Commonwealth Bank and Trust Company and Paul W. Reeder, (Petitioners) co-trustees under the will of Robert H. Thorne, appeal from an order of the Department of Public Welfare (DPW) affirming a decision of the Lycoming County Assistance Office (CAO) denying medical assistance benefits for Joan S. Frymire. For the reasons set forth below, we affirm.
The sole issue presented in this appeal is whether the principal of a testamentary trust is a resource which must be considered in determining Mrs. Frymire’s medical assistance eligibility. There is no dispute that Mrs. Frymire would be eligible for medical assistance but for the principal in the trust.
Mrs. Frymire’s son, Robert H. Thorne, established several trusts through his will for the benefit of his mother, wife, children, and grandchildren. The trust in question (Thorne Trust) reads as follows:
*530 I give to my Trustees hereinafter named, IN TRUST,, the sum of TWENTY-FIVE THOUSAND DOLLARS ($25,000.00) to hold, manage, invest, and reinvest the same, to collect the income, and after paying all expenses incident to the management of the trust, to pay the net income in at least quarterly installments to my Mother, JOAN S. FRYMIRE, during her lifetime, and upon her death the principal then remaining in the hands of my Trustees shall become part of my residuary estate. In addition to the distribution of the net income, I hereby authorize my Trustees, in their uncontrolled discretion, but having in mind the income or principal that may be available to or for her from other sources, to pay over to my Mother so much of the principal of this trust as my Trustees shall deem needful or desirable for her support and maintenance, including medical, surgical, hospital, or other institutional care. If my Mother shall predecease me, then this gift shall have no effect, and the bequest to my Mother, JOAN S. FRYMIRE, shall be void.
The medical assistance program is a cooperative program between the federal and state governments 1 and as such is subject to both federal and state regulations. In determining financial eligibility for nursing home care for the elderly, only those individuals who meet the income and resource requirements of the supplemental security income program are eligible. 42 U.S.C. § 1396a(a)(10)(A)(ii)(I) and 42 U.S.C. § 1396a(a)(10)(C)(i)(III). At the time Mrs. Frymire’s application for medical assistance was submitted the limitation of resources was $1,900.00. 20 C.F.R. § 416.1205(c). Mrs. Frymire met this requirement, only if the principal of the Thorne Trust was not considered an available resource.
A resource is any “real or personal property which a person has or can make available for partial or total support, including equitable interests and partial interests.” 55 *531 Pa.Code § 178.2. Furthermore, the resource limitation requires an applicant to “take reasonable steps to obtain and make available resources to which he is, or may be, entitled unless he can show good cause for not doing so.” 55 Pa.Code § 178.1(g).
The Petitioners are requesting that this court interpret the language in the trust instrument directing the trustees to consider all “income or principal that may be available” before distributing the principal of the trust to include therein medical assistance benefits. Medical assistance, however, is neither income nor principal. It is a form of public assistance designed to “promote the welfare and happiness of all the people of the Commonwealth” and is available only to the “needy and distressed” in order to “encourage self-respect [and] self-dependency....” 2 Accordingly, it is a benefit of last resort, available only to those without resources, not those who want to save their resources for future generations.
A court will not substitute its own judgment for that of the trustee with respect to the exercise of discretionary power.
In re Briggs’ Estate,
150 Pa.Superior Ct. 66,
Petitioners argue that the case at bar is controlled by
Lang v. Department of Public Welfare,
In contrast, there is no similar policy for general or medical assistance payments. In fact, the public policy of this Commonwealth requires children to support their parents if financially able. 4 In this case, the creation of the Thorne Trust shows the intent of the son to provide for his mother.
Keeping this general public policy in mind, we conclude that
Stoudt v. Department of Public Welfare,
76 Pa.Commonwealth Ct. 576,
Our conclusion that the principal of the Thorne Trust is an available resource is not only required by the public policy of this Commonwealth, but is consistent with the decision in
Lang.
The supreme court recognized that recipients of funds under the Mental Health Act were a special class when it stated that “general medical assistance may not be available to persons who are sole beneficiaries of ‘support’ trusts and require nursing home care.”
Lang,
Accordingly, we affirm the order of the Department of Public Welfare.
ORDER
AND NOW, September 13, 1989, the order of the Department of Public Welfare is affirmed.
Notes
. The applicable federal law is set forth at 42 U.S.C. §§ 1396-1396s (1982). The state statute is the Act of June 13, 1967, P.L. 31, as amended, 62 P.S. §§ 441-453.
. Act of June 13, 1967, P.L. 31, as amended, 62 P.S. § 401.
. Act of October 20, 1966, Spec. Sess. No. 3, P.L. 96, as amended, 50 P.S. § 4502.
. Section 3 of The Support Law, Act of June 24, 1937, P.L. 2045, as amended, 62 P.S. § 1973.
