[Code of Federal Regulations]
[Title 45, Volume 2]
[Revised as of October 1, 2004]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR303.5]

[Page 238-240]
 
                        TITLE 45--PUBLIC WELFARE
 
    CHAPTER III--OFFICE OF CHILD SUPPORT ENFORCEMENT (CHILD SUPPORT 
 
PART 303_STANDARDS FOR PROGRAM OPERATIONS--Table of Contents
 
Sec. 303.5  Establishment of paternity.

    (a) For all cases referred to the IV-D agency or applying for 
services under Sec. 302.33 of this chapter in which paternity has not 
been established, the IV-D agency must, as appropriate:
    (1) Provide an alleged father the opportunity to voluntarily 
acknowledge paternity in accordance with Sec. 302.70(a)(5)(iii); and
    (2) Attempt to establish paternity by legal process established 
under State law.
    (b) The IV-D agency need not attempt to establish paternity in any 
case involving incest or forcible rape, or in any case in which legal 
proceedings for adoption are pending, if, in the opinion of the IV-D 
agency, it would not be in the best interests of the child to establish 
paternity.
    (c) The IV-D agency must identify and use through competitive 
procurement laboratories which perform, at reasonable cost, legally and 
medically acceptable genetic tests which tend to identify the father or 
exclude the alleged father. The IV-D agency must make available a list 
of such laboratories to appropriate courts and law enforcement 
officials, and to the public upon request.
    (d)(1) Upon request of any party in a contested paternity case in 
accordance with section 466(a)(5)(B) of the Act, and subject to the 
provisions of paragraph (b) of this section, the IV-D agency shall 
require all parties to submit to genetic tests unless, in the case of an 
individual receiving aid under the State's title IV-A, IV-E or XIX plan, 
or those recipients of the food stamp program, as defined under section 
3(h) of the Food Stamp Act of 1977 who are required to cooperate with 
the child support program, there has been a determination of good cause 
for refusal to cooperate under section 454(29) of the Act.
    (2) A contested paternity case is any action in which the issue of 
paternity may be raised under State law and one party denies paternity.
    (e)(1) Except as provided in paragraph (e)(3) of this section, the 
IV-D agency may charge any individual who is not a recipient of aid 
under the State's title IV-A or XIX plan a reasonable fee for performing 
genetic tests.
    (2) Any fee charged must be reasonable so as not to discourage those 
in need of paternity establishment services from seeking them and may 
not exceed the actual costs of the genetic tests.
    (3) If paternity is established and genetic tests were ordered by 
the IV-D agency, the IV-D agency must pay the costs of such tests, 
subject to recoupment (if the agency elects) from the alleged father who 
denied paternity. If a party contests the results of an original test, 
the IV-D agency shall obtain additional tests but shall require the 
contestant to pay for the costs of any such additional testing in 
advance.
    (4) The IV-D agency must use any amount collected under paragraphs 
(e) (1) and (3) of this section that exceeds the costs of performing 
genetic tests to reimburse any fee paid under paragraph (e)(1) of this 
chapter.
    (f) The IV-D agency must seek entry of a default order by the court 
or administrative authority in a paternity case by showing that process 
has been served on the defendant in accordance with State law, that the 
defendant has failed to respond to service in accordance with State 
procedures, and any additional showing required by State law, in 
accordance with Sec. 302.70(a)(5)(viii).
    (g) Voluntary paternity establishment programs. (1) The State must 
establish, in cooperation with hospitals, State

[[Page 239]]

birth record agencies, and other entities designated by the State and 
participating in the State's voluntary paternity establishment program, 
a program for voluntary paternity establishment services.
    (i) The hospital-based portion of the voluntary paternity 
establishment services program must be operational in all private and 
public birthing hospitals statewide and must provide voluntary paternity 
establishment services focusing on the period immediately before and 
after the birth of a child born out-of-wedlock.
    (ii) The voluntary paternity establishment services program must 
also be available at the State birth record agencies, and at other 
entities designated by the State and participating in the State's 
voluntary paternity establishment program. These entities may include 
the following types of entities:
    (A) Public health clinics (including Supplementary Feeding Program 
for Women, Infants, and Children (WIC) and Maternal and Child Health 
(MCH) clinics), and private health care providers (including 
obstetricians, gynecologists, pediatricians, and midwives);
    (B) Agencies providing assistance or services under Title IV-A of 
the Act, agencies providing food stamp eligibility service, and agencies 
providing child support enforcement (IV-D) services;
    (C) Head Start and child care agencies (including child care 
information and referral providers), and individual child care 
providers;
    (D) Community Action Agencies and Community Action Programs;
    (E) Secondary education schools (particularly those that have 
parenthood education curricula);
    (F) Legal Aid agencies, and private attorneys; and
    (G) Any similar public or private health, welfare or social services 
organization.
    (2) The hospitals, State birth record agencies, and other entities 
designated by the State and participating in the State's voluntary 
paternity establishment program must, at a minimum:
    (i) Provide to both the mother and alleged father:
    (A) Written materials about paternity establishment,
    (B) The forms necessary to voluntarily acknowledge paternity,
    (C) Notice, orally or through video or audio equipment, and in 
writing, of the alternatives to, the legal consequences of, and the 
rights (including any rights, if a parent is a minor, due to minority 
status) and responsibilities or acknowledging paternity, and
    (D) The opportunity to speak with staff, either by telephone or in 
person, who are trained to clarify information and answer questions 
about paternity establishment;
    (ii) Provide the mother and alleged father the opportunity to 
voluntarily acknowledge paternity;
    (iii) Afford due process safeguards; and
    (iv) File signed original of voluntary acknowledgments or 
adjudications of paternity with the State registry of birth records (or 
a copy if the signed original is filed with another designated entity) 
for comparison with information in the State case registry.
    (3) The hospitals, State birth record agencies, and other entities 
designated by the State and participating in the State's voluntary 
paternity establishment program need not provide services specified in 
paragraph (g)(2) of this section in cases where the mother or alleged 
father is a minor or a legal action is already pending, if the provision 
of such services is precluded by State law.
    (4) The State must require that a voluntary acknowledgment be signed 
by both parents, and that the parents' signatures be authenticated by a 
notary or witness(es).
    (5) The State must provide to all hospitals, State birth record 
agencies, and other entities designated by the State and participating 
in the State's voluntary paternity establishment program:
    (i) Written materials about paternity establishment,
    (ii) Form necessary to voluntarily acknowledge paternity, and
    (iii) Copies of a written description of the alternatives to, the 
legal consequences of, and the rights (including any rights, if a parent 
is a minor, due

[[Page 240]]

to minority status) and responsibilities of acknowledging paternity.
    (6) The State must provide training, guidance, and written 
instructions regarding voluntary acknowledgment of paternity, as 
necessary to operate the voluntary paternity establishment services in 
the hospitals, State birth record agencies, and other entities 
designated by the State and participating in the State's voluntary 
paternity establishment program.
    (7) The State must assess each hospital, State birth record agency, 
local birth record agency designated by the State, and other entity 
participating in the State's voluntary paternity establishment program 
that are providing voluntary paternity establishment services on at 
least an annual basis.
    (8) Hospitals, State birth record agencies, and other entities 
designated by the State and participating in the State's voluntary 
paternity establishment program must forward completed voluntary 
acknowledgments or copies to the entity designated by the State. If any 
entity other than the State registry of birth records is designated by 
the State, a copy must be filed with the State registry of birth 
records, in accordance with Sec. 303.5(g)(2)(iv). Under State 
procedures, the designated entity must be responsible for promptly 
recording identifying information about the acknowledgments with a 
statewide database, and the IV-D agency must have timely access to 
whatever identifying information and documentation it needs to determine 
in accordance with Sec. 303.5(h) if an acknowledgment has been recorded 
and to seek a support order on the basis of a recorded acknowledgment in 
accordance with Sec. 303.4(f).
    (h) In IV-D cases needing paternity establishment, the IV-D agency 
must determine if identifying information about a voluntary 
acknowledgment has been recorded in the statewide database in accordance 
with Sec. 303.5(g)(8).

[40 FR 27164, June 26, 1975, as amended at 50 FR 19650, May 9, 1985; 54 
FR 32310, Aug. 4, 1989; 56 FR 22354, May 15, 1991; 59 FR 66250, Dec. 23, 
1994; 64 FR 6249, Feb. 9, 1999; 64 FR 11809, Mar. 10, 1999]