Kraft v. Commissioner of Public Welfare

496 N.E.2d 1379, 398 Mass. 357, 1986 Mass. LEXIS 1496
CourtMassachusetts Supreme Judicial Court
DecidedSeptember 3, 1986
StatusPublished
Cited by5 cases

This text of 496 N.E.2d 1379 (Kraft v. Commissioner of Public Welfare) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kraft v. Commissioner of Public Welfare, 496 N.E.2d 1379, 398 Mass. 357, 1986 Mass. LEXIS 1496 (Mass. 1986).

Opinion

O’Connor, J.

In this appeal, the plaintiff challenges the methodology used by the Department of Public Welfare (de *358 partment) in calculating the amount of reimbursement due the department for “interim assistance” provided while the plaintiff’s application for Supplemental Security Income (SSI) was pending before the Social Security Administration. 42 U.S.C. § 1383(g) (1982). The plaintiff resided at the Park Rest Home in Florence since at least December, 1981. At that time, she applied for benefits under the SSI program, 42 U.S.C. § 1381 et seq. (1982). The plaintiff applied to the department for general relief benefits. As part of this application process, she was required to sign a form which authorized the Social Security Administration to send her first SSI check to the department, and further authorized the department “to deduct from such first payment an amount sufficient as reimbursement for interim assistance paid to” the plaintiff. 1 The plaintiff qualified for general relief under G. L. c. 117, § 4. 2 The department approved her application for benefits effective March 10, 1982. The plaintiff received general relief benefits totaling $3,462.29 during the period her SSI application was pending (the interim period). Throughout this period, the plaintiff’s monthly general relief benefit consisted of the rest home’s per diem rate, as set by the Rate Setting Commission, and a $40 personal care allowance. 106 Code Mass. Regs. § 313.790(C) (1979). 106 Code Mass. Regs. § 313.828, 292 Mass. Reg. 12 (July 1, 1981). The plaintiff continued to receive alimony payments during this period which were deducted from her general relief benefits. The plaintiff’s application for SSI was approved in October, 1982. The Social Security Administration forwarded *359 the plaintiff’s first check to the department in early 1983. The check was in the amount of $2,548.58, and represented the total SSI benefits due to the plaintiff from December, 1981, through December, 1982. 3

By letter dated February 9, 1983, the department notified the plaintiff that since the amount of general relief paid to the plaintiff exceeded her first SSI check, the department was retaining the entire SSI check as reimbursement for the general relief paid to the plaintiff during the interim period. The plaintiff appealed this decision and an administrative hearing was held pursuant to G. L. c. 18, § 16 (1984 ed.). The plaintiff argued that the department should have calculated its reimbursement as if she had been receiving SSI since she was first eligible to do so in December, 1981. As an SSI recipient, the plaintiff would have been entitled to $79.84 per month as a personal care allowance. See 106 Code Mass. Regs. § 327.030, 289 Mass. Reg. 2 (July 1, 1981). She also would have been entitled to have the department pay the rest home the difference between the rest home’s monthly cost (based on its per diem rate), and the balance of her SSI benefit less her personal care allowance. See G. L. c. 118A, § 7A. The department’s appeals referee, citing 106 Code Mass. Regs. § 312.610, 6 Code Human Services Regs. in, Section B (Sept. 1981), upheld the department’s decision pursuant to regulations which required the department to “total the amount of [general relief] payments made to the recipient during the period of SSI eligibility” and to deduct this amount from the SSI payment.

The plaintiff sought judicial review of the department’s decision pursuant to G. L. c. 30A, § 14 (1984 ed.). The plaintiff alleged in her complaint that the department’s decision was based upon errors of law, unsupported by substantial evidence, and arbitrary and capricious. The complaint also sought declaratory relief under G. L. c. 231A (1984 ed.), and prayed *360 that a declaration enter that the department’s practice of “enriching itself at the expense of aged and disabled rest home residents” violates both State and Federal law, and the equal protection clause of the Fourteenth Amendment to the United States Constitution.

A judge of the Superior Court upheld the department’s decision without declaring the rights of the parties. The plaintiff appealed, and we transferred the case to this court on our own motion. We agree with the judge’s determination, but we remand this case for the entry of a judgment declaring the rights of the parties.

At the heart of the plaintiff’s appeal is the notion that an SSI applicant who requires interim assistance in the form of State-funded general relief payments should be afforded all benefits SSI recipients are entitled to under the SSI program and under the State’s supplemental assistance program, G. L. c. 118A, retroactive to the date of SSI eligibility. An analysis of the merits of this theory requires an understanding of the history and operation of the State’s general relief program, the SSI program, and cognate provisions of the State’s program of supplemental assistance to SSI recipients. The interim assistance reimbursement program must be viewed, in context, as a component of the SSI program, which generally encourages States to provide supplemental benefits. See 42U.S.C. § 1383e (1982 & Supp. II 1984) and note 5, infra.

The General Relief Program.

General Laws c. 117, § 1 (1984 ed.), authorizes the department to provide general relief to Massachusetts residents who meet the department’s eligibility criteria. The general relief program is wholly State-funded. Persons receiving SSI benefits ordinarily do not qualify for general relief. 106 Code Mass. Regs. § 312.160(C), 252 Mass. Reg. 10 (April 1, 1981). However, the department allows persons awaiting determination of their applications for SSI to be temporarily eligible for general relief. 106 Code Mass. Regs. § 312.330 (1979). The plaintiff qualified for general relief in these circumstances. See G. L. c. 117, § 4.

*361 The Supplemental Security Income Program.

Congress established the SSI program to provide monthly payments to aged, blind, or disabled persons who have little or no income and resources. Bouchard v. Secretary of Health & Human Servs., 583 F. Supp. 944, 947 (D. Mass.), modified as to relief granted, 604 F. Supp. 171 (D. Mass. 1984). The SSI program first took effect on January 1, 1974, and replaced three federally-funded programs which had been administered by the individual States under the Social Security Act. 4

Under the three programs in effect before the SSI program was implemented, each State determined the amount of benefits due applicants. The SSI program was enacted, in part, to set a nationally uniform minimum benefit level. Because some States provided benefits at a higher level under the earlier programs, Congress authorized the States to supplement the Federal SSI benefits. See 42 U.S.C. § 1382e

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Bluebook (online)
496 N.E.2d 1379, 398 Mass. 357, 1986 Mass. LEXIS 1496, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kraft-v-commissioner-of-public-welfare-mass-1986.