Miller v. Woods

148 Cal. App. 3d 862, 196 Cal. Rptr. 69, 1983 Cal. App. LEXIS 2362
CourtCalifornia Court of Appeal
DecidedOctober 21, 1983
DocketDocket Nos. 28347, 28164
StatusPublished
Cited by42 cases

This text of 148 Cal. App. 3d 862 (Miller v. Woods) 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
Miller v. Woods, 148 Cal. App. 3d 862, 196 Cal. Rptr. 69, 1983 Cal. App. LEXIS 2362 (Cal. Ct. App. 1983).

Opinion

*867 Opinion

STANIFORTH, J.

Plaintiffs 1 challenge the validity of a regulation (Department of Social Services Manual of Policies and Procedures § 30-463.233c) (MPP) issued by the Director, State Department of Social Services (Department), which denies payment to “housemates” for “protective supervision” services rendered to totally disabled persons. 2 This result is compelled by the Department’s regulation which in effect volunteers the service of live-in housemates with a few, narrowly limited, exceptions.

The challenged regulation provides: “For service authorization purposes, no need for protective supervision exists when a housemate is in the home, unless the housemate who is present falls in one or more of categories 1, 2, or 3 listed in .235 b below, or if the housemate is the landlord or tenant of the recipient or if the housemate is a parent under the circumstances specified in .245.” (MPP § 30-463.233c.)

The trial court held this regulation invalid but granted the relief sought only to the individual plaintiffs who sought writs of mandate. Despite finding the regulation invalid the trial court denied any relief to the six organizations’ motions for class certification and for summary judgment. The trial court reasoned the Department would appeal and thereby obtain an appellate court decision which, if adverse, would be voluntarily extended by the Department to the entire class.

I

The Legislative Scheme

In 1973 the Legislature enacted the In-Home Supportive Services (IHSS) program to enable aged, blind or disabled poor to avoid institutionalization by remaining in their homes with proper supportive services. (Welf. & Inst. Code, § 12300, and as amended, Stats. 1981, ch. 69, § 16.) 3 To be eligible for IHSS services, a person must be poor and either over 62, blind or disabled, and unable to perform the routine daily tasks of caring for himself *868 (§ 12500.) IHSS programs must enable the recipient to remain in his own home or abode of his choosing. (§ 12300.)

The Department and its director are responsible for administering the IHSS program in compliance with state and federal laws. 4 (§§ 10600, 10553, 12301, 12301.1, 12302.) The Department promulgates regulations to implement the statutes (§§ 10553, subd. (c), 10604, subd. (b), 12301.1) while the county welfare departments administer the program under the state’s general supervision. The county departments process applications for IHSS assistance (MPP §§ 30-009, 30-455, 30-459), determine the individual’s needs and authorize services. (MPP § 30-463.1.) The county either obtains and pays the provider or pays the recipient who hires one. (MPP §§ 30-464, 30-467.) Determinations are reviewable at a fair hearing before the state Department at the recipient’s or provider’s request. (§ 10950.)

The Legislature authorized a broad range of support services to eligible persons. Section 12300 provides: “[DJomestic services and services related to domestic services, heavy cleaning, nonmedical personal services, accompaniment by a provider when needed during necessary travel to health related appointments or to alternative resource sites and other essential transportation as determined by the director, yard hazard abatement, protective, supervision, teaching and demonstration directed at reducing the need for other supportive services, paramedical services, and other services as determined by the director which make it possible for the recipient to live in comfort and safety under an independent living arrangement. ” (Italics added.)

The type and amount of service are determined on an individual basis. (MPP § 30-475.3.) The total cost for services authorized to any individual is limited by a monthly maximum benefit. For severely impaired persons, the sum is $838 (§ 12304); $581 for others (§ 12303.5.). 5

Until 1981 recipients were entitled to all services authorized by section 12300. However, the 1981 amendments provided (for the first time) a funding cap on state appropriations furnished in order to obtain federal funding for the program. 6 (§ 12306, as amended, Stats. 1981, ch. 69, § 21.) The *869 amendment provided if state appropriations were insufficient to cover all authorized services, specific types of services for particular groups of otherwise eligible persons should be cut before others. (§ 12301, as amended, Stats. 1981, ch. 69, § 17.)

Recipients needing more than 20 hours per week of IHSS services have an absolute right to choose their providers. (§ 12304, subd. (b).) All other recipients are entitled to have their preferences followed by the county welfare department if possible. (§ 12304.1.)

“Protective supervision” services authorized by section 12300 are “for monitoring the behavior of nonself-directing, confused, mentally impaired, or mentally ill persons . . . .” (MPP § 30-457.71.) Such services consist “of observing recipient behavior in order to safeguard the recipient against injury, hazard, or accident.” (MPP § 30-457.7.) To be eligible for such services, an individual must show “that twenty-four hour need exists . . . and that the recipient can live at home safely if protective supervision is provided.” (MPP § 30-457.721.)

Some recipients are old, suffering degenerative diseases. Others are young but retarded, epileptic, blind, brain damaged or schizophrenic. The recipients cannot protect themselves from injury. Some are self-destructive. For example, one autistic, blind and brain-damaged child lapses “into seizures and temper tantrums . . . venting his frustrations by banging his head against a wall.” Others cannot control normal but potentially hazardous activities such as cooking or smoking a cigarette. Each person denied IHSS assistance solely under MPP sections 30.463.233c concededly needs the services by the terms of MPP sections 30-457.7 and 30.457.71.

The “providers” (termed a “housemate” in the glossary of the regulations (MPP § 30-453)) who live with such a totally disabled person are usually relatives. None is legally responsible to support the recipient. These relatives often offer to provide care “not voluntarily” but because they cannot find anyone else who will do it as well.

The Department stopped payments to housemates for IHSS in April 1979 7 if the challenged MPP section 30-463.233c conditions and exceptions were not satisfied. Under the regulation an otherwise eligible recipient, who in fact needs protective supervision, is deemed not legally in need if he has a *870 housemate at home capable of providing supervision.

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Bluebook (online)
148 Cal. App. 3d 862, 196 Cal. Rptr. 69, 1983 Cal. App. LEXIS 2362, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-woods-calctapp-1983.