Pennsylvania, Department of Public Welfare v. Sebelius

674 F.3d 139, 2012 WL 859263, 2012 U.S. App. LEXIS 5431
CourtCourt of Appeals for the Third Circuit
DecidedMarch 15, 2012
Docket10-4584
StatusPublished
Cited by48 cases

This text of 674 F.3d 139 (Pennsylvania, Department of Public Welfare v. Sebelius) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Pennsylvania, Department of Public Welfare v. Sebelius, 674 F.3d 139, 2012 WL 859263, 2012 U.S. App. LEXIS 5431 (3d Cir. 2012).

Opinion

OPINION

VANASKIE, Circuit Judge.

The Pennsylvania Department of Public Welfare (“DPW”) appeals a decision of the United States District Court for the Western District of Pennsylvania that sustained a directive of the United States Department of Health and Human Services (“HHS”) that DPW must remit to the federal government more than $5.6 million in overpayments recovered by DPW under the Aid to Families with Dependent Children (“AFDC”) program. DPW also appeals the District Court’s dismissal of a Freedom of Information Act (“FOIA”) claim for lack of standing. Discerning no error in the District Court’s rulings, we will affirm its judgment.

I.

A. Statutory and Regulatory Framework

The Aid to Families with Dependent Children (“AFDC”) program was established by Title IV-A of the Social Security Act of 1935, 42 U.S.C. §§ 601-617, to assist states in providing aid to needy children and their families. The AFDC program provided for federal reimbursement of a percentage of all qualifying state expenditures, which were calculated and reported on a quarterly basis. 42 U.S.C. § 603(a)(1994). The AFDC was considered an “open-ended entitlement program” because there was no cap on the amount of federal funds a state could receive in a fiscal year, and states were reimbursed for all qualifying expenditures.

The AFDC program also established a procedure for recovering and accounting for payments that states made to recipients who were ineligible to receive them. The program required states to recover these overpayments, either by collecting direct cash repayments from the recipients, or through offsets to a future cash assistance payment. 45 C.F.R. § 233.20(a)(13). Because the AFDC recipients were needy, states generally recovered overpayments in installments over a period of time. Once the overpayments were recovered, states were required to report the amounts collected in their quarterly financial reports to HHS, which was responsible for administering the program. 45 C.F.R. § 201.5(a)(3). Federal payments for future quarters were then reduced pro rata by the federal share of the amount recovered by the state in the prior quarter. 42 U.S.C. § 603(b)(2) (1994).

In 1996, Congress passed the Personal Responsibility and Work Opportunity Reconciliation Act (“PRWORA”), Pub.L. No. 104-193, 110 Stat. 2105 (1996) (codified at 42 U.S.C. §§ 601 et seq.), which replaced the AFDC program with the Temporary Assistance for Needy Families (“TANF”) grant program. TANF was designed to give states greater flexibility in administering their welfare programs while reducing total federal welfare spending. States that are eligible to participate in TANF receive an annual “block grant” from HHS, and thus, unlike the AFDC program, TANF imposes a cap on the total federal funds each participating state is entitled to receive annually.

PRWORA § 116(b)(3) establishes guidelines for the close-out of state AFDC programs during the transition to TANF. In relevant part, it provides:

*144 Claims made with respect to State expenditures under a State plan approved under part A of title IV of the Social Security Act (as in effect on September 30, 1995) with respect to assistance or services provided on or before September 30, 1995, shall be treated as claims with respect to expenditures during fiscal year 1995 for purposes of reimbursement even if payment was made by a State on or after October 1, 1995. Each State shall complete the filing of all claims under the State plan (as so in effect) within 2 years after the date of the enactment of this Act. The head of each Federal department shall — (A) use the single audit procedure to review and resolve any claims in connection with the close out of programs under such State plans.

PRWORA, Pub.L. No. 104-193, § 116(b)(3), 110 Stat. 2105 (1996).

The “single audit procedure” to which reference is made in § 116(b)(3) is established by the Single Audit Act of 1984 (“SAA”), 31 U.S.C. §§ 7501-7507. Under the SAA, “[e]ach non-Federal entity” that expends at least $300,000 of Federal awards in a fiscal year “shall have either a single audit or a program-specific audit made for such fiscal year in accordance with the requirements of this chapter.” 31 U.S.C. § 7502(a)(1)(A).

The Administration for Children and Families (“ACF”), the division of HHS responsible for administering the former AFDC and current TANF programs, interpreted § 116 in a series of program instructions (“PI”s) that clarified ACF policy for the recovery of AFDC overpayments and provided the states with directions for closing out their AFDC accounts in accordance with § 116. On March 9, 1999, ACF issued PI 99-2, which required states to remit to HHS the federal share of recovered overpayments made to recipients on or before September 30, 1996, but permitted states to retain the full amount of recovered overpayments of AFDC or TANF funds paid to recipients after October 1, 1996, with the recovered overpayments to be applied towards TANF program costs. PI 99-2 also provided that states must submit the federal share of overpayments to the ACF in quarterly checks. On May 1, 2000, ACF issued PI 99-2 (Revised), which permitted states to retain the full amount of recovered overpayments but stated that “the amounts recovered must be credited against the current grant in the fiscal year in which the overpayment was recovered.” (A. 122-23.)

On September 1, 2000, ACF issued PI 2000-2, which rescinded PI 99-2 and PI 99-2 (Revised) and replaced them with a new overpayment recovery policy. PI 2000-2 reiterated the continuing requirement to remit the federal share of recovered AFDC overpayments. PI 2000-2 required the states to remit the federal share of pre-October 1, 1996 overpayments to ACF by check, and provided the states with instructions for making these repayments going forward. It also provided that it was only “effective for recoveries made after 9/30/96,” and that “Recoveries made prior to the date of this transmittal lie., September 1, 2000] will be evaluated on reasonable interpretation of statutory requirements or any previous guidance provided by ACF.” (A. 125.)

B. Factual and Procedural Background

In August 2007, the HHS Office of Inspector General (“OIG”) conducted a nationwide audit to determine whether states were complying with the requirements to reimburse the federal share of recovered AFDC overpayments made before October 1, 1996. According to the OIG report, of the 43 states reviewed, 24 states had com *145

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674 F.3d 139, 2012 WL 859263, 2012 U.S. App. LEXIS 5431, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pennsylvania-department-of-public-welfare-v-sebelius-ca3-2012.