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IA Code § 252E.2A (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.2A - Satisfaction of medical support order.

252E.2A Satisfaction of medical support order.   This section shall apply if the child support recovery unit is providing services under chapter 252B.   1. Notwithstanding any law to the contrary and without a court order, a medical support order for a child shall be deemed satisfied with regard to the department, the child, the obligor, and the obligee for the period during which all of the following conditions are met:   a. The order is issued under any applicable chapter of the Code.   b. The unit is notified that the conditions of paragraph “c” are met and the parent ordered to provide medical support submits a written statement to the unit that the requirements of paragraph “c” are met.   c. The parent ordered to provide medical support meets at least one of the following conditions:   (1) The parent is an inmate of an institution under the control of the department of corrections or a comparable institution in another state.   (2) The parent’s monthly child support obligation under the guidelines established pursuant to section 598.21B is the minimum obligation amount.   (3) The parent is a recipient of assistance under chapter 239B or 249A, or under comparable laws of another state.   (4) The parent is residing with any child for whom the parent is legally responsible and that child is a recipient of assistance under chapter 239B, 249A, or 514I, or under comparable laws of another state. For purposes of this subparagraph, “legally responsible” means the parent has a legal obligation to the child as specified in  Iowa court rule 9.7   of the child support guidelines.   d. The unit files a notice of satisfaction with the clerk of the district court. The effective date of the satisfaction shall be stated in the notice and the effective date shall be no later than forty-five days after the unit issues the notice of satisfaction.   2. If a medical support order is satisfied under subsection 1, the satisfaction shall continue until all of the following apply:   a. The unit is notified that none of the conditions specified in subsection 1, paragraph “c”, still applies.   b. The unit files a satisfaction termination notice that the requirements for a satisfaction under this section no longer apply. The effective date shall be stated in the satisfaction termination notice and the effective date shall be no later than forty-five days after the unit issues the satisfaction termination notice.   3. The unit shall mail a copy of the notice of satisfaction and the satisfaction termination notice to the last known address of the obligor and obligee.   4. The department of human services may match data for enrollees of the hawk-i program created pursuant to chapter 514I with data of the unit to assist the unit in implementing this section.   5. An order, decree, or judgment entered or pending on or before July 1, 2009, that provides for the support of a child may be satisfied as provided in this section.  2007 Acts, ch 218, §165, 187; 2008 Acts, ch 1019, §15 – 18, 20  Referred to in §252E.1A
IA Code § 252E.3 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.3 - Health care coverage of obligee.

252E.3 Health care coverage of obligee.   For cases for which services are being provided pursuant to chapter 252B, the order may require an obligor providing health care coverage for a child to also provide health care coverage for the benefit of an obligee if the obligee is eligible for enrollment under the plan in which the child or the obligor is enrolled, and if coverage for the obligee is available at no additional cost.  90 Acts, ch 1224, §27; 2018 Acts, ch 1111, §6, 10  Referred to in §252E.1, 252E.6
IA Code § 252E.4 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.4 - Order to employer.

252E.4 Order to employer.   1. When a support order requires an obligor to provide coverage under a health benefit plan other than public coverage, the district court or the department may enter an ex parte order directing an employer to take all actions necessary to enroll an obligor’s dependent for coverage under a health benefit plan or may include the provisions in an ex parte income withholding order or notice of income withholding pursuant to chapter 252D. The child support recovery unit, where appropriate, shall issue a national medical support notice to an employer within two business days after the date information regarding a newly hired employee is entered into the centralized employee registry and matched with a noncustodial parent in the case being enforced by the unit, or upon receipt of other employment information for such parent. The department may amend the information in the ex parte order or may amend or terminate the national medical support notice regarding health insurance provisions if necessary to comply with health insurance requirements including but not limited to the provisions of section 252E.2, subsection 2, or to correct a mistake of fact.   2. The obligee, district court, or department may forward either the support order containing the provision for coverage under a health benefit plan or the ex parte order provided for in subsection 1 to the obligor’s employer.   3. This chapter shall be constructive notice to the obligor of enforcement and further notice prior to enforcement is not required.   4. The order requiring coverage is binding on all future employers or insurers if the dependent is eligible to be enrolled in the health benefit plan under the applicable plan terms and conditions.  90 Acts, ch 1224, §28; 93 Acts, ch 78, §22; 96 Acts, ch 1141, §24; 97 Acts, ch 175, §74; 2002 Acts, ch 1018, §5; 2007 Acts, ch 218, §166, 187; 2008 Acts, ch 1019, §18, 20; 2018 Acts, ch 1111, §7, 10  Referred to in §252E.1, 252E.5, 252E.6A
IA Code § 252E.6 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.6 - Duration of health benefit plan coverage.

252E.6 Duration of health benefit plan coverage.   1. A child is eligible for medical support for the duration of the obligor’s child support obligation. However, the child’s eligibility for coverage under a health benefit plan shall be governed by all applicable plan provisions including, but not limited to, eligibility and insurability standards.   2. For cases for which services are being provided pursuant to chapter 252B, the department shall notify the employer when there is no longer a current order for medical support in effect for which the department is responsible. However, termination of medical support ordered pursuant to section 252E.3 shall be governed by the insurer’s health benefit plan provisions for termination and by applicable federal law.  90 Acts, ch 1224, §30; 2002 Acts, ch 1018, §8
IA Code § 252E.6A (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.6A - Motion to quash.

252E.6A Motion to quash.   1. An obligor may move to quash the order to the employer under section 252E.4 by following the same procedures and alleging a mistake of a fact as provided in section 252D.31 or as provided in subsection 2. If the unit is enforcing an income withholding order and a medical support order simultaneously, any challenge to the income withholding order and medical support enforcement shall be filed and heard simultaneously.   2. The obligor may allege as a mistake of fact an error in the availability of dependent coverage under the health benefit plan because the coverage is not accessible to the dependent. Even if the plan is not accessible as defined in section 252E.1, the court may determine that the plan is substantially accessible if the obligee demonstrates that the dependent may receive a benefit under the plan. Section 252K.316 relating to evidence and procedure shall apply to the court proceeding.   3. The employer shall comply with the requirements of this chapter until the employer receives notice that a motion to quash has been granted, or that the unit has amended or terminated the national medical support notice.  97 Acts, ch 175, §75; 2002 Acts, ch 1018, §9
IA Code § 252E.7 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.7 - Insurer authorization.

252E.7 Insurer authorization.   1. The entry of an order requiring a health benefit plan is authorization for enrollment of the dependent if the dependent is otherwise eligible to be enrolled. If the obligor fails to obtain coverage for a dependent, the insurer shall accept the signature of the obligee or other legal custodian of the child or of an employee of the department on the application for enrollment of the dependent under the health benefit plan. If the dependent is otherwise eligible to be enrolled in the plan pursuant to the applicable terms and conditions of the health benefit plan and the standard enrollment guidelines of the insurer, the insurer shall allow enrollment of the dependent at any time, notwithstanding any enrollment season restrictions.   2. An insurer shall not deny enrollment of a child under the health benefit plan of the obligor based on any of the following:   a. The child was born out of wedlock.   b. The child is not claimed as a dependent on the obligor’s federal income tax form.   c. The child does not reside with the obligor or in the insurer’s service area.   3. For purposes of processing claims for payment, the insurer shall accept the signature of the obligee or other legal custodian of the child or of an employee of the department as valid authorization for purposes of processing any medical expense claims on behalf of the dependent for payment or reimbursement of medical services rendered to the dependent.   4. The insurer shall have immunity from any liability, civil or criminal, which might otherwise be incurred or imposed for actions taken in implementing this section including, but not limited to, the insurer’s release of any information, or the payment of any claims for services by the insurer, or the insurer’s acceptance of applications for enrollment of the dependent and medical expense claims for the dependent which are signed by the obligee or an employee of the department pursuant to this section.   5. If a dependent has coverage under the health benefit plan of and through the insurer of the obligor, the insurer shall make payment directly to the obligee, the provider, or the department for claims submitted by the obligee, by the provider with the obligee’s approval, or by the department.   6. Payments remitted to the obligor by the insurer for services received by the dependent shall be recoverable by the obligee or the department from the obligor if not properly paid by the obligor to the provider or the obligee.  90 Acts, ch 1224, §31; 94 Acts, ch 1171, §28
IA Code § 252E.8 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.8 - Releases of information.

252E.8 Releases of information.   1. If an order for coverage under a health benefit plan has been forwarded pursuant to section 252E.5, the obligor’s employer or insurer shall release to the obligee or other legal custodian of the child or the department, upon receiving a written request, the information necessary to complete an application, to file a claim for medical expenses of the dependent or to create a qualified medical child support order pursuant to section 252E.2, subsection 2.   2. The employer or insurer shall make available to the obligee or the department any necessary claim forms or enrollment membership cards if required to obtain services.   3. The obligor’s employer and insurer shall have immunity from any liability, civil or criminal, which might otherwise be incurred or imposed for any information released by such employer or insurer pursuant to this chapter.   4. The department may release to the obligor’s employer or insurer or to the obligee information necessary to obtain, enforce, and collect medical support.  90 Acts, ch 1224, §32; 94 Acts, ch 1171, §29
IA Code § 252E.9 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.9 - Responsibilities of the obligor.

252E.9 Responsibilities of the obligor.   1. For cases for which services are being provided pursuant to chapter 252B, an obligor who fails to maintain medical support for the benefit of the dependent as ordered shall be liable to the obligee or the department for any medical expenses incurred from the date of the court order. Proof of failure to maintain medical support constitutes a showing of increased need and provides a basis for the establishment of a monetary amount for medical support.   2. For cases for which services are being provided pursuant to chapter 252B, the obligor shall notify the obligee and the department within ten days of a change in the terms or conditions of coverage under a health benefit plan. Such changes may include, but are not limited to, a change in deductibles, coinsurance, preadmission notification requirements, coverage for dental, optical, office visits, prescription drugs, inpatient and outpatient hospitalization, and any other changes which materially affect the coverage. Costs incurred by the obligee or the department as a result of the obligor’s failure to provide notification as required are recoverable from the obligor.  90 Acts, ch 1224, §33
IA Code § 252E.10 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.10 - Responsibility of the department.

252E.10 Responsibility of the department.   For cases for which services are being provided pursuant to chapter 252B, the department shall take steps required by federal regulations to implement and enforce an order for medical support.  90 Acts, ch 1224, §34
IA Code § 252E.11 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.11 - Assignment.

252E.11 Assignment.   If medical assistance is provided by the department to a dependent pursuant to chapter 249A, rights to medical support payments are assigned to the department.  90 Acts, ch 1224, §35; 93 Acts, ch 78, §23  Referred to in §249A.54, 252A.13, 598.21C, 598.34, 600B.38
IA Code § 252E.12 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.12 - Enforcement.

252E.12 Enforcement.   For the purposes of enforcement pursuant to chapter 252B, medical support may be reduced to a dollar amount and may be collected through the same remedies available for the collection and enforcement of child support.  90 Acts, ch 1224, §36
IA Code § 252E.13 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.13 - Modification of support order.

252E.13 Modification of support order.   1. Subject to 28 U.S.C. §1738B, when high potential for obtaining medical support exists, the obligee or the department may petition for a modification of the obligor’s support order to include medical support or a monetary amount for medical support pursuant to this chapter.   2. In addition, if a support order does not provide medical support as defined in this chapter or equivalent medical support, the department or a party to the order may seek a modification of the order.   3. Subject to 28 U.S.C. §1738B, the department may amend information concerning the provisions regarding health benefits in a court or administrative order if notice of the amendment is provided to the court and to the parties to the order and if the amendment is filed with the clerk of court.  90 Acts, ch 1224, §37; 94 Acts, ch 1171, §30; 96 Acts, ch 1141, §25; 97 Acts, ch 175, §76
IA Code § 252E.14 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.14 - Child support.

252E.14 Child support.   Unless the order specifies otherwise, medical support is not included in the monetary amount of child support ordered to be paid for orders entered on or after July 1, 1990.  90 Acts, ch 1224, §38
IA Code § 252E.15 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.15 - Rulemaking authority — compliance.

252E.15 Rulemaking authority — compliance.   The department shall adopt rules pursuant to chapter 17A to implement this chapter for cases for which services are being provided pursuant to chapter 252B. The department shall cooperate with any agency of the state or federal government as may be necessary to qualify for federal funds in conformity with provisions of this chapter and Tit. IV-D of the federal Social Security Act.  90 Acts, ch 1224, §39; 2010 Acts, ch 1061, §180
IA Code § 252E.16 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252E - MEDICAL SUPPORT|Section 252E.16 - Scope and effect.

252E.16 Scope and effect.   1. Unless otherwise specified, the provisions of this chapter take effect July 1, 1990, for all support orders entered pursuant to chapter 234, 252A, 252C, 598, or 600B.   2. If an obligor was ordered to provide a health benefit plan or insurance coverage under an order entered prior to July 1, 1990, but did not comply with the order, insurers are not liable for medical expenses incurred prior to July 1, 1990. However, such an order may be implemented pursuant to the provisions of this chapter following its enactment. This chapter shall not be implemented retroactively; however, previous orders for medical support not otherwise complied with may be reduced to a dollar amount and collected from the obligor.  90 Acts, ch 1224, §40; 2018 Acts, ch 1111, §8, 10
IA Code § 252F.1 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252F - ADMINISTRATIVE ESTABLISHMENT OF PATERNITY|Section 252F.1 - Definitions.

252F.1 Definitions.   As used in this chapter unless the context otherwise requires:   1. “Administrator” means the administrator of the child support recovery unit of the department of human services or the administrator’s designee.   2. “Child” means a person who is less than age eighteen or a person who is age eighteen but less than age nineteen and is engaged full-time in completing high school graduation or equivalency requirements in a manner which is reasonably expected to result in completion of the requirements prior to the person reaching age nineteen.   3. “Mother” means a mother of the child for whom paternity is being established.   4. “Party” means a putative father or a mother, as named in an action.   5. “Paternity is at issue” means any of the following conditions:   a. A child was not born or conceived within marriage.   b. A child was born or conceived within marriage but a court has declared that the child is not the issue of the marriage.   6. “Paternity test” means and includes any form of blood, tissue, or genetic testing administered to determine the biological father of a child.   7. “Putative father” means a person alleged to be the biological father of a child.   8. “Unit” means the child support recovery unit created in section 252B.2.  93 Acts, ch 79, §14; 94 Acts, ch 1171, §31; 2006 Acts, ch 1016, §12; 2007 Acts, ch 218, §168, 187; 2008 Acts, ch 1019, §18, 20; 2010 Acts, ch 1142, §2
IA Code § 252F.2 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252F - ADMINISTRATIVE ESTABLISHMENT OF PATERNITY|Section 252F.2 - Jurisdiction.

252F.2 Jurisdiction.   In any case in which the unit is providing services pursuant to chapter 252B and paternity is at issue, proceedings may be initiated by the unit pursuant to this chapter for the sole purpose of establishing paternity and any accrued or accruing child support or medical support obligations. Proceedings under this chapter are in addition to other means of establishing paternity or support. Issues in addition to establishment of paternity or support obligations shall not be addressed in proceedings initiated under this chapter.   An action to establish paternity and support under this chapter may be brought within the time limitations set forth in section 614.8.  93 Acts, ch 79, §15
IA Code § 252F.5 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252F - ADMINISTRATIVE ESTABLISHMENT OF PATERNITY|Section 252F.5 - Certification to district court.

252F.5 Certification to district court.   1. Actions initiated under this chapter are not subject to contested case proceedings or further review pursuant to chapter 17A.   2. An action under this chapter may be certified to the district court if a party timely contests paternity establishment or paternity test results, or if a party requests a court hearing on the issues of child or medical support, or both, or upon the initiation of the unit as provided in this chapter. Review by the district court shall be an original hearing before the court.   3. In any action brought under this chapter, the action shall not be certified to the district court in a contested paternity action unless all of the following have occurred:   a. Paternity testing has been completed.   b. The results of the paternity test have been issued to all parties.   c. A timely written objection to paternity establishment or paternity test results has been received from a party, or a timely written request for a court hearing on the issue of support has been received from a party by the unit, or the unit has requested a court hearing on the unit’s own initiative.   4. A matter shall be certified to the district court in the county in which the notice was filed pursuant to section 252F.3, subsection 3.   5. The court shall set the matter for hearing and notify the parties of the time of and place for hearing.   6. If the court determines that the putative father is the legal father, the court shall establish the amount of the accrued and accruing child support pursuant to the guidelines established under section 598.21B, and shall establish medical support pursuant to chapter 252E.   7. If the putative father or another party contesting paternity fails to appear at the hearing, upon a showing that proper notice has been provided to the party, the court shall find the party in default and enter an appropriate order establishing paternity and support.  93 Acts, ch 79, §18; 94 Acts, ch 1171, §34; 97 Acts, ch 175, §86; 2005 Acts, ch 69, §19; 2007 Acts, ch 218, §177, 178, 187; 2008 Acts, ch 1019, §18, 20  Referred to in §252F.3
IA Code § 252F.6 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252F - ADMINISTRATIVE ESTABLISHMENT OF PATERNITY|Section 252F.6 - Filing with the district court.

252F.6 Filing with the district court.   Following issuance of an order by the administrator, the order shall be presented to an appropriate district court judge for review and approval. Unless a defect appears on the face of the order, the district court shall approve the order. Upon approval by the district court judge, the order shall be filed in the district court in the county in which the notice was filed pursuant to section 252F.3, subsection 3. Upon filing, the order has the same force and effect as a district court order.  93 Acts, ch 79, §19
IA Code § 252F.7 (2021)
2021 Iowa Code|Title VI - HUMAN SERVICES|Chapter 252F - ADMINISTRATIVE ESTABLISHMENT OF PATERNITY|Section 252F.7 - Report to vital records.

252F.7 Report to vital records.   Upon the filing of an order with the district court pursuant to this chapter, the clerk of the district court shall report the information from the order to the bureau of vital records in the manner provided in section 600B.36.  93 Acts, ch 79, §20; 2001 Acts, ch 24, §41