The question underlying these proceedings was whether the State must consider and pay claims submitted after the effective date of the legislative deadline for pre-2006 reimbursement claims set forth in Section 61 of the 2012 amendment to the Medicaid Cap Statute, which provides that no reimbursement claims shall be made for a category of Medicaid disability expenses paid by counties to the State prior to 2006. In these appeals, the latest round in a decade-long struggle between the counties and the State over Medicaid payments, several counties challenged the constitutionality of Section 61. The Court of Appeals held (1) Section 61 is constitutional; and (2) the State is under no obligation to address outstanding county reimbursement claims filed after April 1, 2012, and the State is not required to initiate an administrative review of its records to identify and pay for any pre-2006 claims. View "County of Chemung v. Shah" on Justia Law
Beginning in 1989, Petitioner received public assistance from New York City Department of Social Services. Petitioner gave birth to a son, Michael, the next year. Michael was added to Petitioner’s public assistance case, and Petitioner assigned her right to child support for Michael. In January 2007, the Social Security Administration (SSA) determined that Michael was eligible to receive Supplemental Security Income (SSI), retroactive to September 2005. Because Michael’s eligibility for SSI made him ineligible for public assistance, the City removed him from Petitioner’s case in January 2007 but continued to collect child support arrears that had accrued prior to January 2007. In 2011, Petitioner requested a review from the City to determine whether she was owed any excess child support payments. The City determined that it owed no payments because it had not collected sufficient child support arrears to exceed the public assistance provided to Petitioner’s household. The State confirmed the City’s determination. Petitioner then commenced this N.Y. C.P.L.R. 78 proceeding challenging Respondents’ determinations as arbitrary, capricious and erroneous as a matter of law. Supreme Court denied the petition, and the Appellate Division affirmed. The Court of Appeals affirmed on the grounds that the City had not yet collected child support arrears that exceeded the unreimbursed benefits Petitioner’s family received. View "Hawkins v. Berlin" on Justia Law
Petitioner, a New York City police officer, retired in 2004 and was awarded disability benefits. In the following years, the police department received information indicating that petitioner was not disabled; that he made false representations to the Police Pension Fund ("Fund"); and that he had ingested cocaine, thus becoming ineligible to return to duty. At issue was whether the city should continue to pay petitioner a pension. The court affirmed the Appellate Division's order annulling the termination of petitioner's pension benefits and held that the benefits can only be terminated by the trustee of the Fund, who has not taken necessary action.
Posted in: Constitutional Law, Government & Administrative Law, Labor & Employment Law, New York Court of Appeals, Public Benefits