State v. Belt Parkway Nursing Home

95 Misc. 2d 264, 407 N.Y.S.2d 800, 1978 N.Y. Misc. LEXIS 2414
CourtNew York Supreme Court
DecidedJuly 5, 1978
StatusPublished
Cited by4 cases

This text of 95 Misc. 2d 264 (State v. Belt Parkway Nursing Home) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Belt Parkway Nursing Home, 95 Misc. 2d 264, 407 N.Y.S.2d 800, 1978 N.Y. Misc. LEXIS 2414 (N.Y. Super. Ct. 1978).

Opinion

OPINION OF THE COURT

Frank Composto, J.

Defendants Belt Parkway Nursing Home (nursing home) and Estate of Ben Zion Frankel and Clara Frankel (Frankel) move to dismiss plaintiff’s complaint upon the ground that the State of New York (State) is not the proper party plaintiff. Defendants Devorah Leifer and Ziporah Rabinovitch (Leifer and Rabinovitch) separately move to dismiss the complaint pursuant to CPLR 3211 upon the ground that the complaint does not contain sufficient allegations to state a cause of [265]*265action or, in the alternative, that plaintiff be required to serve an amended complaint.

The court will first consider the attack by defendants nursing home and Frankel that the State is not the proper party plaintiff.

It is conceded that defendants nursing home and Frankel were certified and recognized as a provider of services as defined under title 19 of the Social Security Act (US Code, tit 42, § 1396 et seq.) known as the Medicare Act and under the respective statutes of the State and City of New York. Said defendants were entitled to reimbursement for services that were properly provided by them within the Medicare program. The reimbursement for services claimed to have been furnished was in each instance payable by the City of New York (city) and received by these defendants from the city. Said defendants therefore urge that this action to recoup alleged overpayments is not assertable by the State as the State made no such overpayments to them, and if there be a cause of action against them, the City of New York, and it alone, is the proper party to seek recovery of such alleged overpayments.

Although not fully supportive of defendants’ position, yet cited by defendants, Mr. Justice Hyman in State of New York v Frankel (94 Misc 2d 105) held on the same issues that the city is a necessary party plaintiff and that the State is limited to a recovery of only the actual contributions made by it to the city. This court does not concur with the said decision.

The issues and applicability of the authorities urged upon the court by defendants may be best viewed and determined upon a review and analysis of all of the relevant statutes.

Under the Medicare Act, grants are made to States for medical assistance programs. To qualify for such grants, the State must adopt a plan for medical assistance with the approval of the Secretary of Health, Education and Welfare (US Code, tit 42, §§ 1396, 1396a). The plan, among others, requires institutions providing services under the plan to keep records of the services provided and "to furnish the State agency with such information, regarding any payments claimed by such * * * institution * * * as the State agency may from time to time request” (US Code, tit 42, § 1396a, subd [a], par [27]).

The office of the State Attorney-General for the State of New York is the "single identifiable entity of the State government which the Secretary certifies” as the " 'State medi[266]*266caid fraud control unit’ For the State of New York, the Attorney-General is defined as the "entity” whose functions, among others, are to conduct "a statewide program for the investigation and prosecution of violations of all applicable State laws regarding any and all aspects of fraud in connection with any aspect of the provision of medical assistance and the activities of providers of such assistance under the State plan” (US Code, tit 42, § 1396b, subd [q]). In addition, "The entity provides for the collection, or referral of collection to a single State agency, of overpayments that are made under the State plan to health care facilities and that are discovered by the entity in carrying out its activities.” (US Code, tit 42, § 1396b, subd [q], par [5].)

In consonance with the Medicare Act, the Social Services Law provides for distribution by the Department of Welfare (department) of funds appropriated by the Legislature "and also such funds as may be received from the federal government for such purpose”. In furtherance thereof the department was authorized: to "supervise all social services work, as the same may be administered by any local unit of government”, "to establish rules, regulations and policies to carry out its [purposes]”, "to review * * * for the purpose of determining whether assistance and care have been * * * properly provided * * * to make and issue such decision with relation thereto as in its judgment is justified, and such decision shall be binding on all local officials or others concerned in the matter”. The department was further authorized to "design and implement a welfare management system” so as to assist local districts and the State in achieving the goals of "reducing mismanagement in the administration of such program, detecting fraudulent practices, and helping identify policies or conditions that will reduce or deter fraud * * * [and of] achieving compliance with federal laws and regulations and maximizing utilization of federal funds”. (Social Services Law, § 20, subd 2, pars [c], [b]; subd 3, pars [d], [f]; § 21, subd 1, pars a, c.) The State Commissioner of Social Services was appointed as chief administrative officer, empowered, among others, to "exercise general supervision over the work of all local welfare authorities” (Social Services Law, § 34, subd 3, par [d]). The City of New York was then declared to be and "have all powers and duties of a public welfare district insofar as consistent with the provisions of the special and local laws relating to such cities” (Social Services Law, § 56).

[267]*267After setting forth the organizational background and powers for the proper and efficient functioning of the State plan with full supervision and control over the activities of the welfare districts inclusive of the City of New York, the Social Services Law then declares it to be "unlawful for any person, firm or corporation knowingly by means of a false statement or representation * * * or other fraudulent scheme or device * * * to attempt to obtain or to obtain payment from public funds for services or supplies furnished or purportedly furnished”. For "any violation * * * the local services district or the state shall have a right of action to recover civil damages equal to three times the amount by which any figure is falsely overstated. Amounts collected pursuant to a judgment under this section shall be apportioned between the local social services district and the state in accordance with the regulations of the department. The remedy provided by this subdivision shall be in addition to any other remedy provided by law.” (Social Services Law, § 145-b, subds 1, 2; emphasis added.)

To enforce the provisions of the Social Services Law, the Executive Law delineates the powers of the Attorney-General and declares that "He may with the approval of the governor retain counsel to recover moneys or property belonging to the state” (Executive Law, § 63, subd 7), and then mandates that the State shall have the right to recover funds from any "domestic, municipal, or other public corporation” (Executive Law, § 63-c, subd 1). The State’s right of action "may be maintained * * * in any court of the state * * * although a right of action for the same cause exists by law in some other public authority, and whether an action therefor in favor of the latter is or is not pending when the action in favor of the state is commenced. The attorney-general

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Cite This Page — Counsel Stack

Bluebook (online)
95 Misc. 2d 264, 407 N.Y.S.2d 800, 1978 N.Y. Misc. LEXIS 2414, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-belt-parkway-nursing-home-nysupct-1978.