{"data":{"id":"us-dc/d.c.-code-46-251.03","jurisdiction":"us-dc","citation":"D.C. Code § 46-251.03","heading":"Medical support notice; contents; effect.","body":"(a)\nA medical support notice shall be issued in a format consistent with federal requirements and shall contain all information required by federal law. A medical support notice shall:\n(1)\nConform with the requirements applicable to medical child support orders under section 609(a) of the Employee Retirement Income Security Act of 1974, approved August 10, 1993 (107 Stat. 371; 29 U.S.C. § 1169(a)), in connection with group health plans;\n(2)\nConform with the requirements of section 466(a)(19) of the Social Security Act, approved August 16, 1984 (98 Stat. 1306; 42 U.S.C. § 666(a)(19));\n(3)\nInclude a separate and easily severable employer withholding notice that informs the employer of:\n(A)\nThe employer’s obligations under § 46-251.07 to withhold employee contributions due in connection with health insurance coverage a parent is required to provide for a child pursuant to a support order;\n(B)\nThe duration of the withholding requirement as stated in § 1-307.42(3);\n(C)\nThe applicability of the limits on withholding imposed under section 303 (b) of the Consumer Credit Protection Act, approved May 29, 1968 (82 Stat. 163; 15 U.S.C. § 1673(b));\n(D)\nThe applicability of any prioritization required under § 46-251.08 when the employee’s earnings are insufficient to satisfy fully through withholding the employee’s obligations to provide cash support and contributions for health insurance coverage for the child;\n(E)\nThe name and telephone number of the appropriate person to contact at the IV-D agency about the medical support notice;\n(F)\nThe employee’s right to contest the withholding based on mistake of fact pursuant to § 46-251.09, and the employer’s obligation to initiate and continue the withholding until the employer receives notice that the contest is resolved; and\n(G)\nThe applicability of sanctions against the employer under § 46-251.10 for discharging, refusing to employ, or taking disciplinary action against a parent because of the requirement to withhold employee contributions for health insurance coverage, or for failing to withhold or remit earnings.\n\n(b)\nAn appropriately completed medical support notice that meets the requirements of section 401(b) of the Child Support Performance and Incentive Act of 1998, approved July 16, 1998 (112 Stat. 663; 42 U.S.C. § 651 note), shall be deemed to be a qualified medical child support order under section 609(a)(2) of the Employee Retirement Income Security Act of 1974, approved August 10, 1993 (107 Stat. 371; 29 U.S.C. § 1169(a)(2)).\n\n(c)\nA medical support notice issued in another jurisdiction shall be treated under this subchapter in the same manner as a medical support notice issued in the District of Columbia.","path":["Title 46. Domestic Relations.","Chapter 2. Child Support and Medical Support Enforcement.","Subchapter II. Medical Support Enforcement."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/46-251.03","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"19ef6498576c273c909f6c91b8699cbea50e9e77e3c83985700a7d98ffc6239e","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-46-251.02","next":"us-dc/d.c.-code-46-251.04"},"notice":"GroundRules: Original legal text. Not legal advice."}