Bates v. NORTHWESTERN HUMAN SERVICES, INC.

583 F. Supp. 2d 138, 2008 U.S. Dist. LEXIS 86723, 2008 WL 4722530
CourtDistrict Court, District of Columbia
DecidedOctober 28, 2008
DocketCivil Action 04-2116 (RBW)
StatusPublished
Cited by2 cases

This text of 583 F. Supp. 2d 138 (Bates v. NORTHWESTERN HUMAN SERVICES, INC.) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bates v. NORTHWESTERN HUMAN SERVICES, INC., 583 F. Supp. 2d 138, 2008 U.S. Dist. LEXIS 86723, 2008 WL 4722530 (D.D.C. 2008).

Opinion

MEMORANDUM OPINION

REGGIE B. WALTON, District Judge.

Barbara Bates and Bonnie Bell, the plaintiffs in this civil lawsuit, 1 bring this action against Northwestern Human Services, Inc. (“Northwestern”) and its two wholly-owned subsidiaries, Northwestern Human Services of Lehigh Valley, Inc. (“Lehigh Valley”) and NHS MidAtlantic, Inc. (“MidAtlantic”), asserting various statutory, regulatory and common law violations in connection with the defendants’ alleged “misappropriation,” “misuse,” and “loss” of the plaintiffs’ benefits payments and other funds while acting as the plaintiffs’ certified mental health rehabilitation services provider and “representative payee” under the Social Security Act, 42 U.S.C. §§ 301-306, 401-418, 421-434, 501-504, 601-619, 621-626, 628-629i, 651-660, 663-679b, 681-686, 701-710, 901, 903-904, 906, 909-913, 1001-1013, 1101-1110, 1201-1206, 1301-1324, 1351-1355, 1381-1383f, 1391—1397jj (2000). Amended Complaint (the “Am. Compl.”) ¶¶ 1-5. Currently before the Court is the defendants’ motion to dismiss Count I of the plaintiffs’ complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). After carefully considering the plaintiffs’ amended complaint, the defendants’ motion to dismiss, and all memo-randa relating to that motion, 2 the Court concludes that it must grant the defendants’ motion and further concludes that it must dismiss the plaintiffs’ complaint in its entirety for the reasons set forth below.

I. Background

The following facts are alleged by the plaintiffs in their amended complaint or are matters of public record. The “representative payee” provisions of the Social Security Act provide that an individual’s benefit payments can be made to a duly certified fiduciary for the individual’s “use and benefit” if the Commissioner of the Social Security Administration “determines that the interest of [the] individual ... would be served thereby.” 42 U.S.C. § 405(j)(l)(A); see also id. § 1383(a)(2)(A)(ii)(I) (stating that “[u]pon a determination by the Commissioner of Social Security that the interest of [an eligible] individual would be served thereby, such [benefit] payments shall be made *140 ... to [a representative payee] for the use and benefit of the individual”); 20 C.F.R. § 404.2001 (2007) (“explaining] the principles and procedures that [the Social Security Administration] follow[s] in determining whether to make representative payment and in selecting a representative payee ... [and] the responsibilities that a representative payee has concerning the use of the funds ... receive[d] on behalf of a beneficiary”); id. § 416.601 (same). To be appointed as a representative payee, applicants must undergo an investigation by the Social Security Administration and demonstrate “adequate evidence that such certification is in the interest of’ the individual for whom representative payee status is sought. 42 U.S.C. § 405(j)(2)(A)(ii); see also id. § 1383(a)(2)(B)(ii) (same); 20 C.F.R. § 404.2020-2024 (listing factors to be considered by the Social Security Administration in determining the “person, agency, organization or institution that will best serve the interest of the beneficiary” as a representative payee); id. § 416.620-416.624 (same); 42 U.S.C. § 405(j)(2)(C)(v) (stating which representative payee applicants are given preferential treatment by the Social Security Administration); id. § 1383(a)(2)(B)(vii) (same); 20 C.F.R. § 404.2021 (same); id. § 416.621 (same).

Once appointed, representative payees are authorized to receive an individual’s benefit payments for the “use and benefit” of the individual in light of the Social Security Administration’s relevant guidelines. 42 U.S.C. § 405(j)(l)(A); id. § 1383(a)(2)(A)(ii)(I) (same); 20 C.F.R. § 404.2035 (explaining the Social Security Administration’s guidelines with respect to the representative payee’s fiduciary responsibilities); id. § 416.635 (same). Accordingly, the payees are subject to “a system of accountability monitoring” under which they are forbidden from “misusing]” an individual’s benefit payment in any way. 42 U.S.C. § 405(j)(3)(A); see also id. § 13 83(a)(2)(A)(iv) (stating that “misuse of benefits by a representative payee occurs in any case in which the representative payee receives payment ... for the use and benefit of another person and converts such payment” to another use). The payees are also required to report to the Social Security Administration at least once per year “with respect to the use of such payments.” 42 U.S.C. § 405(j)(3)(A); id. § 1383(a)(2)(C)® (same).

The plaintiffs are “residents] of the District of Columbia” who are “poor, unemployed, and disabled due to mental illness.” Am. Compl. ¶¶ 8-9. As a result, the plaintiffs “rel[y] on government benefits payments, including monthly payments by the Social Security Administration, to obtain basic living necessities such as food, clothing and shelter.” Id. The District of Columbia, required by federal and District of Columbia statutes “to provide integrated, comprehensive, and coordinated mental health services to District of Columbia residents, including the homeless mentally ill,” id. ¶ 22; see also 24 U.S.C. § 225 (2006) (provision requiring mental health services); D.C.Code § 44-901 (2005) (same), “passed the Department of Mental Health Establishment Amendment Act,” which “established ... the Department of Mental Health ([the] ‘DMH’),” Amended Compl. ¶ 24, and “requires [the] DMH, either through itself or through agents, to provide a comprehensive system of mental health care to [District of Columbia] residents,” id. ¶25; see also D.C.Code § 7-1131.01-1131.15a (implementing the statutory requirements).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Simms v. District of Columbia
699 F. Supp. 2d 217 (District of Columbia, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
583 F. Supp. 2d 138, 2008 U.S. Dist. LEXIS 86723, 2008 WL 4722530, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bates-v-northwestern-human-services-inc-dcd-2008.