Justia Government & Administrative Law Opinion Summaries

Jerilyn Braaten, the personal representative of the Frederick Ardell Krueger Estate, appealed an order holding the Department of Human Services could recover 100 percent of the net proceeds from the sale of Krueger's home to pay for medical assistance benefits previously received by his deceased spouse. The North Dakota Supreme Court concluded the district court erred in ruling the Department is entitled to 100 percent of the net sale proceeds. For purposes of Medicaid recovery from a surviving spouse's estate, the Department's recovery from a deceased recipient's joint tenancy property is limited to the deceased recipient's fractional interest in the property. The matter was reversed and remanded fo the trial court to permit the Department to recover 50 percent of the net sale proceeds. View "Estate of Krueger" on Justia Law

Plaintiffs Willis S. Sheldon, individually as the father of Dezirae Sheldon, and as administrator of the Estate of Dezirae Sheldon, appealed the grant of summary judgment to defendant Nicholas Ruggiero, an administrative reviewer with the Vermont Department for Children and Families (DCF). Plaintiffs argued that defendant negligently failed to report an allegation that Dezirae’s stepfather Dennis Duby abused Dezirae, eventually leading to Dezirae’s murder at Duby’s hands. Plaintiffs presented alternative theories for defendant’s liability under: (1) Vermont’s mandated-reporter statute, which they argued created a private right of action; (2) common-law negligence; or (3) negligent undertaking. After review, the Vermont Supreme Court concluded that even if the mandated-reporter statute creates a private right of action, or alternatively, even if defendant had a common-law duty to report suspected abuse, plaintiffs’ negligent-undertaking claim failed because defendant acted reasonably and prudently in his role as a DCF administrative reviewer. In addition, the Court concluded that defendant never undertook DCF’s statutory obligation to investigate all potential sources of Dezirae’s injuries. View "Sheldon v. Ruggiero" on Justia Law

The court of appeals erred in ruling that a taxpayer avoided in Iowa inheritance tax through a private postmortem family settlement agreement (FSA).Here, the decedent, before his death, signed a beneficiary form listing the taxpayer as a contingent beneficiary of his brokerage account. That account transferred to the taxpayer upon the decedent's death. The Iowa Department of Revenue (IDOR) determined that the estate owed the inheritance tax on the full account value. The decedent’s grandchildren sued the taxpayer claiming that they were entitled to the brokerage account under the decedent’s will because the decedent lacked the mental capacity to execute an enforceable beneficiary designation for the account. The taxpayer settled the suit by transferring half the account value to the plaintiffs under an FSA. The taxpayer then sought a refund of part of the inheritance tax already paid. The IDOR denied a refund, determining that the taxpayer failed to establish incapacity. The district court affirmed. The court of appeals reversed, concluding that the FSA controlled the tax issue. The Supreme Court vacated the decision of the court of appeals and affirmed the district court judgment, holding that, without an adjudication of incapacity, the FSA was not binding on the IDOR and could not avoid the inheritance tax. View "Nance v. Iowa Department of Revenue" on Justia Law

The court of appeals erred in ruling that a taxpayer avoided in Iowa inheritance tax through a private postmortem family settlement agreement (FSA).Here, the decedent, before his death, signed a beneficiary form listing the taxpayer as a contingent beneficiary of his brokerage account. That account transferred to the taxpayer upon the decedent's death. The Iowa Department of Revenue (IDOR) determined that the estate owed the inheritance tax on the full account value. The decedent’s grandchildren sued the taxpayer claiming that they were entitled to the brokerage account under the decedent’s will because the decedent lacked the mental capacity to execute an enforceable beneficiary designation for the account. The taxpayer settled the suit by transferring half the account value to the plaintiffs under an FSA. The taxpayer then sought a refund of part of the inheritance tax already paid. The IDOR denied a refund, determining that the taxpayer failed to establish incapacity. The district court affirmed. The court of appeals reversed, concluding that the FSA controlled the tax issue. The Supreme Court vacated the decision of the court of appeals and affirmed the district court judgment, holding that, without an adjudication of incapacity, the FSA was not binding on the IDOR and could not avoid the inheritance tax. View "Nance v. Iowa Department of Revenue" on Justia Law

Claimant Edmund Hibbard, Esq., Administrator of the Estate of Beatrice Jakobiec (Estate), appealed a New Hampshire Bar Association Public Protection Fund Committee (PPFC) decision finding that the Estate was entitled to reimbursement from the Public Protection Fund (PPF) in an amount significantly less than that which the Estate claimed was stolen by former attorney Thomas Tessier. Beatrice Jakobiec passed away in 2001, leaving two sons, Frederick Jakobiec, M.D. and Thaddeus Jakobiec, Jr., as heirs. In 2002, Tessier was appointed to administer the Estate. The value of the Estate for probate purposes, as determined by an ADO auditor was $576,074.03. The auditor concluded that “[t]he assets included in the Estate by Attorney Tessier were valid and belonged in the Estate valuation,” but that Tessier failed to include additional assets owned by Beatrice at the time of her death. The auditor concluded that it appeared Tessier took the proceeds from certain certificates of deposit and other checks “for his own purposes.” In addition, the auditor detailed Tessier’s misappropriation, using fraudulent powers of attorney, of funds belonging to Frederick individually or held in trust for Thaddeus, who has been blind since birth. In 2009, the Estate filed a claim alleging a loss consisting of $208,798.95 in stolen assets (the Stolen Assets), $96,500.00 in stolen legal fees, and $99,531.81 in lost income, but the PPFC only reimbursed the Estate half of the total amount. The Estate argued the PPFC erred by: (1) reducing the amount of its claim based upon an “earlier finding that Thaddeus Jakobiec . . . had received his full distribution from the Estate”; (2) reducing the Estate’s claim for stolen legal fees by the amounts of certain excluded checks; (3) finding that the Estate’s claim against the PPF included a claim for lost income; and (4) “applying credits for prior recoveries by the Estate for the gross amount of those recoveries rather than the net amount of the recoveries.” The New Hampshire Supreme Court found "nothing prohibiting a claimant from being made whole, if other sources allow it, and we can think of no persuasive policy reason for preventing a claimant from utilizing other sources to obtain a full recovery." Though the Court found no abuse of discretion with respect to the exclusion of expenses of recovery, the Court reversed as to the other amounts lost. View "Appeal of Estate of Beatrice Jakobiec" on Justia Law

The issue presented for the Oregon Supreme Court’s review was whether an adult foster care provider claiming unjust enrichment may recover the reasonable value of its services from a defendant who, through fraud, obtained a lower rate from the provider for the services. Plaintiff owned two adult foster homes for the elderly. Plaintiff had contracted with the Oregon Department of Human Services to provide services in a home-like setting to patients who qualified for Medicaid. For those patients, the rates charged would be those set by the department. Isabel Pritchard resided and received care in one of plaintiff’s adult foster homes until her death in November 2008. Because Prichard had been approved to receive Medicaid benefits, plaintiff charged Prichard the rate for Medicaid-qualified patients: approximately $2,000 per month, with approximately $1,200 of that being paid by the department. Plaintiff’s Medicaid rates were substantially below the rates paid by plaintiff’s “private pay” patients. Prichard’s application for Medicaid benefits, as with her other affairs, was handled by her son, Richard Gardner. Gardner had for years been transferring Prichard’s assets, mostly to himself (or using those funds for his personal benefit). Gardner’s misconduct was discovered by another of Prichard’s children: defendant Karen Nichols-Shields, who was appointed the personal representative for Prichard’s estate. In 2009, defendant contacted the police and reported her brother for theft. Ultimately, Gardner pleaded guilty to three counts of criminal mistreatment in the first degree. Gardner’s sentence included an obligation to pay a compensatory fine to Prichard’s estate, to which he complied. After defendant, in her capacity as personal representative, denied plaintiff Larisa’s Home Care, LLC’s claim against Prichard’s estate, plaintiff filed this action, essentially asserting Prichard had been qualified for Medicaid through fraud and that Prichard should have been charged as a private pay patient. The Oregon Supreme Court concluded that, generally, a defendant who obtains discounted services as a result of fraud is unjustly enriched to the extent of the reasonable value of the services. The Court therefore reversed the contrary holding by the Court of Appeals. Because the fraud here occurred in the context of a person being certified as eligible for Medicaid benefits, however, the Court remanded for the Court of Appeals to consider whether certain provisions of Medicaid law may specifically prohibit plaintiff from recovering in this action. View "Larisa's Home Care, LLC v. Nichols-Shields" on Justia Law

In several cases consolidated for review, the issue common to all was whether the Michigan Department of Health and Human Services could recover from beneficiaries’ estates an amount equivalent to certain Medicaid benefits paid to, or on behalf of, those beneficiaries during their lifetimes. Pursuant to the Michigan Medicaid estate-recovery program (MMERP), DHHS asserted creditor claims in the amount of those benefits against the estates of four deceased beneficiaries. In each case, the estate prevailed in the probate court and DHHS appealed. The Court of Appeals consolidated the appeals and reversed in part, concluding that DHHS could pursue its claims for amounts paid after MMERP’s July 1, 2011 implementation date, but not for amounts paid between that date and the program’s effective date, July 1, 2010. One estate appealed to the Michigan Supreme Court, arguing due process barred DHHS from recovering any amount paid before 2013, when the agency had directly notified the estate’s decedent of MMERP. DHHS applied for leave to appeal in all four cases, arguing that the Court of Appeals had erred in concluding that the agency was not entitled to recover the amounts paid between July 1, 2010, and July 1, 2011. The Supreme Court concluded DHHS was not barred from pursuing estate recovery for amounts paid after July 1, 2010. View "In re Gorney Estate" on Justia Law

Edward McElveny (McElveny) died intestate in 1991. In April 2013, McElveny’s grandson, Michael Phillips, filed an application with the Santa Fe County Probate Court (Probate Court) to be informally appointed personal representative (PR) of McElveny’s estate. In his application, Phillips noted that the Department of Taxation and Revenue had custody of approximately $70,000 (the Property) that belonged to McElveny and which the Department held as unclaimed property. Phillips asked the Probate Court to order the Department to release the Property to him as PR. The Probate Court granted Phillips’ request, appointed him PR, and ordered the Department to release the Property to him. Phillips then filed an unclaimed property claim with the Department. Phillips left the claim form blank and attached to the blank claim form a copy of the Probate Court’s order. In June 2013, the Department wrote to Phillips, acknowledged receipt of his claim, but informed Phillips that it was “incomplete.” Phillips responded by letter, protested that he had submitted all documentation the Department required to process and approve his claim. The Department did not reply and did not release the Property. In August 2013, the Probate Court transferred the case to the First Judicial District Court. Phillips filed a motion with the district court asking it to enforce the Probate Court’s order and to issue sanctions against the Department. The Department moved to dismiss the proceedings and argued that the district court lacked subject matter jurisdiction because Phillips failed to exhaust administrative remedies. Phillips responded and claimed that the exhaustion doctrine was inapplicable because he was “not suing the Department, i.e.[,] not attempting to obtain subject matter jurisdiction over the Department for the purpose of stating a claim.” The New Mexico Supreme Court held that the administrative claim filing provisions of the Uniform Unclaimed Property Act (UPA)were exclusive and mandatory and that individuals wishing to procure unclaimed property must exhaust the administrative remedies afforded them by the Act. Consequently, estate representatives like Phillips cannot circumvent the UPA’s claim filing provisions by invoking provisions of the Uniform Probate Code 11 (UPC). Although Phillips did not exhaust administrative remedies under the UPA, it the Court determined it was unnecessary to remand for further administrative proceedings, and ordered the Department to release to Phillips the unclaimed property in its custody that belonged to the estate. View "In re Estate of McElveny" on Justia Law

Plaintiff filed a declaratory judgment action against the Teton County Assessor seeking a declaration that the trusts for which it acted as trustee were charitable trusts within the meaning of Wyo. Stat. Ann. 4-10-406(a) and were exempt from taxation under Wyo. Stat. Ann. 39-11-105(xix). The district court dismissed the complaint, concluding that the primary jurisdiction doctrine made dismissal of the action appropriate. The Supreme Court affirmed, holding (1) because Plaintiff failed to exhaust its administrative remedies before filing a complaint in the district court, the district court properly dismissed the complaint; and (2) to the extent Plaintiff may have properly invoked the district court’s jurisdiction the district court did not abuse its discretion in concluding that the primary jurisdiction doctrine warranted dismissal of the action in favor of review through the administrative process. View "Thomas Gilcrease Foundation v. Cavallaro" on Justia Law

After William Dean was involuntarily hospitalized, the Department of Health and Human Services was appointed as Dean’s temporary public conservator. Thereafter, the Department sold some of Dean’s property. Dean’s sister, Claire Perry, filed a complaint against the Department and certain state individuals, asserting claims arising out of the Department’s management of Dean’s property during the public conservatorship. Later, Pamela Vose was appointed as Dean’s conservator. Vose filed a cross-claim and then a separate action against the Department, alleging breach of fiduciary duty. The court consolidated the two cases. The Department and the individual state defendants moved for summary judgment, asserting sovereign immunity. The court entered a summary judgment in favor of the defendants on most claims but denied the Department’s motions for summary judgment on Vose’s claim for breach of fiduciary duty in both cases, concluding that the Maine Probate Court waived sovereign immunity and that the Department was subject to suit in tort when acting as a public conservator. The Supreme Judicial Court vacated the order denying the Department’s motions for summary judgment, holding that the Department is immune from the breach of fiduciary duty claims asserted in these cases because the Probate Code does not expressly waive sovereign immunity and the Department did not waive immunity. View "Perry v. Dean" on Justia Law