Section 154.181 - Medical Support Order(a) The court shall render an order for the medical support of the child as provided by this section and Section 154.182 in:(1) a proceeding in which periodic payments of child support are ordered under this chapter or modified under Chapter 156;(2) any other suit affecting the parent-child relationship in which the court determines that medical support of the child must be established, modified, or clarified; or(3) a proceeding under Chapter 159.(b) Before a hearing on temporary orders or a final order, if no hearing on temporary orders is held, the court shall require the parties to the proceedings to disclose in a pleading or other statement:(1) if private health insurance is in effect for the child, the identity of the insurance company providing the coverage, the policy number, which parent is responsible for payment of any insurance premium for the coverage, whether the coverage is provided through a parent's employment, and the cost of the premium; or(2) if private health insurance is not in effect for the child, whether:(A) the child is receiving medical assistance under Chapter 32, Human Resources Code;(B) the child is receiving health benefits coverage under the state child health plan under Chapter 62, Health and Safety Code, and the cost of any premium; and(C) either parent has access to private health insurance at reasonable cost to the obligor.(c) In rendering temporary orders, the court shall, except for good cause shown, order that any health insurance coverage in effect for the child continue in effect pending the rendition of a final order, except that the court may not require the continuation of any health insurance that is not available to the parent at reasonable cost to the obligor. If there is no health insurance coverage in effect for the child or if the insurance in effect is not available at a reasonable cost to the obligor, the court shall, except for good cause shown, order health care coverage for the child as provided under Section 154.182.(d) On rendering a final order the court shall:(1) make specific findings with respect to the manner in which health care coverage is to be provided for the child, in accordance with the priorities identified under Section 154.182; and(2) except for good cause shown or on agreement of the parties, require the parent ordered to provide health care coverage for the child as provided under Section 154.182 to produce evidence to the court's satisfaction that the parent has applied for or secured health insurance or has otherwise taken necessary action to provide for health care coverage for the child, as ordered by the court.(e) In this section, "reasonable cost" means the cost of health insurance coverage for a child that does not exceed nine percent of the obligor's annual resources, as described by Section 154.062(b), if the obligor is responsible under a medical support order for the cost of health insurance coverage for only one child. If the obligor is responsible under a medical support order for the cost of health insurance coverage for more than one child, "reasonable cost" means the total cost of health insurance coverage for all children for which the obligor is responsible under a medical support order that does not exceed nine percent of the obligor's annual resources, as described by Section 154.062(b).Subchapter heading amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1150,Sec. 13, eff. 9/1/2018.Amended By Acts 2009, 81st Leg., R.S., Ch. 767, Sec. 7, eff. 6/19/2009.Amended By Acts 2007, 80th Leg., R.S., Ch. 363, Sec. 2, eff. 9/1/2007.Amended by Acts 2001, 77th Leg., ch. 449, Sec. 1, eff. 6/5/2001; Acts 2003, 78th Leg., ch. 610, Sec. 1, eff. 9/1/2003.Added by Acts 1995, 74th Leg., ch. 20, Sec. 1, eff. 4/20/1995.