Marilyn Medberry v. Leo Hegstrom, Director of Human Resources

786 F.2d 1389, 1986 U.S. App. LEXIS 23988
CourtCourt of Appeals for the Ninth Circuit
DecidedApril 14, 1986
Docket84-3866
StatusPublished
Cited by10 cases

This text of 786 F.2d 1389 (Marilyn Medberry v. Leo Hegstrom, Director of Human Resources) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marilyn Medberry v. Leo Hegstrom, Director of Human Resources, 786 F.2d 1389, 1986 U.S. App. LEXIS 23988 (9th Cir. 1986).

Opinion

FLETCHER, Circuit Judge:

Appellants, recipients of Aid to Families with Dependent Children (AFDC), appeal from the district court’s grant of summary judgment upholding the State of Oregon’s method of determining the period of ineligibility for payments following receipt of nonrecurring lump sum income. Because the method used is inconsistent with the applicable federal regulation, we reverse.

BACKGROUND

The State of Oregon, through its Adult and Family Services Division (AFS), participates in the jointly funded federal-state AFDC program established by the Social Security Act, 42 U.S.C. § 601 et seq. (1983). The program provides financial assistance *1390 to children and their caretaker-relatives. Generally speaking, the amount of money for which a family is eligible is determined by subtracting the family’s income, if any, from a state-determined standard of need for a family of its size.

In 1981, Congress amended the Social Security Act to provide that nonrecurring lump sum payments to AFDC recipients would be considered income available to the families in the month following receipt and in a specific number of subsequent months (calculated by dividing the lump sum by the appropriate standard of need). 42 U.S.C. § 602(a)(17) (Supp.1985). Thus, if a family with a $300 need standard received $1500 in July (from a bequest or a personal injury claim settlement, for example), it would receive no AFDC payments from August through December, the subsequent five months.

The federal regulation implementing this treatment of lump sum income states,

[wjhen the AFDC assistance unit’s income ... exceeds the State need standard for the family because of nonrecurring earned or unearned lump sum income, the family will be ineligible for aid for the full number of months derived by dividing the sum of the lump sum income by the monthly standard for a family of that size____ The period of ineligibility shall begin with the month of receipt of the nonrecurring income or, at State option, as late as the corresponding payment month. 1

45 C.F.R. § 233.20(a)(3)(ii)(F) (1985) (hereinafter “federal regulation”). The issue in this case is how the federal regulation applies to two situations: first, when the state does not discover that a family has received lump sum income until sometime after its receipt and, second, when AFDC payments are continued pending a hearing on the treatment of a lump sum and the hearing is decided adversely to the AFDC recipient. AFS calculates periods of ineligibility in these situations beginning with the month after the lump sum is discovered or the hearing decision is issued. Appellants contend that the federal regulation requires that the periods of ineligibility begin no later than the month after the family received the lump sum. They maintain that any AFDC payments received in months that the family is ineligible for AFDC should be treated as overpayments and recouped as such through deductions not in excess of 10% of the monthly AFDC payment. See 42 U.S.C. § 602(a)(22)(A) (Supp.1985).

The stories of two of the appellants demonstrate the difference between the two methods. Donna Roberts received a $500 settlement from an insurance company for injuries received in an automobile accident. Unaware that she was required to report the money, she spent it on outstanding medical bills, a utility bill, and a car seat and clothing for her two-year old boy. Two months later, AFS discovered the fact that she had received the income. Under the AFS’s method of determining the period of ineligibility, Roberts would have received no AFDC payment in the third month and a partial AFDC payment in the fourth month after receipt of the settlement money. Under appellants’ theory, Roberts was ineligible for any payment in the first month and eligible for a partial payment in the second month after she received the money. The AFDC payments she erroneously received during those months would be treated as overpayments and recouped gradually over several months.

Shannon Gamboa received a $622.32 lump sum, which she reported to the state. The state informed her that she would receive no aid for the next two months and partial aid for the third month (her monthly AFDC payment was $303). She requested a hearing and her payments were continued pending its outcome. Seven months after she received the money, the hearing officer determined that it would be treated *1391 as income. Under AFS practice, she would have become ineligible at that time and received no AFDC for the following two months, 2 the eighth and ninth after she had received the lump sum. The money was already spent at that time. Under appellants’ view of the law, Gamboa was ineligible in the months immediately following receipt of the lump sum. The AFDC payments she received during those months were overpayments that should be repaid in installments over the 21 months following the hearing decision.

Appellants brought suit to enjoin AFS from applying its policy. 3 The district court, ruling on cross-motions for summary judgment based on stipulated facts, upheld the state policy. Appellants filed this timely appeal. After oral argument we requested and received an amicus curiae brief from the Secretary of Health and Human Services giving her interpretation of the federal regulation.

DISCUSSION

The district court, in holding for AFS, found the federal regulation ambiguous because it mandates both ineligibility for the “full number of months” as computed by the rule and an ineligibility period beginning no later than the corresponding payment month for the month the lump sum is received. The court thought it impossible to satisfy both requirements in appellants’ cases. It also found the AFS position “more consistent with the purpose of the lump-sum statute and regulations” than that of appellants. We review a grant of summary judgment de novo. Moorhead v. United States, 774 F.2d 936, 939-40 (9th Cir.1985).

The Secretary, in her amicus curiae brief, supports appellants’ position. She interprets the federal regulation

to require that, when an AFDC family receives lump sum income, the period of ineligibility must begin no later than the corresponding payment month irrespective of the month of discovery of the receipt of lump sum income or of any procedural delays in terminating benefits, such as a request for a fair hearing. If the family receives benefits during any month of the ineligibility period, they are considered to be over-payments that must be recovered in accordance with section 402(a)(22) of the Act, 42 U.S.C.

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Bluebook (online)
786 F.2d 1389, 1986 U.S. App. LEXIS 23988, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marilyn-medberry-v-leo-hegstrom-director-of-human-resources-ca9-1986.