The Child Support Performance and Incentives Act of 1998 (CSPIA), Public Law 105–200, requires State child support enforcement agencies, under title IV–D of the Social Security Act (the Act), to secure medical support information, and to secure and enforce medical support obligations whenever health care coverage is available to noncustodial parents at a reasonable cost. State laws require that health care coverage be provided under a medical support order even if the child: 1. Was born to unmarried parents, 2. Is not claimed as a dependent for tax purposes, or 3. Does not reside with the parent or in the insurer's service area. Health care coverage responsibilities are shared by the State Entity and the NMSN vendor. Services are provided under the name Georgia National Medical Support Notice (GA-NMSN). The successful Supplier will be responsible for generating and sending NMSNs to employers on all cases for which medical support is ordered to be provided by noncustodial parents on active cases being enforced by the State Entity.