One of the issues that must be handled when a couple shares a child and lawoffices.com/Child-Support/">child support must be paid is medical expenses. State law has certain rules for enforcement when the payments are not made. The state will pursue a parent who has not kept up with the required payments. There will not be legal ramifications if the supporting parent - the obligor - proves that medical coverage is provided through private insurance. If there is no coverage, the state will take steps to ensure that the obligation is enforced.