(I) by inserting ‘‘of medical sup-
port obligations’’ after ‘‘enforcement’’;
and
(II) by striking ‘‘(d)’’ and insert-
ing ‘‘(c)’’;
(C) in paragraph (5)—
(i) in subparagraph (B)(i), by striking
‘‘454(29)’’ and inserting ‘‘454(22)’’; and
(ii) in subparagraph (C)(iv), by strik-
ing 
‘‘452(a)(7)’’ 
and 
inserting
‘‘452(a)(6)’’;
(D) in paragraph (9), by striking ‘‘(2)’’
and inserting ‘‘(1)’’;
(E) in paragraph (19), by striking ‘‘en-
forced’’ and inserting ‘‘with respect to which
services are requested’’;
(F) in the matter following paragraph
(19)—
(i) by striking ‘‘454(20)(B)’’ and in-
serting ‘‘454(15)(B)’’; and
(ii) by striking ‘‘paragraphs (3), (4),
(6), (7), and (15)’’ and inserting ‘‘para-
graph (15)’’; and
(G) by striking paragraphs (1), (3), (4),
(6), (7), (8), (14), and (17) and redesignating
paragraphs (2), (5), (9), (10), (11), (12), (13),
(15) through (19), (20) (as added by section
2(a) of this Act), and (21) (as added by section
2(b)(1) of this Act) as paragraphs (1) through
(14), respectively;
(2) in subsection (c)—
(A) in paragraph (1)—
(i) in the matter preceding subpara-
graph (A), by striking ‘‘establishment,
modification, or enforcement’’ and insert-
ing ‘‘establishment or modification of sup-
port orders, or enforcement of the medical
support provisions of such orders’’;
(ii) in subparagraph (A), by striking
‘‘466(a)(5)’’ and inserting ‘‘466(a)(2)’’;
(iii) in subparagraph (D)(ii), by strik-
ing ‘‘—’’ and all that follows through
‘‘(II)’’; and
(iv) by striking subparagraphs (B),
(E), (F), and (G) and redesignating sub-
paragraphs (C), (D), and (H) as subpara-
graphs (B), (C), and (D), respectively; and
(B) in paragraph (2)—
(i) by striking ‘‘(a)(2)’’ and inserting
‘‘(a)(1)’’; and
(ii) by striking ‘‘establish, modify, or
enforce support orders’’ and inserting ‘‘es-
tablish or modify support orders or enforce
the medical support provisions of such or-
ders’’;
(3) in subsection (d)—
(A) by inserting ‘‘medical’’ before ‘‘sup-
port’’; and
(B) by striking ‘‘enforcement’’;
(4) in subsection (e), by inserting ‘‘medical’’
after ‘‘to include’’;
(5) in subsection (g), by striking ‘‘454(20)(A)’’
and inserting ‘‘454(15)(A)’’; and
(6) by striking subsection (b) and redesignating
subsections (c) through (g) as subsections (b)
through (f), respectively.
(o) AMENDMENT TO SECTION 468.—Section 468 (42
U.S.C. 668) is amended by striking ‘‘enforcement’’.
(p) AMENDMENTS TO SECTION 469.—Section 469
(42 U.S.C. 669) is amended—
(1) in the section heading, by striking ‘‘EN-
FORCEMENT’’;
(2) in subsection (a)(1), by striking ‘‘enforce-
ment’’; and
(3) in subsection (b)(4), by inserting ‘‘the medi-
cal support provisions of’’ before ‘‘an established’’.
(q) AMENDMENTS TO SECTION 469A.—Section 469A
(42 U.S.C. 669a) is amended—
(1) in subsection (a), by striking ‘‘enforce-
ment’’; and
(2) in subsection (b)—
(A) in the heading, by striking ‘‘ENFORCE-
MENT’’; and
(B) by striking ‘‘establishing, modifying, or
enforcing a child support obligation’’ and in-
serting ‘‘establishing or modifying a child sup-
port obligation or enforcing the medical support
provisions of such an obligation’’.
(r) AMENDMENTS TO THE BALANCED BUDGET AND
EMERGENCY DEFICIT CONTROL ACT OF 1985.—Section
256(f) of the Balanced Budget and Emergency Deficit
Control Act of 1985 (2 U.S.C. 906(f)) is amended—
(1) in the heading, by striking ‘‘ENFORCE-
MENT’’; and
(2) by striking ‘‘sections 455 and 458’’ and in-
serting ‘‘section 455’’.
(s) AMENDMENT
TO TITLE 5, UNITED STATES
CODE.—Section 552a(a)(8)(B)(iv)(III) of title 5, United
States Code, as amended by section 110(w) of the Per-
sonal Responsibility and Work Opportunity Reconciliation
Act of 1996, is amended by striking ‘‘, 464,’’.
(t) AMENDMENT
TO TITLE 10, UNITED STATES
CODE.—Section 1408(d)(1) of title 10, United States
Code, is amended in the 1st sentence by striking ‘‘State
disbursement unit established pursuant to section 454B
of the Social Security Act or other’’.
SEC. 6. EFFECTIVE DATE.
This Act and the amendments made by this Act shall
take effect on the 1st day of the 1st calendar month that
begins after the 2-year period that begins with the date
of the enactment of this Act.
Æ