Siemion v. Department of Public Aid

522 N.E.2d 627, 168 Ill. App. 3d 187, 118 Ill. Dec. 957, 1988 Ill. App. LEXIS 345
CourtAppellate Court of Illinois
DecidedMarch 16, 1988
Docket87-2245
StatusPublished
Cited by2 cases

This text of 522 N.E.2d 627 (Siemion v. Department of Public Aid) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Siemion v. Department of Public Aid, 522 N.E.2d 627, 168 Ill. App. 3d 187, 118 Ill. Dec. 957, 1988 Ill. App. LEXIS 345 (Ill. Ct. App. 1988).

Opinion

JUSTICE STAMOS

delivered the opinion of the court:

The Department of Public Aid (the department) and the Director of Public Aid (the director) appeal from orders of the circuit court of Cook County reversing denial of appellee Janina Siemion’s 1 application for medical assistance and denying appellants’ motion to reconsider. Siemion’s application had been denied after she failed to comply with written notices in English calling on her to provide documentation in support of her eligibility for medical assistance. The present appellant director was substituted for the former director during administrative review proceedings in the circuit court.

The controlling issue on appeal is whether appellants’ denial of Siemion’s application was contrary to Illinois law insofar as a departmental duty of assistance to her in pursuing her application was concerned. That was clearly the question decided by the circuit court’s judgment.

Facts

On July 16, 1986, with the help of Siemion’s landlord, an employee of the University of Chicago Hospitals and Clinics (the hospital) completed and sent to the Cook County Department of Public Aid (the county department) on Siemion’s behalf a form designated DPA 450 and titled “Hospital Application for Medical Assistance.” The application, which the county department received on July 17, sought help in paying for treatment being given since July 3 to Siemion’s then-2 ^-year-old son, Maciei Siemion, for head trauma, which Siemion’s later testimony at a departmental hearing appeared to say was the result of his falling from a second-story window.

As submitted, the application set forth the name, address, and telephone number of Siemion and her son; her son’s date of birth; and her landlord’s name, address, and telephone number to “call in emergency.” The application also stated that Siemion was single, had no assets, life insurance, or hospital insurance, and had paid nothing toward her son’s hospital care. No answers were given to questions on the application form as to Siemion’s or her son’s birthplace, when they had come to Illinois, Siemion’s social security number, the source of her income (if any), or why she sought help in paying for her son’s care. 2 The application was signed on behalf of Siemion by J. B. Stone as the hospital’s financial coordinator.

Testimony at the subsequent administrative hearing revealed that Siemion neither speaks nor reads English; that neither her father-in-law nor her mother-in-law, with whom she was living, speaks English; and that Siemion’s landlord, who could translate for her, had helped the hospital employee to complete the application form. The form contained no question as to Siemion’s language ability, and as submitted the application did not specify that Siemion could not understand English.

After receiving the application from the hospital, the county department mailed to Siemion on July 28, 1986, a form 3 designated DPA 267 and titled “Instructions to Client” on the letterhead of the Illinois Department of Public Aid. This form was entirely in English except for a caption advising in Spanish that it was a very important notification affecting its recipient’s eligibility and that if the recipient did not understand English, an interpreter should be sought.

Through a process of checking boxes, filling blanks with abbreviations and rubberstamped legends, writing disconnected phrases above printed information, and requiring the recipient to ignore other blocks of inapplicable printed information for which boxes were left unchecked, the department sought to inform Siemion that her “Mang APPLICATION INTERVIEW is scheduled for (date) 8/11/86 at_ a.m./p.m.” (Italics denote filled-in blanks.) MANG is the acronym for “Medical Assistance — No Grant,” the label for the category into which Siemion’s application fell. (See 89 Ill. Adm. Code 101.20, 101.30(c) (1985).) Although the interview time was left unspecified, the department apparently wished Siemion to telephone it beforehand, because above all the printed information pertaining to it were handwritten the words, “Call before.” Following the message about Siemion’s interview was another blank form message and then the following printed and handwritten message: “Please BRING the items checked below and this form to your interview. If you cannot make this appointment, please call KMcDonald EOS at 793-8208.”

Appearing next on the form was a paragraph of inapplicable printed language and blank spaces, followed by a lengthy printed list of mostly documentary items preceded by boxes, many of which were checked. Among the items checked were one reading simply “Money from other sources (loans, gifts from friends, relatives, rental income, boarders, etc.)” and one reading (in print and handwriting) “Other Room & board statement.” These latter two items would appear to the court as actually referring to records of money and to Siemion’s son’s hospital bill, but a recipient might have had some difficulty interpreting them. Above this list of items was handwritten the single word, “Mail.”

The form’s face thus consisted of one full page of closely printed alternative messages on which some blanks had been filled in handwriting and additional words had been handwritten. On the reverse were apparently still more “local office completion instructions.” A copy of the form or forms sent to Siemion was also mailed to the hospital.

At some later time, county department caseworker Katherine McDonald made several attempts to reach Siemion at her home telephone number. McDonald noted on her case “writeup” the following: “Person who answers do not speak very good english. C/w unable to communicate.” McDonald testified at the administrative hearing that “the person who answered did not speak English and was unable to communicate” and that McDonald could not determine what language was being spoken. McDonald’s writeup also noted: “Landlord’s name and tele no. given. Otherwise very limited information listed.”

Then, on August 15, 1986, McDonald sent Siemion and the hospital a second version of the DPA 267 form. This version contained another lengthy printed and handwritten message, purporting to inform Siemion that if she did not respond by August 22 her application would be denied. A slightly different list of requested items had then been checked on this version of the form, followed by this message after the printed word “Other,” in handwriting that was not a model of penmanship: “You failed to keep your telephone interview before 8/11/ 86 You failed to submit your documents.”

Except for the fact that in a space on the forms sent to Siemion were stamped the name and address of the Hospital Assistance Service, nothing in the forms referred to the hospitalization of her son or advised her even in English that the sender was in charge of determining whether her son’s hospital care would be paid for.

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Related

Moore v. Department of Human Services
2025 IL App (1st) 240561 (Appellate Court of Illinois, 2025)
Bennetto v. Department of Public Aid
550 N.E.2d 1041 (Appellate Court of Illinois, 1990)

Cite This Page — Counsel Stack

Bluebook (online)
522 N.E.2d 627, 168 Ill. App. 3d 187, 118 Ill. Dec. 957, 1988 Ill. App. LEXIS 345, Counsel Stack Legal Research, https://law.counselstack.com/opinion/siemion-v-department-of-public-aid-illappct-1988.