Section 154.062 (Net Resources)(b), as cash medical support for the child.

(b-1)

If the parent ordered to provide health insurance under Subsection (b)(1) or (2) is the obligee, the court shall order the obligor to pay the obligee, as additional child support, an amount equal to the actual cost of health insurance for the child, but not to exceed a reasonable cost to the obligor. In calculating the actual cost of health insurance for the child, if the obligee has other minor dependents covered under the same health insurance plan, the court shall divide the total cost to the obligee for the insurance by the total number of minor dependents, including the child covered under the plan.

(b-2)

If the court finds that neither parent has access to private health insurance at a reasonable cost to the obligor, the court shall order the parent awarded the exclusive right to designate the child’s primary residence or, to the extent permitted by law, the other parent to apply immediately on behalf of the child for participation in a government medical assistance program or health plan. If the child participates in a government medical assistance program or health plan, the court shall order cash medical support under Subsection (b)(3).

(b-3)

An order requiring the payment of cash medical support under Subsection (b)(3) must allow the obligor to discontinue payment of the cash medical support if:

(1)

health insurance for the child becomes available to the obligor at a reasonable cost; and

(2)

the obligor:

(A)

enrolls the child in the insurance plan; and

(B)

provides the obligee and, in a Title IV-D case, the Title IV-D agency, the information required under Section 154.185 (Parent to Furnish Information).

(c)

In this section:

(1)

“Accessibility” means the extent to which health insurance coverage for a child provides for the availability of medical care within a reasonable traveling distance and time from the child’s primary residence, as determined by the court.

(2)

“Reasonable cost” has the meaning assigned by Section 154.181 (Medical Support Order)(e).

(d)

Repealed by Acts 2009, 81st Leg., R.S., Ch. 767, Sec. 37, eff. June 19, 2009.
Added by Acts 1995, 74th Leg., ch. 20, Sec. 1, eff. April 20, 1995. Amended by Acts 1997, 75th Leg., ch. 550, Sec. 2, eff. June 2, 1997; Acts 2001, 77th Leg., ch. 449, Sec. 2, eff. June 5, 2001; Acts 2003, 78th Leg., ch. 610, Sec. 2, eff. Sept. 1, 2003.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 363 (S.B. 303), Sec. 3, eff. September 1, 2007.
Acts 2007, 80th Leg., R.S., Ch. 363 (S.B. 303), Sec. 4, eff. September 1, 2007.
Acts 2007, 80th Leg., R.S., Ch. 620 (H.B. 448), Sec. 5, eff. September 1, 2007.
Acts 2009, 81st Leg., R.S., Ch. 767 (S.B. 865), Sec. 8, eff. June 19, 2009.
Acts 2009, 81st Leg., R.S., Ch. 767 (S.B. 865), Sec. 8, eff. September 1, 2009.
Acts 2009, 81st Leg., R.S., Ch. 767 (S.B. 865), Sec. 37, eff. June 19, 2009.

Source: Section 154.182 — Health Care Coverage for Child, https://statutes.­capitol.­texas.­gov/Docs/FA/htm/FA.­154.­htm#154.­182 (accessed Jun. 5, 2024).

154.001
Support of Child
154.002
Child Support Through High School Graduation
154.003
Manner of Payment
154.004
Place of Payment
154.005
Payments of Support Obligation by Trust
154.006
Termination of Duty of Support
154.007
Order to Withhold Child Support from Income
154.008
Provision for Medical Support and Dental Support
154.009
Retroactive Child Support
154.010
No Discrimination Based on Marital Status of Parents or Sex
154.011
Support Not Conditioned on Possession or Access
154.012
Support Paid in Excess of Support Order
154.013
Continuation of Duty to Pay Support After Death of Obligee
154.014
Payments in Excess of Court-ordered Amount
154.015
Acceleration of Unpaid Child Support Obligation
154.016
Provision of Support in Event of Death of Parent
154.017
Employment Services-related Orders for Unemployed and Underemployed Obligors
154.061
Computing Net Monthly Income
154.062
Net Resources
154.063
Party to Furnish Information
154.064
Medical Support and Dental Support for Child Presumptively Provided by Obligor
154.065
Self-employment Income
154.066
Intentional Unemployment or Underemployment
154.067
Deemed Income
154.068
Wage and Salary Presumption
154.069
Net Resources of Spouse
154.070
Child Support Received by Obligor
154.121
Guidelines for the Support of a Child
154.122
Application of Guidelines Rebuttably Presumed in Best Interest of Child
154.123
Additional Factors for Court to Consider
154.124
Agreement Concerning Support
154.125
Application of Guidelines to Net Resources
154.126
Application of Guidelines to Additional Net Resources
154.127
Partial Termination of Support Obligation
154.128
Computing Support for Children in More than One Household
154.129
Alternative Method of Computing Support for Children in More than One Household
154.130
Findings in Child Support Order
154.131
Retroactive Child Support
154.132
Application of Guidelines to Children of Certain Disabled Obligors
154.133
Application of Guidelines to Children of Obligors Receiving Social Security
154.181
Medical Support Order
154.182
Health Care Coverage for Child
154.183
Medical and Dental Support Additional Support Duty of Obligor
154.184
Effect of Order
154.185
Parent to Furnish Information
154.186
Notice to Employer Concerning Medical Support or Dental Support
154.187
Duties of Employer
154.188
Failure to Provide or Pay for Required Health Insurance or Dental Insurance
154.189
Notice of Termination or Lapse of Insurance Coverage
154.190
Reenrolling Child for Insurance Coverage
154.191
Remedy Not Exclusive
154.192
Cancellation or Elimination of Insurance Coverage for Child
154.193
Medical Support Order or Dental Support Order Not Qualified
154.241
Local Registry
154.242
Payment or Transfer of Child Support Payments by Electronic Funds Transfer
154.243
Production of Child Support Payment Record
154.301
Definitions
154.302
Court-ordered Support for Disabled Child
154.303
Standing to Sue
154.304
General Procedure
154.305
Specific Procedures
154.307
Modification and Enforcement
154.308
Remedy Not Exclusive
154.309
Possession of or Access to Adult Disabled Child
154.0655
Imputation of Income
154.1815
Dental Support Order
154.1825
Dental Care Coverage for Child
154.1826
Health Care Program for Certain Children in Title Iv-d Cases
154.1827
Administrative Adjustment of Medical Support Order

Accessed:
Jun. 5, 2024

§ 154.182’s source at texas​.gov