Idaho Department of Health & Welfare v. McCormickIdaho Department of Health & Welfare v. McCormick
Case Information
*1 IN THE SUPREME COURT OF THE STATE OF IDAHO
Docket No. 38694
IN THE MATTER OF THE ESTATE OF: )
GEORGE D. PERRY. )
----------------------------------------------------------- )
IDAHO DEPARTMENT OF HEALTH & )
WELFARE, ) Boise, June 2012 Term ) Petitioner-Appellant, ) 2012 Opinion No. 118 ) v. ) Filed: August 9, 2012 ) BARBARA K. MCCORMICK, Personal ) Stephen W. Kenyon, Clerk Representative of the ESTATE OF GEORGE ) D. PERRY, )
)
Respondent. )
_______________________________________ )
Appeal from the District Court of the Fourth Judicial District of the State of Idaho, Ada County. Hon. Kathryn A. Sticklen, District Judge.
The judgment of the district court is reversed.
Honorable Lawrence G. Wasden, Attorney General, Boise, for appellant. Corey Cartwright argued.
Sisson & Sisson, Boise, for respondent. Peter Sisson argued.
_____________________
J. JONES, Justice.
This appeal arises from a claim filed by the Idaho Department of Health and Welfare (the
Department) in the probate proceeding of George D. Perry, the deceased spouse of a Medicaid
recipient, Martha J. Perry. The Department sought to recover funds under
I.
FACTUAL AND PROCEDURAL HISTORY
This case stems from the probate of the estate of George D. Perry, who was born April 7, 1929, and died February 25, 2009. At the time of his death, George was married to Martha J. Perry, who was born November 13, 1930, and died May 3, 2010. Before George and Martha were married, Martha—then known as Martha Jean Boyle—owned a home in Ada County as her sole and separate property. On November 18, 2002, well into the couple’s marriage, Martha executed a Quitclaim Deed conveying the home to “Martha Jean Perry and George Donald Perry” as grantees. The deed was recorded that same day in Ada County.
On March 3, 2005, Martha executed a general durable power of attorney, naming George as her attorney-in-fact. On July 31, 2006, George conveyed Martha’s remaining interest in the couple’s real property to himself, signing a Quitclaim Deed on behalf of Martha using the power of attorney. The deed was recorded the same day. Around September 15, 2006, George and Martha applied to the Idaho Department of Health and Welfare for medical assistance to assist in Martha’s medical care. From October 1, 2006, until Martha’s death, the Department provided medical benefits of more than $100,000 to Martha through the Medicaid program.
On February 25, 2009, George predeceased Martha, and in March 2009, Barbara K. McCormick was appointed personal representative of his estate. The primary and only significant asset of the estate was the home, which was sold by the personal representative for a net of $81,688.95. In April 2009, the Department filed a contingent claim [1] with the probate court, seeking to establish a claim in the probate for funds in the amount of $106,251.08 for the Medicaid benefits provided to Martha. Specifically, the Department claimed entitlement under I.C. § 56- 218 [2] to “any property or estate which, at any time, had been the community property of the *3 decedent and decedent’s spouse, or which had been the property of decedent’s spouse.”
The magistrate court denied the claim, finding that although
II.
ISSUES ON APPEAL
I. Did the district court err in upholding the denial of the Department’s claim on the basis that, underI.C. § 56-218 and42 U.S.C. § 1396p , the Department may only recover assets in which a Medicaid recipient has an interest at the time of her death?
II. Did the district court err in upholding the magistrate court’s determination that the general power of attorney executed by Martha gave George the power to convey her interest in the property to himself?
III. Is the Estate entitled to attorney fees on appeal?
III.
DISCUSSION
A. Standard of Review
“On appeal of a decision rendered by a district court while acting in its intermediate
appellate capacity, this Court directly reviews the district court’s decision.”
In re Doe
, 147 Idaho
243, 248,
estate to Martha but demanded that “before any other distribution of the estate, adequate provision be made for the
future payment of the Department’s claim pursuant to
B. The district court erred in determining that, under
Although the Department claimed entitlement under
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
, 448 U.S. 297, 308 (1980). Participating states enact
legislation and rules, incorporate them into state medical assistance plans, and submit those plans
to the U.S. Secretary of Health and Human Services (HHS) for approval.
The Supremacy Clause mandates that federal law “shall be the supreme Law of the Land,”
and the U.S. Supreme Court has held that a state law which conflicts with federal law is “without
effect.”
“The preemption of state law is not to be readily inferred.” Federal law may preempt state law in one of two ways. First, if Congress has shown the intent to occupy a given field, any state incursion into that field is preempted by federal law. Second, even if the field is not preempted, if state law conflicts with federal law, it is preempted to the extent of the conflict. In order to find that a state law has been preempted, this Court must determine that the law “stands as an obstacle to the accomplishment and execution of the full purposes and objectives of Congress.” Essentially, this Court must find that a state law is directly contrary to the congressional intent behind a federal statute before state law will be preempted.
Christian
,
The cooperative nature of the Medicaid program shows that Congress did not intend to
occupy the entire Medicaid field, as the federal Medicaid statute calls for participating states to
adopt their own legislation and regulations.
E.g.
*6
Under
Christian
, we are tasked with interpreting
The objective of statutory interpretation is to derive the intent of the legislative body that adopted the act. Statutory interpretation begins with the literal language of the statute. Provisions should not be read in isolation, but must be interpreted in the context of the entire document. The statute should be considered as a whole, and words should be given their plain, usual, and ordinary meanings. It should be noted that the Court must give effect to all the words and provisions of the statute so that none will be void, superfluous, or redundant. When the statutory language is unambiguous, the clearly expressed intent of the legislative body must be given effect, and the Court need not consider rules of statutory construction.
State v. Schulz
,
The governing federal provision in this case is
(1) No adjustment or recovery of any medical assistance correctly paid on behalf of an individual under the State plan may be made, except that the 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, but only for medical assistance consisting of—
(i) nursing facility services, home and community-based services, and related hospital and prescription drug services . . . .
(4) For purposes of this subsection, the 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
H.R. Rep. No. 103-111, at 535 (1993) (emphasis added).
(B) may include, at the option of the State (and shall include, in the case of an individual to whom paragraph (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.
(1) The 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 . . . .
The Idaho counterpart to the federal statutory scheme isI.C. § 56-218 , which provides: (1) 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 *8 aid paid to either or both:
* * * *
(b) While one (1) spouse survives, except where joint probate will be authorized pursuant to section 15-3-111, Idaho Code, a claim for recovery under this section may be established in the estate of the deceased spouse.
(4) For purposes of this section, the 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.
Limitations on Estate Claims. Limits on the Department’s claim against the assets of a deceased participant or spouse are subject toSections 56-218 and 56-218A, Idaho Code. A claim against the estate of a spouse of a participant is limited to the value of the assets of the estate that had been, at any time after October 1, 1993, community property, or the deceased participant’s share of the separate property, and jointly owned property. . . .
IDAPA 16.03.09.905.01.
Looking to the plain language of the state and federal statutory schemes, there are indeed
plain differences between the two. First, while
The Department seeks to reconcile its regulation with federal law by way of two statutory
language theories. The first is based on the definition of “estate” in
Barg
indeed addresses a very similar question as in the case at hand—specifically, whether
the state may recover from a recipient’s spouse’s estate “the value of the assets of the estate that
were marital property or jointly owned property at any time during the marriage.”
Id.
at 68.
However, the
Barg
court examined
The “including” clause further describes the assets that a state may include in this expanded estate. The clause describes those assets in two ways—first by the limiting adjective “such,” and second by the language describing how and to whom “such assets” are “conveyed.” The “such” limitation plainly refers back to the immediately preceding clause describing the assets as those “in which the individual had any legal title or interest at the time of death.” The including clause then describes to whom “such” assets may have been conveyed—a “survivor, heir, or assign of the deceased individual. ” Id. (emphasis added). And finally, the clause describes several methods by which the conveyance of “such” assets might take place—“through joint tenancy, tenancy in common, survivorship, life estate, living trust, or other arrangement.” Id.
Inclusion in the list of examples of “such assets” is predicated on the recipient having a legal interest at the time of death. When we construe a federal statute we must, if at all possible, give effect “to every word Congress used.” Reiter v. Sonotone Corp., 442 U.S. 330, 339, 99 S.Ct. 2326, 60 L.Ed.2d 931 (1979). To read “other arrangement” to include a lifetime transfer would be to read the words “at the time of death” out of the statute. The conclusion that “other arrangement” cannot include lifetime transfers is further supported by the additional context. “[O]ther arrangement” ends a list of examples of conveyances that occur at the time of death. The list of recipients of the conveyance, “a survivor, heir, or assign of the deceased individual,” leaves no doubt that the “individual,” a Medicaid recipient, must have died for the conveyance to occur. A recipient cannot have heirs or survivors during his or her lifetime. Nor can there be an “assign of the deceased” during the recipient's lifetime. In light of the plain statutory language and its context, the conclusion of the [North Dakota Supreme Court in In re Estate of Wirtz , 607 N.W. 2d 882 (N.D. 2000)] that “other arrangement” is sufficiently ambiguous to include lifetime transfers is unreasonable.
We conclude that there is no principled basis on which to interpret the federal law to allow recovery of assets in which the Medicaid recipient did not have an interest at the time of her death.
Estate of Barg
,
However, the language of
When considering the interpretation of a particular provision, particularly one containing
ambiguities, a court should look to the surrounding provisions for proper context.
See Schulz
, 151
Idaho at 866,
In this regard, the district court made a clear error of law based on an apparent misreading
of that cross-reference, finding that “the home” was also excluded for purposes of recovery. The
opposite is true. The “without regard” language in
Although the
Barg
court analyzed the definition of “estate” in
Although the general statutory definition of “assets” does encompass resources of both “the individual” ( i.e. , the Medicaid recipient) and “The individual’s spouse,” the particular provision of the Medicaid Act at issue here refers specifically to any “assets in which the individual had any legal title or interest at the time of death.” 42 U.S.C. 1396p(b)(4)(B). Petitioner’s argument finds it necessary to rewrite that clause to read “‘any * * * assets in which [ either or both the individual and the individual’s spouse ] had any legal title or interest.’” But this editing does nothing less than make the statute say the opposite of what it says. The plain language of the operative provision of the Act refutes petitioner’s readings.
Brief for the United States as Amicus Curiae at 10–12,
Vos v. Barg
,
The magistrate court seems to have agreed with this interpretation, finding that importing
the definition of “assets” into the definition of “estate” to be “awkward.”
[9]
However, ignoring the
definition of “assets” completely—particularly where the statute states that the definition “shall
apply” to the entire section—is equally awkward.
Overall, the ambiguously inclusive language in the definition of “estate”—purporting to
extend recovery to assets transferred by “other arrangements”—coupled with the definition of
“assets”—plainly including the resources of the recipient’s spouse as well as assets the recipient
disposed of before death—calls into question the Estate’s strict reliance on the phrase “at the time
of death.”
We conclude consideration of all the relevant statutory provisions, in light of the Congressional purpose to provide medical care for the needy, reveals a legislative intention to allow states to trace the assets of recipients of medical assistance and recover the benefits paid when the recipient’s surviving spouse dies.
We hold any assets conveyed by [the recipient] to [the recipient’s spouse] before [the recipient’s] death and traceable to [the recipient’s] estate are subject to the department’s recovery claim. However, the recoverable assets do not include all *14 property ever held by either party during the marriage.42 U.S.C. § 1396p(b) contemplates only that assets in which the deceased recipient once held an interest will be traced. It does not provide that separately-owned assets in the survivor’s estate, or assets in which the deceased recipient never held an interest, are subject to the department’s claim for recovery.
This Court has been loathe in the past to surrender State sovereignty to the federal
government and has found preemption of our State’s duly enacted laws only where the
congressional intent is rather clear.
Christian
, 148 Idaho at 152, 219 P.3d at 476. In light of the
ambiguously inclusive nature of 42 U.S.C
C. The Estate is not entitled to attorney fees on appeal.
The Estate argues for attorney fees on appeal pursuant to I.A.R. 35(b)(5) and
IV.
CONCLUSION For the foregoing reasons, we find that the district court erred in finding that federal law preempted the Department’s ability to recover from George’s estate what was once Martha’s community property during the marriage. Therefore, the district court’s decision is reversed and *15 the case is remanded for further proceedings consistent with this opinion. Costs to the Department.
Chief Justice BURDICK, and Justices EISMANN, W. JONES and HORTON CONCUR.
Notes
[1] The claim was contingent because Martha was still living at the time.
[2]
[4] Commentary on the Omnibus Budget Reconciliation Act of 1993 (OBRA) amendments to the Medicaid law, which added the disputed definition of “estate” in subsection 1396p(b)(4), is also enlightening in this regard: Under the Committee bill, States are required to establish an estate recovery program that meets certain requirements. The program must identify and track resources (whether or not excluded for eligibility purposes) of individuals who receive nursing facility, home and community-based services, and other specified long-term care services. The program must promptly ascertain when the individual and the surviving spouse, if any, dies, and must provide for the collection of the amounts correctly paid by Medicaid on behalf of the individual for long-term care services from the estate of the individual or the surviving spouse.
[5] Prior to the OBRA amendments, the statute contained no definition of the term “estate,” and the recovery provision
read:
(1) No adjustment or recovery of any medical assistance correctly paid on behalf of an individual
under the State plan may be made, except—
* * * *
(B) in the case of any other individual who was 65 years of age or older when he received such
assistance, from his estate.
[6] Indeed, in a case decided under the pre-OBRA version of the law, we found it appropriate to recover certain assets
from the estate of the surviving spouse.
Jackman
,
[7] Further evidence of the State’s intent to recover community assets that were transferred by or on behalf of a deceased participant is IDAPA 16.03.09.905.05, which provides: 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 spouse. Transfers under a marriage settlement agreement or other such agreement may be voided if not for adequate consideration. As mentioned above, states are required to submit their state medical assistance plans, incorporating applicable laws and rules, to HHS for approval before receiving federal Medicaid funds. Both of these recovery provisions have been in effect since March 30, 2007, and have presumably met with the approval of HHS since Idaho has been a participating Medicaid state continuously since that time. Although neither party addressed this issue, it can reasonably be presumed that the recovery provisions were not found to be impediments to Idaho’s Medicaid participation.
[8] In its argument, the Estate makes two creative but untenable logical leaps regarding the Solicitor General’s
amicus
brief. First, it argues that the brief is tantamount to a federal agency interpretation of federal law and, thus, entitled
to
Chevron
deference.
Chevron, U.S.A., Inc. v. Nat. Res. Def. Council, Inc.
,
[9] However, like the Barg court, it seems the magistrate was stuck on the interpretation of “other arrangement” rather than the plain language definition of “assets.”
[10] The Department also relies on our opinion in Jackman ,132 Idaho at 216 ,970 P.2d at 9 , for the proposition that we have previously discussed and approved of “[t]his special definition of assets.” Indeed, we did address the definition in Jackman but concluded that it did not apply, finding the case subject to the pre-OBRA version of the federal law that did not contain the definition. Id. at 216–17,970 P.2d at 9–10.