Betts v. Illinois Department of Human Services

2020 IL App (1st) 191738-U
CourtAppellate Court of Illinois
DecidedNovember 17, 2020
Docket1-19-1738
StatusUnpublished

This text of 2020 IL App (1st) 191738-U (Betts v. Illinois Department of Human Services) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Betts v. Illinois Department of Human Services, 2020 IL App (1st) 191738-U (Ill. Ct. App. 2020).

Opinion

2020 IL App (1st) 191738-U No. 1-19-1738 Second Division November 17, 2020

NOTICE: This order was filed under Supreme Court Rule 23 and may not be cited as precedent by any party except in the limited circumstances allowed under Rule 23(e)(1). ____________________________________________________________________________

IN THE APPELLATE COURT OF ILLINOIS FIRST DISTRICT ____________________________________________________________________________

) Appeal from the DONNA M. BETTS, ) Circuit Court of ) Cook County. Plaintiff-Appellant, ) ) v. ) No. 18 CH 438 ) ILLINOIS DEPARTMENT OF HUMAN ) SERVICES and OTHER PERSONS NAMED ) PURSUANT TO 735 ILCS 2/401 ) Honorable ) Sanjay Tailor Defendants-Appellees. ) Judge, presiding.

____________________________________________________________________________

JUSTICE COBBS delivered the judgment of the court. Justices Lavin and Pucinski concurred in the judgment.

ORDER

¶1 Held: Plaintiff’s appeal is dismissed as moot because there is no live controversy for this court to decide.

¶2 Plaintiff-appellant, Donna M. Betts, appeals pro se from an order of the circuit court

affirming the final administrative decision of defendant-appellee, the Illinois Department of

Human Services (the Department). As best as we can determine, Betts primarily argues that the No. 1-19-1738

circuit court erred by conspiring with the Department to ignore the fact that her allegations were

judicially admitted where the Department did not specifically deny them in its answer and where

the Attorney General did not personally appear to defend the Department. For the following

reasons, we find these contentions to be meritless, and the appeal to be moot.

¶3 I. BACKGROUND

¶4 This appeal stems from Betts’ participation in the Department’s “Medical Spenddown

Program,” which allows individuals to qualify for government-funded healthcare benefits even

though they otherwise have too much income or too many assets. Under this program, the

individual pays the cost of their own medical care up to a certain amount each month, which is

known as the “spenddown amount.” After the spenddown amount is reached, the individual then

receives a medical card to pay for other care needed for that month. Betts’ spenddown obligation

for the times relevant to this appeal was $232.00 per month. Also relevant to this appeal are three

expenses for which Betts sought spenddown credit: (1) a $372.00 receipt dated June 29, 2016; (2)

a $186.00 receipt dated June 29, 2016; and (3) a $441.91 bill dated April 28, 2016.

¶5 The Department rejected Betts’ request to receive credit for those expenses and, in August

2016, Betts filed an administrative appeal regarding her spenddown status for June, July, and

September of 2016. On September 12, 2016, Betts signed a document withdrawing her appeal on

the condition that the Department comply with a verbal agreement to apply the $999.91 worth of

expenses toward her spenddown. Per the agreement, the $999.91 would be used to satisfy Betts’

spenddown obligation for September 2016 through December 2016, with the remaining $71.91

carrying over to January 2017.

¶6 Notwithstanding this agreement, on September 19, 2016, the Department sent Betts a letter

stating that she did not meet her spenddown obligation for October 2016. Betts filed an appeal

-2- No. 1-19-1738

with the Department’s Bureau of Hearings, and a hearing was held before administrative law judge

Manuel Flores on October 24, 2016.

¶7 At the hearing, Jataun Robinson, a caseworker for the Department, testified that when the

Department’s computer program determines that an individual has met their spenddown amount

for a given month, the program does not automatically carry over any excess to the subsequent

month. As such, Robinson had to separately calculate the amount of carryover spenddown credit

to which Betts was entitled. Based on this calculation, Robinson determined that Betts had met her

spenddown obligation for September 2016 through March 2017.

¶8 On November 17, 2016, the Department issued a final administrative decision in which it

characterized the issue as whether Betts met her spenddown obligation for June and July of 2016.

As the Department adopted Flores’ findings that the spenddown amount was met for June, July,

and September 2016, it dismissed the appeal as moot because there was nothing upon which to

rule. The decision did not mention anything about Betts’ spenddown obligation for months after

September 2016.

¶9 On December 12, 2016, Betts filed a complaint in the circuit court seeking administrative

review of the Department’s decision. In February 2017, the Department filed a copy of the

administrative record in the case, which constituted its answer to the complaint. Betts then filed

numerous motions, including a motion for sanctions based on the Department’s alleged failure to

answer her complaint. The court denied the motion, stating that the Department had properly

answered by filing the record of administrative proceedings in accordance with the Illinois

Administrative Review Law (735 ILCS 5/3-108(b) (West 2016)).

¶ 10 After a hearing on Betts’ complaint, Judge Diane Joan Larsen found that the Department’s

decision to dismiss the appeal as moot was clearly erroneous. Judge Larsen also stated that the

-3- No. 1-19-1738

record showed that the $186.00 receipt was applied to Betts’ October 2016 spenddown obligation,

but that the record was unclear as to whether Betts received credit for the $372.00 receipt and

$441.91 bill. Accordingly, the court remanded the matter to the Department “to make an explicit

finding on Ms. Betts’ spenddown status for September 2016 through January 2017, and to

determine whether the $372.00 June 29, 2016 receipt and the $441.91 bill were and should have

been applied.”

¶ 11 On remand, another hearing was held before administrative law judge Kelly Pasholk. At

the hearing, Department case manager Paris Collier-Davis stated that she was unsure what relief

Betts was seeking because Department records showed that she had met her spenddown obligation

from October 2016 through April 2017. Betts contended that, in violation of her verbal agreement

with the Department, she did not receive credit for the $991.91 worth of expenses but instead

satisfied her spenddown with “other bills.” Collier-Davis responded that Betts must have received

credit for the $991.91 because she would not have satisfied her spenddown without those expenses.

Betts continued to insist that, although she had “no way of tracing exactly what [the Department

was] doing,” she nevertheless “kn[e]w for sure that Ms. Robinson did not comply with that

contract.” Pasholk asked Collier-Davis whether it was possible to determine exactly which

expenses were used to satisfy Betts’ spenddown obligation, and Collier-Davis stated that she

would “look into that.” Pasholk stated that she would leave the record open for Collier-Davis to

supply that information.

¶ 12 On December 11, 2017, the Department issued a final decision based on Pasholk’s

recommendations. The decision stated that the record showed Betts’ spenddown obligation for

September 2016 was met with the entirety of the $186.00 receipt and part of the $441.91 bill.

Betts’ spenddown obligations through April 2017 were satisfied with other bills.

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Cite This Page — Counsel Stack

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2020 IL App (1st) 191738-U, Counsel Stack Legal Research, https://law.counselstack.com/opinion/betts-v-illinois-department-of-human-services-illappct-2020.