McGee v. State Dept. of Health Care Services

CourtCalifornia Court of Appeal
DecidedMay 24, 2023
DocketC093796
StatusPublished

This text of McGee v. State Dept. of Health Care Services (McGee v. State Dept. of Health Care Services) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McGee v. State Dept. of Health Care Services, (Cal. Ct. App. 2023).

Opinion

Filed 5/24/23 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA THIRD APPELLATE DISTRICT (Calaveras) ----

DANIEL MCGEE, as Trustee, etc., C093796

Plaintiff and Appellant, (Super. Ct. No. 12PR7408)

v.

STATE DEPARTMENT OF HEALTH CARE SERVICES,

Defendant and Respondent.

APPEAL from a judgment of the Superior Court of Sacramento County, Timothy S. Healy, Judge. Affirmed.

Law Office of Stephanie J. Finelli, Stephanie J. Finelli for Plaintiff and Appellant.

No appearance for Defendant and Respondent.

On a petition to settle a trust accounting, the trial court disapproved certain disbursements made by the trustee of a special needs trust, and it surcharged the trustee.

1 The trustee appeals, claiming the trial court abused its discretion by imposing the wrong standard for determining whether the disbursements were for the trust beneficiary’s special needs and disallowing expenditures as offsets for the surcharges. We reverse and remand. FACTS AND HISTORY OF THE PROCEEDINGS

A. Legal background

A special needs trust is a type of discretionary spendthrift trust designed “to preserve public assistance benefits for the [disabled] trust beneficiary while, simultaneously, providing for the beneficiary’s ‘special needs’ that are not met by public assistance.” (Sen. Com. on Judiciary, Analysis of Assem. Bill No. 3328 (1991-1992 Reg. Sess.) as amended June 10, 1992, pp. 2-3; see Recommendation: Special Needs Trust for Disabled Minor or Incompetent Person (Apr. 1992) 22 Cal. Law Revision Com. Rep. (1992) p. 993.) Specifically, federal law authorizes a severely disabled individual under the age of 65 to shelter his or her assets in a safe-harbor trust established for the individual’s sole benefit by the individual (the trust beneficiary), the beneficiary’s parent, grandparent, or legal guardian, or by a court. The trust assets are not considered to be the beneficiary’s resources when determining whether the beneficiary qualifies to receive needs-based public assistance, in particular Supplemental Security Income (SSI) and Medi-Cal. The beneficiary may shelter the assets in the special needs trust on condition the state will receive all amounts remaining in the trust upon the beneficiary’s death or the trust’s termination up to the amount of Medi-Cal benefits the state paid for the beneficiary. (42 U.S.C. § 1396p(d)(4)(A); Prob. Code, §§ 3602, subd. (d), 3604, 3605 (statutory section citations that follow are found in the Probate Code unless otherwise stated); Herting v. State Dept. of Health Care Services (2015) 235 Cal.App.4th 607, 612- 613; see Special Needs Trusts: Planning, Drafting, and Administration (Cont.Ed.Bar 2022) § 1.7 (hereafter Special Needs Trusts).)

2 In addition, and subject to the terms of the special needs trust instrument, many disbursements from the trust for the beneficiary’s benefit will not count as the beneficiary’s income for purposes of qualifying for SSI. According to guidelines from the federal Social Security Administration in its Program Operations Manual System (POMS), disbursements from a special needs trust that are not cash or for food or shelter for the beneficiary and are payments made to third parties are generally not income to the beneficiary. Such disbursements may include, but are not limited to, “those made for educational expenses, therapy, transportation, professional fees, medical services not covered by Medicaid, phone bills, recreation, and entertainment.” (POMS § SI 01120.200E.1.c.; Special Needs Trusts, supra, § 14.50; see POMS § SI 01120.203 on qualifications for a special needs trust.)1 In addition, disbursements made to a third party that result in the beneficiary receiving non-cash items (other than food or shelter) are not income or resources to the beneficiary if those items would become exempt resources when they are retained into the following month. (POMS § SI 01120.201I.1.c.; Special Needs Trusts, supra, § 14.51.) Such exempt resources include a home; an automobile; household goods such as furniture, appliances, electronic equipment, and dishes; and personal effects such as personal jewelry, personal care items and clothing, pets, cell phones, and educational and recreational items. (20 C.F.R. §§ 416.1212, 416.1216, 416.1218 (2023); POMS §§ SI 01130.430, SI 00815.550; SI 01110.210; Special Needs Trusts, § 14.63.)

B. Facts and history of the proceedings

In 2012, the trial court established a special needs trust for the benefit of Dianna McGee (the beneficiary) as part of a settlement in a medical malpractice action. The

1 Although the POMS guidelines “are not products of formal rulemaking, they nevertheless warrant respect . . . .” (Washington State Dept. of Social and Health Services v. Guardianship Estate of Keffeler (2003) 537 U.S. 371, 385 [].)

3 court found that the beneficiary is disabled because she suffers from “short bowel syndrome which substantially impairs her ability to provide for her own care or custody and constitutes a substantial handicap[.]” The beneficiary receives her nourishment via a feeding tube administered several times a day. The beneficiary’s condition appears to be permanent, and she is not expected to experience significant improvement in the future. The court found that the beneficiary is likely to have special needs related to the disability “that will not be met without this trust[.]” The trust instrument states the trust’s purposes are as follows: “The intent and purpose of this trust is to provide a discretionary, spendthrift trust, to supplement public resources and benefits when such resources and benefits are unavailable or insufficient to provide for the Special Needs of the Beneficiary. As used in this instrument, the term ‘Special Needs’ means the requisites for maintaining the Beneficiary’s good health, safety, and welfare when, in the discretion of the Trustee, such requisites are not being provided by any public agency, office, or department of the State of California, or of any other state, or of the United States of America. The funds of the trust may be used as an emergency or backup fund secondary to public resources. Special Needs include without limitation special equipment, programs of training, education and habilitation, travel needs, and recreation, which are related to and made reasonably necessary by this Beneficiary’s disabilities. This is not a trust for the support of the Beneficiary. All payments made under this Trust must be reasonably necessary in providing for this Beneficiary’s special needs, as defined herein.” The instrument authorized the trustee to distribute from the trust “to or for the benefit of the Beneficiary during her lifetime, such sums and at such times as the Trustee, in her discretion, determines appropriate and reasonably necessary for the Beneficiary’s Special Needs. In making distributions to the Beneficiary for her Special Needs, the Trustee shall take into consideration the applicable resource and income limitations of the

4 public assistance programs for which the Beneficiary is eligible, and the duties of any persons legally obligated to support the Beneficiary.” We infer, however, that the trustee was not prohibited from making distributions that would affect the beneficiary’s eligibility for SSI and Medi-Cal.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Lewis Ex Rel. Young v. Alexander
685 F.3d 325 (Third Circuit, 2012)
Farmers Insurance Exchange v. Superior Court
218 Cal. App. 4th 96 (California Court of Appeal, 2013)
Estate of Greenleaf
225 P.2d 945 (California Court of Appeal, 1951)
Estate of Traung
207 Cal. App. 2d 818 (California Court of Appeal, 1962)
In Re Estate of Powell
100 Cal. Rptr. 2d 501 (California Court of Appeal, 2000)
Ventura County Department of Child Support Services v. Brown
11 Cal. Rptr. 3d 489 (California Court of Appeal, 2004)
Uzyel v. Kadisha
188 Cal. App. 4th 866 (California Court of Appeal, 2010)
Eneaji v. Ubboe
229 Cal. App. 4th 1457 (California Court of Appeal, 2014)
Herting v. State Department of Health Care Services
235 Cal. App. 4th 607 (California Court of Appeal, 2015)

Cite This Page — Counsel Stack

Bluebook (online)
McGee v. State Dept. of Health Care Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcgee-v-state-dept-of-health-care-services-calctapp-2023.