Prince v. Division of Family Services

886 S.W.2d 68, 1994 Mo. App. LEXIS 1296, 1994 WL 411375
CourtMissouri Court of Appeals
DecidedAugust 9, 1994
DocketWD 48694
StatusPublished
Cited by13 cases

This text of 886 S.W.2d 68 (Prince v. Division of Family Services) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prince v. Division of Family Services, 886 S.W.2d 68, 1994 Mo. App. LEXIS 1296, 1994 WL 411375 (Mo. Ct. App. 1994).

Opinion

LOWENSTEIN, Presiding Judge.

Judith Prince appeals the Division of Family Services’ (DFS) ruling that an overpayment, caused by DFS’s own error, of sums Aid to Families with Dependent Children (AFDC) could be recouped from her on the grounds: 1) the decision was against the weight of the evidence, erroneously applied the law and was not supported by sufficient evidence; and 2) the state was estopped from recouping the overpaid sums. This court affirms the agency’s decision as affirmed by the trial court.

Prince applied for AFDC benefits in October, 1990. She had two children. DFS determined she was eligible to receive $193.00 a month. Prince received these benefits from October, 1990 through January, 1991. In January, 1991 Prince’s DFS caseworker discovered she had made an error in calculating Prince’s income — she had forgotten to include tips Prince earned in her job working at a restaurant. When the tips were included, and Prince’s eligibility was redetermined for each of the months she had received benefits, it was found she had not been entitled to any funds in 1989, and she had only been entitled to $129 in January, 1991. The total overpayment was $789. Prince was immediately notified, in January, 1991, that her AFDC benefits were terminated but her family remained eligible for Medicaid.

In June, 1992 Prince re-applied for AFDC benefits. At that time her children were 7 and 6 years old, and she was expecting a third child. It was determined she was eligible for a maximum of $293 a month. Generally, federal and state laws limit recoupment to a maximum of 10% of allowed monthly benefits. In essence, after a myriad of calculations, her net benefits were reduced over eight months.

The DFS Director affirmed the agency action of recouping the overpayment from Prince’s 1990-91 grant. The director, and trial court, found that under state and federal laws and regulations, DFS was allowed to recoup the overpayment and that the agency was not equitably estopped from taking such action. On appeal there is no question as to the amount of overpayment nor that the error was the result of agency error. The court has had difficulty determining whether Prince contests the amount of monthly re-coupment.

STANDARD OF REVIEW

Review by this court is of the agency decision, not the circuit court’s decision. Missouri State Div. of Family Services v. Hill, 816 S.W.2d 702, 703 (Mo.App.1993). If the findings of the agency are supported by substantial and competent evidence in the record, they must be affirmed, but if they are contrary to the determinative undisputed facts, the decision is arbitrary and unreasonable and must be reversed. Id. In order to determine whether the there is substantial evidence, this court considers only the evidence most favorable to the Director’s decision. Collins v. Div. of Welfare, 364 Mo. 1032, 270 S.W.2d 817, 820 (Banc 1954). Substantial evidence, is evidence, which if true, has probative force; it is evidence from which the trier of fact reasonably could find the issues in harmony therewith. Id. 270 S.W.2d at 820. As applicable here, this court also reviews to see whether the Director’s decision exceeds DFS’ statutory authority and jurisdiction and was authorized by law. Haynes v. Missouri State Div. of Family Services, 874 S.W.2d 457, 459 (Mo.App.1994).

PROPRIETY OF RECOUPMENT

Prince’s first point essentially alleges DFS improperly determined that recoupment was appropriate. She asserts recoupment is erroneous under federal and state laws and regulations in that: 1) the overpayment was not her fault; 2) it was not done promptly, *71 pursuant to federal laws and regulations; and 3) it would cause an undue hardship.

AFDC was enacted by Congress in 1935, as part of the Social Security Act to provide financial assistance to dependent children. Couch v. Perales, 78 N.Y.2d 595, 578 N.Y.S.2d 460, 463, 585 N.E.2d 772, 775 (1991). The program is a joint federal and state effort to help needy families with children. King v. Smith, 392 U.S. 309, 314-16, 88 S.Ct. 2128, 2131-33, 20 L.Ed.2d 1118 (1968). AFDC is a gratuity of the state which may be granted by its legislature upon such terms and conditions as it deems proper. Ambrose v. State Dept. of Public Health & Welfare, 319 S.W.2d 271, 274 (Mo.App.1958). 1 The State has “undisputed power” under the provisions of the Social Security Act to set both the level of benefits and the standard of need. King v. Smith, 392 U.S. at 334, 88 S.Ct. at 2141—42. If a state chooses to voluntarily participate in the AFDC program, it must follow the provisions and regulations of Title IV-A of the Social Security Act and all applicable federal legislation and implementation regulations. Johnston v. Iowa Dept of Human Services, 932 F.2d 1247, 1249 (8th Cir.1991) (citing Heckler v. Turner, 470 U.S. 184, 189, 105 S.Ct. 1138, 1141, 84 L.Ed.2d 138 (1985)); Carleson v. Remillard, 406 U.S. 598, 92 S.Ct. 1932, 32 L.Ed.2d 352 (1972). In 1981 Congress, as part of the Omnibus Budget Reconciliation Act of 1981 (OBRA), mandated that a state collect any overpayment of welfare aid. Id. at 1249. Prior to that time, the states were not required to recover overpayments unless they were a result of fraud by the recipient. Id. The relevant provisions are set out in 42 U.S.C. § 602(a)(22). Id. 2 Further guidance is provided in 45 CFR 233.20(13) (1991). 3 *72 (The 1991 CFR provision is applicable due to the time of overpayment.) Missouri’s applicable provisions are set out in 13 CSR 40-2.190 (1986) 4 , 13 CSR 40-2.120 5 and § 207.020 RSMo 1986. 6

First, Prince asserts recoupment is inappropriate because the overpayment was not due to any action, or inaction, on her part. While it is unfortunate Ms. Prince has to repay the money despite a lack of fault on her part, the recovery was appropriate. The state agency is required “to promptly take all necessary steps to correct any

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Bluebook (online)
886 S.W.2d 68, 1994 Mo. App. LEXIS 1296, 1994 WL 411375, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prince-v-division-of-family-services-moctapp-1994.