Tex. Codes » Family Code · TITLE 5. THE PARENT-CHILD RELATIONSHIP AND THE SUIT AFFECTING THE PARENT-CHILD RELATIONSHIP · SUBTITLE B. SUITS AFFECTING THE PARENT-CHILD RELATIONSHIP · CHAPTER 154. CHILD SUPPORT
Texas Codes

Tex. Fam. Code § 154.183 (2026)

Medical And Dental Support Additional Support Duty Of Obligor

✓ current as of May 2026
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Sec. 154.183. MEDICAL AND DENTAL SUPPORT ADDITIONAL SUPPORT DUTY OF OBLIGOR. (a) An amount that an obligor is ordered to pay as medical support or dental support for the child under this chapter, including the costs of health insurance coverage or cash medical support under Section 154.182 and the costs of dental insurance under Section 154.1825:

(1) is in addition to the amount that the obligor is required to pay for child support under the guidelines for child support;

(2) is a child support obligation; and

(3) may be enforced by any means available for the enforcement of child support, including withholding from earnings under Chapter 158.

(b) If the court finds and states in the child support order that the obligee will maintain health insurance coverage, dental insurance coverage, or both, for the child at the obligee's expense, the court shall increase the amount of child support to be paid by the obligor in an amount not exceeding the actual cost to the obligee for maintaining the coverage, as provided under Sections 154.182(b-1) and 154.1825(d).

(c) As additional child support, the court shall allocate between the parties, according to their circumstances:

(1) the reasonable and necessary health care expenses, including vision and dental expenses, of the child that are not reimbursed by health or dental insurance or are not otherwise covered by the amount of cash medical support ordered under Section 154.182; and

(2) amounts paid by either party as deductibles or copayments in obtaining health care or dental care services for the child covered under a health insurance or dental insurance policy.

Added by Acts 1995, 74th Leg., ch. 20, Sec. 1, eff. April 20, 1995.

Amended by:

Acts 2007, 80th Leg., R.S., Ch. 363 (S.B. 303), Sec. 5, eff. September 1, 2007.

Acts 2007, 80th Leg., R.S., Ch. 620 (H.B. 448), Sec. 6, eff. September 1, 2007.

Acts 2009, 81st Leg., R.S., Ch. 87 (S.B. 1969), Sec. 9.002, eff. September 1, 2009.

Acts 2009, 81st Leg., R.S., Ch. 767 (S.B. 865), Sec. 10, eff. June 19, 2009.

Acts 2015, 84th Leg., R.S., Ch. 1150 (S.B. 550), Sec. 16, eff. September 1, 2018.

Notes of Decisions
Cited in 32 cases (10 in the last 5 years), 1998–2026 · leading case: in the Interest of T.F., J.F., L.F., & W.F., Child., 576 S.W.3d 761 (Tex. App. 2019).
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in the Interest of T.F., J.F., L.F., & W.F., Child., 576 S.W.3d 761 (Tex. App. 2019). · cites it 3× “Medical support is a child-support obligation, Tex. Fam. Code Ann. § 154.183 , and it is also enforceable by contempt, see Ex parte 10 Ferrer, No.”
In the Interest of B.R.G., 48 S.W.3d 812 (Tex. App. 2001). “See Tex Fam.Code Ann. § 154.131 (Vernon 1996).”
William Wade Bartlett v. Lori Lee Bartlett, 465 S.W.3d 745 (Tex. App. 2015). “See Tex. Fam. Code Ann. § 154.183 (a)(2). However, as explained above, the Bartletts’ college-expense provision is not an agreement for child support.”
In the Interest of A.L.S., M.B.S., B.P.S. & F.J.S., 338 S.W.3d 59 (Tex. App. 2011). “See Tex. Fam.Code § 154.183(a). As discussed above, the March 14,1990 modification order imposed a medical-support obligation, characterized as additional child support, as follows: As additional child-support, IT IS ORDERED AND DECREED that [Brown] shall purchase, and as long…”
In the Interest of S.R.O., 143 S.W.3d 237 (Tex. App. 2004). “However, the court rendered an arrearages judgment against her for fifty percent of the unreimbursed health care expenses incurred only after the regular policy took effect on July 15, 1999, excluding expenses incurred for the counselor whom Garza had not agreed to. The…”
in the Interest of N.K.C., a Child (Tex. App. 2022). · cites it 4× “See TEX. FAM. CODE ANN. § 154.183 (a)(2) –7– Every agreement incorporates the laws that exist at the time and place of its making, regardless of whether that incorporation is express.”
in the Interest of D.B.J., a Child, 459 S.W.3d 169 (Tex. App. 2015). “” Tex. Fam. Code § 154.183(a). 4 . Although the trial court stated in its findings of fact that the decree did not expressly reference or incorporate an agreement related to support after D.”
In the Interest of L.A.N., a Child v. the State of Texas (Tex. App. 2023). · cites it 3× “” Specifically, Amity contends the trial court erred in not granting her requests for $1,172.”
Jose E. Perlera v. Patricia Hernandez Najera (Tex. App. 2025). · cites it 2× “Texas Family Code section 154.183 provides: (a) An amount that an obligor is ordered to pay as medical support or dental support for the child under this chapter, including the costs of health insurance coverage or cash medical support under Section 154.”
In the Interest of H.A. & L.C.A., Child. v. the State of Texas (2026). · cites it 2× “; TEX. FAM. CODE ANN. § 154.183(c)(1) (Supp.”
In Re Sro, 143 S.W.3d 237 (Tex. App. 2004). “However, the court rendered an arrearages judgment against her for fifty percent of the unreimbursed health care expenses incurred only after the regular policy took effect on July 15, 1999, excluding expenses incurred for the counselor whom Garza had not agreed to. The…”
In Re Brg, 48 S.W.3d 812 (Tex. App. 2001). “[9] See Tex. Fam.Code Ann. § 154.131 (Vernon 1996).”
Show all 32 citing cases →
— Tex. Fam. Code § 154.183(a) — 8 cases
In the Interest of A.L.S., M.B.S., B.P.S. & F.J.S., 338 S.W.3d 59 (Tex. App. 2011). “See Tex. Fam.Code § 154.183(a). As discussed above, the March 14,1990 modification order imposed a medical-support obligation, characterized as additional child support, as follows: As additional child-support, IT IS ORDERED AND DECREED that [Brown] shall purchase, and as long…”
in the Interest of D.B.J., a Child, 459 S.W.3d 169 (Tex. App. 2015). “” Tex. Fam. Code § 154.183(a). 4 . Although the trial court stated in its findings of fact that the decree did not expressly reference or incorporate an agreement related to support after D.”
In the Interest of L.A.N., a Child v. the State of Texas (Tex. App. 2023). “” Specifically, Amity contends the trial court erred in not granting her requests for $1,172.”
In Re Als, 338 S.W.3d 59 (Tex. App. 2011).
Brooke Bruce// Carter Bruce v. Carter Bruce// Cross-Appellee, Brooke Bruce (Tex. App. 2016).
— Tex. Fam. Code § 154.183(a)(1) — 1 case
William Forssberg v. Lisa Howard (Tex. App. 2021).
— Tex. Fam. Code § 154.183(a)(2) — 4 cases
in the Interest of N.K.C., a Child (Tex. App. 2022). “See TEX. FAM. CODE ANN. § 154.183 (a)(2) –7– Every agreement incorporates the laws that exist at the time and place of its making, regardless of whether that incorporation is express.”
in the Interest Of: I.O.K., J.C.K., & M.O.K., Child. (Tex. App. 2014).
Johnson B. Hontanosas v. Moonyeen Hontanosas (Tex. App. 2012).
in the Interest of J. S. H., a Minor Child (Tex. App. 2010).
— Tex. Fam. Code § 154.183(a)(3) — 1 case
in the Interest of N.K.C., a Child (Tex. App. 2022). “See TEX. FAM. CODE ANN. § 154.183 (a)(2) –7– Every agreement incorporates the laws that exist at the time and place of its making, regardless of whether that incorporation is express.”
— Tex. Fam. Code § 154.183(c) — 8 cases
In the Interest of B.R.G., 48 S.W.3d 812 (Tex. App. 2001). “See Tex Fam.Code Ann. § 154.131 (Vernon 1996).”
In the Interest of S.R.O., 143 S.W.3d 237 (Tex. App. 2004). “However, the court rendered an arrearages judgment against her for fifty percent of the unreimbursed health care expenses incurred only after the regular policy took effect on July 15, 1999, excluding expenses incurred for the counselor whom Garza had not agreed to. The…”
In Re Sro, 143 S.W.3d 237 (Tex. App. 2004). “However, the court rendered an arrearages judgment against her for fifty percent of the unreimbursed health care expenses incurred only after the regular policy took effect on July 15, 1999, excluding expenses incurred for the counselor whom Garza had not agreed to. The…”
In Re Brg, 48 S.W.3d 812 (Tex. App. 2001). “[9] See Tex. Fam.Code Ann. § 154.131 (Vernon 1996).”
Sean Carter McCain v. Elizabeth Mary McCain (Tex. App. 2021).
— Tex. Fam. Code § 154.183(c)(1) — 1 case
In the Interest of H.A. & L.C.A., Child. v. the State of Texas (2026). “; TEX. FAM. CODE ANN. § 154.183(c)(1) (Supp.”
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