Regina Vierra v. Winona E. Rubin, Esq., Director, Department of Human Services, State of Hawaii, Defendant-Third-Party-Plaintiff-Appellee v. Louis W. Sullivan, M.D., Secretary of Health and Human Services, Third-Party-Defendant-Appellee

915 F.2d 1372, 1990 U.S. App. LEXIS 17368
CourtCourt of Appeals for the Third Circuit
DecidedOctober 3, 1990
Docket89-15459
StatusPublished

This text of 915 F.2d 1372 (Regina Vierra v. Winona E. Rubin, Esq., Director, Department of Human Services, State of Hawaii, Defendant-Third-Party-Plaintiff-Appellee v. Louis W. Sullivan, M.D., Secretary of Health and Human Services, Third-Party-Defendant-Appellee) 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.

Bluebook
Regina Vierra v. Winona E. Rubin, Esq., Director, Department of Human Services, State of Hawaii, Defendant-Third-Party-Plaintiff-Appellee v. Louis W. Sullivan, M.D., Secretary of Health and Human Services, Third-Party-Defendant-Appellee, 915 F.2d 1372, 1990 U.S. App. LEXIS 17368 (3d Cir. 1990).

Opinion

915 F.2d 1372

Regina VIERRA, Plaintiff-Appellant,
v.
Winona E. RUBIN, Esq., Director, Department of Human
Services, State of Hawaii,
Defendant-Third-Party-Plaintiff-Appellee,
v.
Louis W. SULLIVAN, M.D., Secretary of Health and Human
Services, Third-Party-Defendant-Appellee.

No. 89-15459.

United States Court of Appeals,
Ninth Circuit.

Argued and Submitted April 13, 1990.
Decided Oct. 3, 1990.

Charles H. Hite, Legal Aid Soc. of Hawaii, Honolulu, Hawaii, for plaintiff-appellant.

Thomas D. Farrell, Deputy Atty. Gen., State of Hawaii, Honolulu, Hawaii, for defendant-third-party-plaintiffCharles P. Gillet, Asst. Regional Counsel, San Francisco, Cal., for third-party-defendant-appellee, Louis W. Sullivan, Secretary of Health and Human Services.

Appeal from the United States District Court for the District of Hawaii.

Before FARRIS, PREGERSON and RYMER, Circuit Judges.

PREGERSON, Circuit Judge:

Regina Vierra received benefits under the Aid to Families with Dependent Children (AFDC) program. Because of circumstances beyond her control, she filed a required form one business day late. The State of Hawaii, which administers this cooperative federal-state program through its Department of Social Services, disqualified Vierra from one month's benefits because of the one day delay. The district court granted summary judgment upholding the denial of benefits. Vierra appeals. We reverse and grant summary judgment for Vierra.

BACKGROUND

1. Facts

Appellant Regina Vierra never finished high school, and does not read well. She has one child. In August 1979, Vierra and her child started receiving AFDC benefits. Until September 1987, this was her sole source of income.

In September 1987, Vierra began part-time work under Hawaii's Department of Social Services (the Department) Work Incentive ("WIN") Program. She promptly reported the employment on a Change in Status Form and on her first Monthly Eligibility Report Form ("MERF") filed after she began part-time work. Before starting her part-time job, Vierra had from time to time submitted late MERF forms without incident or penalty.

After Vierra notified the Department of her part-time work, the Department failed to instruct her on how to fill out a MERF form when part-time employment was involved. Even after learning of Vierra's employment, her caseworker never instructed Vierra on how to verify what she had been paid, nor on the need to submit pay verification information. The only instructions Vierra ever received were the standard instructions contained on the MERF form itself:

If this form is late, is incomplete, or is not returned, your check, food stamps, and medical benefits may be delayed or stopped. In addition, no earned income deductions will be allowed in determining the amount of your welfare check.... Attach pay stubs and verification of changes.

Vierra received her first pay checks in October 1987. A friend told her that paystubs had to be attached to her MERF form if Vierra wanted to maintain her AFDC benefits. Vierra was not informed, either by her friend, her caseworker, or the MERF form instructions, that pay verification could be made by any means other than pay stubs.

Under the regulations, Vierra was first required to attach pay verification to her MERF form on November 6, 1987. To file what she considered to be a complete form, Vierra repeatedly requested pay stubs from her employer (the employer did not attach stubs to her paychecks). Her employer did not produce the stubs, even after eight requests. Afraid that she would not be able to meet her November 6 deadline, Vierra unsuccessfully attempted to contact her caseworker. The caseworker did not return Vierra's call.

On November 9, a Monday, one business day after her MERF filing deadline, Vierra received paystubs from her employer and immediately filed them with her MERF form. The Department determined that Vierra should be denied the Earned Income Disregards (EIDs) necessary to bring her income within prescribed AFDC limits for that month because the filing was late, and because the Department believed information provided by the employer on the paystubs was incomplete and confusing. With the EIDs, Vierra would have received $198.00 in AFDC benefits. Without the EIDs, she received no AFDC benefits because her earned income amounted to $420.00 for the month of November, $12.00 over her standard need.

The Department informed Vierra, in an adverse action notice sent November 17, 1987, that excess countable income disqualified her for all AFDC benefits in December 1987. Vierra responded by immediately filing a fair hearing request. In a hearing held on January 21, 1988, the fair hearing officer affirmed the Department's decision. Though the officer regretted the "egregious" actions of Vierra's employer, she held that employer caused delay did not fall within the Hawaii Department of Social Services' definition of the "good cause" exception to filing requirements.

Vierra took her case to a Hawaii state court. Before any action was taken on the appeal, Hawaii's Department of Social Services filed a Third Party Complaint against the United States Department of Health and Human Services. The Secretary of Health and Human Services (the Secretary) removed the entire matter to the United States District Court.

The district court affirmed the Department's action on the grounds that (1) Hawaii's restrictive definition of "good cause" to excuse late MERF filings did not defeat general AFDC purposes, and (2) the Secretary's tacit approval of Hawaii's narrow "good cause" definition was entitled to deference.

2. "WIN" Programs, EIDs, and the "Good Cause" System

"The AFDC program is a cooperative federal-state effort established by Congress to provide financial assistance and other services to needy dependent children and parents or relatives with whom they live." Figueroa v. Sunn, 884 F.2d 1290, 1291 (9th Cir.1989). One specific purpose of the program is to encourage adult members of families receiving AFDC benefits "to attain or retain capability for the maximum self-support and personal independence consistent with the maintenance of continuing parental care and protection." Id. (quoting 42 U.S.C.A. Sec. 601 (1983)). In recognition of the fact that the AFDC system can create a financial incentive not to work, Congress enacted Earned Income Disregard (EID) provisions. Drysdale v. Spirito, 689 F.2d 252, 254 (1st Cir.1982). "By 'disregarding' certain classes of income that would otherwise be counted in the [AFDC] eligibility and benefits determinations, more families are deemed eligible for assistance than would otherwise be the case, and their benefits are increased." Simpson v. Hegstrom, 873 F.2d 1294, 1295 (9th Cir.1989).

Earned Income Disregards are central to the effective operation of work incentive or "WIN" programs run by states pursuant to 42 U.S.C.A. Sec. 645(b)(1)(B) (1983). Without these disregards, "increased income reduces the size of the AFDC grant, [and] members of AFDC families may have little financial incentive to work." Drysdale v.

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915 F.2d 1372, 1990 U.S. App. LEXIS 17368, Counsel Stack Legal Research, https://law.counselstack.com/opinion/regina-vierra-v-winona-e-rubin-esq-director-department-of-human-ca3-1990.