{"abstract":"This document contains a final rule that promulgates a National Medical Support Notice to be issued by State agencies as a means of enforcing the health care coverage provisions in a child support order, and to be treated by plan administrators of group health plans as a qualified medical child support order under section 609(a) of Title I of the Employee Retirement Income Security Act (ERISA). Through this regulation, the Department of Labor (the Department) is implementing an amendment to section 609 (a) of ERISA, made by section 401 of the Child Support Performance and Incentive Act of 1998 (CSPIA), Pub. L. 105-200. This rule will affect group health plans, participants in group health plans, noncustodial children of such participants, and State agencies that administer child support enforcement programs.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Pension and Welfare Benefits Administration","name":"Pension and Welfare Benefits Administration","id":404,"url":"https://www.federalregister.gov/agencies/pension-and-welfare-benefits-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/404","parent_id":271,"slug":"pension-and-welfare-benefits-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2000/12/27/00-32411.html","cfr_references":[{"chapter":null,"citation_url":null,"part":2590,"title":29}],"citation":"65 FR 82128","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"The regulation is effective January 26, 2001.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"00-32411","effective_on":"2001-01-26","end_page":82153,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2000/12/27/00-32411.xml","html_url":"https://www.federalregister.gov/documents/2000/12/27/00-32411/national-medical-support-notice","images":{"ER27DE00.009":{"large":"https://img.federalregister.gov/ER27DE00.009/ER27DE00.009_large.png","medium":"https://img.federalregister.gov/ER27DE00.009/ER27DE00.009_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.009/ER27DE00.009_original_size.png"},"ER27DE00.008":{"large":"https://img.federalregister.gov/ER27DE00.008/ER27DE00.008_large.png","medium":"https://img.federalregister.gov/ER27DE00.008/ER27DE00.008_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.008/ER27DE00.008_original_size.png"},"ER27DE00.007":{"large":"https://img.federalregister.gov/ER27DE00.007/ER27DE00.007_large.png","medium":"https://img.federalregister.gov/ER27DE00.007/ER27DE00.007_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.007/ER27DE00.007_original_size.png"},"ER27DE00.006":{"large":"https://img.federalregister.gov/ER27DE00.006/ER27DE00.006_large.png","medium":"https://img.federalregister.gov/ER27DE00.006/ER27DE00.006_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.006/ER27DE00.006_original_size.png"},"ER27DE00.005":{"large":"https://img.federalregister.gov/ER27DE00.005/ER27DE00.005_large.png","medium":"https://img.federalregister.gov/ER27DE00.005/ER27DE00.005_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.005/ER27DE00.005_original_size.png"},"ER27DE00.004":{"large":"https://img.federalregister.gov/ER27DE00.004/ER27DE00.004_large.png","medium":"https://img.federalregister.gov/ER27DE00.004/ER27DE00.004_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.004/ER27DE00.004_original_size.png"},"ER27DE00.003":{"large":"https://img.federalregister.gov/ER27DE00.003/ER27DE00.003_large.png","medium":"https://img.federalregister.gov/ER27DE00.003/ER27DE00.003_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.003/ER27DE00.003_original_size.png"},"ER27DE00.002":{"large":"https://img.federalregister.gov/ER27DE00.002/ER27DE00.002_large.png","medium":"https://img.federalregister.gov/ER27DE00.002/ER27DE00.002_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.002/ER27DE00.002_original_size.png"},"ER27DE00.001":{"large":"https://img.federalregister.gov/ER27DE00.001/ER27DE00.001_large.png","medium":"https://img.federalregister.gov/ER27DE00.001/ER27DE00.001_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.001/ER27DE00.001_original_size.png"},"ER27DE00.000":{"large":"https://img.federalregister.gov/ER27DE00.000/ER27DE00.000_large.png","medium":"https://img.federalregister.gov/ER27DE00.000/ER27DE00.000_medium.png","original_size":"https://img.federalregister.gov/ER27DE00.000/ER27DE00.000_original_size.png"}},"images_metadata":{"ER27DE00.009":{"large":{"identifier":"ER27DE00.009","content_type":"image/png","size":64451,"width":823,"sha":"fc997c32e175ae8edf2af113ce71de29","url":"https://img.federalregister.gov/ER27DE00.009/ER27DE00.009_large.png","height":1013},"medium":{"identifier":"ER27DE00.009","content_type":"image/png","size":38292,"width":574,"sha":"df101dc3615efe01fd28d5a774202eed","url":"https://img.federalregister.gov/ER27DE00.009/ER27DE00.009_medium.png","height":706},"original_size":{"identifier":"ER27DE00.009","content_type":"image/png","size":160111,"width":4333,"sha":"7949d64155cc17ef1091ac38ecbdda38","url":"https://img.federalregister.gov/ER27DE00.009/ER27DE00.009_original_size.png","height":5333}},"ER27DE00.008":{"large":{"identifier":"ER27DE00.008","content_type":"image/png","size":101575,"width":823,"sha":"29b9f2b965868d83b11fa7493fb6d23a","url":"https://img.federalregister.gov/ER27DE00.008/ER27DE00.008_large.png","height":1013},"medium":{"identifier":"ER27DE00.008","content_type":"image/png","size":54254,"width":574,"sha":"a35e35a0f82efa4a1dcd1451daa9e603","url":"https://img.federalregister.gov/ER27DE00.008/ER27DE00.008_medium.png","height":706},"original_size":{"identifier":"ER27DE00.008","content_type":"image/png","size":255615,"width":4333,"sha":"5e5c40b29c69a0fd8cd4fab0eb426445","url":"https://img.federalregister.gov/ER27DE00.008/ER27DE00.008_original_size.png","height":5333}},"ER27DE00.007":{"large":{"identifier":"ER27DE00.007","content_type":"image/png","size":90465,"width":823,"sha":"932548b46d512704a0824d22d6e9452e","url":"https://img.federalregister.gov/ER27DE00.007/ER27DE00.007_large.png","height":1013},"medium":{"identifier":"ER27DE00.007","content_type":"image/png","size":53863,"width":574,"sha":"99583e28094f0850551e0a1d7ea7304a","url":"https://img.federalregister.gov/ER27DE00.007/ER27DE00.007_medium.png","height":706},"original_size":{"identifier":"ER27DE00.007","content_type":"image/png","size":235931,"width":4333,"sha":"1200db85e61cd38496c40f8e920caac1","url":"https://img.federalregister.gov/ER27DE00.007/ER27DE00.007_original_size.png","height":5333}},"ER27DE00.006":{"large":{"identifier":"ER27DE00.006","content_type":"image/png","size":87948,"width":823,"sha":"5b8029d21c93d5c1825e857fe7c6fee6","url":"https://img.federalregister.gov/ER27DE00.006/ER27DE00.006_large.png","height":1013},"medium":{"identifier":"ER27DE00.006","content_type":"image/png","size":48889,"width":574,"sha":"72d8c2aa3b26b2cfaac0af495baa8835","url":"https://img.federalregister.gov/ER27DE00.006/ER27DE00.006_medium.png","height":706},"original_size":{"identifier":"ER27DE00.006","content_type":"image/png","size":244421,"width":4333,"sha":"4980d09ce32ca2e2e6b6561c3855955e","url":"https://img.federalregister.gov/ER27DE00.006/ER27DE00.006_original_size.png","height":5333}},"ER27DE00.005":{"large":{"identifier":"ER27DE00.005","content_type":"image/png","size":68685,"width":823,"sha":"30d334754fcc7f5f65b5fa8d4c1d11e7","url":"https://img.federalregister.gov/ER27DE00.005/ER27DE00.005_large.png","height":1013},"medium":{"identifier":"ER27DE00.005","content_type":"image/png","size":39448,"width":574,"sha":"92a5ea2f973ae931afceb23e996d1d74","url":"https://img.federalregister.gov/ER27DE00.005/ER27DE00.005_medium.png","height":706},"original_size":{"identifier":"ER27DE00.005","content_type":"image/png","size":157845,"width":4333,"sha":"231ab24fc4c474722170997f43373365","url":"https://img.federalregister.gov/ER27DE00.005/ER27DE00.005_original_size.png","height":5333}},"ER27DE00.004":{"large":{"identifier":"ER27DE00.004","content_type":"image/png","size":83948,"width":823,"sha":"93508b45d35c45fe56230f5180e2883a","url":"https://img.federalregister.gov/ER27DE00.004/ER27DE00.004_large.png","height":1013},"medium":{"identifier":"ER27DE00.004","content_type":"image/png","size":48541,"width":574,"sha":"927271052a56b77abd6f536ad8db8a30","url":"https://img.federalregister.gov/ER27DE00.004/ER27DE00.004_medium.png","height":706},"original_size":{"identifier":"ER27DE00.004","content_type":"image/png","size":212092,"width":4333,"sha":"62311d40e2f226805d92d5f6676791e5","url":"https://img.federalregister.gov/ER27DE00.004/ER27DE00.004_original_size.png","height":5333}},"ER27DE00.003":{"large":{"identifier":"ER27DE00.003","content_type":"image/png","size":77774,"width":823,"sha":"8c511978180337d8764484a8522e9451","url":"https://img.federalregister.gov/ER27DE00.003/ER27DE00.003_large.png","height":1013},"medium":{"identifier":"ER27DE00.003","content_type":"image/png","size":45648,"width":574,"sha":"55b67a9e031714af3cc4891daf5b4eb4","url":"https://img.federalregister.gov/ER27DE00.003/ER27DE00.003_medium.png","height":706},"original_size":{"identifier":"ER27DE00.003","content_type":"image/png","size":192948,"width":4333,"sha":"b9eea001a37f6baa7abce21b7c47b15e","url":"https://img.federalregister.gov/ER27DE00.003/ER27DE00.003_original_size.png","height":5333}},"ER27DE00.002":{"large":{"identifier":"ER27DE00.002","content_type":"image/png","size":87610,"width":823,"sha":"5e91532b6c413c0ca5551e4820e7fbe2","url":"https://img.federalregister.gov/ER27DE00.002/ER27DE00.002_large.png","height":1013},"medium":{"identifier":"ER27DE00.002","content_type":"image/png","size":50514,"width":574,"sha":"77b6a6bf027b309ef656761613e71089","url":"https://img.federalregister.gov/ER27DE00.002/ER27DE00.002_medium.png","height":706},"original_size":{"identifier":"ER27DE00.002","content_type":"image/png","size":220072,"width":4333,"sha":"16e0c7f368e1dcf2b85cd08c50231320","url":"https://img.federalregister.gov/ER27DE00.002/ER27DE00.002_original_size.png","height":5333}},"ER27DE00.001":{"large":{"identifier":"ER27DE00.001","content_type":"image/png","size":68920,"width":823,"sha":"90aaf0cc024e24f5dbbd90507a82da66","url":"https://img.federalregister.gov/ER27DE00.001/ER27DE00.001_large.png","height":1013},"medium":{"identifier":"ER27DE00.001","content_type":"image/png","size":39780,"width":574,"sha":"4fb7fbce26021aee7735ba66cbbaba12","url":"https://img.federalregister.gov/ER27DE00.001/ER27DE00.001_medium.png","height":706},"original_size":{"identifier":"ER27DE00.001","content_type":"image/png","size":165196,"width":4333,"sha":"c6b29f7065f07cb81cc25812ec0bffe1","url":"https://img.federalregister.gov/ER27DE00.001/ER27DE00.001_original_size.png","height":5333}},"ER27DE00.000":{"large":{"identifier":"ER27DE00.000","content_type":"image/png","size":71254,"width":823,"sha":"d7782c2c106c4a0a48f1201ca6442e59","url":"https://img.federalregister.gov/ER27DE00.000/ER27DE00.000_large.png","height":1013},"medium":{"identifier":"ER27DE00.000","content_type":"image/png","size":41190,"width":574,"sha":"201d46bdb4391b2d09afb684b8c7eb6d","url":"https://img.federalregister.gov/ER27DE00.000/ER27DE00.000_medium.png","height":706},"original_size":{"identifier":"ER27DE00.000","content_type":"image/png","size":165040,"width":4333,"sha":"91422c718fc1ca0cf200b1311a15fb0c","url":"https://img.federalregister.gov/ER27DE00.000/ER27DE00.000_original_size.png","height":5333}}},"json_url":"https://www.federalregister.gov/api/v1/documents/00-32411?publication_date=2000-12-27","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2000-12-27/00-32411/mods.xml","not_received_for_publication":null,"page_length":26,"page_views":{"count":1273,"last_updated":"2026-10-25 10:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2000-12-27/pdf/00-32411.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2000-12-27","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2000/12/27/00-32411.txt","regulation_id_number_info":{"1210-AA72":{"issue":"200010","html_url":"https://www.federalregister.gov/regulations/1210-AA72/national-medical-support-notice","title":"National Medical Support Notice","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200010&RIN=1210-AA72&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["1210-AA72"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":82128,"subtype":null,"title":"National Medical Support Notice","toc_doc":"National Medical Support Notice; child support orders; health care provisions","toc_subject":"Group health plans; access, portability, and renewability requirements:","topics":["Employee benefit plans","Health care","Pensions","Reporting and recordkeeping requirements"],"type":"Rule","volume":65}