112 STAT. 660 PUBLIC LAW 105-200-^JULY 16, 1998 Deadline. Regulations. 42 USC 651 note. (i) recommendations based on assessments of the form and content of the National Medical Support Notice, as issued under interim regulations; (ii) appropriate measures that establish the priority of withholding of child support obligations, medical support obligations, arrearages in such obligations, and in the case of a medical support obligation, the employ- ee's portion of any health care coverage premium, by such State agencies in light of the restrictions on garnishment provided under title III of the Consumer Credit Protection Act (15 U.S.C. 1671-1677); (iii) appropriate procedures for coordinating the provision, enforcement, and transition of health care coverage under the State programs operated pursuant to part D of title IV of the Social Security Act and titles XIX and XXI of such Act; (iv) appropriate measures to improve the availability of alternate t3T)es of medical support that are aside from health coverage offered through the noncustodial parent's health plan and unrelated to the noncustodial parent's employer, including measures that establish a noncustodial parent's responsibility to share the cost of premiums, co-payments, deductibles, or payments for services not covered under a child's existing health coverage; (v) recommendations on whether reasonable cost should remain a consideration under section 452(f) of the Social Security Act; and (vi) appropriate measures for eliminating any other impediments to the effective enforcement of medical support orders that the Working Group deems necessary. (B) REPORT BY SECRETARIES TO THE CONGRESS.— Not later than 2 months after receipt of the report pursuant to subparagraph (A), the Secretaries shall jointly submit a report to each House of the Congress regarding the recommendations contained in the report under subparagraph (A). (6) TERMINATION.—The Working Group shall terminate 30 days after the date of the issuance of its report under paragraph (5). (b) PROMULGATION OF NATIONAL MEDICAL SUPPORT NOTICE. — (1) IN GENERAL. — The Secretary of Health and Human Services and the Secretary of Labor shall jointly develop and promulgate by regulation a National Medical Support Notice, to be issued by States as a means of enforcing the health care coverage provisions in a child support order. (2) REQUIREMENTS.—The National Medical Support Notice shall— (A) conform with the requirements which apply to • medical child support orders under section 609(a)(3) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1169(a)(3)) in connection with group health plans (subject to section 609(a)(4) of such Act), irrespective of whether the group health plan is covered under section 4of such Act;
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