Indiana Department of Public Welfare v. St. Joseph's Medical Center, Inc.

455 N.E.2d 981, 1983 Ind. App. LEXIS 3563
CourtIndiana Court of Appeals
DecidedNovember 16, 1983
Docket3-683A165
StatusPublished
Cited by14 cases

This text of 455 N.E.2d 981 (Indiana Department of Public Welfare v. St. Joseph's Medical Center, Inc.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Indiana Department of Public Welfare v. St. Joseph's Medical Center, Inc., 455 N.E.2d 981, 1983 Ind. App. LEXIS 3563 (Ind. Ct. App. 1983).

Opinion

HOFFMAN, Presiding Judge.

Appellee Phyllis Barrett and her husband, Earl, reside in Rochester, Indiana, with their six-year-old grandson, for whom they *982 serve as legal guardians. Earl Barrett has been totally disabled and unable to work since 1975, entitling him to $479.60 per month in social security disability benefits. As additional income, the Barretts receive $82 per month in food stamps.

Between January 18 and April 7, 1982, Phyllis Barrett was hospitalized for the treatment of duodenal ulcer disease and incurred expenses in the amount of $85,-529.15. Mrs. Barrett applied to appellant Fulton County Department of Public Welfare (Fulton D.P.W.) for assistance under Indiana's Hospital Care for the Indigent (H.C.1.) Statute. Fulton D.P.W. denied this request based on the standards for eligibility set forth by appellant Indiana Department of Public Welfare (LD.P.W.) at 470 IAC 11-1-1. After LD.P.W. affirmed this denial, Barrett appealed to the St. Joseph Circuit Court. The only issue before that court was whether standards promulgated at 470 IAC 11-1-1 establishing eligibility for assistance under the H.O.I. Act fall within the parameters set forth by the Legislature at IND.CODE § 12-5-6-2(c). In reversing the decision of LD.P.W., the trial court made the following conclusions of law:

"CONCLUSIONS OF LAW
1. The Indiana Department of Public Welfare failed to comply with the legislative direction of ILC. 12-5-6-2(c).
2. Respondent SDPW's adoption of AFDC eligibility standards, 470 1LA.C. 11-1-1 violates the explicit language of 1C. 12-5-6-2(c).
8. The action of the SDPW in violating the express requirements of 1.0. 12-5-6-2(e) was arbitrary, capricious, an abuse of discretion and in all things not in accordance with law; the decisions of the SDPW are therefore arbitrary, capricious, an abuse of discretion and not in accordance with law and are in excess of statutory authority.
ORDER
IT IS ORDERED:
1. 470 L A.C. 11-1-1 violates LC. 12-5-6-2(c).
2. The respondents are permanently enjoined from using AFDC income and resource eligibility standards to determine income and resource eligibility for assistance under the HCI, IC. 12-5-6-1 et seq.
8. This cause is remanded to respondent Indiana State Department of Public Welfare to submit within thirty (80) days of the date of this Order, proposed revisions for this Court's approval to bring 470 T 11-1-1 into compliance with IC. 12-5-6-2(c); and
4. This cause is remanded to respondent Indiana State Department of Public Welfare for further proceedings consistent with this Order regarding petitioner Phyllis Barrett's income and resource eligibility for assistance under the HCI, LC. 12-5-6-1 et seq. for the hospital expenses she incurred at petitioner's Saint Joseph's Medical Center and Woodlawn Hospital. South® Bend, Indiana, March 3, 1983.
/s/__ _John W. Montgomery
John W. Montgomery, Judge
St. Joseph Circuit Court"

LD.P.W. and Fulton D.P.W. now appeal that ruling.

In 1981, the Indiana Legislature authorized .D.P.W. to set forth standards for eligibility in the following manner:

"(c) The state department of public welfare shall adopt rules, under IC 4-22-2, to establish income and resource eligibility standards for patients whose treatment is to be paid under this chapter. These standards must be based, as far as practicable, upon the income and resource eligibility standards adopted by the state department of public welfare under IC 12-1-7-14.9 et seq."
IND.CODE § 12-5-6-2(c).

The only standards adopted under IND. CODE §§ 12-1-7-14.9 et seq. are eligibility standards for medical assistance to the aged, blind, and disabled (M.A.B.D.), located at 470 IAC §§ 9-3-1 through 9-38-12. Nevertheless, LD.P.W. promulgated the following standards for indigent health care, based on Indiana's Aid to Families with *983 Dependent Children (A.F.D.C.) legislation, at IND.CODE §§ 12-1-7-1 through 12-1-7-14:

"Sec. 1. Income and Resource Eligibility Standards. The income and resource eligibility standards to be used by the County Departments of Public Welfare in determining eligibility for hospital care for the indigent pursuant to IC 12-5-6-1 et seq. shall be the income and resource eligibility standards adopted by the Indiana Department of Public Welfare for determining initial eligibility for the Aid to Families with Dependent Children Program, 470 IAC 10-3-1 to 470 IAC 10-8-8, and 470 IAC 10-38-27 and the requirements of 42 U.S.C. 602 and 45 CFR 233." 470 IAC 11-1-1.

L.D.P.W. and Fulton D.P.W. now contend that although the A.F.D.C. standards are not expressly prescribed by the enabling legislation, the words as far as practicable contained in that statute authorize the use of broad discretion in promulgating rules and standards. In order to be practicable, standards must be "that which may be done, practiced, or accomplished; that which is performable, feasible, possible." People v. Errant, (1907) 229 Ill. 56, 82 N.E. 271, at 274, citing Streeter v. Streeter, (1867) 48 Ill. 155, at 165; Black's Law Dictionary 1055 (5th ed. 1979). While it is undisputed that the Legislature delegates to administrative agencies discretion as well as authority, appellants have clearly misconstrued the meaning of this phrase. A.F. D.C. standards for eligibility are not contained in the statutory sections from which the Legislature authorized LD.P.W. to promulgate standards. Therefore, L.D.P.W. abused its discretion in adopting these standards of eligibility. As stated in Ind. Emp. See. Div. v. Ponder, (1950) 121 Ind.App. 51, at 59-60, 92 N.E.2d 224, at 228:

"A specific legislative yardstick is provided, which cannot be broken or shortened by an administrative regulation. Rules and regulations promulgated by administrative boards must be reasonable, and such boards cannot enlarge or vary, by the operation of such rules, the powers conferred upon them by the Legislature, or create a rule out of harmony with the statute. Any regulation which is in conflict with the organic law or statutes of the State is wholly invalid. Blue v. Beach (1900), 155 Ind. 121, 56 N.E. 89, Wallace v. Feehan (1934), 206 Ind. 522, 190 N.E. 438; Whitcomb Hotel v. California Employment Comm., (1944), 24 Cal.2d 758, 151 P.2d 233, 155 A.L.R. 405."

Given the clear mandate of the H.C.I. enabling statute, the trial court properly ruled that adoption of A.F.D.C. standards was outside of the authority extended to LD. P.W. by the Legislature.

Appellants further urge that A.F. D.C.

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Bluebook (online)
455 N.E.2d 981, 1983 Ind. App. LEXIS 3563, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indiana-department-of-public-welfare-v-st-josephs-medical-center-inc-indctapp-1983.