Anderson v. Commissioner of the Department of Human Services

489 A.2d 1094, 1985 Me. LEXIS 668
CourtSupreme Judicial Court of Maine
DecidedMarch 28, 1985
StatusPublished
Cited by48 cases

This text of 489 A.2d 1094 (Anderson v. Commissioner of the Department of Human Services) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anderson v. Commissioner of the Department of Human Services, 489 A.2d 1094, 1985 Me. LEXIS 668 (Me. 1985).

Opinion

GLASSMAN, Justice.

Agnes Anderson, the plaintiff, appeals from a judgment of the Superior Court, Kennebec County, affirming a fair hearing decision of the Department of Human Services (Department) upholding the agency’s recoupment of an overpayment of benefits. We affirm.

When she and her former husband separated in 1979, the plaintiff began receiving Aid to Families with Dependent Children (AFDC). 2 According to the plaintiff, an agency case worker informed her at the initial interview that her husband could pay some bills for her as long as he did not actually give her the money; Mr. Anderson thereafter paid certain bills by making deposits into checking accounts on which she drew; and the plaintiff had reported this arrangement to a case worker for the Department. The checking account arrangement continued until August 1982, when Mr. Anderson began making payments directly to the Department.

During a review in June 1983, the plaintiff learned that since December 1982 the Department had been investigating a continuing overpayment to her. 3 In November 1983, the plaintiff received notification from the Department that owing to the commencement of recovery of the overpayment, her monthly AFDC benefits would be reduced from $518 to $466 as of December 1, 1983. 4 She requested a fair hearing, which was held on December 19, 1983. The hearing officer affirmed the agency action.

The plaintiff filed a petition for Superior Court review of the decision of the hearing officer pursuant to M.R.Civ.P. 80C and 5 M.R.S.A. § 11001 (1979 & Supp.1984). The Superior Court affirmed the Department’s decision, from which the plaintiff appeals. She contends the Department’s failure promptly to recover the overpayment violated provisions of federal and state law. The plaintiff also asserts the Department is estopped from recouping the overpayment.

I.

The plaintiff does not contest the fact she received an overpayment, nor does she *1097 disagree with its amount. Rather, she contends that by failing to take action to recoup the overpayment until November 1983, the Department violated substantive federal and state requirements of promptness. 5 Both federal and state regulations provide that an agency must take action to recover an overpayment “by the end of the quarter following the quarter in which the overpayment is first identified.” See 45 C.F.R. § 233.20(a)(13)(i)(E); MPAPM, ch. 1, § E. The evidence indicates that the Income Maintenance Bureau of the Department was first aware of the overpayment as late as December 1982.

The Department asserts that the plaintiff has no right to judicial review on the issue of the promptness of recoupment. The Department maintains that the purpose of the promptness term is directory, regulating interagency relations and serving as a time standard for fiscal quality control purposes. Unlike the regulations that govern eligibility for benefits, the Department argues, the promptness provision creates no rights in recipients. Cf. 15,844 Welfare Recipients v. King, 610 F.2d 32, 35 (1st Cir.1979) (regulation requiring states to establish methods and criteria to identify fraud does not create rights in recipients).

We disagree with the argument of the Department that the plaintiff is not entitled to judicial review. The Maine Administrative Procedure Act provides in pertinent part:

Except where a statute provides for direct review or review of a pro forma judicial decree by the Supreme Judicial Court or where judicial review is specifically precluded or the issues therein limited by statute, any person who is aggrieved by final agency action shall be entitled to judicial review thereof in the Superior Court in the manner provided by this subchapter.

5 M.R.S.A. § 11001 (Supp.1984). No other statute either provides for or precludes review in this instance. To have standing to obtain judicial review of administrative action as an aggrieved person, one must have suffered a resulting particularized injury. 6 Northeast Occupational Exchange, Inc. v. Bureau of Rehabilitation, 473 A.2d 406, 408 n. 6 (Me.1984); In Re Lappie, 377 A.2d 441, 442-43 (Me.1977). The injury the plaintiff claims is that her AFDC benefits are diminished as the result of the Department’s action. Having standing to appeal as a person aggrieved, therefore, the plaintiff may raise any issue that affects the validity of the administrative action.

On the merits of the plaintiff’s case, however, we agree with the Department that the promptness provision in 42 U.S.C. § 602(a)(22) and the federal and Maine regulations is merely directory. Consideration of the legislative intent in enacting a stat *1098 ute is fundamental in determining whether its provisions are mandatory or directory. 1A Sutherland, Statutes and Statutory Construction § 25.03 at 298-99 (4th ed. C. Sands ed. 1972); see Ottman v. Fisher, 319 A.2d 56, 63 (Me.1974).

Generally those directions which are not of the essence of the thing to be done, but which are given with a view merely to the proper, orderly and prompt conduct of the business, and by the failure to obey no prejudice will occur to those whose rights are protected by the statute, are not commonly considered mandatory. Likewise, if the act is performed but not in the time or in the precise manner directed by the statute, the provision will not be considered mandatory if the purpose of the statute has been substantially complied with and no substantial rights have been jeopardized.

1A Sutherland § 25.03 at 300.

The general purpose of the Omnibus Budget Reconciliation Act, which added the recoupment provision to the statute, was to reduce federal spending through budget reconciliation as recommended by the specialized committees of the United States Congress. See S.Rep. No. 97-139, 97th Cong., 1st Sess. 2-3, reprinted in 1981 U.S.Code Cong. & Ad.News 396, 397-98 [hereinafter S.Rep.]; cf Omnibus Budget Reconciliation Act of 1981, Pub.L. No. 97-35, 97 Stat. 357, 357. In reference to the AFDC program, the Senate Committee on Finance stated in its reconciliation recommendation to the Committee on the Budget:

The committee believes that a policy of insuring the correctness of payment is crucial if the AFDC program is to continue to have public support.

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Bluebook (online)
489 A.2d 1094, 1985 Me. LEXIS 668, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anderson-v-commissioner-of-the-department-of-human-services-me-1985.