(2) the medical support provisions of the order established under section 518A.41 are not enforceable by the public authority or the obligee (1) the application of the child support guidelines in section 518A.35, to the current circumstances of the parties results in a calculated court order that is at least 20 percent and at least $75 per month higher or lower than the current support order or, if the current support order is less than $75, it results in a calculated court order that is at least 20 percent per month higher or lower (b) It is presumed that there has been a substantial change in circumstances under paragraph (a) and the terms of a current support order shall be rebuttably presumed to be unreasonable and unfair if: (a) The terms of an order respecting maintenance or support may be modified upon a showing of one or more of the following, any of which makes the terms unreasonable and unfair: (1) substantially increased or decreased gross income of an obligor or obligee (2) substantially increased or decreased need of an obligor or obligee or the child or children that are the subject of these proceedings (3) receipt of assistance under the AFDC program formerly codified under sections 256.72 to 256.87 or 256B.01 to 256B.39, or chapter 256J or 256K (4) a change in the cost of living for either party as measured by the federal Bureau of Labor Statistics (5) extraordinary medical expenses of the child not provided for under section 518A.41 (6) a change in the availability of appropriate health care coverage or a substantial increase or decrease in health care coverage costs (7) the addition of work-related or education-related child care expenses of the obligee or a substantial increase or decrease in existing work-related or education-related child care expenses or (8) upon the emancipation of the child, as provided in subdivision 5.
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