What Child Support Payments Are Required to Cover
Child support covers the basic living costs of a child, not every expense a parent incurs
Child support is money one parent pays the other to help cover the child's everyday needs. The law requires it to pay for food, housing, clothing, and school costs. It does not cover every expense — medical insurance, childcare, and extraordinary costs like sports equipment or tutoring are often handled separately, either split between parents or specified in the court order.
What gets included depends on the state where the order was issued and what the judge or parents agreed to in writing. A court order is the document that spells out exactly which costs are the paying parent's responsibility and which are shared or the receiving parent's alone.
Key Takeaways
- Child support covers food, housing, clothing, and basic school costs for the child.
- Medical insurance, childcare, and activities like sports or music lessons are usually addressed separately in the court order, not included in the base support amount.
- The court order is the binding document that lists what the paying parent must pay for and what other costs are split or the receiving parent's responsibility.
- Some states allow either parent to ask the court to modify what is covered if circumstances change significantly.
Basic living expenses child support must cover
Child support is meant to pay for the child's food, shelter, utilities, and clothing. These are the costs that would exist whether the child lived with one parent or the other. The amount is usually calculated based on both parents' income, the number of children, and how much time each parent spends with the child.
School supplies, books, and fees for public school are typically included in the base child support amount. If the child attends private school, the court order usually specifies whether the paying parent contributes to tuition or whether that is the receiving parent's responsibility.
Expenses usually handled outside of child support
Health insurance for the child is often ordered separately from child support. One parent is usually required to carry the child on their health plan if it is available through their job, and the other parent may be ordered to reimburse them for the cost of the premium or to split it.
Childcare and daycare costs are typically split between parents or assigned to one parent, depending on the court order. If the receiving parent needs childcare to work, the court may order the paying parent to pay a portion or all of it, but this is a separate line item from the base child support amount.
Extracurricular activities — sports, music lessons, camps, scouts — are usually not included in base child support. The court order may say the parents split these costs, or it may say the receiving parent covers them. Some orders require the paying parent to pay for activities the child was already enrolled in before the order was issued.
Medical and dental costs beyond insurance
Health insurance premiums are separate from child support, but what happens after insurance is used varies by state and by court order. Some orders say the parents split medical and dental costs that insurance does not cover — copays, deductibles, orthodontia, glasses, or therapy. Others say the receiving parent covers these costs out of the child support they receive.
If a child needs a major medical procedure or ongoing treatment, either parent can ask the court to modify the order to address who pays. Courts generally expect parents to discuss large medical expenses and try to agree on who pays before the bill comes due.
How the court order specifies what is covered
The court order is a legal document that lists the monthly child support amount and often includes a section called "Additional Provisions" or "Other Obligations." This section spells out whether the paying parent must pay for health insurance, childcare, school costs, or activities. If something is not mentioned in the order, it is usually the receiving parent's responsibility to cover it from the child support they receive.
Some court orders are very detailed and list specific costs. Others are brief and say only the monthly amount. If the order is unclear about a particular expense, either parent can ask the court to clarify or modify it.
Modifying what child support covers
If circumstances change — the child's needs increase, one parent loses a job, or a new expense arises — either parent can ask the court to modify the order. A significant change in income, a child's special needs, or a major new expense like braces or tutoring are reasons courts may consider a modification.
The parent asking for the change must file a motion with the court and usually must show that the change in circumstances is substantial and not temporary. The other parent has the right to respond and argue against the modification. The court will then decide whether to change what is covered or the amount paid.
What happens if the paying parent refuses to pay for ordered expenses
If the court order says the paying parent must pay for something — health insurance, childcare, or school costs — and they do not, the receiving parent can file a motion for contempt of court. This is different from falling behind on the monthly child support amount; it is a violation of a specific order to pay for a named expense.
The court can hold the paying parent in contempt, which may result in fines, wage garnishment, or other enforcement. The receiving parent may also be able to recover the money they paid out of pocket plus attorney fees, depending on the state and the circumstances.
Frequently Asked Questions
Does child support cover extracurricular activities like sports or music lessons?
Not automatically. Base child support covers food, housing, and clothing. Activities are usually addressed separately in the court order — the parents may split the cost, or one parent may be responsible. If the child was enrolled in an activity before the order was issued, the order may require the paying parent to continue paying for it.
Who pays for health insurance under child support?
Health insurance is usually ordered separately from the monthly child support amount. One parent is typically required to carry the child on their health plan if available through their job. The other parent may be ordered to pay the premium cost or reimburse the first parent. Costs insurance does not cover — copays, deductibles, orthodontia — may be split or assigned to one parent depending on the order.
Can I ask the court to change what child support covers?
Yes. Either parent can file a motion to modify the order if there is a substantial change in circumstances — a significant income change, new medical needs, or a major new expense. The court will review both parents' arguments and decide whether to change what is covered or the amount paid.
What if my child needs braces or therapy that is not mentioned in the court order?
If the expense is not listed in the order, it is typically the receiving parent's responsibility to cover it from the child support they receive. If the cost is very large or unexpected, either parent can ask the court to modify the order and assign responsibility for it.
Is private school tuition covered by child support?
Not unless the court order specifically says so. Public school costs are usually included in base child support, but private school tuition is typically addressed separately. The order may say the parents split it, one parent pays it, or the receiving parent covers it from the child support they receive.
This guide is for general information only and is not medical, financial, legal, or other professional advice. For decisions specific to your situation, consult a qualified professional. See our Editorial Policy.