Shaak v. Pennsylvania Department of Public Welfare

747 A.2d 883, 561 Pa. 12, 2000 Pa. LEXIS 740
CourtSupreme Court of Pennsylvania
DecidedMarch 27, 2000
Docket0032 M.D. Appeal Docket 1999
StatusPublished
Cited by3 cases

This text of 747 A.2d 883 (Shaak v. Pennsylvania Department of Public Welfare) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shaak v. Pennsylvania Department of Public Welfare, 747 A.2d 883, 561 Pa. 12, 2000 Pa. LEXIS 740 (Pa. 2000).

Opinion

OPINION

NEWMAN, Justice.

The Pennsylvania Department of Public Welfare (“DPW”) has appealed from the order of the Commonwealth Court, *14 which held that the corpus of an irrevocable trust, created by Appellee Elizabeth Shaak (Mrs. Shaak), was not an “available resource” to be considered when determining her eligibility for Medical Assistance benefits. For the reasons that follow, we reverse the order of the Commonwealth Court.

FACTS AND PROCEDURAL HISTORY

On April 6, 1988, Mrs. Shaak created an irrevocable trust into which she transferred the ownership of her home in Lebanon, Pennsylvania, naming her children Richard Shaak and Janet Fink as trustees (Trustees). Mrs. Shaak reserved the absolute right to live in the home for so long as she was physically and mentally able. The trust document empowered the Trustees to retain, lease or sell the property in their absolute discretion after the passage of ninety days from when Mrs. Shaak vacated the home as follows:

Trustees shall hold the trust estate for the primary benefit of the Settlor and shall distribute to Settlor so much, if any, of the net income of such trust or of the principal thereof, without limit as to amount, as the Trustees shall, in their absolute discretion and without any requirement to make distributions, deem necessary or advisable for the maintenance, welfare, comfort and happiness of the Settlor.

The trust further provided that at Mrs. Shaak’s death, the trust was to be liquidated and its proceeds distributed to her remaining descendants.

Two years after the execution of this trust agreement, on October 4, 1990, Mrs. Shaak began residing at a nursing care facility, the costs of which were offset by Medical Assistance payments. Apparently, neither Mrs. Shaak nor the Trustees disclosed the existence of the trust at the time of Mrs. Shaak’s entry to this facility or at the time of her subsequent transfer to a similar facility in 1991. The Trustees sold the house on April 24,1992, deposited the proceeds into a bank account, and subsequently transferred the funds to another bank. On April 21, 1994, an Income Maintenance Caseworker of the Lebanon County Assistance Office (CAO) contacted one Trustee to request information regarding Mrs. Shaak’s assets. The *15 Trustee, through his attorney, disclosed the sale of the home and the balance of $76,894.34 in a trust account.

A CAO caseworker notified Mrs. Shaak on January 6, 1995 that she was ineligible for Medical Assistance benefits because the then current value of the trust she had created was “excess countable resources” pursuant to 55 Pa.Code § 178.121 and the Omnibus Budget Reconciliation Act of 1993 (“OBRA 93”), 42 U.S.C.A. § 1396p. Mrs. Shaak filed a timely appeal to the Department of Public Welfare (DPW) stating that neither 55 Pa.Code § 178.121 nor OBRA 93 applied to the case. On or about March 3, 1995, DPW conceded that OBRA 93 and Section 178.21 did not apply, but that its eligibility determination was correct pursuant to 55 Pa.Code § 178.4 and the predecessor to OBRA 93, 42 U.S.C.A. § 1396a(k). Mrs. Shaak countered, contending that Section 178.4 did not apply because the trust was established months before this regulation was adopted. (The regulation was enacted August 26, 1988, became effective November 1, 1988 and Mrs. Shaak’s trust was created in April of 1988.)

The parties proceeded on a stipulation of facts before a DPW Hearing Officer. The Hearing Officer held that the trust was an available resource under 55 Pa.Code § 178.4(c), which provides, in pertinent part:

Resources held in a trust established prior to July 30, 1994, are considered resources to the applicant/recipient to the extent that the trust permits use of those resources for the applicant’s/recipient’s food, clothing, shelter or medical care, regardless of whether the trust is in fact used for food, clothing, shelter or medical care.

The DPW Office of Hearings and Appeals affirmed.

A panel of the Commonwealth Court reversed this determination in Shaak v. Department of Public Welfare, 707 A.2d 1199 (Pa.Commw.1998), interpreting Section 178.4 as requiring a two-step factual determination before an asset could be deemed an “available resource” for purposes of financial eligibility for Medical Assistance benefits. The Commonwealth Court stated that DPW must assess whether the item at issue *16 is a resource pursuant to Section 178.4(a) — (c) and then, DPW must determine whether the resource is available as set forth in Section 178.4(d) and (e). The Commonwealth Court concluded that DPW had failed to make the factual determination required in Section 178.4(d) because it did not assess whether Mrs. Shaak actually “owned” the principal of the trust, an analysis mandated by Section 178.4(d). (Section 178.4(d) states that “establishing the type of ownership is required to determine the availability and the value of the applicant’s/recipient’s resources.”) The Commonwealth Court, relying on Lang v. Department of Public Welfare, 515 Pa. 428, 528 A.2d 1385 (1987), rejected the argument that “availability” could be determined simply by Mrs. Shaak’s status as a trust beneficiary. Thus, the Commonwealth Court remanded the matter to DPW for a determination of ownership under 55 Pa. Code § 178.4(e), which supplies a list of five “rebuttable presumptions rto] apply in determining the availability of both real and personal property resources.” For the reasons that follow, we reverse the decision of the Commonwealth Court.

DISCUSSION

In this matter we are called upon to determine whether the principal of a trust created in April of 1988 may be considered an “available resource” when the sole beneficiary of that trust applies for Medical Assistance benefits in 1990, such that this trust amount is included in the formula for determining financial eligibility for Medical Assistance. The parties disagree regarding which set of regulations, if any, control the issue of whether this trust is an available resource for purposes of determining Medical Assistance eligibility. In the course of this litigation, Mrs. Shaak has argued alternatively that neither Section 178.4, nor 42 U.S.C.A. § 1396a(k), nor OBRA 93 applies because the trust was established before the implementation of these regulations in Pennsylvania. Essentially, Mrs. Shaak argues that no statute applied to the trust established on April 6, 1988. DPW has taken the position that Section 178.4 governs the issue and that regardless of whether OBRA 93 or 42 U.S.C.A. § 1396a(k) applies, the trust is *17 deemed an available resource. The Commonwealth Court appears to have agreed with DPW that the “current regulations” control, but held that “while OBRA 93 may have authorized the treatment of an inter vivos trust as an available resource without consideration given to asset ownership, the regulations promulgated by DPW plainly do not.”

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

Related

DeBone v. Department of Public Welfare
929 A.2d 1219 (Commonwealth Court of Pennsylvania, 2007)
Lane v. UNUM Life Insurance Co. of America
293 F. Supp. 2d 477 (M.D. Pennsylvania, 2003)
Estate of Taylor v. Department of Public Welfare
825 A.2d 763 (Commonwealth Court of Pennsylvania, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
747 A.2d 883, 561 Pa. 12, 2000 Pa. LEXIS 740, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shaak-v-pennsylvania-department-of-public-welfare-pa-2000.