Rodriguez v. Perales, 86 N.Y.2d 361 (1995)
A local social services agency can only recoup interim assistance provided to a Supplemental Security Income (SSI) applicant from the initial retroactive SSI payment, not from subsequent corrective payments.
Summary
This case concerns the extent to which local social services agencies can recoup interim assistance provided to individuals awaiting the determination of their SSI eligibility. The Court of Appeals held that recoupment is limited to the initial SSI payment determined to be due, even if a subsequent recalculation results in additional retroactive benefits. The Court reasoned that the plain language of the federal statute, 42 U.S.C. § 1383(g), and the interpretation by the Department of Health and Human Services, support this limited recoupment. This decision prevents localities from claiming a share of later-issued retroactive benefits intended to correct initial underpayments, even if such a rule produces a “windfall” for the SSI recipient.
Facts
Petitioner applied for SSI in December 1987, claiming disability. While her application was pending, she received interim Home Relief assistance from the New York City Department of Social Services. In March 1990, the Social Security Administration (SSA) determined she was eligible for SSI benefits retroactive to September 1988, resulting in an initial payment of $7,652. Petitioner appealed, arguing her disability began earlier, in December 1987. The City sought to recoup the entire initial SSI payment as reimbursement for interim assistance. The SSA later agreed with the petitioner and issued an additional retroactive check for the period between December 1987 and September 1988. The City then sought to recoup a portion of this second check as well.
Procedural History
Petitioner requested a fair hearing before the State Department of Social Services, arguing the City could only recoup from the initial SSI payment. The Department rejected her argument. She then filed a CPLR article 78 proceeding challenging that determination. Supreme Court granted the petition. The Appellate Division reversed, holding that the City was entitled to reimbursement for the full amount of interim assistance provided. The Court of Appeals then reversed the Appellate Division.
Issue(s)
Whether a local social services agency’s right to recoup interim assistance provided to an SSI applicant extends to the entire amount of retroactive SSI benefits paid to the recipient, even when those benefits are paid in multiple installments due to a recalculation of the retroactive benefits due.
Holding
No, because 42 U.S.C. § 1383(g) authorizes recoupment only from the amount of retroactive SSI benefits that the SSA initially determines is due to the recipient at the time of the first payment, not from subsequent corrective payments.
Court’s Reasoning
The Court focused on the statutory language of 42 U.S.C. § 1383(g)(2), which allows recoupment from benefits “that the [Federal agency] has determined to be due with respect to the individual at the time the Secretary makes the first payment.” The Court reasoned that the phrase “determined to be due” must be given meaning and that the City’s interpretation would render it superfluous. The Court gave deference to the Secretary of the Department of Health and Human Services’ (HHS) interpretation of the statute, which supported limiting recoupment to the initial payment. The Court noted that the Social Security Act is a “scheme of cooperative federalism,” requiring localities to comply with federal regulations and rulings. The Court acknowledged the potential for a “windfall” to SSI recipients but stated that this was not sufficient reason to deviate from the statute’s plain language and the HHS Secretary’s interpretation. Furthermore, the Court emphasized the strong federal policy against attachment of SSI benefits without express legislative authority. The Court quoted Matter of Smathers, 309 NY 487, 495 stating, “It is well settled that in the interpretation of a statute we must assume that the Legislature did not deliberately place a phrase in the statute which was intended to serve no purpose * * * and each word must be read and given a distinct and consistent meaning”.