Department of Public Aid v. Castro

683 N.E.2d 1255, 289 Ill. App. 3d 1071, 225 Ill. Dec. 592, 1997 Ill. App. LEXIS 493, 1997 WL 380785
CourtAppellate Court of Illinois
DecidedJuly 10, 1997
Docket2-96-1235
StatusPublished
Cited by5 cases

This text of 683 N.E.2d 1255 (Department of Public Aid v. Castro) 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
Department of Public Aid v. Castro, 683 N.E.2d 1255, 289 Ill. App. 3d 1071, 225 Ill. Dec. 592, 1997 Ill. App. LEXIS 493, 1997 WL 380785 (Ill. Ct. App. 1997).

Opinion

JUSTICE THOMAS

delivered the opinion of the court:

The petitioner, the Illinois Department of Public Aid (the Department), filed this claim against the estate of Lena Castro (the estate) to recover for medical benefits paid for by the Department while the decedent resided in a nursing home. The trial court denied the claim, finding that settlement proceeds paid by the nursing home to the estate in connection with an injury sustained by the decedent in the nursing home were exempt under section 3 — 605 of the Nursing Home Care Act (Act) (210 ILCS 45/3 — 605 (West 1994)). The trial court further found that the Department’s claim was barred because it had accepted full settlement of all claims. The Department appeals.

The record reveals that Lena Castro was born on November 17, 1909, and died on April 5, 1994, at the age of 84. During the six years prior to her death, the decedent was a patient in a nursing home. During that time, the Department made direct medical payments of $105,273 for her care. Following Lena’s death, her estate received funds from the nursing home where Lena was a resident as settlement for an injury that she sustained in the nursing home.

On July 28, 1994, the Department wrote a letter to the attorney for the estate advising him that the Department had paid $208.68 of "medical and/or financial assistance” on the decedent’s behalf "from August 10, 1993 through August 10, 1993.” The letter further advised that because of payment delays with the State of Illinois, the amount listed might not be the total amount expended on behalf of the client and that the attorney should contact the Department at the time of settlement for an updated amount.

On October 21, 1994, the attorney for the estate sent the Department a letter with a check enclosed in the amount of $208.68. The check did not contain a restrictive endorsement, but the accompanying letter referenced the Department’s case number and stated that the check was being tendered in "full and final payment of the lien from Medicaid in this matter.”

On October 19, 1994, the estate was opened and Lena’s son, David Castro, was named independent administrator. On December 16, 1994, the Department filed a claim against the estate for $105,273.02 for medical payments made for the benefit of Lena. By agreement of the parties, the claim of the Department was allowed as a sixth-class claim. Thereafter, the case was assigned to a different judge. The estate eventually moved to vacate the order allowing the claim, arguing that it had affirmative defenses to the claim and that it had mistakenly thought the previous order meant the claim could be filed, not that it was allowed. The estate’s motion to vacate was granted.

Following a hearing on the validity of the Department’s claim, the trial court disallowed the claim. In so doing, the court found that (1) the "proceeds/damages received by the estate are exempt” under section 3 — 605 of the Nursing Home Care Act; and (2) the Department had accepted $208.68 in full settlement of all claims.

On appeal, the Department first argues that the exemption in section 3 — 605 of the Act does not apply.

Section 3 — 605 of the Act provides:

"The amount of damages recovered by a resident in an action brought under Sections 3 — 601 through 3 — 607 shall be exempt for purposes of determining initial or continuing eligibility for medical assistance *** and shall neither be taken into consideration nor required to be applied toward the payment or partial payment of the cost of medical care or services available under 'The Illinois Public Aid Code.’ ” 210 ILCS 45/3 — 605 (West 1994).

The Department contends that the above-quoted exemption does not apply because (1) damages were not recovered by a "resident,” in particular the decedent, but rather by her estate, since she was deceased at the time of settlement; and (2) no "action” was ever brought under the Nursing Home Care Act.

The cardinal rule of statutory construction, to which all other canons and rules are subordinate, is to ascertain and give effect to the true intent and meaning of the legislature. Hernon v. E. W. Corrigan Construction Co., 149 Ill. 2d 190, 194 (1992). In determining legislative intent, courts should consider first the statutory language. Hernon, 149 Ill. 2d at 194. It is of course true that the words used in a statute should be given their plain and commonly accepted meaning but where the spirit and intent of the General Assembly in enacting a statutory provision are clearly expressed and its objects and purposes are clearly set forth, courts are not bound by the literal language of a particular clause which would defeat the obvious intent of the legislature. People v. McCoy, 36 Ill. App. 3d 40, 45 (1976). In construing a statute, courts will presume the legislature did riot intend an absurdity, inconvenience, or injustice. Menoski v. Shih, 242 Ill. App. 3d 117, 122 (1993).

Applying the above-mentioned principles, we find that the trial court properly found that the settlement proceeds paid to the estate were exempt from the Department’s claim against the estate. To allow an exemption for settlement funds paid to a nursing home resident only if she survives the date of settlement would be an unjust if not an absurd result. We find that the legislature clearly intended for the exemption to apply in situations such as the present one where the resident does not survive the date of the settlement and the proceeds are paid to the estate. The Department argues that the heirs of the estate should not enjoy the benefit of not having to make medical payments on behalf of the decedent and also keep settlement proceeds exempt from the Department’s claim. The Department’s argument ignores the fact that the same argument could be made that the recipient of aid should reimburse the Department. However, the legislature has determined that such funds are exempt. The result urged by the Department would defeat the purpose of the Nursing Home Care Act because elderly residents might forego vindicating their claims if the Department could apply funds obtained from a settlement which ended up in their estates following their deaths.

Likewise, we find that the statute does not require the formality of the filing of a lawsuit. As the trial court noted, it would be "extremely perfunctory” to require the filing of a lawsuit to take advantage of the exemption as opposed to settling the claim. We find that such a result would be unjust and would violate the public policy of this state favoring the peaceful out-of-court compromise and settlement of claims. See Bowers v. Murphy & Miller, Inc., 272 Ill. App. 3d 606, 609 (1995).

The Department contends that the record does not indicate that any claim the decedent might have had against the nursing home could have been brought under the Nursing Home Care Act. We disagree.

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Bluebook (online)
683 N.E.2d 1255, 289 Ill. App. 3d 1071, 225 Ill. Dec. 592, 1997 Ill. App. LEXIS 493, 1997 WL 380785, Counsel Stack Legal Research, https://law.counselstack.com/opinion/department-of-public-aid-v-castro-illappct-1997.