Summary

Requires state child support systems to create and enforce a legal duty for a biological father to pay at least 50% of a mother's reasonable out-of-pocket medical costs related to pregnancy and delivery (including premiums and cost-sharing) when the mother requests payment. The bill explicitly excludes expenses tied to abortion from those reimbursable medical costs. The change becomes effective on January 1 of the first calendar year after enactment, with a delayed compliance safe harbor for states that must pass enabling state legislation (deadline tied to the close of the state legislature's next regular session).

• Mandates that biological fathers pay at least 50% of a mother's reasonable out-of-pocket pregnancy and delivery medical expenses when requested by the mother.
• Covered costs include health insurance premiums, cost-sharing, and similar pregnancy/delivery-related charges.
• Expenses associated with abortion are explicitly excluded from reimbursable medical expenses.
• Becomes effective January 1 of the first calendar year after enactment, with a delayed compliance window for states that need to change state law.
• Requires state child support systems to update procedures and enforcement to collect these medical payments from fathers.
• Does not provide dedicated federal funding for state implementation or enforcement activities.
• Creates a federal requirement that could alter state child support law and administrative practice.
• Applies only when the mother requests payment for eligible expenses.