Young v. Ohio Department of Human Services

668 N.E.2d 908, 76 Ohio St. 3d 547
CourtOhio Supreme Court
DecidedSeptember 4, 1996
DocketNo. 95-967
StatusPublished
Cited by14 cases

This text of 668 N.E.2d 908 (Young v. Ohio Department of Human Services) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Young v. Ohio Department of Human Services, 668 N.E.2d 908, 76 Ohio St. 3d 547 (Ohio 1996).

Opinions

Moyer, C.J.

The issue to be decided in this appeal is whether a testamentary trust that expressly prohibits the trustee from making any distributions that [548]*548would affect the beneficiary’s Medicaid benefits constitutes a “countable resource” under the ODHS Medicaid regulatory scheme set out in Ohio Adm.Code Chapter 5101:1-39.

The Allen County Court of Appeals held that the Albright trust corpus does not meet the definition of a “countable resource” and therefore may not be relied upon by ODHS as a reason for denying Young’s Medicaid application. For the reasons that follow, we agree.

The stated purpose of the Medicaid program is to provide assistance to financially needy citizens in their efforts to procure adequate health care. Ohio Adm.Code 5101:l-39-01(A). In view of this objective, ODHS promulgated regulations, consistent with federal law, which limit the available resources an individual may have if he or she is to receive Medicaid. Former1 Ohio Adm.Code 5101:1-39-05 provided in pertinent part:

“(A) There are certain restrictions of value placed upon an applicant/recipient’s resources in medicaid. There is an overall maximum placed upon total nonexempt resources, which is termed the resource limitation. * * *
a % * *
“(4) ‘Resources’ are defined as those assets, including both real and personal property, which an individual or couple possesses. * * *
“(5) ‘Personal property’ is defined as those resources that are available for the support or maintenance of a person’s physical needs or medical care.
“(6) ‘Countable resources’ are those resources remaining after all exemptions have been applied. These nonexempt resources are applied, or counted, toward a resource limitation; thus, these nonexempt resources are termed countable.
“(7) The ‘resource hmitation’ is the overall maximum value placed upon an applicant/recipient’s total countable resources. For an individual, the resource limitation is one thousand five hundred dollars. * * *
“(8) Only those resources in which an applicant/recipient has a legal interest and the legal ability to use or dispose of are counted. If both legal interest and ability to use or dispose of the resources do not exist, the value of the resources is not counted.”

The dispositional language of the trust at issue in this litigation provides:

“(1) The share to be held for Grantor’s daughter, JANET LEE YOUNG, shall be held, managed and distributed by the Trustee as follows: The Trustee shall [549]*549pay such amounts of the net income and, if necessary, principal of this Trust as she deems necessary for the benefit of JANET LEE YOUNG, provided, however, that the Trustee shall not make any distributions of income or principal for the benefit of JANET LEE YOUNG which shall render her ineligible or cause a reduction in any benefit she may be entitled to receive, including, but not limited to, the following: institutional care provided by the State or Federal government, Social Security, Supplementary Security Income, Medicare, and Medicaid. * * * Distributions of income or principal to or for the benefit of JANET LEE YOUNG shall be made liberally and generously, but not for the purpose of providing for anything which could otherwise be provided for her by governmental or other assistance.”

The language of the trust instrument clearly prohibits the trustee from making distributions which would result in a reduction in benefits or elimination of Young’s Medicaid eligibility. The restriction, however, was held unenforceable by the trial court on the grounds that it was an attempt to force Medicaid to accept primary liability for Young’s nursing facility expenses despite the existence of substantial personal financial resources. The trial court found the enforcement of such a provision to be against public policy and therefore found that term of the trust instrument to be unenforceable.

Under R.C. 119.12, the court of common pleas must review an agency order to determine whether “the order is supported by reliable, probative, and substantial evidence and is in accordance with law.” Applying this standard, the trial court affirmed the administrative decision and held the trust provision unenforceable as a violation of public policy. In reversing the trial court, the court of appeals concluded that no public policy considerations rendered the trust provisions unenforceable.

ODHS argues that the court of appeals’ holding must be reversed because it thwarts the fundamental purpose of Medicaid, which is to help those who are truly needy. ODHS also asserts that the appellate court’s interpretation will, if upheld, permit all citizens to restrict the availability of their assets and defeat the Medicaid eligibility criteria, converting Medicaid from a safety net to an estate planning tool for the wealthy and middle income persons. Therefore, ODHS urges that the court of appeals be reversed and the trust provision held unenforceable as contrary to important public policy. We do not agree.

The primary responsibility for the support of an individual lies with that individual, and a trust created for the benefit of an individual will be considered an available resource upon application for Medicaid unless the applicant’s access to the trust principal is restricted. Former Ohio Adm.Code 5101:l-39-271(E). This principle is well established and is not disputed by Young. It is Young’s position, however, that her use of and access to the trust is restricted.

[550]*550It is axiomatic that a grantor may dispose of his or her property in any manner chosen so long as the disposition is not prohibited by law or public policy. Neither party to this dispute contends that George Albright was under any obligation to provide for the support of his adult child. Had Albright not chosen to establish the trust and name his daughter beneficiary, there would be no question as to her eligibility to receive Medicaid benefits.

Though the issue before us is one of first impression in Ohio, the majority rule from other jurisdictions appears to hold that if the purpose of a trust is to supplement rather than supplant Medicaid (or other government benefit programs), the instrument will be enforceable as drafted. See Trust Co. of Oklahoma v. State ex rel. Dept. of Human Serv. (Okla.1991), 825 P.2d 1295; Tidrow v. Dir. of Family Serv. (Mo.App.1985), 688 S.W.2d 9.

In Tidrow, the trust at issue was created by a father for the benefit of a retarded adult son. The instrument in Tidrow, a testamentary trust, contained language expressing the settlor’s intent “that payments from the trust to or for [the beneficiary] were to supplement, rather than supplant, the benefits to which [the beneficiary] would otherwise be entitled.” Id. at 12. The language of the trust instrument was less restrictive than in the case at bar, yet the court held that the intent of the settlor was controlling, and found that his intent was to supplement state support. Id.

Evidence of the intent, in Tidrow,

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Bluebook (online)
668 N.E.2d 908, 76 Ohio St. 3d 547, Counsel Stack Legal Research, https://law.counselstack.com/opinion/young-v-ohio-department-of-human-services-ohio-1996.