What does the Child Support Performance and Incentive Act (CSPIA) of 1998 require of state and local governmental and church group health plans?
CSPIA requires church plans to comply with any qualified medical child support orders (QMCSOs), including the NMSN. CSPIA also requires that plans sponsored by state and local governments provide benefits in accordance with the applicable requirements of any NMSN. [CSPIA §401(e)(1) and §410(f)(1)] In addition, CSPIA provides for the following: the promulgation of the NMSN by mandating that states issue it as a means of enforcing the health care coverage provisions in a child support order; the requirements of the NMSN; the required use of the NMSN by States; and the NMSN being deemed as a qualified medical child support order under the Employee Retirement Income Security Act of 1974 (ERISA). [CSPIA §§(b)(1) and (2), (c) and (d)] The Department of Labor has no interpretive or enforcement authority over those requirements.
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