Hoke v. Ortiz

632 N.E.2d 861, 83 N.Y.2d 323, 610 N.Y.S.2d 455, 1994 N.Y. LEXIS 276
New York Court of Appeals·Decided March 22, 1994·Published·Cited by 19 cases

Opinion

OPINION OF THE COURT

Chief Judge Kaye.

Angela Ortiz, a public assistance recipient, and the Department of Social Services (DSS) assert competing claims to the proceeds of a settlement of a personal injury case brought by Ortiz. Ortiz, respondent on this appeal, wishes to retain her portion of the proceeds (net of counsel fees) and terminate future financial assistance, while appellant DSS claims the entire amount in consideration of past benefits paid. We conclude that under Social Services Law § 104 (1) DSS may recoup the settlement proceeds (net of counsel fees) and modify the Appellate Division order accordingly.

I.

Since 1987 public assistance has been the sole means of *327 support for respondent and her three children. According to DSS, the Ortiz family has received benefits totalling more than $56,000.

In October 1991, after she was injured in an automobile accident, Ortiz retained the law firm of Cenesky, Alenik, Stefanski & Pool to pursue a personal injury claim against the driver of the vehicle in which she was a passenger, and signed a contingency fee agreement obligating her to pay the firm one third of any recovery. Ortiz’s medical expenses were covered by no-fault insurance, and she suffered no permanent injury.

In January 1992, Ortiz sought recertification to continue receiving public assistance. During the process, she was asked in a questionnaire and by a DSS interviewer whether she expected to receive a lawsuit settlement, and each time she answered no. Ortiz read and signed a statement agreeing to inform DSS of any change in her income. Ortiz explains that she had been advised by her attorneys that recovery was remote, and that she intended to notify DSS if she ever recovered on her claim.

Thereafter, on February 25, the driver’s insurer, Allstate Insurance Co., settled Ortiz’s claim for $50,000. Before a check could be issued, DSS contacted Allstate and represented that it had a lien on the settlement proceeds. Allstate accordingly tendered to the Cenesky firm a settlement check in the amount of $50,000 payable to DSS, Ortiz and the firm.

Appellant then commenced this action against Ortiz under Social Services Law § 104 (1) seeking recoupment of past public assistance and obtained a temporary restraining order (TRO) against disbursement of the settlement proceeds. Ortiz in turn sought summary judgment ordering DSS to endorse the check, and DSS cross-moved for summary judgment in the amount of $50,000. Supreme Court, holding that DSS in fact had no lien against the settlement proceeds at the time it had its name added to the check, granted summary judgment to DSS for the settlement proceeds less the agreed attorneys’ fees, and ordered Allstate to disburse the funds $33,217.09 to Ortiz and $16,782.91 to the Cenesky firm. The court dissolved the TRO, and the firm — not a party to the action and unaffected by a stay pending appeal — received its fee.

Ortiz appealed the $33,217.09 judgment against her on the ground that Social Services Law § 131-a (12), requiring DSS to terminate future benefits to a public assistance household in *328 receipt of a lump sum, entitled her to retain the sum if she chose. DSS cross-appealed, demanding the entire $50,000 from her.

The Appellate Division modified by reversing the award of summary judgment to DSS, concluding that Social Services Law § 131-a (12) precluded DSS from proceeding under Social Services Law § 104. The court further held that the Cenesky firm had a valid retaining lien on the settlement proceeds, and accordingly affirmed the $16,782.91 judgment in its favor, noting that it did so for the purpose of preventing the failure of the law firm to have protected its own interests by filing a Judiciary Law § 475-a notice from prejudicing defendant by leaving her with a debt she could not possibly pay. We granted leave and now reinstate the order of Supreme Court.

II.

At common law, past public assistance could not be recovered from the recipient, as charity, deemed freely given, did not engender any reciprocal obligation (see, City of Albany v McNamara, 117 NY 168, 174; see also, Baker v Sterling, 39 NY2d 397, 401; Graham, Public Assistance: The Right to Receive; The Obligation to Repay, 43 NYU L Rev 451, 478 [1968]). Departing from that principle with "the most restrictive recovery provisions in the nation” (see, Graham, op. cit., at 481), the Social Services Law has long authorized DSS, at its option, to bring a recoupment action against an aid recipient discovered to have resources, to recover assistance received during the preceding 10 years (Social Services Law § 104 [1]; Baker, 39 NY2d, at 401; accord, Matter of Thurston v Duróse, 76 NY2d 683). 1 The receipt of public assistance, under the statute, constitutes an implied contract to repay those amounts (Social Services Law § 104 [1]).

Respondent contends that section 104 (1) was superseded in 1985 by enactment of the "lump sum rule” (L 1985, ch 42, § 10), which provides that "No public assistance household having income which ** * * exceeds the household standard of need, because of the receipt in any month of a nonrecurring *329 lump sum of earned or unearned income, shall be eligible for [assistance] for a period equal to the full number of months derived by dividing” the lump sum by the family’s monthly public assistance benefit (Social Services Law § 131-a [12] [a]; see also, 18 NYCRR 352.29 [h] [1]). Respondent argues that this provision gives her the option to retain the sum and free herself from public assistance.

The lump sum rule, however, enacted in compliance with Federal law, serves a different objective (see, Pub L 97-35, 98-369; see also, 42 USC § 602 [a] [17]; Sutter v Perales, 103 AD2d 1029, 1029, affd 64 NY2d 1095; Note, The Effect of the Federal Availability Principle on State AFDC Asset-Transfer Rules, 89 Colum L Rev 580, 592-593 [1989]).

Under prior law, a lump sum was considered income in the month in which it was received, and a resource thereafter, which Congress perceived as giving recipients an incentive to spend the sum in the first month in order to remain eligible for future assistance (see, S Rep No. 139, 97th Cong, 1st Sess 436, 505, reprinted in 1981 US Code Cong & Admin News 396, 702, 771). The lump sum rule was enacted to encourage recipients to budget the sum, mandating their ineligibility for continuing benefits during a period measured by their determined monthly standard of need (id.). There is no indication in the statute or its legislative history that this provision was intended to limit DSS’ independent authority to seek recoupment. 2

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Hoke v. Ortiz, 632 N.E.2d 861, 83 N.Y.2d 323, 610 N.Y.S.2d 455, 1994 N.Y. LEXIS 276 (N.Y. 1994).

632 N.E.2d 861 (Hoke v. Ortiz) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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