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North Carolina....I'm going to DSS tomorrow.

The reason I didn't pursue child support was because the amount was negligible, and maintaining direct contact with the mother was not worth it. She made exorbitant demands for support throughout the divorce, and simply blocking those was a huge victory. For the last 4 years of marriage, she made roughly twice what I made, and I concentrated on maintaining the home. In addition, because of stipulations I agreed to in the Parenting Agreement to keep the children in my life, she still makes twice my current income.

As for my daughter hiding the pregnancy, she's a small girl, and always has worn bulky clothing. She also has a part-time job, so I would only see her for an hour or two a week. Even so, I started noticing some changes, and she came clean when I asked her. She went to the doctor 3 weeks ago for the first time (30 weeks) and was given a clean bill of health. A sonogram was done, and everything looks right with the child. She is now stringently following the doctor's orders.

They are currently looking for a place of their own. They have discussed marriage, but would need parental consent. (I would give it) She has been told by DSS that she needs to live on her own to qualify for any Pregnancy Medicaid or other programs available to young mothers. I have gotten her in touch with a crisis pregnancy center to help guide her through the options available. I figure that even if she refuses to listen to me, she may still get some good advice.

My ex and I have been separated for 1 1/2 years. Our divorce was final as of this week. We have a Parenting Agreement in place that lists her with primary custody in a joint custody arrangement. She has our 2 kids (17 and 12) 226 days to my 139. She has been nothing but disruptive since the Agreement was signed, and I have a stack of minor violations to the agreement, though nothing egregious enough to go in front of the judge.
I left her with everything...house, contents, etc. On paper, she owes me child support, though I have never pursued it.

Now, the bombshell. I found out 2 weeks ago that my 17 year old daughter is pregnant by her 20 year old boyfriend, who my ex moved into the house a year ago against my protestations. My daughter hid it from us both until she was 7 months pregnant, and is convinced that she is going to have the baby and start a wonderful life with her boyfriend. She is 17, so logic is no longer a part of her life, especially coming from her parents.

My questions...
1. Is this a big enough deal to go to court and wrestle custody of my son from her, or do the courts still radically favor the mother?
2. My daughter isn't covered by insurance, since it's an underage pregnancy. Does that put me on the hook for the medical bills, is her mother liable as primary custodial parent, or are my daughter and her boyfriend stuck with the responsibility to pay the bills?