Ohio § 3119.302

§ 3119.302.

(A) When the court, with respect to a court child support order, or the child support

enforcement agency, with respect to an administrative child support order, determines

the person or persons responsible for the health care coverage of the children subject

to the order pursuant to section 3119.30 of the Revised Code , all of the following apply: (1) The court or agency shall consider any health insurance coverage in which the obligor,

obligee, or children, are enrolled at the time the court or agency issues the order. (2) If the cost of health insurance coverage to either parent exceeds a reasonable cost,

that parent shall not be ordered to provide health insurance coverage for the child

except as follows: (a) When the parent requests to obtain or maintain the health insurance coverage that

exceeds a reasonable cost; (b) When the court determines that it is in the best interest of the children for a parent

to obtain and maintain health insurance coverage that exceeds a reasonable cost and

the cost will not impose an undue financial burden on either parent.  If the court makes such a determination, the court must include the facts and circumstances

of the determination in the child support order. (3) If health insurance coverage is available at a reasonable cost to either parent through

a group policy, contract, or plan, and the court determines that it is not in the

best interest of the children to utilize the available health insurance coverage,

the court shall state the facts and circumstances of the determination in the child

support order. (4) Notwithstanding division (B) of section 3119.29 of the Revised Code , the court or agency may do either of the following: (a) Permit primary care services to be farther than thirty miles if residents in part

or all of the immediate geographic area customarily travel farther distances; (b) Require primary care services be accessible by public transportation if public transportation

is the obligee's only source of transportation. If the court or agency makes either accessibility determination, it shall include

this accessibility determination in the child support order. (B) The director of job and family services shall periodically update the amount of the

cash medical support obligation to be paid pursuant to division (C) of section 3119.30 of the Revised Code .  The updates shall be made in consideration of the medical expenditure panel survey,

conducted by the United States department of health and human services for health

care research and quality.  The amount shall be based on the most recent survey year data available and shall

be calculated by multiplying the total amount expended for health services for children

by the percentage that is out-of-pocket divided by the number of individuals less

than eighteen years of age that have any private insurance.