Claimant appeals in this consolidated estate action from a ruling by the district court finding a disclaimer filed by the executor of the Ruby Kirk estate validly disclaimed the testate succession of estate property and joint tenancy property from the Gerdon Kirk estate. We affirm in part and reverse in part.
I. Background Facts & Proceedings.
Ruby Kirk died February 23, 1996. She was eighty-one-years-old. Her husband, Gerdon Kirk, died three months earlier. He was seventy-seven-years-old. The couple had lived in a home near Lorimor, Iowa, until July 1993, when health problems forced Ruby into a nursing home. Ruby moved into a nursing home in Lorimor and Gerdon remained in the marital home. Ruby qualified for Title XIX Medicaid benefits to assist in the expenses of her nursing home care.
Gerdon left a will which devised all his property to Ruby. He owned real and personal property valued at approximately $30,-000, as well as property held in joint tenancy with Ruby. The joint tenancy property was valued around $26,000, with the bulk of the property consisting of three certificates of deposit.
Ruby also died testate. The beneficiaries under the will were the Kirk’s three daughters. A grandson, Jerry Decker, was the named executor.
On June 27,1996, Decker filed a disclaimer of all real and personal property passing from Gerdon’s estate. The disclaimer also included the property held in joint tenancy. The only other asset in Ruby’s estate was a checking account valued at $1016.
On August 8, 1996, Health Management Services (HMS) filed a timely claim in Ruby’s estate for $41,612.34. HMS was an agent for the Iowa Department of Human Services. It sought to recover the Medicaid benefits paid to Ruby. HMS subsequently filed a similar claim in Gerdon’s estate to recover the cost of Ruby’s care.
Decker filed an application with the district court to determine the validity of the waiver. The district court found Decker validly disclaimed the transfer of property from Gerdon’s estate. It also determined all property of Gerdon’s estate passed to the Kirk’s children free from the claim by HMS.
On appeal HMS claims the district court erred in finding the disclaimer filed in Ruby’s estate to be valid. It claims the disclaimer is against public policy. It also argues Ruby cannot disclaim her proportional interest in joint tenancy property. HMS did not appeal the ruling by the district court finding Ger-don’s estate was not responsible for the Medicaid assistance and services provided to Ruby.
II. Standard of Review.
Review of matters tried in probate is ordinarily de novo, except for actions to set
III. Validity of Disclaimer.
A. Public Policy.
A transferee in a testate or intestate estate is permitted to disclaim or renounce the transfer of property. Iowa Code § 633.704(1) (1995). The right to disclaim is also given to a surviving joint tenant.
Id.
Generally, the disclaimer must be filed within nine months after the date of the decedent’s death.
Id.
§ 633.704(2)(a);
In re Estate of Lamoureux,
In this case, HMS does not challenge the statutory procedures for disclaimer. Instead, it asserts the disclaimer should be declared to be against public policy when done to avoid the payment of a Medicaid claim in an estate.
Medicaid is a cooperative federal-state program designed to provide federal financial assistance to states that choose to reimburse certain costs of medical treatment for needy persons.
See Clark by Clark v. Iowa Dep’t of Human Servs.,
Chapter 249A includes provisions for the recovery of improper Medicaid payments from the recipient or the estate of the recipient. See generally id. § 249A.5. Under these statutes, Medicaid payments that have been incorrectly paid to a recipient are considered a debt due to the state and are recoverable upon the recipient’s death as a claim against the estate. Id. § 249A.5(1). Additionally, the provision for Medicaid assistance to an individual creates, under certain circumstances, a debt due to the Department of Human Services from the individual’s estate. Id. § 249A.5(2). For the purposes of collection of this debt, the estate of the Medicaid recipient includes property the recipient had an interest in at the time of the recipient’s death, including interests in joint tenancy property. Id. § 249A.5(2)(c).
HMS claims these statutes establish a strong public policy for the collection of Medicaid payments from estates, and renders a disclaimer exercised by Medicaid recipients ineffective against claims for Medicaid recovery. It also argues this claim is bolstered when the disclaimer involves nonexempt assets, which in this case would have rendered Ruby ineligible for continued Medicaid assistance if the property had passed to her from Gerdon’s estate.
We acknowledge the recovery of Medicaid assistance paid to a recipient includes the ability to file claims in estate proceedings. On the other hand, our disclaimer provisions are permitted to be exercised by an executor and do not include restrictions involving claims for Medicaid payments.
See
Iowa Code § 633.704. Ordinarily, unless two statutes directly conflict, we attempt to harmonize them in an effort to carry out the meaning and purpose of both.
Coleman v. Iowa Dist. Ct.,
Clearly, the disclaimer statute does not directly conflict with the recovery provisions of the medical assistance statutes. The disclaimer provisions can, however, be utilized to frustrate the collection of Medicaid claims. Yet, we have repeatedly acknowledged beneficiaries may renounce property intended for their benefit even if the renunciation may effectively defeat claims of creditors.
See Coomes v. Finegan, 233
Iowa 448,
We recognize the importance of prohibiting financial restructuring designed to qualify an individual for Medicaid.
See Schweiker v. Gray Panthers,
We reject the argument by HMS that the disclaimer is contrary to public policy because it thwarts its efforts to recover its claim from Ruby’s estate. 1
B. Jointly Held Property.
HMS claims the trial court erred by finding the executor could disclaim Ruby’s proportional interest in the joint tenancy property. It maintains her executor could only disclaim what Ruby inherited, not the portion of the joint tenancy property she already owned.
Joint tenancy property is property held by two or more parties jointly, with equal rights to share in the enjoyment of the whole property during their lives, and a right of survivorship which allows the surviving party to enjoy the entire estate.
Lamoureux,
Iowa Code section 633.704(1) clearly permits disclaimer of an interest held in joint tenancy. It fails to clarify, however, whether the disclaimer applies to the entire joint tenancy interest (proportional and accretive interest) or simply the accretive interest.
Based upon the recognized distinctions in the property interests held by joint tenants, we agree the disclaimer of joint tenancy property is limited to the accretive interest rather than the proportional and ac-cretive interest. See 1 Sheldon F. Kurtz, Kurtz on Estates § 15.33 (3d ed.1995) [hereinafter Kurtz]. In this case, Ruby acquired her proportional interest in the property at the time the tenancy was created. This occurred prior to Gerdon’s death. Thus, the only interest available for Ruby to disclaim was the accretive interest which passed to her upon Gerdon’s death. Disclaimer only applies to property which passes upon death to the diselaimant, not to property owned by the diselaimant prior to the death.
This approach is not only consistent with our recognized distinction in the interests of joint tenancy property, but is also compatible with the legislative treatment of joint tenancy property for inheritance tax purposes.
See Lamoureux,
AFFIRMED IN PART, REVERSED IN PART,
Notes
. HMS only challenges the public policy behind the disclaimer statute as it relates to Medicaid claims. It does not raise a claim that Ruby fraudulently obtained Medicaid benefits.
See
Sara L. Johnson, Annotation,
Creditor’s Rights to Prevent Debtor’s Renunciation of Benefit Under Will or Debtor's Election ot Take Under Will,
