Lead Opinion
Opinion
Jack E. Hanna, as executor of the estate of Zyoud Jacob, appeals a summary judgment in favor of Kenneth W. Kizer, M.D., Director of the Department of Health Services, State of California (hereinafter Department). At issue is whether Welfare and Institutions Code section 14009.5 allows the Department to be reimbursed from a Medi-Cal recipient’s estate for Medi-Cal benefits paid prior to the effective date of section 14009.5, when the recipient died after this date. We conclude that it does.
I. Facts
The facts are not in dispute. Zyoud Jacob died on June 26, 1983. From November 1, 1974, until the time of her death, Jacob received a total of
Hanna, the executor of Jacob’s estate, accepted the Department’s claim to the extent that it sought reimbursement for benefits paid to Jacob after the June 28, 1981, effective date of section 14009.5. He rejected that part of the claim that sought reimbursement for Medi-Cal benefits paid prior to June 28, 1981. Hanna tendered to the Department only $15,658.93, an amount equal to the Medi-Cal benefits paid from June 28, 1981, until Jacob’s death.
On December 3, 1986, the trial court granted the Department’s motion for summary judgment and entered judgment against Hanna for $60,372.90, representing the full amount of benefits received by Jacob. The Court of Appeal affirmed, holding that the application of section 14009.5 to
The issue presented here was addressed in Department of Health Services v. Fontes (1985)
In Fontes the court concluded that “[t]he application of this statute to estates which arose after its effective date did not affect any existing rights and accordingly, had no impermissibly retroactive effect, even where the benefits had been received prior to the effective date.” (Fontes, supra,
Messner asserted that application of section 14009.5 to Medi-Cal benefits received prior to the statute’s effective date created an “after-the-fact” debt and prevented the recipient from controlling the testamentary disposition of his property. (Messner, supra,
Having the benefit of the Messner and Fontes decisions, the Court of Appeal in this case decided to follow Fontes. The court agreed with Fontes that a Medi-Cal recipient has no vested right to control the testamentary disposition of his property because such disposition rests entirely upon legislative will. Likewise, it stated that section 14009.5 does not impair the
II. Discussion
Preliminarily, we note that section 14009.5 carefully balances the state’s interests against those of the Medi-Cal recipient’s heirs. The Medi-Cal program ensures that needy persons have access to basic medical care without requiring them to sell their homes and without impairing their ability to own certain property. (See ante, fn. 3.) However, in the face of rising medical costs, the program has placed an increasing financial burden on the state. The reimbursement requirements of section 14009.5 provide an equitable and reasonable method of easing the state’s financial burden while ensuring the continued viability of the Medi-Cal program. In short, section 14009.5 enables Medi-Cal to help those persons in need when they have such need, yet ensures that when the need no longer exists by virtue of the recipient’s death, the benefits paid can be recouped. The Medi-Cal benefits thus recouped can be used to assist others in need.
At the same time, section 14009.5 prevents the heirs of Medi-Cal recipients from unfairly benefiting from the program. This is so because, but for Medi-Cal, a recipient would probably have to sell his home in order to obtain the funds with which to pay for medical care. As a result of not having to sell his home, the estate of a deceased Medi-Cal recipient is greater than it might otherwise be. The reimbursement requirements of section 14009.5 thus seek from the estate only that which would not have existed but for the Medi-Cal program. Furthermore, as a result of MediCal, the heirs are not required to bear the full burden of the recipient’s medical care during the recipient’s lifetime.
In drafting the statute the state recognized that allowing reimbursement from a Medi-Cal recipient’s estate may be unfair in certain circumstances. Consequently, section 14009.5 prohibits claims for reimbursement where the recipient is survived by a spouse or by a blind, disabled or minor child. It also prohibits claims where the recipient was under 65 when the benefits
With these considerations in mind, we turn to the issue before us.
Hanna argues the Court of Appeal applied section 14009.5 retroactively even though there is no legislative intent regarding such application. Citing Evangelatos v. Superior Court (1988)
A statute is retroactive if it substantially changes the legal effect of past events. (Cole v. Fair Oaks Fire Protection Dist. (1987)
Our analysis must begin with the language of section 14009.5. If a statute’s language is clear, then the Legislature is presumed to have meant what it said, and the plain meaning of the language governs. (Great Lakes Properties, Inc. v. City of El Segundo (1977)
Equally clear from the language of section 14009.5 is the fact that no liability to reimburse the Department arises until the Medi-Cal recipient’s death. Prior to the enactment of section 14009.5, a welfare recipient was under no obligation to reimburse the state for public benefits legitimately obtained. (County of San Diego v. Muniz (1978)
The retroactivity issue presented in this case is very similar to the one raised in Burks v. Poppy Construction Co., supra,
Just as with the Hawkins Act in Burks, the application of section 14009.5 depends upon the existence of “facts or conditions” (i.e., the receipt of Medi-Cal benefits after age 65) that came into existence prior to the statute’s enactment. However, the clear language of section 14009.5 states that the statute applies only to estates arising after its effective date, and then only if certain conditions do not exist. Thus, for the same reasons we concluded in Burks that the Hawkins Act was not retroactively applied, we conclude that section 14009.5 has no retroactive effect on Medi-Cal benefits received prior to the statute’s effective date.
Hanna also suggests that section 14009.5 is retroactive because it interferes with the interests of the estate or of the Medi-Cal recipient’s heirs. However, these interests do not even come into existence until the recipient’s death. (Prob. Code, § 300.) Even then the property is explicitly subject to administration by the recipient’s executor. (Ibid.) In sum, the application of section 14009.5 to estates arising after the statute’s effective date does not substantially change the legal effect of any past transactions.
Further support for the conclusion that section 14009.5 has no retroactive effect as applied here is the fact that the disposition of estate property is controlled by the law in effect on the date the owner of the property dies. (Estate of Phillips (1928)
Nevertheless, Hanna argues that application of section 14009.5 to benefits received prior to the statute’s effective date is retroactive because it prevents a Medi-Cal recipient from controlling the testamentary disposition of his property. While this may be true, interfering with a person’s expectations of testamentary disposition is not sufficient to make section 14009.5 retroactive. The testamentary disposition of property is completely subject to legislative control. (Estate of Burnison (1949)
Hanna also argues that section 14009.5, as applied here, is retroactive because it creates an “after-the-fact” debt or liability. If the application of section 14009.5 creates an “after-the-fact” debt or liability, then it alters a Medi-Cal recipient’s interest in not having to repay such benefits. However, section 14009.5 does not create an “after-the-fact” debt or liability.
The word “debt” has no fixed meaning and must be construed within the context in which it is used. (Carman v. Alvord (1982)
In UMF Systems Inc., supra, we defined “debt” broadly so as to include contingent obligations. In that case we defined “debt” for the purposes of a statute authorizing the judgment creditor of a corporation to sue when an unlawful distribution of corporate funds occurred. (Former Corp. Code, § 826.) The statute provided for such an action only where the judgment
Under this limited definition of “debt” as a sum “ ‘certainly and in all events payable’ ” (UMF Systems, Inc. v. Eltra Corp., supra,
However, the dissent asserts that Probate Code section 9000, subdivision (a)(1), establishes that a Medi-Cal recipient’s liability to repay benefits arises upon payment of the benefits. The dissent observes that section 14009.5 authorizes the Department to file a “claim,” which the Probate Code defines in part as “a demand for payment for any of the following, whether due, not due, or contingent, and whether liquidated or unliquidated: [1J] (1) Liability of the decedent, whether arising in contract, tort, or otherwise.” (Italics added.)
The dissent, in our view, reads too much into the Probate Code’s definition of “claim,” a general definition presumably promulgated without concern for the specific provisions of section 14009.5. It is a principle of statutory construction that “[t]he words of [a] statute must be construed in context, keeping in mind the statutory purpose, and statutes or statutory sections relating to the same subject must be harmonized, both internally and with each other, to the extent possible. [Citations.]” (Dyna-Med, Inc. v. Fair Employment & Housing Com. (1987)
Moreover, the Law Revision Commission comment accompanying Probate Code section 9000 states that “claim” is defined “broadly to include all claims against the decedent whether in contract, tort or otherwise . . . .” (Italics added.) (Cal. Law Revision Com. com., West’s Ann. Prob. Code, § 9000 (1989 Supp.) p. 368, italics added.) The commission comment thus reflects the Legislature’s intent that the definition of “claim” be broadly, rather than restrictively, interpreted. Moreover, Probate Code section 9000 is drawn from section 1-201(4) of the Uniform Probate Code. (Cal. Law Revision Com. com., supra, p. 368.) Uniform Probate Code section 1-201 states that a “claim” includes “liabilities of the estate which arise at or after the death of the decedent or after the appointment of a conservator, including funeral expenses and expenses of administration.”
III. Disposition
For the above reasons, we conclude that the Department can claim reimbursement from a Medi-Cal recipient’s estate for benefits paid prior to
Lucas, C. J., Arguelles, J., and Eagleson, J., concurred.
Notes
Medi-Cal is a program in which the state is partially reimbursed by the federal government for providing needy individuals with access to medical treatment. (42 U.S.C. § 1396 et seq.; Welf. & Inst. Code, § 14000 et seq.)
Welfare and Institutions Code section 14009.5 reads: “Notwithstanding any other provision of this chapter, when a decedent has received health care services under this chapter or Chapter 8 (commencing with Section 14200) the department may claim against the estate of the decedent, or against any recipient of the property of that decedent by distribution or survival an amount equal to the payments for the health care services received. The department may not claim where the eligible person was under 65 when services were received, or where there is a surviving spouse, or where there is a surviving child who is under age 21 or who is blind or permanently and totally disabled, within the meaning of the Social Security Act. [[]] The department may waive its claim, in whole or in part, if it determines that enforcement of the claim would result in substantial hardship to other dependents of the individual against whose estate the claim exists.”
The exceptions to section 14009.5 are inapplicable in this case since Jacob was over the age of 65 when she received all the Medi-Cal benefits and is not survived by a spouse or a blind, disabled, or minor child.
All further statutory references are to the Welfare and Institutions Code unless otherwise indicated.
As this case illustrates, the estate of a Medi-Cal recipient can often be relatively substantial even though only individuals with financial need qualify for the benefits. This is because certain assets, including a primary residence, are exempted from the Medi-Cal eligibility determination. (§§ 14005.4, 14005.7, 14005.12, 14006; Cal. Code Regs., tit. 22, §§ 50423-50489.)
Importantly, both Evangelatos and Aetna, unlike the case before us, discussed the issue of retroactivity in relation to tort concepts. Evangelatos dealt with the retroactivity of Proposition 51, a tort reform statute. We indicated that it was well established that the application of a tort reform statute to “a cause of action which arose prior to the effective date of the statute but which is tried after the statute’s effective date would constitute a retroactive application of the statute. [Citations omitted.]” (Evangelatos, supra,
The transfer or sale of a recipient’s property may, however, aifect Medi-Cal eligibility. (See § 14015.)
Probate Code section 9000 states in full: “As used in this division: [[]] (a) ‘Claim’ means a demand for payment for any of the following, whether due, not due, or contingent, and whether liquidated or unliquidated: [[]] (1) Liability of the decedent, whether arising in contract, tort, or otherwise. [U] (2) Liability for taxes incurred before the decedent’s death, whether assessed before or after the decedent’s death, other than property taxes and assessments secured by real property liens. []]] (3) Liability of the estate for funeral expenses of the decedent. [H] (b) ‘Claim’ does not include a dispute regarding title of a decedent to specific property alleged to be included in the decedent’s estate.”
Uniform Probate Code section 1-201(4) states in full: “[![] (4) ‘Claims,’ in respect to estates of decedents and protected persons, includes liabilities of the decedent or protected person whether arising in contract, in tort or otherwise, and liabilities of the estate which arise at or after the death of the decedent or after the appointment of a conservator, including funeral expenses and expenses of administration. The term does not include estate or inheritance taxes, or demands or disputes regarding title of a decedent or protected person to specific assets alleged to be included in the estate.”
Dissenting Opinion
I respectfully dissent. In my view, the Court of Appeal in Estate of Messner (1987)
“It is an established canon of interpretation that statutes are not to be given a retrospective operation unless it is clearly made to appear that such was the legislative intent.” (Aetna Cas. & Surety Co. v. Ind. Acc. Com. (1947)
The majority opinion argues, however, that the fact that section 14009.5 affects only “estates arising” (i.e., decedents dying) after the section’s effective date makes “its application . . . prospective, not retroactive,” and that therefore “the issue is whether [section 14009.5’s] application to benefits received before the statute’s effective date somehow has an imper
As the majority observes, “[a] statute does not operate retroactively merely because some of the facts or conditions upon which its application depends came into existence prior to its enactment. (Burks v. Poppy Construction Co. (1962)
Section 14009.5, on the other hand, does change the legal effect of MediCal payments and thus, as construed in the majority opinion, will have a retroactive effect on such payments made before its enactment. This is made clear in Estate of Messner, supra,
The majority opinion attempts to justify application of section 14009.5 to previously paid benefits by construing it as a regulation of testamentary disposition and analogizing it to an estate or inheritance tax on transfers of a decedent’s property. (Ante, p. 9.) Section 14009.5, however, does not purport to restrict or tax testamentary transfers but instead authorizes the department to file a creditor’s claim for money previously expended for the decedent’s health care. (See Probate Code, former section 700.1, which was enacted simultaneously with section 14009.5 and required an executor or administrator of a decedent who had received Medi-Cal benefits to give special notice to the head of the department, who was given four months
The majority opinion does not rely solely, however, on the erroneous theory that section 14009.5 merely regulates testamentary disposition, but goes on to address the argument, adopted as a holding in the foregoing quotation from Messner, supra,
The majority opinion’s answer to this reasoning is to adopt a definition of debt as “a sum of money which is ‘certainly and in all events payable’ without regard to whether it is payable now or at a future time (UMF Systems, Inc. v. Eltra Corp. (1976)
As UMF Systems makes clear, however, the term “debt” is often regarded as including contingent obligations. This is true, for example, under the statutory scheme considered in that case (former Corp. Code, § 826, authorizing suit on a debt or claim that arose prior to unlawful distribution of corporate assets) and the former Uniform Fraudulent Conveyances Act, which expressly defined “debt” to include a contingent liability (see former Civ. Code, § 3439.01). (17 Cal.3d at pp. 756-759.) (See also Uniform Fraudulent Transfer Act, Civ. Code, § 3439.01, subd. (b) [“ ‘Claim’ means a right to payment, whether or not the right is reduced to judgment, liquidated, unliquidated, fixed, contingent, matured, unmatured, disputed, undisputed, legal, equitable, secured, or unsecured”], and subd. (d) [“ ‘Debt’ means liability on a claim”].)
For present purposes, the most relevant statutory definitions are those in the Probate Code, under which the department must make the claim authorized by section 14009.5 (Prob. Code, former §700.1, now § 9202). When section 14009.5 was enacted, the claims required to be filed included those “justly due,” “not due when filed or presented,” and “contingent,” (id., former § 705; see also former § 707, subd. (a)). Probate Code section 9000, enacted in 1987 for purposes of simplification and clarification (see Recommendations Relating to Probate Law, Creditor Claims Against
Any liability of a decedent necessarily must have existed during the decedent’s lifetime, while he or she was still a person. The only event during a decedent’s lifetime which could create the decedent’s liability enforceable under section 14009.5 is the payment of money for the decedent’s health care. Section 14009.5 changes the legal effect of such payment by causing the payment to give rise to a contingent liability of the decedent which would not previously have existed. Thus, as to such payments made before section 14009.5’s effective date, “the operation on existing rights would be retroactive ‘because the legal effects of past events would be changed, and the statute will be construed to operate only in futuro unless the legislative intent to the contrary clearly appears.’ [Citing Aetna Cas. & Surety Co. v. Ind. Acc. Com., supra,
Since I conclude that section 14009.5 was not intended to authorize claims for reimbursement of Medi-Cal payments made before the section’s effective date, I would reverse the judgment of the Court of Appeal.
Mosk, J., and Broussard, J., concurred.
The majority opinion asserts: “Evangelatos and Aetna are distinctly different from the case before us, where we are concerned not with the case law in effect when a cause of action arises but rather with the law governing testamentary disposition.” (Ante, p. 7, fn. 4.) To the contrary, we are concerned here with the law in effect at the time of a transaction—payment of health care benefits. Under section 14009.5, contrary to the preexisting law, payment of health care benefits gives immediate rise to a claim against the decedent contingent only upon the decedent’s death with assets in his estate and without a surviving spouse or minor or disabled child.
