Carpenter v. Saltone Corp.

276 A.D.2d 202, 716 N.Y.S.2d 86, 2000 N.Y. App. Div. LEXIS 11765
CourtAppellate Division of the Supreme Court of the State of New York
DecidedNovember 13, 2000
StatusPublished
Cited by7 cases

This text of 276 A.D.2d 202 (Carpenter v. Saltone Corp.) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carpenter v. Saltone Corp., 276 A.D.2d 202, 716 N.Y.S.2d 86, 2000 N.Y. App. Div. LEXIS 11765 (N.Y. Ct. App. 2000).

Opinion

OPINION OF THE COURT

Bracken, J. P.

The proceeds of a settlement of a personal injury action obtained on behalf of an infant are subject to statutory Medicaid liens, at least to the extent that such proceeds represent a compromise of the infant’s claim for medical expenses (see, Baker v Sterling, 39 NY2d 397). The argument may well be made that, in light of changes in the statutory law since the time of the decision in Baker v Sterling (supra), all of the proceeds of such a settlement, and not only the portion thereof attributable to medical expenses, are available for the satisfaction of such liens (see, Santiago v Craigbrand Realty Corp., 268 AD2d 28; Gold v United Health Servs. Hosps., 261 AD2d 67). However, the appellant, having advanced this argument in the Supreme Court, has in effect abandoned it on appeal. A basic sense of fairness to the plaintiffs-respondents precludes us from passing on that argument at this time. However, we do agree with the far more limited argument which the appellant does assert, that is, that the representatives of an infant plaintiff, on whose behalf a settlement of a personal injury action has been reached, may not completely defeat enforcement of the Medicaid lien by the simple expedient of declaring that the settlement related solely to the infant’s claim for pain and suffering. Considering that further proceedings are necessary in any event, we also conclude that the appellant should be granted leave to renew its opposition to the motion to vacate the Medicaid lien in light of the recent caselaw which neither party had an opportunity to brief on this appeal (see, Santiago v Craigbrand Realty Corp., supra; Gold v United Health Servs. Hosps., supra).

[204]*204The infant plaintiffs, Christina and. Jeffrey Carpenter, by their natural guardian Kevin McAllister, and Mr. McAllister individually, commenced this action against the defendants Saltone Corporation and Antonio Pedro by the filing of a summons and complaint in the office of the County Clerk of Westchester County on October 11, 1995. The complaint alleges, among other things, that Saltone Corporation and Pedro were responsible for the operation and maintenance of certain apartments located in Westchester County, including the apartment in which the infant plaintiffs resided. The complaint alleges that the infant plaintiffs were each “caused to ingest, consume and/or be exposed to lead paint and/or dust which was upon and/or caused, allowed and permitted to chip, peel, fall and/or permeate the premises from the interior walls and portions of said apartment.”

In the first and third causes of action, it was alleged that as a result of the infants’ ingestion of these noxious substances, they were severely injured and suffered “great physical pain.” It was also alleged that each of the infants “incurred and in the future [would] necessarily incur further hospital and/or medical expenses in an effort to be cured.” In the second and fourth causes of action, it was alleged that Kevin McAllister had, on account of the injuries to the two infants, “been required to expend various sums of money for extraordinary medical care, consultation, advice, therapy, education, management and treatment of the infant [s].” The appellant advises that the second and fourth causes of action, that is, the two causes of action asserted on behalf of Mr. McAllister, were discontinued.

Under cover of two letters dated July 20, 1998, a representative of the Division of Liens and Recovery of the Office of Revenue and Investigation of the Human Resources Administration of the City of New York forwarded to the attorneys for the infant plaintiffs two detailed lists itemizing the payments which had been made on their behalf pursuant to the Medicaid program. These documents placed, or at least should have placed, the attorneys on notice of the extent of the lien which would be asserted pursuant to the governing statutes.

By letter dated October 13, 1998, the attorneys for the infant plaintiffs wrote to the attorneys for the defendants, stating, “[t]his is to confirm the settlement in the amount of $1,300,000 for Jeffrey Carpenter and Christina Carpenter. It is also to confirm that the settlement is for pain and suffering, and not for medical expenses, and that such settlement will be confidential.”

[205]*205By virtue of a “notice of lien” dated November 2, 1998, McAllister, as well as the attorneys representing him and the infant plaintiffs, the defendants, and the defendants’ attorneys, were notified that the Commissioner of the Westchester County Department of Social Services (hereinafter the DSS) was asserting a lien in the sum of $132,204.73 to be satisfied out of the proceeds of the settlement noted above. The defendants assert that this was their first notice of any such lien.

The plaintiffs then moved to extinguish any lien claimed by the DSS “for Medicaid payments and/or welfare payments on behalf of the infant plaintiffs.” In an affirmation in support, an attorney for the plaintiffs asserted that pursuant to Social Services Law § 104, “[u]nless the infant possessed money or property in excess of his needs at the time the assistance was granted, no right will accrue and no lien will attach.” Also, referring to the letter dated October 13, 1998, noted above, counsel asserted that “the settlement [was] for past, present and future pain and suffering of each infant plaintiff, and not for medical expenses.”

An Assistant County Attorney submitted an affirmation in opposition. She asserted that the DSS had provided Medicaid benefits in the total sum of $87,176.74 to Christina Carpenter, and in the total sum of $45,027.99 to Jeffrey Carpenter. She argued, “[p]ursuant to 42 USC § 1396k (a) (1) (A) and [Social Services Law] § 366 (4) (h) (1), as a condition of Medicaid eligibility, the plaintiffs must assign to [the] DSS their rights to recover from any third parties who were responsible for their injuries.” She also argued that “[p]ursuant to 42 USC § 1396k (a) (1) (A) and [Social Services Law] § 367-a (2) (b), [the] DSS has been subrogated, to the extent of its expenditures for medical care furnished, to any rights Jeffrey Carpenter and Christina Carpenter may have to * * * third party reimbursement.” She further argued that the statutory scheme, in addition to the assignment and subrogation remedies noted above, also authorizes the placement of a lien on the recovery obtained by the plaintiffs in any personal injury action (see, Social Services Law § 104-b). She asserted, “the DSS lien on the settlement proceeds attaches to the property of the defendants, and therefore does not violate any statutory prohibition against recovery from a person under twenty-one years of age.” She argued that the law, in authorizing the DSS to assert the lien, “does not distinguish between recipients who are over the age of twenty-one (21) years or under the age of twenty-one (21) years.”

[206]*206An attorney for the defendants in the personal injury action also submitted an affirmation in which he asserted that the settlement in the sum total of $1,300,000 related to “all claims being brought against the defendants.” He stated, “[S]ince the action has already been settled, in open court, and all claims being brought in this case were contemplated to be included within the settlement, it would be a terrible injustice for the defendants to bear the costs of any additional expenses and liens above and beyond the settlement amount.”

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Cite This Page — Counsel Stack

Bluebook (online)
276 A.D.2d 202, 716 N.Y.S.2d 86, 2000 N.Y. App. Div. LEXIS 11765, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carpenter-v-saltone-corp-nyappdiv-2000.