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"Spousal support" is the term used in Utah although apparently the law itself still uses "alimony." One interesting provision is
"The court may not order alimony for a duration longer than the number of years that the marriage existed unless, at any time before termination of alimony, the court finds extenuating circumstances that justify the payment of alimony for a longer period of time." (Utah Code Section 30-3-5)
Spousal support can be modified. A property settlement, which is what a QDRO involves, cannot be. Your client can go back to court and ask for the payments to be lowered, if he can show changed circumstances (or that his ex has remarried). Likewise, the ex can go back to court and ask for more money. It's just another run-of-the-mill divorce, with no need for a QDRO.