J-A08047-26
NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37
IN RE: J.C.B., AN INCAPACITATED : IN THE SUPERIOR COURT OF PERSON : PENNSYLVANIA : : APPEAL OF: JULIE C. BEHRNDT : : : : : No. 2397 EDA 2025
Appeal from the Order Entered August 19, 2025 In the Court of Common Pleas of Chester County Orphans' Court at No(s): 1524-0484
BEFORE: LAZARUS, P.J., PANELLA, P.J.E., and KING, J.
MEMORANDUM BY LAZARUS, P.J.: FILED MAY 26, 2026
Julie C. Behrndt, guardian of the person and estate of J.C.B., an
incapacitated person, appeals from the order, entered in the Court of Common
Pleas of Chester County, Orphans’ Court Division, denying her petition to
authorize a medical assistance spend-down and payment of attorney’s fees.
After careful review, we affirm.
By final order dated May 29, 2024, the Honorable John L. Hall declared
J.C.B. to be an incapacitated person as a result of his diagnosis of dementia
and appointed his daughter, Behrndt (“Guardian”), as plenary guardian of his
estate and person. The final order provided, inter alia, that “[t]he Guardian(s)
of the Estate shall take all actions necessary to obtain and/or maintain medical
insurance for [J.C.B.], including under the Medical Assistance Program, if
applicable.” Final Order, 5/29/24, at 4 (emphasis added). Prior to signing J-A08047-26
the order, Judge Hall crossed out a paragraph in the draft order submitted by
Guardian, which read as follows:
The Guardian(s) of the Estate shall engage in medical assistance planning as authorized by federal law and the laws of the Commonwealth of Pennsylvania, with the assistance of a Certified Elder Law Attorney. In so doing, to expend principal, without further review of the court, only as needed to qualify for medical assistance long-term care. Proof of all such expenditures of principal must be verified to the County Assistance Office.
Id. at 4 (crossed out by court).
On May 28, 2025, Guardian filed a “Petition to Authorize Medical
Assistance Spend[-]Down and Payment of Attorney’s Fees.” In the petition,
Guardian averred that J.C.B. was not currently on medical assistance and that
Guardian wished to apply for assistance on J.C.B.’s behalf. See Petition,
5/28/25, at ¶¶ 7-8. Guardian alleged that, in addition to a 50% interest in a
property located at 581 Rosehill Drive, Narvon, Lancaster County, 1 J.C.B.’s
assets consisted of two Truist Bank accounts collectively valued at
approximately $260,000.00. Id. at ¶ 12. Guardian averred that J.C.B.’s
monthly income consisted of Social Security benefits in the amount of
$1,860.00 per month and VA Agent Orange survivor benefits in the amount
of $1,395.93 per month. Id. at ¶ 13.
____________________________________________
1 At the hearing on Guardian’s petition, Guardian’s counsel indicated that Guardian is currently engaged in mediation of a partition action over the property with J.C.B.’s co-owner, his ex-girlfriend. Counsel indicated that both parties had obtained appraisals for the property; Guardian’s appraiser provided an estimated value of $430,000.00, while the co-owner’s appraiser came in at $376,000.00.
-2- J-A08047-26
In support of her request, Guardian averred that J.C.B.’s resources are
in excess of the medical assistance allowance and, as a result, he would not
qualify for medical assistance “due to being over[-]resourced.” Id. at ¶ 16.
Guardian alleged:
If [Guardian] is not authorized to create a spend[-]down plan, [J.C.B.2] will have to continue to pay privately out-of-pocket for his nursing home expenses, which would be an injustice and would treat him differently than a person with capacity who could choose to hire an attorney and do the necessary spend[-]down to qualify for Medical Assistance.
Id. at ¶ 18.
The Orphans’ Court held a hearing on July 29, 2025, at which counsel
indicated that, if the court approved the requested spend-down, Guardian
intended to increase J.C.B.’s burial reserve to the limit of approximately
$35,000.00 and “engag[e] in gifting,” with J.C.B. retaining the maximum
resource allowance of $2,400.00. N.T. Hearing, 7/29/25, at 8-9. Counsel
explained the gifting plan as follows:
MS. SEACE: So[,] if your Honor can turn the court’s attention to what’s in the boxes at the bottom of page 1 [of the proposed gifting breakdown, marked as Exhibit P-1], what we’re proposing is to establish a single premium immediate annuity to fund with the amount of $109,000.[00.] And what that’s going to do is cover an eight[-]month penalty, and we would be gifting the rest. The approximate amount of the gift would be $106,700.[00.]
2 Perplexingly, Guardian refers to J.C.B. throughout the petition as “Respondent,” despite the fact that the Orphans’ Court has deemed him to be “totally impaired,” see Final Order, 5/29/24, at 1, and, thus, “totally unable to manage his financial resources[.]” 20 Pa.C.S.A. § 5501 (defining “incapacitated person”).
-3- J-A08047-26
THE COURT: The gift is to whom?
MS. SEACE: It would be to [Guardian].
THE COURT: For how much?
MS. SEACE: $106,770[.00].
Id. at 9 (unnecessary capitalization omitted).
On August 19, 2025, the Orphans’ Court entered an order (1) denying
Guardian’s petition for spend-down, (2) appointing a guardian ad litem to
“investigate [Guardian’s] past and future use of [J.C.B.’s] assets and ensure
that they have been, and will be, used exclusively for his care and
maintenance,” and (3) directing that all counsel fees associated with the
petition be paid by the Guardian. Order, 8/19/25, at 1; n.2. In denying the
petition, the court noted Guardian’s intent to disperse approximately 99% of
J.C.B.’s currently available assets, leaving him with “approximately
$2,400[.00] and provid[ing] him with no more care or benefit than he
currently receives.” Id. at n.1. The court further noted that Guardian’s
spend-down plan violates the medical assistance requirement that an
applicant “take all reasonable steps to obtain and make available resources to
which he is, or may be, entitled unless he can show good cause for not doing
so.” Id., quoting 55 Pa.Code § 178.1(g). Additionally, the court noted the
following:
[Guardian] also requests the court to ignore the requirement of the [Probate,] Estate[,] and Fiduciaries [(“PEF”)] Code that the court only approve gifting of an incapacitated person’s assets when the court is satisfied that there are excess assets of the incapacitated person “which are not required for the maintenance, support[] and wellbeing of the incapacitated person.” 20
-4- J-A08047-26
Pa.C.S.[A.] § 5536(b). Even if [J.C.B.] had sufficient assets to afford such an expensive gift to his daughter, the court would need to further ignore the statutory requirement that such gifting only be authorized to minimize “current or prospective taxes” or accomplish “a lifetime giving pattern.” [Id.] Opposite of minimizing taxes, [Guardian’s] proposal incurs huge governmental payments which approximate tax penalties.
Order, 8/19/25, at n.1. The court opined that, if it were to permit Guardian
to implement her spend-down plan, it would “create a precedent for family
members empowered by guardianships to take from those similarly
incapacitated, and thrust upon the public the needlessly impoverished,
including those with unlimited financial means.” Id.
Guardian filed a motion for reconsideration, which the Orphans’ Court
denied, followed by a timely notice of appeal. Both Guardian and the Orphans’
Court have complied with Pa.R.A.P. 1925. Guardian raises the following claims
for our review:
1. Did the Orphans’ Court abuse its discretion and commit an error of law in not applying federal law, state law, and case law supporting the ability of guardians to spend[ ]down assets of incapacitated persons and to make reasonable decisions on behalf of incapacitated persons?
2. Did the Orphans’ Court abuse its discretion and make an error of law in issuing an order which contradicts the final order appointing [G]uardian?[3]
3 Although Guardian raises this as an issue, the argument set forth under the
heading “Guardian’s Duty to Obtain Medical Insurance Under Final Order” contains no argument directly addressing that claim. Thus, the claim is waived. See Pa.R.A.P. 2119. In any event, the final order does not require that Guardian qualify J.C.B. for Medicaid; it simply directs that she “take all actions necessary to obtain and/or maintain medical insurance for [J.C.B.], including under the Medical Assistance Program, if applicable.” Final Order, 5/29/24, at 4 (emphasis added).
-5- J-A08047-26
3. Did the Orphans’ Court abuse its discretion and make an error of law in issuing an order that denies the incapacitated person equal protection by forbidding him the opportunity to engage in Medicaid planning like a competent person can do?
Brief of Appellant, at 8 (unnecessary capitalization omitted). 4
When an appellant challenges a decree entered by the [O]rphans’ [C]ourt, our standard of review requires that we be deferential to the findings of the [O]rphans’ [C]ourt.
[We] must determine whether the record is free from legal error and the court's factual findings are supported by the evidence. Because the [O]rphans’ [C]ourt sits as the fact-finder, it determines the credibility of the witnesses and, on review, we will not reverse its credibility determinations absent an abuse of that discretion. However, we are not constrained to give the same deference to any resulting legal conclusions. Where the rules of
4 Pennsylvania Rule of Appellate Procedure requires that
[t]he argument shall be divided into as many parts as there are questions to be argued; and shall have at the head of each part— in distinctive type or in type distinctively displayed—the particular point treated therein, followed by such discussion and citation to authorities as are deemed pertinent.
Pa.R.A.P. 2119(a). We note with displeasure that the argument section of Guardian’s brief is divided into five sections that in no way correspond to the three issues raised in the statement of questions involved. “This Court has held that the rules of appellate procedure are mandatory, not directing[,] and it is within our discretion to dismiss an appeal when the rules of appellate procedure are violated.” Jacobs v. Jacobs, 884 A.2d 301, 305 (Pa. Super. 2005) (citation and quotation marks omitted). “However, if the failure to comply with the rules of appellate procedure does not impede review of the issues or prejudice the parties, we will address the merits of the appeal.” Id. Here, we conclude that, while Guardian’s brief is somewhat disjointed, rambling, and lacking legal support, Guardian’s failure to comply with the rules does not impede our review to such an extent that we are unable to address the merits of the instant appeal. We nevertheless remind counsel that conformance with the appellate rules is mandatory and failure to comply may result in the dismissal of future appeals.
-6- J-A08047-26
law on which the court relied are palpably wrong or clearly inapplicable, we will reverse the court’s decree.
In re Estate of Schwartz, 275 A.3d 1032, 1033–34 (Pa. Super. 2022),
quoting In re Staico, 143 A.3d 983, 987 (Pa. Super. 2016).
Relevant to this appeal, we observe the following:
A fiduciary duty is the highest duty implied by law. Miller v. Keystone Ins. Co., [] 636 A.2d 1109, 1116 ([Pa.] 1994) (Cappy, J., dissenting). A fiduciary duty requires a party to act with the utmost good faith in furthering and advancing the other person’s interests[.] See Basile v. H & R Block, Inc., [] 761 A.2d 1115, 1120 ([Pa.] 2000); Young v. Kaye, [] 279 A.2d 759, 763 ([Pa.] 1971) (“When the relationship between persons is one of trust and confidence, the party in whom the trust and confidence are reposed must act with scrupulous fairness and good faith in his dealings with the other and refrain from using his position to the other’s detriment and his own advantage.”); Sylvester v. Beck, [] 178 A.2d 755, 757 ([Pa.] 1962); McCown v. Fraser, [] 192 A. 674, 676–77 ([Pa.] 1937); In re Null’s Estate, [] 153 A. 137 ([Pa.] 1930)[;] see also Black’s Law Dictionary (10th ed. 2014) (defining a fiduciary duty as “a duty to act with the highest degree of honesty and loyalty toward another person and in the best interest of the other person”). . . .
In some types of relationships, a fiduciary duty exists as a matter of law. Principal and agent, trustee and cestui que trust, attorney and client, guardian and ward, and partners are recognized examples. See, e.g., McCown[, 192 A. at] 676–77[;] Young, 279 A.2d at 763. The unique degree of trust and confidence involved in these relationships typically allows for one party to gain easy access to the property or other valuable resources of the other, thus necessitating appropriate legal protections.
Yenchi v. Ameriprise Fin., Inc., 161 A.3d 811, 819–20 (Pa. 2017).
Guardianships of incapacitated persons are governed by Chapter 55 of
the PEF Code, which vests in the Orphans’ Court continuing supervisory
authority over guardians and their wards. See 20 Pa.C.S.A. §§ 5501-5555;
-7- J-A08047-26
see also id. at § 711(10) (providing for mandatory jurisdiction of Orphans’
Court Division over incapacitated persons’ estates). In particular, section
5536(a) requires court approval for all expenditures of principal of the
guardianship estate. See 20 Pa.C.S.A. § 5536(a) (court, for cause shown,
may authorize or direct payment of any or all income or principal of estate for
care, maintenance, or education of incapacitated person). Section 5536(b)
authorizes the court, for good cause shown, to substitute its judgment for that
of the incapacitated person with respect to estate planning, including the
power to make gifts. See id. at 5536(b)(1). However, before doing so, the
court must be “satisfied that assets exist which are not required for the
maintenance, support[,] and well-being of the incapacitated person.” Id. at
5536(b). The court is further limited in its discretion insofar as the statute
limits gifting to a plan “which results in minimizing current or perspective
taxes, or which carries out a lifetime giving pattern.” Id. To the extent they
may be ascertained, the court is required to consider “the testamentary and
inter vivos intentions of the incapacitated person[.]” Id. Finally, section 5537
grants the court authority to authorize the guardian to create a funeral reserve
on behalf of an incapacitated person. See 20 Pa.C.S.A. § 5537.
Against this backdrop, we turn to the claims raised by Guardian on
appeal. Guardian asserts that the Orphans’ Court abused its discretion and
erred in not applying federal law, state law, and case law authorizing the
spend-down of assets. Guardian asserts that J.C.B. is currently paying for his
care privately, in the amount of $18,135.00 per month. See Brief of
-8- J-A08047-26
Appellant, at 18. She claims that, if J.C.B. were to qualify for Medicaid, it
would only cost J.C.B. $3,300.00 per month—an amount equivalent to his
income. Id. This, Guardian claims, would save “his only child,” i.e., Guardian,
$14,700.00 per month. Id. Guardian claims that it would be “wrong to deny
[Guardian] the opportunity to engage in Medicaid planning with [J.C.B.’s]
funds as he would have if he had to [sic] capacity to do it.” Id. at 19.
Guardian notes that the “specific context for this dispute is [Guardian’s] quest
for authorization to distribute some of her incapacitated father’s assets to
herself in the form of a gift[.]” Id. at 20.
In support of her “quest,” Guardian primarily relies on the non-binding
decision of the Supreme Court of New Jersey in In the Matter of Mildred
Keri, 853 A.2d 909 (N.J. 2004). There, an incompetent’s court-appointed
legal guardian sought approval for a Medicaid spend-down plan including a
payment of $92,000.00 to be shared equally between the guardian and his
brother, the sole heirs named in the incompetent’s will. An additional
$78,000.00 remained from the guardian’s sale of the incompetent’s home,
which amount was earmarked to pay the ward’s nursing home bills during the
period of Medicaid ineligibility, i.e., the transfer penalty triggered by the
transfer for less than fair market value of the $92,000.00 outright payment to
the sole heirs. The New Jersey Supreme Court adopted the test set forth in
In re Trott, 288 A.2d 303 (N.J. Ch.Div. 1972), which requires a guardian
seeking to make gifts from the estate of an incompetent to establish five
criteria:
-9- J-A08047-26
(1) the mental and physical condition of the incompetent are such that the possibility of her restoration to competency is virtually nonexistent; (2) the assets of the estate of the incompetent remaining after the consummation of the proposed gifts are such that, in the light of her life expectancy and her present condition of health, they are more than adequate to meet all of her needs in the style and comfort in which she now is (and since the onset of her incompetency has been) maintained, giving due consideration to all normal contingencies; (3) the donees constitute the natural objects of the bounty of the incompetent by any standard . . .; (4) the transfer will benefit and advantage the estate of the incompetent by a reduction of death taxes; (5) there is no substantial evidence that the incompetent, as a reasonably prudent person, would, if competent, not make the gifts proposed in order to effectuate a saving of death taxes.
In re Keri, 853 A.2d at 914. The court approved the plan because it did not
“interrupt or diminish [the] ward’s care, involve[d] transfers to the natural
objects of [the] ward’s bounty, and [did] not contravene an expressed prior
intent or interest.” Id. at 9.
Guardian argues that “gifting an incapacitated person’s assets in such a
way as to avoid liability to government agencies is seen as a reasonable estate
planning decision, particularly when estate planning documents are in place.”
Brief of Appellant, at 25. She asserts that, in denying her petition, the
Orphans’ Court “created a test more restrictive to an incapacitated person’s
right to gift assets than any limit on transfers enunciated by state and federal
Medicaid laws.” Id. at 26. Guardian posits that “in its apparent concern over
the plundering of [J.C.B.’s] estate,” the Orphans’ Court “is preventing
[Guardian] from making reasonable financial decisions that [J.C.B.] almost
certainly would have made for himself if he had the capacity.” Id. at 31.
Guardian argues that, were the court to allow her to spend down J.C.B.’s
- 10 - J-A08047-26
assets, “there will be no change at all, whatsoever, to the level of care [J.C.B.]
receives, particularly since there is no difference in the quality or level of care
received through the Medicaid program.” Id. at 33. In short, Guardian argues
that “[g]uardians should be able to use existing state and federal laws in the
same way that competent citizens can[.]” Id. at 43.
In its Rule 1925(a) opinion, the Orphans’ Court explained that, while
federal and state medical assistance laws “may be utilized by competent
individuals to transfer assets and incur penalties prior to qualifying for medical
assistance, . . . the guardian and court have a duty to preserve an
incapacitated person’s assets.” Orphans’ Court Opinion, 10/27/25, at 2. The
court observed that Guardian “is not seeking to reduce [J.C.B.’s] gross taxable
estate at his death by an amount which would produce a net savings. Rather,
[Guardian’s] plan has nothing to do with preserving his estate while optimizing
tax savings . . . and everything to do with optimizing the amount of money
she can take from him.” Id. at 4. The court further noted that Guardian
presented no evidence that J.C.B. had carried out a lifetime giving pattern
during his capacity. Id. The court expressed concern that J.C.B.’s
circumstances could change and, “[i]f the ‘fiduciary’ guardian has already
usurped the ward’s lifetime savings, the ward would be trapped by
unnecessary indigency and unable to enjoy [] care enhancements.” Id. at 6.
The court rejected Guardian’s reliance on Keri as both non-binding and
unpersuasive. The court observed that the five-criteria standard applied by
the New Jersey Supreme Court is “wholly foreign to Pennsylvania.” Id. at 4.
- 11 - J-A08047-26
In particular, the court noted that the fifth criterion—that there is no
substantial evidence that the incompetent would, if competent, not make the
gifts proposed—has no parallel in Pennsylvania law. Id. The court also
rejected the applicability of the second criterion—that assets remaining after
the proposed gift would be “more than adequate” to meet the incapacitated
person’s needs—because Pennsylvania law “requires the guardian to use the
[ward’s] financial resources not just for the least legally acceptable care, but
for the most care and maintenance the ward’s financial resources can
purchase[.]” Id. at 5; see also id., quoting Hambleton’s Appeal, 12 W.N.C.
542 (Pa. 1883) (incapacitated person’s “personal comfort and welfare are the
prime objects which are to be kept in view, and not the welfare of his next of
kin”). Finally, the court observed that the fourth criterion—reduction of death
taxes—is not met in this case, as Guardian presented no evidence that the
proposed spend-down was intended to, or would, reduce the tax burden on
J.C.B.’s estate. Orphans’ Court Opinion, 10/27/25, at 7.
The court concluded that Guardian “is mandated to use [J.C.B.’s]
property exclusively for [J.C.B.’s] care and maintenance” and Guardian’s
“attempt to give herself [J.C.B.’s] estate utterly fail[s] to do so[.]”
Accordingly, the court denied Guardian’s petition.
In light of our deferential standard of review and the record in this
matter, we are constrained to affirm the Orphans’ Court’s order. First and
foremost, Guardian did not aver in her petition, much less present evidence
at the hearing, that her proposed spend-down scheme would either “result[]
- 12 - J-A08047-26
in minimizing current or prospective taxes” or “carr[y] out a lifetime giving
pattern” as required under section 5536. Indeed, both the Orphans’ Court
record and Guardian’s appellate brief are devoid of any evidence or argument
that the proposed spend-down would in any way benefit J.C.B. or carry out
his previously expressed wishes. To the contrary, in her brief, Guardian as
much as admits that she seeks primarily to benefit herself, stating that the
“specific context for this dispute is [Guardian’s] quest for authorization to
distribute some of her incapacitated father’s assets to herself in the
form of a gift[.]” Brief of Appellant, at 20. This is a clear breach of her
fiduciary duty as guardian of the estate—a duty that “requires a party to act
with the utmost good faith in furthering and advancing the other person’s
interests[.]” Yenchi, 161 A.3d 819-20 (emphasis added).
Guardian’s primary, overarching argument—that an incapacitated
person should be able to engage in the same type of medical assistance
planning as a fully competent person—is wholly unavailing. This assertion is
belied by the very definition of an “incapacitated person,” which, pursuant to
the PEF Code, is “an adult whose ability to receive and evaluate information
effectively and communicate decisions in any way is impaired to such a
significant extent that he is . . . totally unable to manage his financial
resources[.]” 20 Pa.C.S.A. § 5501. By definition, an incapacitated person
lacks the ability to determine whether or not to engage in medical assistance
planning and, thus, the Orphans’ Court is empowered to substitute its
judgment for such an individual, within the parameters established by statute,
- 13 - J-A08047-26
and based on evidence presented by the guardian of the estate. As noted
above, Guardian has not cited any precedential Pennsylvania case 5 in support
of her position and failed to present any evidence demonstrating that J.C.B.
would have made the decision to divest himself of nearly all of his assets in
order to benefit her. Although he permanently resides in a nursing facility,
J.C.B. could still benefit from his remaining assets. He may still be able to ____________________________________________
5 Guardian cites to In re Estate of Groff, 38 Pa. D.&C. 2d 556 (O.C. Montg.
1965), to support her argument. However, as the Orphans’ Court aptly points out, that case is non-precedential and “so removed from [Guardian’s] evidence and argument, that it provides more support for [the Orphans’ Court’s] decision than [Guardian’s] position.” Orphans’ Court Opinion, at 3. Groff, which was decided prior to the enactment of section 5536, involved a request by a guardian to engage in estate planning on behalf of his ward, whose estate was substantial. The court noted that the guardian had “spent for his ward as many dollars of her income as there could be found ways to spend it, in the exercise of the utmost effort that could be made to provide for her everything that money can buy for a person in her unfortunate condition of mental health.” Id. at 560. This included not only “the best available private accommodation” and health care, but also “things such as personal television and radio sets and whatever items of tangible personal property that would or might contribute to her comfort and enjoyment in any way.” Id. Despite these expenditures, the guardianship estate had accumulated a substantial amount of surplus income, and the estate would, upon the ward’s death, be subject to taxation in the “top bracket.” Id. at 563. Thus, to reduce the gross taxable estate at the ward’s death, the court authorized the guardian to continue the ward’s established pattern of lifetime giving by distributing a portion of the estate’s principal to her son, granddaughter, and daughter-in- law. Even accounting for the gifts of principal, the court found that it was “scarcely conceivable that funds . . . could become inadequate to provide the ward every necessity and luxury for the rest of her life, however long she may live.” Id. at 565.
Conversely, here, Guardian’s proposed spend-down would essentially render her ward indigent, dependent on the State for his essential needs, and without any funds of his own to provide for those things that might contribute to his comfort and enjoyment for the remainder of his lifetime.
- 14 - J-A08047-26
enjoy outings, special foods, subscriptions to television streaming services, or
other similar activities and services, the cost of which would exceed the
Medicaid personal needs allowance but which Guardian could provide for him
now utilizing his funds.6 See Orphans’ Court Opinion, at 6 n.3 (noting quality
of life enhancements often provided by guardians to their wards using assets
of guardianship estate).
After review, we can discern no basis to disturb the Orphans’ Court’s
order. Accordingly, we affirm.
Order affirmed.
Date: 5/26/2026
6 Pennsylvania’s medical assistance law provides for a personal needs allowance for clothing and other personal needs, which is “deducted from a medical assistance-eligible person’s gross income . . . for purposes of determining the amount that person must pay toward the cost of skilled health care and intermediate services or intermediate care while residing in a nursing facility.” 62 P.S. § 443.8(a). As of January 1, 2025, the personal needs allowance is $60.00 per month. See Pennsylvania Department of Human Services Operations Memorandum #24-10-02, 10/22/24.
- 15 -