This appeal concerns the scope of the “antiattachment provision” of the Social Security Act (the “Act”), 42 U.S.C. § 407(a).
See Wash. State Dep’t of Soc. & Health Servs. v. Guardianship Estate of Keffeler,
Plaintiffs-appellants Michael and Lucy Wojchowski contend that Keffeler does not undermine our conclusion in Robbins that the attribution of an institutionalized spouse’s Social Security benefits to a community spouse violates the Act’s antiat-tachment provision. Defendants-appellees the Commissioner of the New York State Department of Health and the Commissioner of the Monroe County Department of Health and Human Services argue that the analysis and outcome in Robbins are inconsistent with Keffeler' s interpretation of the antiattachment provision. We conclude that Robbins’s holding cannot survive Keffele 3 and that New York’s attribution of an institutionalized spouse’s Social Security benefits to a community spouse does not violate § 407(a).
BACKGROUND
A. Medicaid Budgeting and New York’s “Income-First Policy”
Medicaid, which is jointly funded by the federal and state governments, “is a medical assistance program authorized ‘to pay for necessary medical care for those eligible individuals whose income and resources do not allow them to meet the
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costs of their medical needs.’ ”
Robbins,
Medicaid covers,
inter alia,
“nursing home care for medically needy older people who become eligible by incurring medical expenses that reduce their monthly income and assets below prescribed levels.”
In re Estate of Tomeck,
To that end, Congress directed the states to “establish a minimum monthly maintenance needs allowance for each community spouse.” 42 U.S.C. § 1396r-5(d)(3);
see Blumer,
“The MCCA provides for a ‘fair hearing’ mechanism through which a couple may challenge the State’s determination of a number of elements that affect eligibility for, or the extent of assistance provided under, Medicaid.”
5
Blumer,
534
*103
U.S. at 483,
[i]f either [the institutionalized or community] spouse establishes that the [CSRA] (in relation to the amount of income generated by such allowance) is inadequate to raise the community spouse’s income to the [MMMNA], there shall be substituted for the [CSRA] under subsection (f)(2) of this section, an amount adequate to provide [the MMMNA],
Thus, in New York, either spouse “can request a ‘fair hearing’ at which a[DOH] hearing officer may set a [CSRA] above the statutory amount to enable the assets to generate enough income to raise the community spouse’s income to the level of the [MMMNA].”
Robbins,
“Medicaid benefits may not be withheld from the institutionalized spouse in the event the community spouse declines to make spousal resources available to pay for medical expenses.”
Tomeck,
New York “applies an ‘income first’ policy in determining whether a community spouse is entitled to an increase in her [CSRA].”
Robbins,
The question presented in the instant case is whether § 407(a) prohibits New York from attributing an institutionalized spouse’s Social Security benefits to a community spouse when calculating the community spouse’s CSRA.
6
In
Robbins,
we held that application of New York’s income-first policy to Social Security benefits was a violation of § 407(a); subsequent guidance from the Supreme Court requires us to revisit that holding.
See Boothe v. Hammock,
B. Factual and Procedural Background of the Instant Case
The following facts are taken from the Wojchowskis’ complaint and the documents referred to therein. We accept these facts as true and draw all reasonable inferences in the Wojchowskis’ favor.
See, e.g., McCarthy v. Dun & Bradstreet Corp.,
The Wojchowskis are a married couple living in Monroe County, New York. At the time this action was commenced in October 2005, Mr. Wojchowski (the institutionalized spouse for Medicaid purposes) was 85 years old and resided in a nursing home. Mrs. Wojchowski (the community spouse for Medicaid purposes) was 81 years and resided in the couple’s marital home. Mrs. Wojchowski became her husband’s attorney-in-fact pursuant to a durable general power of attorney dated November 29, 2004.
In December 2004, an application for Medicaid was filed on Mr. Wojchowski’s behalf with the Division of Social Services (“DSS”) of the Monroe County Department of Human and Health Services. Mrs. Wojchowski filed a “spousal refusal statement” with the Medicaid application, indicating that she would not make her assets available for her husband’s medical care. The DSS issued a “Notice of Decision” on February 22, 2005. The DSS determined that Mr. Wojchowski was eligible for Medicaid assistance in light of the spousal refusal statement, but that Mrs. Wojchowski had approximately $480,000 of resources in excess of her statutorily-prescribed CSRA, which in 2004 was $92,760.
The Wojchowskis requested a “fair hearing” to increase Mrs. Wojchowski’s CSRA. They argued that Mrs. Wojchowski should *105 be permitted to retain all of her assets in order to generate enough investment income to make up the shortfall between her personal monthly income and the applicable MMMNA. Administrative Law Judge (“ALJ”) John G. Herriman issued a “Decision After Fair Hearing” on October 13, 2005. ALJ Herriman determined that Mrs. Wojehowski was entitled to an MMMNA of $2319 and that her countable income, after deductions for health insurance premiums, was only $308.59 per month. Applying New York’s income-first policy over Mr. Wojchowski’s objection, ALJ Herriman then attributed Mr. Wojch-owski’s Social Security benefits (among other forms of income) to his wife. Plaintiffs allege that with this attribution, Mrs. Wojchowski’s income was $952 less than the MMMNA; without this attribution, her income would have been approximately $1900 less than the MMMNA. These calculations led ALJ Herriman to conclude that while Mrs. Wojehowski was entitled to an increase in her CSRA that would generate $952 of income per month, she was not entitled to retain all of her assets. ALJ Herriman remanded the matter to the local social services district to calculate the precise increase. According to the Wojchowskis,
whatever ultimately might be determined to be the amount of the CSRA increase, it will be about half what it would be if Mr. Wojchowski’s Social Security benefits had not been taken into account. In turn, the amount of Mrs. Wojchowski’s resources subject to the support claim the DSS could make against her will be inflated by the difference in the CSRA increase resulting from automatically re-allocating her husband’s Social Security.
Appellants’ Br. 9. In other words, if the State brings a support recovery action against Mrs. Wojehowski, fewer of her assets will be sheltered as her CSRA than would be the case if Mr. Wojchowski’s Social Security benefits had not been attributed to her.
The Wojchowskis then commenced this action against defendants, seeking injunc-tive and declaratory relief. They claimed, inter alia, that the attribution of Mr. Wojchowski’s Social Security benefits to Mrs. Wojehowski violated § 407(a), because it subjected the benefits to “other legal process.” Defendants moved to dismiss pursuant to Fed.R.Civ.P. 12(b)(6), arguing in relevant part that application of New York’s income-first policy to Social Security benefits during a “fair hearing” does not subject those benefits to “other legal process” within the meaning of § 407(a) and thus is not prohibited.
The District Court granted the motion to dismiss. It first observed that our Court in
Robbins
had “held that automatic allocation of an institutionalized spouse’s Social Security benefits to the other spouse for purposes of determining the non-institutionalized spouse’s income violated Section 407(a).”
Wojchowski v. Novello,
No. 05-CV-6576T,
[b]ecause the process of allocating Mr. Wojchowski’s Social Security benefits to Mrs. Wojehowski for purposes of determining her income does not actually effect a taking of his benefits, nor wrest control over his benefits, the defendants’ practice of considering Mr. Wojchow-ski’s benefits in determining Mrs. Wojchowski’s income does not constitute the use of “other legal process” as that *106 term is used in the anti-alienation provision of the Social Security Act [i.e., § 407(a) ], and therefore], does not violate that provision.
Id. A final judgment was entered on July 10, 2006. The Wojchowskis timely appealed, arguing that Robbins’s holding with respect to the Act’s antiattachment provision remains good law in spite of Keffeler.
DISCUSSION
We review
de novo
the District Court’s grant of defendants’ motion to dismiss for failure to state a claim upon which relief can be granted.
See, e.g., Peay v. Ajello,
“While ‘as a general rule, one panel of this Court cannot overrule a prior decision of another panel[,] ... an exception to this general rule arises where there has been an intervening Supreme Court decision that casts doubt on our controlling precedent.’ ”
Meacham v. Knolls Atomic Power Lab.,
A. Robbins
In
Robbins,
our Court began its analysis by noting that application of New York’s income-first policy “clearly did not execute on, levy, attach, or garnish [the institutionalized spouse’s] Social Security benefits.”
We have employed an “expansive definition of ‘legal process,’ ” Kriegbaum v. Katz,909 F.2d 70 , 74 (2d Cir.1990), which “embracefs] not only the use of formal legal machinery but also resort to express or implied threats and sanctions,’ ” Fetterusso v. State of New York,898 F.2d 322 , 327 (2d Cir.1990).
Id.
Our Court then concluded that New York’s application of its income-first policy to Social Security benefits violated § 407(a) because (1) it constituted a form of “administrative coercion” that limited a Social Security recipient’s discretionary authority over how to spend the benefits and (2) there existed the prospect of a “fair hearing” and the threat of a support recovery action to give this coercion effect.
See Robbins,
[The community spouse], who has [the institutionalized spouse’s] power of at *107 torney, has control over his check. If she pays over [his] Social Security benefits for his current care rather than applying them to her own needs, her future will be jeopardized because the DSS will sue to obtain the assets she will need for her support in the future-[T]he effect of the State [policy] in question is to force the [attorney-in-fact] to exercise that discretion in favor of herself.
See id. at 202 (fifth and sixth alterations in the original) (internal quotation marks omitted). 7 We further found that, even though the plaintiffs in Robbins had not requested a “fair hearing,” the prospect of a “fair hearing” and the threat of a support recovery action sufficed to establish “legal process” under § 407(a):
[T]he use of express or implied threats falls within the meaning of “legal process” for purposes of Section 407. Because New York’s income-first policy, which is implemented both during the fair hearing process and through the express threat of a lawsuit, constitutes an explicit threat to use “legal process” against a community spouse who refuses to expend her husband’s social security benefits on her own needs, and because threats — implicit or explicit — fall within our definition of “legal process,” we hold that the income-first policy as applied to Social Security benefits violates Section 407.
Id.
(citing
Fetterusso,
B. Keffeler
In
Keffeler,
decided almost three years after
Robbins,
the Supreme Court considered whether it was a violation of § 407(a) for Washington State to use the Social Security benefits of children for whom it was representative payee to reimburse itself for some of its initial expenditures in providing foster care.
See Keffeler,
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Applying the interpretive canons of
noscitur a sociis
and
ejusdem
generis,
8
the Court held that “other legal process” must be “construed to embrace only objects similar in nature to those objects enumerated by the preceding specific words.”
Id.
at 384,
“other legal process” should be understood to be process much like the processes of execution, levy, attachment, and garnishment, and at a minimum, would seem to require utilization of some judicial or quasi-judicial mechanism, though not necessarily an elaborate one, by which control over property passes from one person to another in order to discharge or secure discharge of an allegedly existing or anticipated liability.
Id.
at 385,
The Court then discussed why, “[o]n this restrictive understanding of [the statutory term] ‘other legal process,’ ” the State’s use of the children’s Social Security benefits did not violate § 407(a).
Id.
at 386,
C. Robbins Is Inconsistent with Keffeler
In
Binder & Binder PC v. Barnhart,
The core of Keffeler’s holding is that state practices or policies violate § 407(a) only if they are “similar in nature” to execution, levy, attachment, and garnishment.
Keffeler,
In attempting to limit
Keffeler’s
effect on
Robbins, see
Appellants’ Br. 12-16, the Wojehowskis rely heavily on reasoning in a now-overturned decision by the New York Appellate Division.
See In re Estate of Tomeck,
D. Under Keffeler, New York’s Income-First Policy Does Not Subject An Institutionalized Spouse’s Social Security Benefits to Legal Process Within the Meaning of§ 107(a)
We conclude, in agreement with the recent decision of the New York Court of Appeals in
Tomeck,
that New York’s income-first policy does not violate § 407(a).
See Tomeck,
Although the attribution of an institutionalized spouse’s Social Security benefits to a community spouse during a “fair hearing” may qualify as a “judicial or quasi-judicial mechanism,”
Keffeler,
In short, the attribution of an institutionalized spouse’s Social Security benefits to a community spouse during a “fair hearing” is not “similar in nature” to the other legal processes listed in the antiattachment provision of the Act. Thus, under Kejfeler, New York’s income-first policy does not violate § 407(a).
CONCLUSION
For the reasons set forth above, we conclude that Robbins is no longer good law, and we hold that New York’s income-first policy as applied to Social Security benefits during a “fair hearing” does not violate § 407(a). The judgment of the District Court is therefore Affirmed.
Notes
. 42 U.S.C. § 407(a) provides in full:
The right of any person to any future payment under this subchapter shall not be transferable or assignable, at law or in equity, and none of the moneys paid or payable or rights existing under this subchapter shall be subject to execution, levy, attachment, garnishment, or other legal process, or to the operation of any bankruptcy or insolvency law.
. An “institutionalized spouse’’ is, with certain exceptions not relevant here, an individual "in a medical institution or nursing facility” who is “married to a spouse who is not in a medical institution or nursing facility.” 42 U.S.C. § 1396r-5(h)(1). A "community spouse” is "the spouse of an institutionalized spouse.” Id. § 1396r-5(h)(2).
. In
Robbins,
we also held that the attribution of an institutionalized spouse's Social Security benefits to a community spouse does not violate the "anti-alienation provision” of the Employee Retirement Income Security Act ("ERISA”), 29 U.S.C. § 1056(d)(1).
See Robbins,
. For ease of reference, we refer to actions taken by the DOH or local agencies as being performed on behalf of "the State.”
. "Fair hearing” is a term of art used to describe a "judicial or administrative hearing conducted in accordance with due process.” Black's Law Dictionary 738 (8th ed. 1999). Of course, the parties to a "fair hearing,” as in the instant case, may not regard the proceeding as at all "fair” in the ordinary sense of the word. And simply because a statute or regulation sets forth a series of procedures
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that it deems a "fair hearing” does not guarantee that due process is met.
See, e.g., Goldberg
v.
Kelly,
. Both the Supreme Court and the New York Court of Appeals have held that application of an income-first policy is consistent with the spousal impoverishment provisions of the MCCA.
See Blumer,
. In reaching the conclusion that such a limitation on the community spouse’s discretion was impermissible under § 407(a), our Court relied on what it referred to as "[t]he seminal case in this circuit on deeming or attributing Social Security
benefits”
— Johnson
v. Harder,
. "The traditional canon of construction,
nos-citur a sociis,
dictates that words grouped in a list should be given related meaning.”
Dole v. United Steelworkers of Am.,
. Although we find much of the reasoning in
Tomeck
to be persuasive, we are, of course, not bound by a state court's interpretation of federal law.
See United. States v. Montana,
. We need not decide whether a state's effort to attach an institutionalized spouse’s Social Security benefits in order to collect on a judgment against a community spouse would be permitted under § 407(a), although such an attempt would appear to be foreclosed by the plain language of § 407(a).
See Keffeler,
