1     
SHARED MEDICAL COSTS

2     
2021 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Brady Brammer

5     
Senate Sponsor: Daniel McCay

6     Cosponsor:
7     Cheryl K. Acton


8     

9     LONG TITLE
10     General Description:
11          This bill amends the Utah Child Support Act in relation to medical costs of pregnancy.
12     Highlighted Provisions:
13          This bill:
14          ▸     defines terms; and
15          ▸     requires a biological father to pay 50% of a mother's:
16               •     insurance premiums while she is pregnant; and
17               •     pregnancy-related medical costs, including the hospital birth of the child, that
18     are not paid by another person.
19     Money Appropriated in this Bill:
20          None
21     Other Special Clauses:
22          None
23     Utah Code Sections Affected:
24     AMENDS:
25          78B-12-102, as last amended by Laws of Utah 2018, Chapter 96
26     ENACTS:
27          78B-12-105.1, Utah Code Annotated 1953

28          78B-12-212.1, Utah Code Annotated 1953
29     

30     Be it enacted by the Legislature of the state of Utah:
31          Section 1. Section 78B-12-102 is amended to read:
32          78B-12-102. Definitions.
33          As used in this chapter:
34          (1) "Adjusted gross income" means income calculated under Subsection
35     78B-12-204(1).
36          (2) "Administrative agency" means the Office of Recovery Services or the Department
37     of Human Services.
38          (3) "Administrative order" means an order that has been issued by the Office of
39     Recovery Services, the Department of Human Services, or an administrative agency of another
40     state or other comparable jurisdiction with similar authority to that of the office.
41          (4) "Base child support award" means the award that may be ordered and is calculated
42     using the guidelines before additions for medical expenses and work-related child care costs.
43          (5) "Base combined child support obligation table," "child support table," "base child
44     support obligation table," "low income table," or "table" means the appropriate table in Part 3,
45     Tables.
46          (6) "Cash medical support" means an obligation to equally share all reasonable and
47     necessary medical and dental expenses of children.
48          (7) "Child" means:
49          (a) a son or daughter under the age of 18 years who is not otherwise emancipated,
50     self-supporting, married, or a member of the armed forces of the United States;
51          (b) a son or daughter over the age of 18 years, while enrolled in high school during the
52     normal and expected year of graduation and not otherwise emancipated, self-supporting,
53     married, or a member of the armed forces of the United States; or
54          (c) a son or daughter of any age who is incapacitated from earning a living and, if able

55     to provide some financial resources to the family, is not able to support self by own means.
56          (8) "Child support" means a base child support award, or a monthly financial award for
57     uninsured medical expenses, ordered by a tribunal for the support of a child, including current
58     periodic payments, arrearages that accrue under an order for current periodic payments, and
59     sum certain judgments awarded for arrearages, medical expenses, and child care costs.
60          (9) "Child support order" or "support order" means a judgment, decree, or order of a
61     tribunal whether interlocutory or final, whether or not prospectively or retroactively modifiable,
62     whether incidental to a proceeding for divorce, judicial or legal separation, separate
63     maintenance, paternity, guardianship, civil protection, or otherwise that:
64          (a) establishes or modifies child support;
65          (b) reduces child support arrearages to judgment; or
66          (c) establishes child support or registers a child support order under Chapter 14, Utah
67     Uniform Interstate Family Support Act.
68          (10) "Child support services" or "IV-D child support services" means services provided
69     pursuant to Part D of Title IV of the Social Security Act, 42 U.S.C. Sec. 651 et seq.
70          (11) "Court" means the district court or juvenile court.
71          (12) "Guidelines" means the directions for the calculation and application of child
72     support in Part 2, Calculation and Adjustment.
73          (13) "Health care coverage" means coverage under which medical services are
74     provided to a dependent child through:
75          (a) fee for service;
76          (b) a health maintenance organization;
77          (c) a preferred provider organization;
78          (d) any other type of private health insurance; or
79          (e) public health care coverage.
80          (14) (a) "Income" means earnings, compensation, or other payment due to an
81     individual, regardless of source, whether denominated as wages, salary, commission, bonus,

82     pay, allowances, contract payment, or otherwise, including severance pay, sick pay, and
83     incentive pay.
84          (b) "Income" includes:
85          (i) all gain derived from capital assets, labor, or both, including profit gained through
86     sale or conversion of capital assets;
87          (ii) interest and dividends;
88          (iii) periodic payments made under pension or retirement programs or insurance
89     policies of any type;
90          (iv) unemployment compensation benefits;
91          (v) workers' compensation benefits; and
92          (vi) disability benefits.
93          (15) "Joint physical custody" means the child stays with each parent overnight for more
94     than 30% of the year, and both parents contribute to the expenses of the child in addition to
95     paying child support.
96          (16) "Medical expenses" means health and dental expenses and related insurance costs.
97          (17) "Obligee" means an individual, this state, another state, or another comparable
98     jurisdiction to whom child support is owed or who is entitled to reimbursement of child
99     support or public assistance.
100          (18) "Obligor" means a person owing a duty of support.
101          (19) "Office" means the Office of Recovery Services within the Department of Human
102     Services.
103          (20) "Parent" includes a natural parent, or an adoptive parent.
104          (21) "Pregnancy expenses" means an amount equal to:
105          (a) the sum of a pregnant mother's:
106          (i) health insurance premiums while pregnant that are not paid by an employer or
107     government program; and
108          (ii) medical costs related to the pregnancy, incurred after the date of conception and

109     before the pregnancy ends; minus
110          (b) any portion of the amount described in Subsection (21)(a) that a court determines is
111     equitable based on the totality of the circumstances, not including any amount paid by the
112     mother or father of the child.
113          [(21)] (22) "Split custody" means that each parent has physical custody of at least one
114     of the children.
115          [(22)] (23) "State" includes a state, territory, possession of the United States, the
116     District of Columbia, the Commonwealth of Puerto Rico, Native American Tribe, or other
117     comparable domestic or foreign jurisdiction.
118          [(23)] (24) "Temporary" means a period of time that is projected to be less than 12
119     months in duration.
120          [(24)] (25) "Third party" means an agency or a person other than the biological or
121     adoptive parent or a child who provides care, maintenance, and support to a child.
122          [(25)] (26) "Tribunal" means the district court, the Department of Human Services,
123     Office of Recovery Services, or court or administrative agency of a state, territory, possession
124     of the United States, the District of Columbia, the Commonwealth of Puerto Rico, Native
125     American Tribe, or other comparable domestic or foreign jurisdiction.
126          [(26)] (27) "Work-related child care costs" means reasonable child care costs for up to
127     a full-time work week or training schedule as necessitated by the employment or training of a
128     parent under Section 78B-12-215.
129          [(27)] (28) "Worksheets" means the forms used to aid in calculating the base child
130     support award.
131          Section 2. Section 78B-12-105.1 is enacted to read:
132          78B-12-105.1. Duty of biological father to share pregnancy expenses.
133          (1) Except as otherwise provided in this section, a biological father of a child has a
134     duty to pay 50% of the mother's pregnancy expenses.
135          (2) (a) If paternity is disputed, a biological father owes no duty under this section until

136     the biological father's paternity is established.
137          (b) Once paternity is established, the biological father is subject to Subsection (1).
138          (3) (a) Any portion of a mother's pregnancy expenses paid by the mother or the
139     biological father reduces that parent's 50% share under Subsection (1), not the total amount of
140     pregnancy expenses.
141          (b) Subsection (3)(a) applies regardless of when the mother or biological father pays
142     the pregnancy expense.
143          (4) If a mother receives an abortion, as defined in Section 76-7-301, without the
144     biological father's consent, the biological father owes no duty under this section, unless:
145          (a) the abortion is necessary to avert the death of the mother; or
146          (b) the mother was pregnant as a result of:
147          (i) rape, as described in Section 76-5-402;
148          (ii) rape of a child, as described in Section 76-5-402.1; or
149          (iii) incest, as described in Subsection 76-5-406(2)(j) or Section 76-7-102.
150          (5) Subsection (1) does not apply if a court apportions pregnancy expenses under
151     Section 30-3-5.
152          (6) A person may seek payment under Subsection (1) in accordance with Section
153     78B-12-113.
154          (7) Nothing in this section or Section 78B-12-212.1 requires a person to separately bill
155     a biological father for pregnancy expenses.
156          Section 3. Section 78B-12-212.1 is enacted to read:
157          78B-12-212.1. Pregnancy expenses.
158          If a person seeks payment under Section 78B-12-105.1 by providing documentation of
159     payments, medical expenses, and insurance premiums, the district court shall, after review,
160     order the payment of the expenses.