Bell v. Commonwealth, Cabinet for Health & Family Services, Department for Community Based Services

423 S.W.3d 742, 2014 WL 712666, 2014 Ky. LEXIS 86
CourtKentucky Supreme Court
DecidedFebruary 20, 2014
DocketNo. 2012-SC-000600-DG
StatusPublished
Cited by38 cases

This text of 423 S.W.3d 742 (Bell v. Commonwealth, Cabinet for Health & Family Services, Department for Community Based Services) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bell v. Commonwealth, Cabinet for Health & Family Services, Department for Community Based Services, 423 S.W.3d 742, 2014 WL 712666, 2014 Ky. LEXIS 86 (Ky. 2014).

Opinion

Opinion of the Court by

Justice NOBLE.

This case presents two questions. First, may a trial court order the payment of attorney’s fees solely for egregious conduct ■without statutory authorization or a contract providing for such fees? Second, may a trial court order the disclosure of records of all persons participating in a federally funded community-based services program operated by the Cabinet for Health and Family Services after having decided the claim of one person without the other persons having filed claims and no class action being certified? The answer to both questions is no.

I. Background

Appellant Mary Bell is a disabled person who drew SSI (Social Security Insurance) benefits, was qualified for Medicaid, and participated in a community-based program developed and run by the Cabinet for Health and Family Services known as the Home and Community Based Waiver Program (HCBW). This program is under the direct supervision of the Department of Community Based Services (DCBS), and provides services to the elderly or disabled to help them remain at home. In particular, Mary attended Redwood School and Rehab Center.

The Cabinet uses a formula to determine the cost to a participant based on her income, and there may be a co-payment to participate if the participant’s income exceeds their Personal Needs Allowance (Allowance) as set by the agency. If a person’s sole income is SSI, then the formula determines that the participant’s Allowance is equal to the amount of SSI received, and there is zero cost to the participant for program services. If a participant has other income, the Allowance serves as a base number, and the participant is charged a co-payment commensurate with his or her excess income. Programs such as the center Mary attended have obvious costs, and state dollars for programs are limited. Thus when a participant can, she is asked to bear part of the cost for her program.

As a dependent of her father, Thomas Bell, Mary became eligible for Old Age, Survivor and Disability Insurance, known as RSDI benefits, when he retired and began to draw his Social Security benefits. This amount was larger than the amount she received from SSI. In accordance with its policy, DCBS calculated the difference between Mary’s Allowance as a program participant and her new benefit amount, and determined that Mary would owe [746]*746$60.00 per month as her co-pay for continued program participation.

Her father, as her legal custodian, filed an administrative appeal on Mary’s behalf, claiming that under a federal act known as the Pickle Amendment to the Social Security Act, persons in Mary’s position were entitled to have their new income amount adjusted according to a federal table. He claimed that under that table, Mary’s income adjustment kept her below her Allowance amount, so that she would have maintained a net zero cost for program participation. The hearing officer denied this claim, finding that the Pickle Amendment only applied to the Pass-Through program which paid for institutionalized treatment in a nursing home, that Mary was not in such treatment, and thus that the Cabinet could continue to assess the co-pay.

Mr. Bell appealed to the Franklin Circuit Court. In addition to seeking review of the administrative decision, he requested all other relief to which he might be entitled. As the case progressed, he claimed he was also entitled to attorney’s fees and to disclosure of the records of other individuals who were being charged a fee for program participation

At a hearing on the matter, the Franklin Circuit Court stated that it was reserving judgment on the request for attorney’s fees and the requested disclosure until after any appeal was completed. After the hearing, the court ruled on the merits of the case, holding that because it was cheaper, “it is only rational” that the Pickle Amendment be extended to apply to Mary’s situation and that she could not be charged to participate. The decision stated that it was final and appealable. The Cabinet untimely filed a CR 59.05 motion, which the court did not hear. Thereafter, the Cabinet let the time to appeal expire, deciding to abide by the trial court’s ruling on the Pickle Amendment in this case.

Forty-three days after entry of the judgment, Mary’s father moved the trial court to award attorney’s fees and to order disclosure of the records of every other individual who was being charged a fee for program participation. The Cabinet argued that this motion was untimely, as the court had entered its judgment on the Pickle Amendment and stated that the judgment was final and appealable. The court, having reserved ruling on those issues and recognizing that no appeal had been taken, determined that the motion was timely.

Stating that the Cabinet’s conduct in charging Mary a participant fee was “egregious government behavior,” the trial court awarded attorney’s fees against the Cabinet. The judge purported to have the authority to do this because of the inherent and equitable powers of the court, even though Kentucky has long been a jurisdiction that follows the “American Rule” in not awarding attorney’s fees to the prevailing party absent a statutory authorization, pursuant to a contract, or as a sanction for contempt.

Additionally, the court stated that the Cabinet’s “arbitrary” conduct no doubt impacted other program participants, and that “the cold hard truth [was] that many of these patients will have no chance for redress of the Cabinet’s arbitrary position if the Court does not order it to produce certain records.” The court therefore ordered the Cabinet to provide Appellant’s counsel with the names, addresses, income information and other personal information of all the participants in the program.

The Cabinet appealed, and the Court of Appeals reversed the attorney’s fees award, holding that it was time-barred and beyond the trial court’s power. The court also reversed the disclosure order. Be[747]*747cause this is a case of first impression, this Court granted discretionary review.

II. Analysis

The trial court’s ruling on the applicability of the Pickle Amendment to these facts is not before the Court, not having been appealed, and that ruling is the substantive law of this case. However, because the trial court’s view of how the Pickle Amendment applies is entwined with its view that the Cabinet’s conduct was egregious, leading it to believe it had equitable or inherent jurisdiction, that amendment will be discussed at points of the analysis.

But the real issues before this Court are whether the trial court did in fact have equitable or inherent power that would allow it to award attorney’s fees against the Cabinet, or any party similarly situated, and whether the trial court properly ordered disclosure of all other program participants similarly situated after finality of the merits issue. We hold that it does not have such authority, and since this is dispositive of the case regarding attorney’s fees, will not discuss other arguments, such as whether separation of powers and related doctrines bar the awarding of attorney’s fees against the state under these facts, or whether the motion was untimely. We also hold that the court’s ordered disclosure of other participants’ personal information was improper.

A. Attorney’s fees

Historically, courts ruled based on the common law, code or statutory law, and equity.

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Cite This Page — Counsel Stack

Bluebook (online)
423 S.W.3d 742, 2014 WL 712666, 2014 Ky. LEXIS 86, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bell-v-commonwealth-cabinet-for-health-family-services-department-for-ky-2014.