I 
116TH CONGRESS 
2D SESSION 
H. R. 5551 
To amend title XXVII of the Public Health Service Act and title 5, United 
States Code, to require group health plans, health insurance issuers 
offering group or individual health insurance coverage, and Federal Em-
ployees Health Benefits Program health benefits plans to meet certain 
requirements with respect to medical child support orders, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 7, 2020 
Ms. NORTON introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committees on 
Oversight and Reform, and Ways and Means, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XXVII of the Public Health Service Act 
and title 5, United States Code, to require group health 
plans, health insurance issuers offering group or indi-
vidual health insurance coverage, and Federal Employees 
Health Benefits Program health benefits plans to meet 
certain requirements with respect to medical child sup-
port orders, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Ensuring Child Health 
Coverage Compensation in Divorce Act of 2020’’. 
SEC. 2. MEDICAL CHILD SUPPORT ORDER REQUIREMENTS. 
(a) PUBLIC
HEALTH
SERVICE
ACT
REQUIRE-
MENTS.—Subpart II of part A of title XXVII of the Public 
Health Service Act (42 U.S.C. 300gg–11 et seq.) is 
amended by adding at the end the following new section: 
‘‘SEC. 2730. COVERAGE PURSUANT TO MEDICAL CHILD SUP-
PORT ORDERS. 
‘‘In any case in which a child has benefits under the 
group health plan or health insurance coverage of a non-
custodial parent (including a stepparent), such plan or the 
issuer offering such coverage shall— 
‘‘(1) provide such information to the custodial 
parent as may be necessary for the child to obtain 
benefits through such plan or such coverage; 
‘‘(2) permit the custodial parent (or provider, 
with the custodial parent’s approval) to submit 
claims for covered services without the approval of 
the noncustodial parent; and 
‘‘(3) make payment on claims submitted in ac-
cordance with paragraph (2) directly to such custo-
dial parent or the provider.’’. 
(b) FEDERAL EMPLOYEES HEALTH BENEFITS PRO-
GRAM REQUIREMENTS.—Section 8904 of title 5, United 
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States Code, is amended by adding at the end the fol-
lowing new section: 
‘‘(c) In any case in which a child has health coverage 
through the carrier of a noncustodial parent (including a 
stepparent) under the program established under this 
chapter, such carrier shall— 
‘‘(1) provide such information to the custodial 
parent as may be necessary for the child to obtain 
benefits through such coverage; 
‘‘(2) permit the custodial parent (or provider, 
with the custodial parent’s approval) to submit 
claims for covered services without the approval of 
the noncustodial parent; and 
‘‘(3) make payment on claims submitted in ac-
cordance with paragraph (2) directly to such custo-
dial parent or the provider.’’. 
(c) FEDERAL HEALTH CARE PROGRAMS.—Part A of 
title XI of the Social Security Act (42 U.S.C. 1301 et seq.) 
is amended by adding at the end the following new section: 
‘‘SEC. 1150C. COVERAGE PURSUANT TO MEDICAL CHILD 
SUPPORT ORDERS. 
‘‘In any case in which a child has benefits under a 
Federal health care program through a noncustodial par-
ent (including a stepparent), such program shall— 
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