Wojchowski v. Daines

498 F.3d 99, 2007 U.S. App. LEXIS 18342, 2007 WL 2199024
Court of Appeals for the Second Circuit·Decided August 2, 2007·No. Docket 06-3373-cv·Published·Cited by 42 cases

Opinion

*101 JOSÉ A. CABRANES, Circuit Judge.

This appeal concerns the scope of the “antiattachment provision” of the Social Security Act (the “Act”), 42 U.S.C. § 407(a). See Wash. State Dep’t of Soc. & Health Servs. v. Guardianship Estate of Keffeler, 537 U.S. 371, 379, 123 S.Ct. 1017, 154 L.Ed.2d 972 (2003) (describing § 407(a) as the Act’s “antiattachment provision”). Section 407(a) states in relevant part that “none of the moneys paid or payable or rights existing under this sub-chapter shall be subject to execution, levy, attachment, garnishment, or other legal process.” 1 In Robbins v. DeBuono, 218 F.3d 197 (2d Cir.2000), our Court held that it was a violation of § 407(a) for New York State, when making certain Medicaid eligibility determinations, to attribute the Social Security benefits of an “institutionalized spouse” to his or her “community spouse,” because this attribution effectively coerces the couple into using the benefits on behalf of the community spouse. 2 Id. at 198-99. In our Court’s view, such attribution subjected the institutionalized spouse’s Social Security benefits to “other legal process” within the meaning of § 407(a). See id. at 200-01. After our decision in Robbins, New York stopped attributing the Social Security benefits of institutionalized spouses to community spouses. However, New York reverted to its prior practice after the Supreme Court issued an opinion in Keffeler, which discussed at length the meaning of the term “other legal process” in § 407(a).

Plaintiffs-appellants Michael and Lucy Wojchowski contend that Keffeler does not undermine our conclusion in Robbins that the attribution of an institutionalized spouse’s Social Security benefits to a community spouse violates the Act’s antiat-tachment provision. Defendants-appellees the Commissioner of the New York State Department of Health and the Commissioner of the Monroe County Department of Health and Human Services argue that the analysis and outcome in Robbins are inconsistent with Keffeler' s interpretation of the antiattachment provision. We conclude that Robbins’s holding cannot survive Keffele 3 and that New York’s attribution of an institutionalized spouse’s Social Security benefits to a community spouse does not violate § 407(a).

BACKGROUND

A. Medicaid Budgeting and New York’s “Income-First Policy”

Medicaid, which is jointly funded by the federal and state governments, “is a medical assistance program authorized ‘to pay for necessary medical care for those eligible individuals whose income and resources do not allow them to meet the *102 costs of their medical needs.’ ” Robbins, 218 F.3d at 199 (quoting Golf v. N.Y. State Dep’t of Soc. Servs., 91 N.Y.2d 656, 659, 674 N.Y.S.2d 600, 697 N.E.2d 555 (1998)). The New York State Department of Health (“DOH”), in conjunction with local social services agencies, administers Medicaid in New York. 4 Id.

Medicaid covers, inter alia, “nursing home care for medically needy older people who become eligible by incurring medical expenses that reduce their monthly income and assets below prescribed levels.” In re Estate of Tomeck, 8 N.Y.3d 724, 728, 840 N.Y.S.2d 550, 872 N.E.2d 236 (2007). As part of the Medicaid Catastrophic Coverage Act of 1988 (“MCCA”), Congress established “a complex set of standards governing the allocation of resources between the spouse residing in a nursing home (the institutionalized spouse) and the spouse residing in the community (the community spouse).” Id. at 728, 840 N.Y.S.2d 550, 872 N.E.2d 236; see Wis. Dep’t of Health & Family Servs. v. Blumer, 534 U.S. 473, 477-78, 122 S.Ct. 962, 151 L.Ed.2d 935 (2002); Robbins, 218 F.3d at 199. The purpose of these “spousal impoverishment provisions” was “to protect community spouses from ‘pauperization’ while preventing financially secure couples from obtaining Medicaid assistance.” Blumer, 534 U.S. at 480, 122 S.Ct. 962 (quoting H.R.Rep. No. 100-105, pt. 2, at 65 (1987), as reprinted in 1988 U.S.C.C.A.N. 857, 888); see also Robbins, 218 F.3d at 199; Tomeck, 8 N.Y.3d at 728, 840 N.Y.S.2d 550, 872 N.E.2d 236.

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Wojchowski v. Daines, 498 F.3d 99, 2007 U.S. App. LEXIS 18342, 2007 WL 2199024 (2d Cir. 2007).

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