Schwartfigure v. Hartnett, 83 N.Y.2d 296 (1994)
An administrative agency’s rigid policy of recouping overpaid benefits through a fixed percentage reduction, applied without considering individual circumstances, constitutes a “rule” subject to the rulemaking procedures of the State Administrative Procedure Act (SAPA).
Summary
Schwartfigure was overpaid unemployment benefits through no fault of her own. When she later became eligible for new benefits, the agency recouped the overpayment by reducing her new benefits by 50% according to a long-standing policy. She challenged this recoupment method, arguing it violated state law and constituted an unpromulgated rule under SAPA. The court held that while the agency had the right to recoup overpayments, the rigid 50% reduction policy was a rule that required formal promulgation under SAPA, as it was a fixed, general principle applied without considering individual circumstances.
Facts
In 1988, Schwartfigure received unemployment benefits. In December 1989, the Unemployment Insurance Appeal Board determined she was overpaid $2,112, but not due to any misrepresentation on her part. She did not appeal this determination. In January 1991, she again qualified for benefits. Starting February 1991, the agency paid her only 50% of the eligible benefits, offsetting the remaining 50% to recoup the prior overpayment. Her offer to repay in smaller installments was rejected.
Procedural History
Schwartfigure filed a hybrid declaratory judgment and Article 78 proceeding, arguing the recoupment violated Labor Law § 597(4) and the recoupment policy was an unpromulgated rule under SAPA. The Supreme Court dismissed the petition. The Appellate Division affirmed, holding a 1983 amendment restored the agency’s common-law right of setoff. The New York Court of Appeals granted leave to appeal.
Issue(s)
1. Whether the agency’s method of recouping overpaid unemployment benefits through a 50% reduction of subsequent benefits contravenes Labor Law § 597(4)?
2. Whether the agency’s 50% set-off policy for non-willful overpayments constitutes a “rule” within the meaning of the State Administrative Procedure Act, requiring formal promulgation?
Holding
1. No, because the 1983 amendment to Labor Law § 597(4) restored the agency’s common-law right of setoff to recoup funds erroneously paid.
2. Yes, because the agency’s rigid, numerical 50% set-off policy, invariably applied without regard to individual circumstances, falls within the definition of a “rule” under SAPA.
Court’s Reasoning
The court acknowledged the agency’s restored common-law right of setoff to recoup overpaid benefits. However, it distinguished between the right to recoup and the manner in which that right is exercised. The court emphasized that any procedure chosen by the agency to implement its right of setoff is subject to the rulemaking requirements of SAPA unless a statutory exception applies.
The court, citing Matter of Roman Catholic Diocese v New York State Dept. of Health, 66 NY2d 948, 951, defined a rule as “a fixed, general principle to be applied by an administrative agency without regard to other facts and circumstances relevant to the regulatory scheme of the statute it administers”. The agency’s 50% set-off policy was deemed a rigid, numerical policy invariably applied across-the-board without regard to individualized circumstances or mitigating factors.
The court rejected the argument that the policy concerned only internal management. The court reasoned that the recoupment directly and significantly affected the segment of the public over which the agency exercises direct authority. Because the 50% setoff was accomplished pursuant to an administrative rule not properly promulgated under SAPA, Schwartfigure was entitled to a determination of benefits considering her individual circumstances at the time the benefits were payable.