Wojchowski v. Daines

498 F.3d 99, 2007 U.S. App. LEXIS 18342, 2007 WL 2199024
CourtCourt of Appeals for the Second Circuit
DecidedAugust 2, 2007
DocketDocket 06-3373-cv
StatusPublished
Cited by42 cases

This text of 498 F.3d 99 (Wojchowski v. Daines) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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

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.

To that end, Congress directed the states to “establish a minimum monthly maintenance needs allowance for each community spouse.” 42 U.S.C. § 1396r-5(d)(3); see Blumer, 534 U.S. at 481, 122 S.Ct. 962; Robbins, 218 F.3d at 199; see also N.Y. Soc. Serv. Law § 366-c(2)(h) (establishing New York’s allowance formula). This “minimum monthly maintenance needs allowance” (“MMMNA”) is “an amount deemed sufficient for the community spouse to live at a modest level after the institutionalized spouse becomes eligible for Medicaid, subject to a statutory floor and ceiling.” Tomeck, 8 N.Y.3d at 728, 840 N.Y.S.2d 550, 872 N.E.2d 236. Congress also mandated that “[f]or purposes of establishing the institutionalized spouse’s Medicaid eligibility, a portion of the couple’s assets is reserved for the benefit of the community spouse.” Blumer, 534 U.S. at 482, 122 S.Ct. 962 (footnote omitted) (citing 42 U.S.C. § 1396r-5(c)(2)). This reserved share is known as the “community spouse resource allowance” (“CSRA”). 42 U.S.C. § 1396r-5(f)(2); see also N.Y. Soc. Serv. Law § 366-c(2)(d) (defining New York’s CSRA formula).

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

Related

Ziparo v. CSX Transportation
Second Circuit, 2025
Doe v. Franklin Square Union Free Sch. Dist.
100 F.4th 86 (Second Circuit, 2024)
K.S. v. City of New York
S.D. New York, 2023
United States v. John Afriyie
27 F.4th 161 (Second Circuit, 2022)
Glob. Reins. Corp. of Am. v. Century Indem. Co.
22 F.4th 83 (Second Circuit, 2021)
John Doe v. University of the Sciences
961 F.3d 203 (Third Circuit, 2020)
Jerry Reed v. Allison Taylor
Fifth Circuit, 2019
Reed v. Taylor
923 F.3d 411 (Fifth Circuit, 2019)
United States v. Martoma
Second Circuit, 2017
Lakewood Credit Union v. Goodrich
2016 WI App 77 (Court of Appeals of Wisconsin, 2016)
Doscher v. Sea Port Group Securities, LLC
832 F.3d 372 (Second Circuit, 2016)
Weiland v. Lynch
835 F.3d 207 (Second Circuit, 2016)
Matter of O'Sullivan v. Schebilski
138 A.D.3d 1170 (Appellate Division of the Supreme Court of New York, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
498 F.3d 99, 2007 U.S. App. LEXIS 18342, 2007 WL 2199024, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wojchowski-v-daines-ca2-2007.