Garber v. Department of Social Welfare

431 A.2d 469, 139 Vt. 487, 1981 Vt. LEXIS 505
CourtSupreme Court of Vermont
DecidedApril 21, 1981
Docket32-80
StatusPublished
Cited by4 cases

This text of 431 A.2d 469 (Garber v. Department of Social Welfare) is published on Counsel Stack Legal Research, covering Supreme Court of Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Garber v. Department of Social Welfare, 431 A.2d 469, 139 Vt. 487, 1981 Vt. LEXIS 505 (Vt. 1981).

Opinion

Barney, C.J.

The Department brought proceedings to recoup a claimed overpayment of certain welfare benefits from the plaintiff. She then sought a fair hearing before the Human Services Board, where the Department’s claim was affirmed. This appeal followed.

It is the position of the Department that in 1975 the plaintiff was overpaid benefits under the Aid to Needy Families With Children (ANFC) program. The overpayment was claimed to have come about because the plaintiff failed to report, upon first receipt, certain unemployment benefits she applied for at the direction of the Social Welfare worker whose client she was. It is unquestioned both that she duly reported the receipt of unemployment benefits at the first routine review of her ANFC grant, in February, 1976, and *489 that this is how the Department became aware of the overpayment.

In June of 1977 the Department determined that recoupment should be undertaken. At that time the plaintiff was no longer receiving benefits. As a result, she was not notified of any claim of irregularity, nor was any action taken, until she applied for ANFC benefits in November, 1978, about three years after the overpayment. The evidence discloses that in the two and a half years between the overpayment and the recoupment action she had been receiving ANFC benefits from February, 1976, to October, 1976, and from January, 1977, to June, 1977. In November, 1978, she received notice for the first time that, although she would be receiving benefits, they would be reduced by $27 a month until $774 had been recovered based on claimed overpayments from September, 1975, through February, 1976.

A review of the Department’s actions right at that point reveals a number of improper departures from its own regulations, mistakes, disregard of the rights of the plaintiff, and a distressingly unprofessional approach. In the first place, under Department regulations the plaintiff was entitled to ten days’ notice in advance of any recoupment, as well as a conference with the Department at which, if recoupment was required, she would be given an option to select among alternative ways to repay. Moreover, she was deprived of her right to a hearing before the Department acted. Beyond that, the Department incorrectly claimed that the period of overpayment was from December, 1976, to June, 1977. It ultimately developed that the dates the Department really was relying on were from “sometime” in September, 1975, to February, 1976. Also, as it later developed, the irregular re-coupment was precipitated by a report which concluded, prior to any investigation and in most inappropriate and prejudicial language, that the plaintiff was obviously guilty of deliberate and perhaps premeditated fraud.

The plaintiff responded to this by requesting a fair hearing. Commendably, the Department took steps to undo some of the damage. Under order of the hearing officer, it ceased making the recoupment deductions from the ANFC grant. It restored the amounts taken in the interval between the grant and the *490 commencement of full payment. It committed itself to holding a prerecoupment conference should the Department prevail in establishing its right to recover.

The improper actions by the Department form the basis of one of the plaintiff’s arguments that recoupment against her should not be allowed. She claims that the Department overrode her rights by these wrongful acts to the point of denying her proper procedural protection, in violation of Goldberg v. Kelly, 397 U.S. 254 (1970), and should result in the denial of recovery to the Department.

Egregious as the conduct of the Department was, the Court finds that the corrective acts, taken together with the full hearing accorded the plaintiff, were sufficient to protect her interests and insure fair consideration of her contentions. On that basis, we agree with the Board that the Department should not be denied recoupment on that ground.

Turning now to the fair hearing, we are confronted with the plaintiff’s claims of further irregularities and shortcomings in the Department’s case. She advances two grounds for reversing the decision of the Board:

1. That a finding of wilful withholding of information by the plaintiff was a prerequisite to a recoupment decision, and was not made by the Quality Control Division as required; and
2. That the evidence presented by the Department was insufficient to sustain its burden of proof according to the standard of “clear and convincing” which she asserts is the appropriate evidentiary level.

In her contention that the Quality Control Division finding of wilfulness is lacking, the plaintiff is here also faulting the Department for failing to follow its own procedures. She cites the Department’s internal regulations requiring a district office to refer a case where fraud is suspected to a separate unit called the Quality Control Division. Such a reference was made here, as the evidence shows, but the document introduced demonstrating that referral makes no finding of wilfulness at all. Since that is the investigatory purpose of the referral, the plaintiff argues that, without such finding, the subsequent procedures are fatally flawed and must be dismissed.

*491 Although it is, under the regulations, the function of the Quality Control Division to carry out such investigations, those directions are a matter of the internal operating procedures of the Department, and not a necessary predicate to prosecution. We agree with the Board’s conclusion that it is sufficient if the elements necessary to support the claim of re-coupment are developed as part of the evidence at the fair hearing, whatever the shortcomings of the Quality Control Division report.

The plaintiff’s last claim of error declares that the evidence at the hearing was insufficient to support the Board’s finding of a wilful withholding of information. If the recoupment is to he allowed, the finding of “wilfulness” is crucial in this case.

Under the authority of the applicable portions of the Code of Federal Regulations, the state regulations here established three kinds of procedures for recovery of overpayments. Where wilfulness is not involved, the right of recovery is circumscribed and may not be recouped from current assistance payments. 45 C.F.R. § 238.20(a) (12) (i) (A) (1) (1980); W.A.M. § 2154.2(b). Where wilfulness is involved, recovery of over-payments made within 12 months of discovery may be made from current assistance payments, as is sought here. 45 C.F.R. § 233.20(a) (12) (i) (A) (2) (1980); W.A.M. §§ 2154(2) (c) and (d). Where there has been a finding by a court that a recipient was guilty of fraud, the Department is not limited to current assets or subject to the one-year time limit. W.A.M. § 2154.2 (e); 33 V.S.A. § 2581 (a).

The three classes of cases represent an ascending order of severity, with the last a criminal prosecution calling for proof beyond a reasonable doubt.

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Bluebook (online)
431 A.2d 469, 139 Vt. 487, 1981 Vt. LEXIS 505, Counsel Stack Legal Research, https://law.counselstack.com/opinion/garber-v-department-of-social-welfare-vt-1981.