[quote]after 8 years of being divorced - what do I do to
get it modified? I live in a different county than
the county that the divorce was finalized (same state).
Do I need to consult a lawyer or what??? The child support
was based on 50/50 visitation and it is more like
75/25 (me being the 75 percent) and the ex does not
pay court ordered medical insuranace.

Advice needed please. [/quote]

The first thing that you need to do is file for custody modification to reflect what is actually happening and ask the child support be modified to reflect what parenting time is actually being exercised. Have you documented how much time your ex has excercised?

You can also file contempt of court motion regarding the unpaid medical expenses. You will need the original receipts and proof that you provided him with the cost.

You will have to file in the county that the order originated in. If neither of you live in that county anymore, you can file to have it moved to your county. This should be easy to do since it is in the same state.

I would also ask that it is garnished from his wages.