H&W v. The Estate of WigginsH&W v. The Estate of Wiggins
Case Information
*1 IN THE SUPREME COURT OF THE STATE OF IDAHO
Docket No. 39129
IN THE MATTER OF THE ESTATE OF )
VIVIAN WIGGINS AND EMERSON D. )
WIGGINS, DECEASED. )
-------------------------------------------------------- )
STATE OF IDAHO, DEPARTMENT OF ) Boise, June 2013 Term HEALTH & WELFARE, )
) 2013 Opinion No. 85 Petitioner-Appellant-Cross Respondent, )
) Filed: August 9, 2013 v. )
) Stephen W. Kenyon, Clerk LYNN WIGGINS, personal representative )
of THE ESTATE OF VIVIAN WIGGINS )
and EMERSON D. WIGGINS, )
)
Respondent-Cross Appellant. )
________________________________________
Appeal from the district court of the Third Judicial District of the State of Idaho, Washington County. Hon. Linda Copple Trout, presiding, The order of the district court is reversed and this case is remanded for further action consistent with this Opinion. Costs on appeal are awarded to Appellant.
Hon. Lawrence G. Wasden, Idaho Attorney General, Boise, attorneys for Appellant. W. Corey Cartwright argued.
R. Brad Masingill, Weiser, attorney for Respondent.
_____________________________
W. JONES, Justice
I. N ATURE OF THE C ASE
This is an appeal from an order disallowing the Idaho Department of Health and
Welfare’s (“the Department”) attempt to recover assets in a probate proceeding as authorized by
II. F ACTUAL AND P ROCEDURAL B ACKGROUND
Vivian and Emerson Wiggins were a married couple. Vivian passed away on January 30, 2009, and Emerson passed away on February 9, 2009. In June 2002, at the age of 90, Vivian was admitted to a nursing home. On November 18, 2002, Vivian and Emerson applied for medical assistance to help pay for Vivian’s medical care. They applied again on August 27, 2003. On September 1, 2003, Vivian became eligible for Medicaid, and the Department paid at least $272,134 for Vivian’s care. The Department received a voluntary payment of $7,460 in April of 2008.
On May 21, 2009, a joint probate estate for Vivian and Emerson (“the Estate”) was opened. The inventory of the Estate showed assets of $78,659. The Department, on November 23, 2009, filed a claim against the Estate for medical assistance paid on Vivian’s behalf in the amount of $264,674. On November 30, 2009, the personal representative of the Estate filed a Notice of Disallowance of claim. The trial court heard the Department’s petition on February 3, 2010. In open court, the parties stipulated that the Department treated Vivian as though she had entered into a Marriage Settlement Agreement (“MSA”) with Emerson for the purpose of Medicaid eligibility. The admitted purpose of the MSA, though the document was never found, was to transfer any assets over $3,000 that Vivian held as community property with Emerson to Emerson as his separate property so Vivian would be eligible for Medicaid. The trial court found that the assets of the Estate were Emerson’s separate property on the basis that the MSA transmuted Vivian and Emerson’s community property except for $3,000 into the separate property of Emerson. The trial court found that Emerson had no legal obligation to repay the Department from his “separate property” for Vivian’s care. The trial court filed its decision on March 30, 2010. On April 7, 2010, the Department filed its notice of Appeal to the district court.
On July 20, 2011, the district court entered its decision on appeal. The district court
affirmed the trial court. The district court held that the ultimate issue was whether
III. I SSUES ON A PPEAL
1. Whether the district court erred when it concluded thatI.C. § 56-218(1) and42 U.S.C. § 1396p prohibited the Department from recovering from Vivian’s community property when that property was transmuted to Emerson as separate property for purposes of making Vivian eligible for Medicaid.
2. Whether the Estate is entitled to an award of attorney fees and costs below pursuant toI.C. § 12-117 orI.C. § 12-121 .
3. Whether the Estate is entitled to attorney fees on appeal pursuant to .C.§ 12-117 orI.C. § 12-121 .
IV. S TANDARD OF R EVIEW
The interpretation of a statute is a question of law over which this Court exercises free review.
Curlee v. Kootenai Cnty. Fire & Rescue
,
V. A NALYSIS
A. The district court erred when it concluded thatI.C. § 56-218(1) and42 U.S.C. § 1396p did not permit the Department from recovering from Vivian’s community property when that property was transmuted to Emerson as his separate property for the purpose of making Vivian eligible for Medicaid without the Department first setting aside the MSA.
The Department argues that
The Estate argues that
The magistrate court rejected the Department’s interpretation that all property transferred to the spouse after the look-back period can be recovered. The magistrate court rejected the Department’s argument that any arrangement or transfer occurring after the look-back date constituted an asset provided for by statute. Finally, the magistrate court concluded that the legislature intended to permit parties to use an MSA to “avoid repayment.” Since, those agreements are not effective on death, they are not included within assets recoverable as defined by statute.
On appeal to the district court, the district court ultimately concluded the issue was
whether the transmuted property was included in the “estate” under Idaho and federal law. The
district court noted that federal law permits States to broaden the “estate” for the purposes of
recovery to include assets in which the recipient had an interest at the time of death. The district
court likewise concluded that an “asset” likely includes property transmuted by an MSA.
However, the district court held that because
Idaho Dep’t of Health & Welfare v. Jackman
, 132
Idaho 213,
The interpretation of a statute is a question of law over which this Court exercises free review. State v. Hart , 135 Idaho 827, 829, 25 P.3d 850, 852 (2001). Interpretation of a statute begins with an examination of the statute’s literal words. State v. Burnight ,132 Idaho 654 , 659,978 P.2d 214 , 219 (1999). Where the language of a statute is plain and unambiguous, courts give effect to the statute as written, without engaging in statutory construction. State v. Rhode , 133 Idaho 459, 462,988 P.2d 685 , 688 (1999). Only where the language is ambiguous will this Court look to rules of construction for guidance and consider the reasonableness of proposed interpretations. Albee v. Judy ,136 Idaho 226 , 231, 31 *5 P.3d 248, 253 (2001). Idaho Conservation League, Inc. v. Idaho State Dep’t of Agric. , 143 Idaho 366, 368, 146 P.3d 632, 634 (2006). “Moreover, unless a contrary purpose is clearly indicated, ordinary words will be given their ordinary meaning when construing a statute.” Corp. of Presiding Bishop of Church of Jesus Christ of Latter-Day Saints ,123 Idaho at 415 ,849 P.2d at 88 (citing Bunt v. City of Garden City , 118 Idaho 427, 430, 797 P.2d 135, 138 (1990)). In construing a statute, this Court will not deal in any subtle refinements of the legislation, but will ascertain and give effect to the purpose and intent of the legislature, based on the whole act and every word therein, lending substance and meaning to the provisions. George W. Watkins Family v. Messenger , 118 Idaho 537, 539–40,797 P.2d 1385 , 1387–88 (1990).
Curlee v. Kootenai Cnty. Fire & Rescue
,
The Medicaid program is a “cooperative endeavor [with the States] in which the Federal
Government provides financial assistance to participating States to aid them in furnishing health
care to needy persons.”
Harris v. McRae
,
1. Federal Medicaid Law
The federal provision governing Medicaid recovery is
[T]he State shall seek adjustment or recovery of any medical assistance correctly paid on behalf of an individual under the State plan in the case of the following individuals . . . . (B) In the case of an individual who was 55 years of age or older when the individual received such medical assistance, the State shall seek adjustment or recovery from the individual’s estate . . . .
Federal law defines the term “estate” as follows:
[T]he term “estate”, with respect to a deceased individual—(A) shall include all real and personal property and other assets included within the individual’s estate, as defined for purposes of State probate law; and (B) may include, at the option of the State (and shall include, in the case of an individual to whom paragraph *6 (1)(C)(i) applies), any other real and personal property and other assets in which the individual had any legal title or interest at the time of death (to the extent of such interest), including such assets conveyed to a survivor, heir, or assign of the deceased individual through joint tenancy, tenancy in common, survivorship, life estate, living trust, or other arrangement .
[T]he term “assets”, with respect to an individual, includes all income and resources of the individual and of the individual’s spouse, including any income or resources which the individual or such individual’s spouse is entitled to but does not receive because of action—(A) by the individual or such individual’s spouse . . . .
2.
Idaho Medicaid Law
The Idaho counterpart of the federal Medicaid Law is
Except where exempted or waived in accordance with federal law medical assistance pursuant to this chapter paid on behalf of an individual who was fifty- five (55) years of age or older when the individual received such assistance may be recovered from the individual’s estate, and the estate of the spouse , if any, for such aid paid to either or both . . . .
(Emphasis added).
[T]he term “estate” shall include: (a) All real and personal property and other assets included within the individual’s estate, as defined for purposes of state probate law; and (b) Any other real and personal property and other assets in which the individual had any legal title or interest at the time of death, to the extent of such interest, including such assets conveyed to a survivor, heir or assign, of the deceased individual through joint tenancy, tenancy in common, survivorship, life estate, living trust, or other arrangement.
(Emphasis added). Idaho law grants the Department the authority to promulgate rules regarding
Medicaid benefits.
Limits on the Department’s claim against the assets of a deceased participant or
spouse are subject to
IDAPA 16.03.09.905.01 (emphasis added). [1] The Department also enacted a regulation dealing with the effect of an MSA. That regulation provides as follows:
A marriage settlement agreement or other such agreement which separate assets for a married couple does not eliminate the debt against the estate of the deceased participant or the spouse . Transfers under a marriage settlement agreement or other such agreement may be voided if not for adequate consideration.
IDAPA 16.03.09.905.05 (emphasis added).
[2]
The Department’s rules have the same force and
effect as law.
Mallonee v. State
,
This Court has reviewed both the Idaho and federal Medicaid laws and held that while
[i]n light of the ambiguously inclusive nature of42 U.S.C. § 1396p(b)(4)(B) and the plain definition of assets in42 U.S.C. § 1396(h)(1) , we cannot find that federal law preempts the State from providing for recovery of assets from both spouse’s estates underI.C. § 56-218(1) , including assets that were community property during the marriage .
McCormick
,
In
Jackman
, an MSA was signed between two spouses transmuting most of the wife’s
community property into the separate property of wife’s husband. The Department sought to
recover money from the estate of the husband who survived wife. This Court held that the
Department was unable to recover from the husband’s separate property because federal law, as
it existed in 1993, did not permit such recovery. Under federal law, as it then existed, assets
could be excluded from recovery if disposed of before August 10, 1993. The MSA was executed
before that date, and therefore the assets transmuted by the MSA were excluded. This Court
found that the 1993 amendment to the federal Medicaid law broadened the definition of assets,
but the broadened definition of assets was not applicable because the MSA was executed before
August 10, 1993. Therefore, the department was unable to recover from the transmuted separate
property of the husband.
Id.
at 215–17,
3. The Department can recover from the community property transmuted to Emerson’s “separate property.”
We hold that the Department can recover from Vivian’s community property that was
transmuted to Emerson’s separate property for purposes of Medicaid eligibility. It is undisputed
that in order for Vivian to become eligible for Medicaid she was required to transmute
community property into Emerson’s separate property. Idaho law specifically provides for the
use of an MSA so as to hasten the eligibility of a person to receive medical assistance. In order
for Vivian to become eligible, the parties entered an MSA. MSAs are recognized under Idaho
law.
Idaho law clearly provides that the Department can recover from the estate of a surviving
spouse. Therefore, contrary to the Estate’s contention, it is not necessary for a surviving spouse
to agree to be bound by the Medicaid debt before the Department can recover. The issue
*9
becomes whether community property that is transmuted into the separate property of the
surviving spouse is considered part of the estate for purposes of recovery. We find that the
statute contemplates such recovery. Federal law has granted States the authority to broaden the
“estate” for purposes of recovering medical assistance.
Idaho has enacted laws regarding Medicaid and granted the Department the authority to
promulgate rules for Medicaid, which have the effect of law.
The district court further held that community property transmuted into community property by an MSA so as to enable a person to qualify for Medicaid, is only recoverable if the Department takes some action to void the MSA. In reaching this conclusion, the district court relied on the language of the previously numbered IDAPA 16.03.09.900.24, which it believed to have been deleted in 2010, which provides that “[t]ransfers under a marriage settlement agreement or other such agreement may be voided if not for adequate consideration.” Because the MSA is voidable and not void, the MSA is effective to transmute property and must be set *10 aside to recover from the estate, the district court concluded. We conclude that such an approach is inconsistent with the policy of Medicaid.
The policy of permitting the transmutation of community property into the separate
property of the surviving spouse is to enable the Medicaid recipient to receive the medical
assistance he or she needs, and to leave the surviving spouse assets for his or her support. Indeed,
this Court has clarified that Medicaid is not meant to serve only the indigent but those whose
resources are insufficient to pay for medical services.
Stafford v. Idaho Dep’t of Health &
Welfare
,
The district court relied on the language of the look-back statute to require that the Department take action to set aside the MSA; however, it was not required to take such action because the Idaho statute broadly defines assets and the Idaho regulation clarified that this includes transmuted property. Also, the district court’s requirement that the MSA be set aside to recover is inconsistent with IDAPA 16.03.09.905.05, which provides that an MSA cannot be used to avoid a debt of the estate. Therefore, requiring an action to set aside the MSA is inconsistent with federal law and not supported by Idaho law. Thus, the Department is able to recover and is not required to seek additional action first.
4. Recovery is not inconsistent with Idaho’s community property laws. Both the district and magistrate courts found that there was a tension between Idaho’s Medicaid recovery statutes and Idaho’s community property laws. The district court held that there is no indication that the legislature intended to sweepingly alter community property laws in Idaho and that such laws are clear that the separate property of a spouse is not liable for the debt of the other spouse.
*11 Idaho Code section 32-912 provides in part that “any community obligation incurred by either the husband or the wife without the consent in writing of the other shall not obligate the separate property of the spouse who did not so consent.” This provision was added to the statute in 1974. Ch. 194, § 2, 1974 Idaho Sess. Laws 1502, 1502.
Idaho Code
In 1998, the statute was amended to remove the requirement that the recipient must have left no estate before there could be recovery from the estate of the recipient’s surviving spouse. After that amendment, the relevant portion of the statute stated that such assistance “may be recovered from the individual’s estate, and the estate of the spouse, if any, for such aid paid to either or both.” Ch. 9, § 1, 1998 Idaho Sess. Laws 106, 106. The 1998 amendment did not limit the type of property in the estate of the spouse from which the assistance could be recovered, so it could still be recovered from the spouse’s separate property.
*12
From the date it was enacted,
Thus, there is a conflict between Idaho Code section 32-912 and
B. The magistrate court did not err when it declined to award attorney fees below.
The magistrate court declined to award attorney fees. The Estate argues that it was
entitled to attorney fees below pursuant to
The Department argues that the magistrate court was proper in not awarding attorney fees below because even if the Department is found not to be able to recover against the separate property of Emerson, it raised a good faith argument based on legal authority. If that authority is non-binding dicta as the district court concluded, then the issue is one of first impression.
This Court reviews the denial of attorney fees below for an abuse of discretion.
City of
Osburn v. Randel
,
Unless otherwise provided by statute, in any proceeding involving as adverse parties a state agency or a political subdivision and a person, the state agency, political subdivision or the court hearing the proceeding, including on appeal, shall award the prevailing party reasonable attorney’s fees, witness fees and other reasonable expenses, if it finds that the nonprevailing party acted without a reasonable basis in fact or law.
The Estate is not entitled to attorney fees below pursuant to
C. The Estate is not entitled to attorney fees on appeal.
The Estate requests attorney fees on appeal pursuant to
VI. C ONCLUSION
The Department is permitted to seek recovery from Vivian’s community property that was transmuted to Emerson as his separate property. The Estate was the only party to request attorney fees below and on appeal; since however, the Estate is not the prevailing party, it is not entitled to attorney fees below or on appeal. Costs on appeal are awarded to the Department as the prevailing party.
Chief Justice BURDICK and Justices EISMANN, J. JONES and HORTON CONCUR .
Notes
[1] The district court on appeal found that this regulation was deleted in 2010. Prior to 2010, this regulation was in effect but was coded as IDAPA 16.03.09.900.20. IDAPA 16.03.09.905.01 is currently in effect and uses the exact same language as IDAPA 16.03.09.900.20.
[2] The district court on appeal found that this regulation was deleted in 2010. Prior to 2010, this regulation was in effect but was coded as IDAPA 16.03.09.900.24 IDAPA 16.03.09.905.05 is currently in effect and uses the exact same language as IDAPA 16.03.09.900.24.
[3] The Magistrate court found that the transmuted property was not this form of an asset because it was unlike
a joint tenancy, survivorship, joint tenancy, tenancy in common, life estate, or living trust where the property
transferred automatically at death. This distinction is erroneous because the statute does not articulate such a
limitation, and such interpretation disregards IDAPA 16.03.09.905.01.
Such an interpretation also disregards the use of “other arrangement.” If “other arrangement” is limited to a
situation where the interest is transferred automatically at death, then other arrangement will lack any meaning and
is contrary to this Court’s rules of construction. Finally, the magistrate court’s distinction is erroneous because not
all of the transfers listed in the statute are effectuated upon death. With respect to a living trust, a living trust is
created immediately, and the legal title passes immediately to the trust.
Estate of Hull v. Williams
,
[4]
[5] The statute provided: (1) Medical assistance pursuant to this chapter paid on behalf of an individual who was sixty-five (65) years of age or older when the individual received such assistance may be recovered from the estate, or if there be no estate the estate of the surviving spouse, if any, shall be charged for such aid paid to either or both; provided, however, that claim for such medical assistance correctly paid to the individual may be established against the estate, but there shall be no adjustment or recovery thereof until after the death of the surviving spouse, if any, and only at a time when the individual has no surviving child who is under twenty-one (21) years of age or is blind or permanently and totally disabled. Transfers of real or personal property by recipients of such aid without adequate consideration are voidable and may be set aside by an action in the district court. Ch. 49, § 1, 1988 Idaho Sess. Laws 73, 73.