Wilson v. Bimestefer

CourtDistrict Court, D. Colorado
DecidedMay 22, 2020
Docket1:19-cv-01633
StatusUnknown

This text of Wilson v. Bimestefer (Wilson v. Bimestefer) is published on Counsel Stack Legal Research, covering District Court, D. Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wilson v. Bimestefer, (D. Colo. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge R. Brooke Jackson

Civil Action No. 19-cv-01633-RBJ

PARKER WILSON,

Plaintiff,

v.

KIM BIMESTEFER, in her official capacity as Executive Director of the Colorado Department of Health Care Policy & Financing, TOM MASSEY, in his official capacity as Executive Director and Chief Operating Officer of the Policy, Communications, and Administration office of the Colorado Department of Health Care Policy & Financing, DAVID L. SMITH, in his official capacity as Manager of Benefits Coordination Section for the Colorado Department of Health Care Policy & Financing, and ASHLEY DiRIENZO, in her official capacity as Recovery Officer at the Colorado Department of Health Care Policy & Financing,

Defendants.

ORDER

This case is before the court on defendants Kim Bimestefer, Tom Massey, David L. Smith, and Ashley DiRienzo’s motion to dismiss, ECF No. 24. For the following reasons, the motion is granted. BACKGROUND This case concerns the Denver Probate Court’s termination of a Medicaid-compliant special needs trust established for plaintiff Parker Wilson. Medicaid is a federal program administered by states, which receive reimbursement from the federal government. A state that participates in Medicaid must comply with the Medicaid Act, 42 U.S.C. § 1396a. Though Medicaid eligibility is generally determined by an individual’s assets, certain assets are excluded from consideration, including a “special needs trust” as defined § 1396p(d)(4)(A) and (d)(4)(C). Special needs trusts allow individuals with long-term disabilities to maintain funds to pay for medical expenses not covered by Medicaid, while remaining eligible for Medicaid. Under §§ 1396p(d)(4)(A) and 1396p(b)(1), Medicaid benefits paid during the individual’s life must be repaid from any remaining trust assets upon an individual’s death, at which point the trust must terminate. C.R.S. § 15-14-412.8 establishes requirements for “disability trusts,” a variant of special needs trusts. Section 15-14-412.8 allows for disability trusts to terminate prior to the death of the

beneficiary, with subsequent reimbursement to the Department of Health Care Policy (“Department”). Under section 10 of the Colorado Code of Regulations, specifically 10 C.C.R. 2505-10:8.100.7.E.6.b.i(e), a disability trust must terminate “upon the death of the individual or if the trust is no longer required for Medical Assistance eligibility in Colorado.” Also, 10 C.C.R. 2505-10:8.100.7.E.6.b.i(h) requires that “upon the death of the beneficiary or termination of the trust, the Department shall receive all amounts remaining in the trust up to the amount of total Medical Assistance paid on behalf of the individual.” In 2013, Mr. Wilson’s father established the Parker James Wilson Disability Trust in compliance with federal and requirements of C.R.S. § 15-14-412.8 and 10 C.C.R. 2505-10, §§

8.100.7.E.6.b.i.e-h. ECF No. 24 at 3. The trust contained funds Mr. Wilson received following an automobile accident that left him disabled. Id. The trust names Mr. Wilson the primary beneficiary and the Department the remainder beneficiary. Id. Pursuant to C.R.S. § 15-14-412.8 and 10 C.C.R. 2505-10, §§ 8.100.7.E.6.b.i.e-h, the trust stated that it “shall terminate upon the death of the primary beneficiary or if the trust is no longer required for Medicaid eligibility in Colorado.” ECF No. 22-1. In 2017 Mr. Wilson moved with his family to South Carolina. ECF No. 22 at 3. The Department filed a petition to terminate Mr. Wilson’s trust in Denver County probate court, Case No. 18PR30474, because after leaving the state, Mr. Wilson was no longer eligible for Colorado Medicaid. ECF No. 24 at 4. In July of 2018 the probate judge ordered that the trustees could not disburse any further trust funds until she ruled on the Department’s petition. Id. On December 26, 2018 the probate judge issued an order terminating the trust with reimbursement to the Department of the remaining trust funds, a total of $31,758.18. Id. at 5. Mr. Wilson did not file

an appeal of the probate order before the February 13th deadline, and the probate judge ordered disbursement of the funds to the Department on March 29, 2019. Id. On July 15, 2019 Mr. Wilson filed an appeal on a separate but related case, Case No. 18PR30593, in which Mr. Wilson had requested that the probate court decant the trust and eliminate the Department’s remainder interest. Id. That appeal is still pending. ECF No. 22 at 21. On June 6, 2019 Mr. Wilson filed his first complaint in this 42 U.S.C. § 1983 action, seeking to enjoin defendants Kim Bimestefer, Tom Massey, David Smith, and Ashley DiRienzo from enforcing C.R.S. § 15-14-412.8 and 10 C.C.R. 2505-10:8.100.7.E.6.b and the return of the disbursed funds. ECF No. 1. He claims that the State of Colorado’s termination of his trust and

the Colorado statutes that allow for such termination violate the Medicaid Act as well as due process and the right to travel under the Fourteenth Amendment. He filed an amended complaint on September 30, 2019. ECF No 22. Defendants filed this motion to dismiss under Federal Rules of Civil Procedure 12(b)(1) and 12(b)(6). ECF No. 24 STANDARD OF REVIEW A. Fed. R. Civ. P. 12(b)(1) Federal Rule of Civil Procedure 12(b)(1) “allows a court to dismiss a complaint for lack of subject matter jurisdiction.” Pueblo of Jemez v. United States, 790 F.3d 1143, 1151 (10th Cir. 2015). There is a presumption that a cause of action lies outside a federal court’s limited jurisdiction, “and the burden of establishing the contrary rests upon the party asserting jurisdiction.” Id. (quoting Becker v. Ute Indian Tribe of the Uintah and Ouray Reservation, 770 F.3d 944, 947 (10th Cir. 2014)).

A motion to dismiss under Rule 12(b)(1) can either: “(1) facially attack the complaint’s allegations as to the existence of subject matter jurisdiction, or (2) go beyond allegations contained in the complaint by presenting evidence to challenge the factual basis upon which subject matter jurisdiction rests.” Maestas v. Lujan, 351 F.3d 1001, 1013 (10th Cir. 2003). Where, as here, there is a factual attack on the basis for jurisdiction, the Court does not presume the truthfulness of plaintiff’s allegations but has wide discretion to consider other evidence presented. Holt v. United States, 46 F.3d 1000, 1003 (10th Cir. 1995). B. Fed. R. Civ. P. 12(b)(6) To survive a Rule 12(b)(6) motion to dismiss the complaints must contain “enough facts

to state a claim to relief that is plausible on its face.” Ridge at Red Hawk, L.L.C. v. Schneider, 493 F.3d 1174, 1177 (10th Cir. 2007) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A plausible claim is a claim that “allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal,

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Wilson v. Bimestefer, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilson-v-bimestefer-cod-2020.