Westberry v. Fisher Plaintiffs' Brief
Public Court Documents
January 1, 1969
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UNITED STATES DISTRICT COURT
DISTRICT OP MAINE
SOUTHERN DIVISION
RICHARD A. WESTBERRY, ET. ALS.
Plaintiffs
CIVIL ACTION
No. 10-80
DEAN FISHER, M. D . , ET ALS.
Defendants
PLAINTIFFS' BRIEF IN SUPPORT OF THEIR CLAIM
FOR"BENEFITS' ILLEGALLY WITHHELD AND FOR DAMAGES
Donald F. Fontaine
156 Danforth Street
Portland, Maine 0*1101
William L. Robinson
10 Columbus Circle
New York, New York 10019
Attornevs for Plaintiffs
UNITED STATES DISTRICT COURT
DISTRICT OP MAINE
SOUTHERN DIVISION
RICHARD A. WESTBERRY, ET. ALS.
Plaintiffs
CIVIL ACTION
No. 10-80
DEAN FISHER, M. D . , ET ALS.
Defendants
PLAINTIFFS' BRIEF IN SUPPORT OF THEIR CLAIM
FOR BENEFITS ILLEGALLY WITHHELD AND FOR DAMAGES
Donald F. Fontaine
156 Danforth Street
Portland, Maine 0*1101
William L. Robinson
10 Columbus Circle
New York, New York 10019
Attorneys for Plaintiffs
TABLE OF CONTENTS
Page
TABLE OF AUTHORITIES...................................... ill
ARGUMENT....................................................... 1
I INTRODUCTION ................................... 1
II DEFENDANTS MUST RELEASE BENEFITS
WRONGFULLY WITHHELD............... 2
a) Federal and State Administrative
Regulations Require payment of
benefits wrongfully withheld.............2
b) Federal and State Decisions support
plaintiff’s claim to benefits
wrongfully withheld....................... 6
III 4 U.S.C. §1983 REQUIRES DEFENDANTS TO
RECOMPENSE PLAINTIFFS FOR INCOME LOST
C O M P LICATION AND THREATENED APPLICATION
OF T H E ~ I X I M U M BUDGET REGULATIONS.......... .9
IV PERSONAL LIABILITY OF THE DEFENDANTS.......11
V CONCLUSION .....................................16
ii
T A B L E O F A U T H O R I T I E S
CASES Page
Board of Social Welfare v. Los Angeles County,
27 Cal. 2d 90, 162 P. 2d 630 (1945). ,. . . . . ,............ 7- 8
Board of Trustees of Arkansas A & M College v.
Davis, 396 FT 2d 730 (3th Cir. 1968)....................1 2 , 13
Chambers v. Henderson County Board of Education,
364 F. 2d 139 (4th Cir. 1966)............................ 10
Department of Employment v. United States,
385 U.S. 355 (1966)... ........... . ....................... 7
Ex parte Young, 209 U.S. 123 (1907).................... 12
Ferguson v. N o e , 364 S.W. 2d 650 (Xy. 1963)............ 7
Gregoire v. Biddle, 177 F. 2d 579 (2nd Cir.
1949), cert, d e n . , 339 U.S. 949 (1550)..................11
Hill v. Franklin Countv Board of Education,
Nos. 17647 , 17640 ■ and“17649 (6th Cir. decided
February 20 , 1968)................. . ...................10
Hogue v. Commissioner of Economic Security,
407 S.U. 2d 437 (Ky. 1366)............... ................ 7
Johnson v. Branch, 364 F. 2d 177 (4th Cir. 1966)...... 9, 10
Lane v. Wilson, 307 U. S. 268 (1939)...................15
Michaud v. City of Bangor, 159 Me. 491, 196
A. 2d 1C6 (1963) ... ...................... ................. 15
Monroe v . Pape, 365 U.S. 107 (1960)..................... 11
Norton v. .IcShane, 332 F. 2d 855 (5th Cir. 1964),
Cert, den. ̂ 330 U.S. 981 (1965)..........................11
Pierson v. Ray, 386 U.S. 550 (1967)..................... 13, 14
Public Utilities Commission of Ohio v. United
States Fuel Gas Co.' 317 U.S. 456 (1943)............... 4
Rolfe v. County Board of Education, No. 17498
(6th Cir. decided February 19, 1968) . ................. ..10
iii
Sherbert v . Verner, 374 U.S. 390 (1963).................. 7
Smith v. Board of Education of Horrilton
County^ 365 F . 23 77 0 (8th cir . 1966) . . ........ -........ 10
Thompson v . Shapiro, 270 F. Supp 331 (D.C. Conn.
1967), prob. juris. Noted, 19 L.Ed. 820 (1968).......... 6 , 9
Thorpe v. Housing Authority, ___ U.S.___ , 37 U.S.L.W.
4068 (1969) . .......................... -........ ......... * • • 4 f 5
United States v. Alabama, 362 U.S. 602 (1959)........... 4
United States v. Jefferson, 372 F „ 2d 836 (5th
Cir. 1966), aff'd en banc, 380 F. 2d. 385 (5th Cir.
1967) .............. .......................... 6
United States v. Obermeier, 186 F. 2d 243 (2nd
C i r . 1950) , cert. d e n .~ 3T0 U.S. 951 (1951)............. 6
('?all v. Stanley County Board of Education,
378 F . 2d 275 (4th Cir. 1967)... .......................... 9, 10
UNITED STATES CONSTITUTION
Eleventh Amendment ...... ...................... 12
STATUTES
42 U.S.C. § 1983 ......................... ................... 2, 9
11, 13
ME. R E V . STAT. ANN., tit.. 22, § 3351 (1964).............14
FEDERAL HANDBOOK OF PUBLIC ASSISTANCE
§ 6200 (a) (k) ,
§ 6500 (a)............................ ........... ......... 3 ' 4
MAINE PUBLIC ASSISTANCE PAYMENTS MANUAL
ChaDter II, Section C, pace 5 ....... ...................... 3, 4
15
TEXTS AND TREATISES
Emerson, Haber and Dorsen, Political and Civil
Rights in the United States (3rd ed. 196?) Vol. II.... 9
iv
Jennings, Tort Liability of Administrative
Officers, 21 Minn. L"I Rev „ 263 (1937).......................15
Prosser, Torts (2nd ed . 1555)................ ............... 15
v
UNITED STATES DISTRICT COURT
DISTRICT OF MAINE
SOUTHERN DIVISION
RICHARD A. TTESTBEP.RY, ET ALS . ) CIVIL ACTION
)
Plaintiffs ) No. 10-30
)
V o )
)
DEAN FISHER. M. D „, ET AMS. )
)
Defendants )
PLAINTIFFS' BRIEF IN SUPPORT OF THEIR CLAIM
FOP BENEFITS"'!:LLEGALLY VITIiHELr AND FOR DAMAGES
ARGUMENT
I . Introduction
This is a class action pursuant to F. R. Civ. P.
23 (b) (2 ) for a declaratory judgement that the maximum
grant' and maximum budget regulations contained in the
Maine Public Assistance Policy Manua l • Chapter III, Sec
tion A, pages 2, 4 and 5 as more particularly described
in the amended complaint, violate the Eoual Protection,
Due Process and Privileges and Immunities Clauses of the
Fourteenth Amendment to the United States Constitution,
certain provisions of Federal Civil Rights and Social Se-
-2-
curity Acts,, and certain provisions of the Maine welfare
statutes. Plaintiffs also seek injunctive relief. These
issues have been fully briefed and were araued before this
court on October 25, 1963.
This brief considers the question of damages. Cer
tain federal and state regulations and certain cases re
quire the defendant Department of Health and Welfare to
release moneys unconstitutionally withheld. (Point II).
A federal statute, 42 U.S.C. S 1903, in addition, requires
the individual defendants to compensate plaintiffs in the
same amount and for the damages sustained as a result of
the illegal action. (Point III). Neither the Eleventh
Amendment to the United States Constitution, nor the doc
trine of sovereign immunity, bars this relief against the
defendants. ITor are the individual defendants personally
immune u.naer re : nt case law. (Point IV) . The conclusion
is that this court may order the defendants to compute
damages with each member of the class in his individual
circumstances.
II. Defendants Must Release Benefits T’ronafullv withheld — ------------------------------ ——-——— ------------- - -
a) Tederal and State administrative regulations reauire
paymentcof benefits wrongfully withheld.
During the pendency of this action, administrative
regulations by the. United States Department of Health, E d u
cation and Welfare and the Maine Department of Welfare
-3
have become effective. These regulations provide for
fair hearinas ana retroactive payments of benefits
wrongfully denied. The HEW regulation is contained in
the Federal Handbook of Public Assistance and is attached
as Appendix A. It provides
f 6200 Requirements for State Plans
A state plan for . . . AFDC . . .
must provide that
(a) The State aaency will be r e
sponsible for fulfillment of fair
hearinas provisions, and shall
specify the hearing authority.
(k) Then the hearing decision is
favorable to the claimant, or when
the agency decides in favor of the
claimant prior to the hearing, the
aaency will make the correct pay
ments retroactively to the date
the incorrect action was taken.
§ 6500 Fed e r a l Financial Participation
Federal financial participation is
available in
(a) Payments made to carry out h e a r
ing decisions,- or to take corrective
action prior to the hearing, includ
ing corrected payments retroactively
to the date the incorrect administra
tive action was taken.
Handbook Transmittal Mo. 140, February
2, I960. (Effective date.- July 1, 1968)
The Maine Department of Welfare Administrative reau-
lations providing for fair hearings and retroactive pay
ments of benefits wrongfully witheId nrovide
-4-
If the agency's original action is
reversed or in any other way nodified’
causing a decision favorable to the
claimant, the agency will take im
mediate steps to insure that within
the CO day period that corrected pay
ments are made retroactively to the
date the incorrect action was taken
or to the date of application, which
ever was later. J. -aine Public As
sistance Payments Manual C h „ I ,
Section C, p. 5 fp.ev. 7/1/63) .
Numerous decisions of the United States Supreme Court
hold that a court must apply the law in effect at the
tine it renders decision. Thorpe v. Housing Authority,
Ho. 20, decided January 13, I960 United States v. Ala
bama , 362 U.S. 602 (1959) Public Utilities Commission
of Ohio v. United States Fuel has C o ., 317 U.S. 456 (1943)
In Thorpe the court held that the Housing Authority for
the City of Durham was obligated to follow eviction pro
cedures contained in a regulation enacted by the Depart
ment of Housing and Urban Development while the case was
on appeal. The court wrote
Chief Justice Marshall explained the
rule over 150 years ago as follows:
[I]f subsequent to the judge
ment and before the decision
of the appellate court, a lav;
intervenes and positively
changes the rule which gov
erns, the law must be obeyed
or its obligation denied.
If the lav; be constitution
al, . . .1 know of no court
which can contest its obli
gation. It is true that in
mere private cases between
-5-
inclivicluals, a court will and
ought to struggle hard against
a construction which will, by
a retrospective operation, af
fect the rights of parties,
but in great national con
cerns . . . the court must d e
cide according to existing
lavs, and if it be necessary
to set aside a judgement,
rightful when rendered but
which cannot be affirmed but
in violation of law, the
judgement must be set aside.
This same reasoning has been applied
where the change was constitutional,
statutory, and judicial. Surely it ap
plies with equal force where the change
is made by an administrative acrencv act
ing pursuant to legislative authorization.
L v7. 406S (1965), footnotes omitted.
This court- which has not yet rendered a decision
in the instant case is a fortior required to give effect
to the HE '/7 and state regulations and order defendants to
grant plaintiffs corrected payments to the date the in
correct administrative action vas taken.
Even if the court rejects plaintiffs argument that
it is bound to give effect to the federal and state regula
tions, the regulations lend strong persuasive support for
the position that the court should award plaintiffs retro
active payments of benefits wrongfully withheld back to
the date the incorrect action was taken. In these rerrula
tionsf the state and federal agencies responsible for ad
ministering the AFDC program recognize the recipient's
-G-
right to receive benefits wrongfully withheld retroac
tively to the date the incorrect action was taken. Ad
ministrative reaulations are presumed valid and the court
should give areat weight to the regulations of the
agencies responsible for administering the program, in
question. United States v. Obermeier, 13 6 F . 2d. 243 (2nd
Cir. 1950) cert. den. 340 U.S. 951 (1951) United States
v. Jefferson, 372 F.2d. 336 (5th Cir. 1966) , a f f ‘d en banc,
330 F.2d. 395 (5th Cir. 1967). cert. den. sub. n o n .,
Caddo Parish School Board v. United States, 339 U.S. 340
(1967). Plaintiffs submit that the court should adopt
the rationale of the federal and state regulations and or
der retroactive payment of benefits wrongfully withheld
back to the date the incorrect actions were taken pursuant
to the maximum budget and maximum grant regulations.
(b) Federal and State decisions support plaintiffs' claim
to benefits vronafully withheld.
Decisions of federal courts support plaintiffs'
claim to retroactive payments for benefits wrongfully with
held .
In Thonpson v. Uhap i r o , 27 0 F. Supp 331 (D.C. Conn.)
prob. juris, noted, 19 L.ed 2d 320 (1963). the case most
similar to the case at bar, a three-judge district court
declared unconstitutional the Connecticut statutes reguir-
-7~
ing a fartilv to reside in the state for one full year
prior to receipt of ADC payments. Significantly, the
court also awarded plaintiff retroactive payment of moneys
unconstitutionally withheld because of the unconstitutional
statutes. See Sherbert v . V e r n e r • 374 U.S. 398 (1S63) c f .
Department of Emplovr.ent v. United States, 38 5 U.S. 3 55X 7 7
(1966) .
Decisions by the highest courts in several states
also support plaintiffs ; prayer for retroactive payments
back to the date the incorrect action was taken. board of
Social T7elfara v. L03 Angeles County, 20 Cal. 2d 90, 162
p „ 2d 630 (1945) Perguson v. doe 3C4 S.T’. 2d 650 (Kv. 1963)
Hogue v. Commissioner of Economic Security, 407 S.I7. 2d 437
(Ky. 1965).
In Board of Social welfare v. Los Angeles County,
supra, the Supreme Court of California considered several
cases involving a claim for retroactive payments and issued
a peremptory writ of mandate ordering the county board to
make assistance payments retroactive to the date the reci
pients were erroneously denied public assistance. In ana
lysing one of the cases the court wrote
1./ Liability to make payment of moneys unconstitutionally
withheld may also be based on 42 U.E.C. § 1983. See Point
III of this Brief.
-8
In the case now before us we are of
the view that the provisions for appeal .
to the State Social Welfare Board and
for the payments, if awarded, to com
mence from the date the applicant was
first entitled thereto' likewise sub
serve a clear public purpose by se
curing to those entitled to aid the
full payment thereof from the date
*** [they were] first entitled there
to regardless of errors or delays
by local authorities. It was the
mandatory duty of the county to fur
nish aid according to the plan there
for which is laid down bv the ap
plicable provisions of the v’elfare
and Institutions Code [citations
omitted]. The obligation to may
became a debt due from the county!to
the applicant as of the date the lat
ter was first entitled to receive
the aid [citations omitted]. The
bare fact that an applicant has by
one means or another managed to ward
off starvation pending receipt of the
pavments to which he was previously
entitled provides no sufficient ex
cuse for a county to refuse to make
such payments. To hold otherv/ise
wou l d , as suggested by petitioner
herin, pro/ide a money-saving device
for tiie counties at the expense of
these of our citizenry least able to
bear the burden thereof.
165 p. 2d at 633.
T h u s , federal and state decisional lav; supports
plaintiffs' claim for benefits wrongfully denied.
Plaintiffs submit that this court should adopt the
rationale of’ other federal courts and of the Supreme Courts
of California and Kentucky and exercise its broad equity
powers to order the Commissioner of Welfare to award retro
active payment of the benefits wrongfully withheld pursuant
to the maximum grant and maximum budgeted requirements regu
lations .
-9-
III. 42 U.S.C. § 1933 Requires Defendants to Recompense
Plaintiffs for Income Lost by Application and
Threatened Application of the Ilaximun Budget P.egu-
latxons.
The purpose of § 1983 is to put the injured party
in the position they would have held but for the constitu
tional action of persons acting under color of state lav;.
§ 1983 provides that:
Every person , who, under color of any
statute, ordinance, custom or usage of
any State subjects, or causes to be
subjected, any citizen of the United
States or other person within the
jurisdiction thereof to the depriva
tion of any privileges or immunities
secured by the Constitution or lav;,
shall be liable to the party .injured
in an action at law, suit in equity, < :
or other proper proceeding for re
dress. (R.S. 1979 Force Act of 1871,
17 Stat. 13.) Emphasis added
Federal courts have frequently awarded money damages
to oersons deprived of thier privilecres and immunities in
£_• /
violation of § 1933. In Johnson v. Branch, 364 F. 2d 177
(4th Cir, 1966), the court, finding that the school board
had refused to renew the contract of a Negro teacher because
of her civil rights activities, remanded the case directing
the district court to order the board to renev; her contract
and determine her damages. In Uall v. Stanley County Board
2./ Thompson v . Shapiro, surra.: See generally, Emerson,
Haber and Dorsen, Political and Civil Eights in the United
States, (3rd Ed. 1367, Little, Brown and"Co., Poston)
Vol. II, pp. 1447-1454.
“10-
of Education,, 378 F.2cl 275 (4tii C i r . 1557), the court found
that Mrs. Mali, a Negro teacher, was refused employment by
the Stanley County Board of Education because of her race.
The court ordered the board to put her bach on the roster
of teaching applicants and that she be given objective con
sideration for employment and further ordered the board to
pay her damages for her loss of earnings;
Mrs. Nall managed to secure employ
ment elsewhere for the school year
1965-66. Proper damage elements
will include salary differences, if
any, and moving expenses to her new
residence. If she should be re-em--
ployed in the Stanley Countv system
for the school year 1967-60, she
should also be awarded the reasonable
expense of moving back to Stanley
County. 37 8 F2d at 27 3 3_./.
In the instant case, plaintiff, June Martin, qualified for
and willing to accept work as a nurse's aide which was a •
vailable in the community, was prevented from continuing
her employment by virtue of the enforcement of the maximum
budgeted requirements regulation just as the Negro teachers
in Johnson v. Branch, supra. and Wall v, Stanley, supra,
were prevented from working by the actions of the school
board. (Defendants5 Answer, Para. 12). Plaintiffs --Submit
that the court should similarly require the Commissioner of
Welfare to recompense her for her lost earnings.
3 / Additional cases awarding damages under £ 1583 to Negro
teachers refused employment because of their race a r c • Hill v.
Franklin County Board of Education Nos. 17647, 1764 3 and
1764 9 (6th Cir. decided Feb. 20. 1968) Folfe- v . Countv Board
of Education, No. 17456 (6th Cir. decided "Feb"." 19, i960) •“ —
Smith v. Board of Education of Morrilton County, 3G5 F.2d. 770
(8th Cir.. 1966)° Chambers v. Henderson County Board of E d u
cation, 364 F. 2d 1C? (4th C i r . 1966) .
11
Other members of the class have also suffered in
jury as a result of the challenged regulations. For ex
ample, some persons, precluded from receiving AFDC
assistance solely because of the maximum budget regulation?
are unable to receive medicaid and must obtain loans or for
go other necessities to obtain medicare and meciical car^.
These injuries and the resulting damages will, o£ course?
vary for each individual member of the class, however,
the defendants are personally liable for such damages under
§ 1933 . See PointjV of this brief.
IV. Personal Liability of the Defendants:
Once a cause of action has been proved under 4 2 U.S.C.
§ 1933 - Congress has plainly authorized damages against the
defendants as well as injunctive relief. Persons are
liable to the partv injured in an action at law. 42 U.S.C.
c 1983„ This section does not include federal offices.
Gregoire v. Biddle? 177 F„ 2d 579 (2nd Cir. 1949)... cert. d e n .
339 u.S. 942 (1350) Horton v. lie Shan e ,, 332 U.S. 931 (1365) .
But it does include the actions of the state officers whether
or not their acts are authorized by state lav7. Monroe v .
Pape, 365 U.S. 107, 184-137 (1960). It is sufficient that
the allegedly illegal act was made possible only because
the wrong.doer was clothed with the authority of state law.
The acts of the defendants in the instant case are
not immunized from liabilities because tney were exercising
-12-
the sovereign power of the state, since the state cannot
afford one immunity to violate the United States Consti
tution, Ex parte Young , 20? U.S. 123 (1907). Board of
Trustees of Arkansas A £ ?■ College v. Davis, 396 F. 2d 730
(3th Cir. 1963). The latter case was an action by a former
faculty member against a beard of trustees of a state college
for damages following the termination of plaintiff;s status
as a faculty member. A three-circuit judge court held that
the suit was not barred by the Eleventh Amendment. It
wrote 1
Plaintiff does not dispute that Arkan
sas A €i ] 1 College is a state agency.
He- stands on the proposition, how
ever, with which we agree, that sov
ereign immunity does not extend to
state or federal officials who act
beyond their authority or in viola
tion of the United States Constitu
tion .
The foundation case is Ex parte
Young, 209 U.S. 123, S. Ct. 441, 52
D.Ed. 714 (1903), where the Supremo
Court held that a suit against the
Attorney General of Minnesota to en
join the enforcement of an unconsti
tutional state statute did not violate
the prohibition of the Eleventh Amend
ment. In rejecting the claim of
state immunity the court announced
this basic principle,
The act to be enforced is alleged
to be unconstitutional, and if it
be so, the use of the name of the
state to enforce an unconstitution
al act to the injury of complain
ants is a proceeding without the
authority of and one which does
not affect the state in its
-13-
sovereign or governmental
capacity. It is simply an i l
legal act upon the part of a
state official in attempting,
by the use of the name of the
state, to enforce a legislative
enactment which is void be
cause it is unconstitutional.
If the act which the state at
torney general seeks to en
force be a violation of the
Federal Constitution, the of
ficer, in proceeding under such
enactment, comes into conflict
with the superior authority of
that Constitution, and he is
in that case stripped of his
official or representative
character and is subjected in
his person to the consequencas
of his individual conduct. The
state has no power to impart to
him any immunity from respon
sibility to the supreme
authority of the United States.
396 F. 2d 730, 732 (8th Cir.
1S68), footnotes omitted.
The general rule, therefore, of 42 U.S.C. § 1983 is
personal liability. The exception is immunity. Recently,
the United States Supreme Court in Pierson v. R a y , 386 U.S.
550 (1867) ha3.d a Mississippi police officer immune from
personal tort liability for false arrest where he has acted
with probable cause and good faith under an act he reason
ably believed to be constitutional. The court w r ote:
A policeman's lot is not so unhappy
that he must choose between being
charged with dereliction of duty if
he does not arrest when he has pro
bable cause, and being mulcted in
damages if he d o e s . Although the
-14-
matter is not entirely free from doubt
the same consideration would seen to
require excusing him from liability
for acting under a statute that he
reasonably believed to be valid but
that was later held unconstitutional,
on its face or as applied. 386 U.S.
at 555. (Footnote omitted).
Defendant Fisher, Commissioner of the Depart-ent of
Health and Welfare, however, is in an entirely different
position that was officer Fay. Fisher was not required by
state statute to deprive plaintiffs of moneys, whereas officer
Ray was required to make an arrest. On the contrary, de
fendant Fisher promulgated and approved the very regulations
that were used as the basis of depriving plaintiffs herein,
although he had the power and the duty to make . . . neces
sary rules and regulations for the administration of this aid.
that were legal and constitutional. ME. REV. STAT. ANN.
tit. 22, § 3351 (1964). Accordingly, the commissioner should
not be given the benefit of the Pierson doctrine. Even if
he receives benefit of the Pierson doctrine, the commissioner
should be held to a higher standard of reasonableness.
Plaintiffs concede that the spirit of Pierson v. R a y ,
supra., would seem to immunize defendant social workers
Tierney, Jenny, Holloway, and Smith, who were faced with the
possible choice of following the Department's regulations or
dereliction of duty. However, it is far from clear that at
common law such lower echelon administrators would be immune
-15-
from liability. Lane v. Wilson, 307 U.S. 268 (1939) Proeser.
Torts 732-733 (2d. ed_._1955) _ Jennings, Tore Liability of A d
ministrative Officers, 21 WINN. L. REV. 263 (1937). It is
clear that the liability of both Commissioner Fisher and the
other defendants will turn upon the reasonableness of their
action as revealed by all the facts. Defendants have pleaded
no facts that entitle them to immunity, except that the state
is entitled to spend its welfare money the way it chooses.
See Brief of Defendants. July 10, 1968, pp. 3-6. If this
were the basis of defendant's action, it is as a matter of
law unreasonable and lends no immunity to them.
Not only are the individual defendants not immune as
agents of the sovereign, but to the extent of moneys wrongfully
withheld, the State of Maine has waived its sovereign immunity
and consented to suit. It has adopted regulations allowing
retroactive corrected payments and authorized judicial review
of fair hearing decisions. See Point II of this Brief and
Maine Public Assistance Payments Manual, Ch. I, Section C n. 5.
Maine law itself permits recovery against the sovereicn for
torts which high administrative officials direct. Michaud v .
City of Bangor, 159 Me. 491, 196 A. 2d 106 (1963).
- 16-
V. Conclusion:
For the reasons stated in the foregoing memorandum,
the court should rule that the defendants are liable to
return moneys illegally withheld and to comnensate plaintiffs
for damages sustained. Further, the court should order
defendants (1 ) to notify all members of the class of the
courts' decision in this case; (2 ) to invite said persons
to confer with the department: (3 ) and to compute with each
such person a just and reasonable amount of compensation
for said damage.
Respectfully submitted,
Donald F. Fontaine
William L. Robinson
Handbook of Public Assistance Administration
Part IV Eligibility, Assistance,, and Services
------------------- “ 2/0/00Table of Contents - IV-6000
Fair Hearings
Provisions of the Act
Requirements for State Plans
Criteria for the Administration of the Plans
Interpretation
(a) Opportunity for a Fair Hearing
(b) Publication of Hearing Procedures
(c) Informing the Claimant of His Right
to a Hearing
(d) Convenience of the Claimant Considered
(e) Impartiality of Official Conducting the Hearing
(f) Impartiality of the Hearing Authority
(g) Prompt, Definitive, and Final Action
(h) Opportunity to Examine the Official Record
(i) Judicial Review
6000
6100
6200
6300
6 ^ 0
Federal Financial Participation 6500
Handbook of Public Assistance Administration
Part IV
6000-6999
Eligibility, Assistance,
Fair Hearings_______________
and Services
______2/ f i M
6000. Fair Hearings ;
6100. Provisions of the Act
(a) Sections 2(a)(4), 402(a)(4), 1002(a)(4), 1402(a)(4), and
1602(a)(4) read as follows;
"A State plan . . . must . . .
"provide for granting an opportunity for a fair hearing
before the State agency to any individual whose claim
for . . . ^aid or assistance under the plan7 is denied
or is not acted upon with reasonable promptness."
(b) Sections 6(a)(5), 4o6(b)(2)(E), 1006(5), 1405(5), and
1605(a)(E) authorize Federal financial participation in
protective payments "but only with respect to a State
whose State plan . . . includes provision for . . .
"opportunity for a fair hearing before the State agency on
the determination . . . Jot need for protective payment^
for any individual with respect to whom it is made."
6200. Requirements for State Plans
A State plan for OAA, AFDC, AB, APTD, or AABD must provide that:
(a) The State agency will be responsible for fulfillment of
fair hearings provisions, and shall specify the hearing
authority.
(b) An opportunity for a fair hearing before the State agency
will be granted to any individual requesting a hearing
because his claim for assistance is denied, is not acted
upon with reasonable promptness, or because he is aggrieved
i by any other agency action affecting his receipt or
termination of assistance, or by agency policy as it affects
his situation.
(c) Decisions by the hearing authority, rendered in the name of
the State agency, will be binding on the State and local
I agency. The State agency will establish and maintain a
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6200. Requirements for State Plans ((c) Continued)
method for informing, at least in summary form, all logfel
agencies of all fair hearing decisions by the hearing
authority, and the decisions will be accessible to the claiman ,
their representatives, and the public (subject to provisions
relating to safeguarding public assistance irjformation).
(a)
(e)
( f )
The hearings will be conducted by an impartial official
(or officials) of the State agency.
Hearing procedures will be issued and publicized by the
State agency for the guidance of all concerned.
Every claimant will be informed in writing at the time of
application and at the time of any agency action affecting
his claim
( 1)
(2)
(3)
of his right to a fair hearing;
of the method by which he may obtain a hearing;
that he may be represented by others including legal
counsel; and
( k ) of any provision for payment of legal fees by the agency.
(g) The hearing will be conducted at a time, date, and place
convenient to the claimant, and adequate preliminary written
notice will be given.
(*) When the hearing involves medical issues, a medical assess
ment other than that of the person o<r persons involved in
making the original decision will be obtained and made a
part of the record if the hearing officer or the appellant
considers it necessary.
(i) The claimant or his representative will have the opportunity
(l) to examine all documents and records used at the hearing;
(2) at his option, to present his case himself or with the
aid of others, including legal counsel;
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6200. Requirements for State Plans ((i) Continued) ^
(3) to bring witnesses;
(U) to establish all pertinent facts and circumstances;
(5) to advance any arguments without undue interference;
and
(6) to question or refute any testimony or evidence.
(j) Prompt, definitive, and final administrative action will
be taken within 60 days from the date of the request for
a fair hearing. The claimant will be notified of the
decision, in writing, in the name of the State agency and,
to the extent it is available to him, of his right to
judicial review.
(k) When the hearing decision is favorable to the claimant, or
when the agency decides in favor of the claimant prior to
the hearing, the agency will make the corrected payments
retroactively to the date the incorrect action was taken.
| (l) The hearing officer's (or panel's) recommendations shall
be based exclusively on evidence and other material
introduced at the hearing. The verbatim transcript of
testimony and exhibits, or an official report containing
the substance of what transpired at the hearing, together
with all papers and requests filed in the proceeding, and
the hearing officer's or panel's recommendations, will
( constitute the exclusive record for decision by the hearing
f , authority and will be available to the claimant at a place
V accessible to him or his representative at any reasonable
time.
6300. Criteria for the Administration of the Plans
(a) The State agency establishes policies and procedures that
carry out the purpose and provisions of this policy and
that assure equity of treatment in relation to the laws and
standards pertaining to assistance.
The State agency takes the necessary steps to see that there
is uniformity in the application of agency policy in similar
situations.
(f
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6300. Criteria for the Administration of the Plans (Continued)
y(b) A request for a hearing is considered as any clear
expression (oral or written) by the claimant (or person
acting for him, such as his legal representative, relative,
or friend) to the effect that he wants an opportunity to
present his case to higher authority. The freedom to make
* such a request is not limited or interfered with in any way,
and agency emphasis will be on helping the claimant in sub
mitting and processing his request, and in preparing his
case, if needed .
(c) Opportunity for a fair hearing includes:
(1) Consideration of any action, or failure to act with
reasonable promptness, on a claim for assistance
which includes undue delay in reaching a decision on
eligibility or in making a payment, refusal to con
sider a request for or undue delay in making an
adjustment in payment, and suspension or discontinuance
of assistance in whole or in part:
(2) Consideration of the agency's interpretation of the
law, and the reasonableness and equitableness of the
policies promulgated under the law, if the claimant
is aggrieved by their application to his situation;
(3) Consideration of agency decisions regarding;
(i) Eligibility for assistance in both initial and
subsequent determinations,
(ii) Amount of assistance or change in payments,
(iii) The manner or form of payments, including restricted
or protective payments, even though no Federal
financial participation is claimed, and
(iv) Conditions of payments, including work require
ments .
(d) Provision is made for reasonable time in which to appeal
agency action.
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6300. Criteria for the Administration of the Plans (Continued^
(e) Final administrative action is taken within the 60-day
limit (IV-62OO, item j), except that where the claimant
requests a delay in the hearing in order to prepare his
case or for other essential reasons, reasonable time is
given and such extra time may be added to the 60 days.
(f) The agency does not deny or dismiss a request for a
hearing except where it has been withdrawn by the clainant
in writing or abandoned.
A request for a hearing is considered abandoned only if
neither the-claimant nor his representative appears at the
time and place agreed upon for the hearing, and if within
a reasonable time after the mailing of an inquiry as to
whether he wishes any further action on his request for a
hearing, no reply is received by either the local or State agency.
(g) The hearing authority may be the highest executive officer
of the State agency, a panel of agency officials or a
hearing officer appointed for that purpose, but no person
who participated in the local decision being appealed will
participate in a final administrative decision on such
case. The hearing authority is responsible for a final
administrative decision in the name of the State agency on
all issues that have been the subject of a hearing. The
decision of the hearing authority is binding on the State
and local agency. The State agency is^responsible for
seeing that the decision is carried out promptly.
Insofar as may be applicable, a decision in favor of the
claimant applies retroactively to the date the incorrect
action was taken, and also applies prospectively.
(h) The impartial official (or officials) of the State agency
who is responsible for conducting the hearing has not been
involved in any way with the action in question.
(i) The issuance of hearing procedures is in the form of rules
and regulations, or in some other form in which they will be publicized.
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6300. Criteria for the Administration of the Plans (Continue^)
(j) Written notification and, to the extent possible, oral
explanation of the right to and procedure for requesting
a fair hearing are given at the time of application.
Written notice, and oral explanation as necessary, are
1 given at the time of any agency action affecting the claim
for assistance, including change in or termination of
assistance.
(k) Individuals are informed of their right to be represented
at fair hearings by others. At his option, the claimant
may be represented by legal counsel or by a relative,
friend or .other spokesman, or may represent himself.
(l) The convenience of the claimant is considered in setting
the date, time, and place for the hearing. Notice is
given in writing with adequate preliminary information
about the hearing procedure necessary for his preparation
for the hearing and effective presentation of his case. He
is advised as to the use of witnesses and legal counsel or
other representative, as well as any procedure or financial
provisions for obtaining legal representation, including
availability of fees for legal counsel from the agency.
(m) When an assessment by a medical authority, other than the
one involved in the decision -under question, is. requested
by the claimant, it is obtained, at agency expense, from
a medical source satisfactory to the claimant. The hearing
officer can also consider the physician's report in the
record for can request additional evidence. The assessment
of such medical authorities will be reported in writing or
by: personal testimony as an expert witness for the hearing
record.
(n) The claimant or his representative has adequate opportunity
to examine material that will be introduced as evidence
prior to the hearing as well as during the hearing, to give
all the evidence on points at issue he believes necessary
without undue interference, to ask for substantiation of any
statements made by others, and to present evidence in re
buttal .
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^300. Criteria for the Administration of the Plans (Continued)
(o) Non-record or confidential information which the claimant
does not have an opportunity to hear or see is not made a
part of the hearing record or used in a decision on the
appeal. The hearing officer does not review the case
record, or other material prior to the hearing unless such
material is made available to the claimant or his
representative.
6^0 0. Interpretation
(a) Opportunity for a Fair Hearing
Fair hearing procedures, including the conduct of the
hearing, are designed to assure the right of every claimant
to demand and obtain a fair hearing. The claimant’s
freedom to request a hearing, whenever he believes that
proper consideration has not been given to al] the circum
stances surrounding his claim, is a fundamental right and
is not to be limited or interfered with in any way.
Since, under the Federal act and the State plan, every
^-SS^i^ved claimant is entitled to the opportunity for a
hearing, only the claimant may withdraw his request for a
hearing and this is to be in the form of a written withdrawal .
Effective complaint and adjustment procedures, whereby
corrective action may be easily requested and readily taken
without the need for a hearing, are necessary, when indicated.
Advance opportunity afforded the recipient to respond to
questions which could result in change of grant or termi
nation is a significant part of such procedures. So is
written, and whenever practical, oral information of the
reasons for change, denial, or termination. This is
particularly important where the agency decision is based
on judgmental factors or eligibility requirements that
entail evaluative decisions on the part of workers, as com
pared to decisions based on non-debatable facts (such as
receipt of OASI, death, etc.). However, the State and
locaL agency adjustment procedures cannot be allowed to
.interfere with the hearing process .
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6̂ -00. Interpretation ((a) Continued) y
The claimant's right to a hearing includes the privilege of
presenting his case in any way he desires. Some will wish
to tell their story in their own way, some will desire to
have a relative or friend present the evidence for them,
I and still others will want to be represented by legal counsel.
In many instances the recipient's position can best be
presented by an attorney. In order for the claimant to
I obtain an attorney, legal fees may need to be provided by
the State. Federal financial participation is available
in meeting the cost of these fees . States are urged to
provide payment for the services of an attorney, or refer
recipients to attorneys otherwise available in the comm
unity, because of the skill and knowledge of the legal,
profession in these matters. Furthermore, the claimant
may bring any witnesses he desires to help him establish
pertinent facts and to explain his circumstances.
The hearing is conducted in an informal rather than formal
court-type procedure in order to serve the best interests
of the claimant; however, the hearing is to be subject to
the requirements of due process .
(b) Publication of Hearing Procedures
The publication of hearing procedures in the form of rules
and regulations or a clearly stated pamphlet hfclpc to
emphasize the importance of the procedure. This material
is useful to applicants and recipients or to others interested
in their behalf. It contributes to the fairness of the
hearing procedure, and emphasizes that there is "due process"
( in program administration affecting the right to public
assistance.
(c) Informing the Claimant of His Right to a Hearing
Written notification of the right to a hearing may be on
the application form and other forms routinely used by the
agency which go to applicants and recipients, as well as an
explanatory pamphlet distributed by the agency. Oral
explanations should also be given regarding the policy on
hearings at intake and at time of a change in eligibility.
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6400. Interpretation ((c) Continued) ,
The purpose of informing the claimant of his right to a
hearing, in writing, and whenever practicable orally, is
to assure that the claimant fully understands this right.
This right is further assured by the agency explaining the
right to a hearing in understandable terms and in being
helpful as needed in the preparation for and conduct of
the hearing.
(d) Convenience of the Claimant Considered
The agency has not discharged its responsibility for a
hearing.unless it has taken all steps necessary to enable
a claimant who requested a hearing to attend the hearing
in person or to be represented by a person of his own
choosing. If the hearing is to be held at a considerable
distance from the locality of the claimant's residence, it
may be necessary to provide for the transportation and
other costs of the claimant, his representative, and his
witnesses.
Notice to claimant as to the hearing being scheduled in his
behalf includes information about the fair hearing as an
informal administrative procedure, in which a dissatisfied
claimant or his representative m y present his grievance
with the help of witnesses or legal representation to show
why action or inaction in his case should be corrected by
the State agency.
(•) Impartiality of Official Conducting the Hearing
The person conducting the hearing shall not have been
connected in any way with previous actions or decisions
on which the appeal is made. For example, a field super
visor who has advised the local agency in the handling of
a case would be disqualified from acting as the hearing
officer.
(f) Impartiality of the Hearing Authority
The hearing authority shall not have been directly connected
with the agency action about which the claimant is appealing.
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6U00. Interpre tat ion ((f) Continued) «
For example, a State board member who has participated as
a county board member or in another capacity in the local
action on a case would disqualify himself from rendering
a final decision on the particular case. This does not
* preclude the State director or administrative board from
signing the decision in the name of the State agency,
even though previously involved in the case.
(g) Prompt, Definitive, and Final Action
The hearing authority is responsible for rendering a con
clusive decision. When the hearing authority is different
from the hearing officer, such authority may adopt the
recommendations of the hearing officer, or reject them and
reach different conclusions on the basis of the evidence
at hand, or refer the matter back to the hearing officer
for a continuation of the hearing, because the materials
submitted are insufficient to serve as the basis for a
decision.
The State agency is responsible for assuring that the
decision is carried out. Various methods, such as a report
by the local unit to the State agency of action taken to
carry out the hearing decision or follow-up by the State
office staff, may be used. Remanding the case to the local
unit for further consideration is not a substitute for
"definitive and final administrative action."
The requirement for prompt, definitive, and final adminis
trative actfbn means that all requests for a hearing are
to receive immediate attention and will be carried through
all the steps necessary to completion. The requirement is
not met if the State agency dismisses such requests for any
reason other than withdrawal or abandonment of the request
by the claimant.
I The over-all time limit of 60 days between the date of the
request for the hearing and the date of the final adminis
trative action, will serve as one of the safeguards of
prompt, administrative action. Detailed controls of individ
ual steps in the hearing process , such as: time limits for
accepting, forwarding, and acknowledging a request for a
hearing, notice to the claimant, and date of the hearing will
facilitate proper administration of the hearing process.
Handbook of Public Assistance Administration
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6400. Interpretation (continued) f
(h) Opportunity to Examine the Official Record
The record of the proceedings at the hearing, which
constitutes the official record, is to be made available
to the claimant or his representative to examine, if he
desires. If any additional material is made a part of the
hearing record, this, too, would be made available.
(i) Judicial Review
In seme States, the right of judicial review may be
prescribed by statute specifically authorizing review of
the agency decision on the basis of the record of adminis
trative proceedings. In other States, even in the absence
of statutory provisions, a claimant may be able to invoke
the remedy of judicial review on the showing that the agency
action was "unreasonable, arbitrary, or capricious." The
content of the notice of decision, as regards judicial
review, would depend upon the kind of remedy available in
the State.
6500. Federal Financial Participation
Federal financial participation is available in:
(a) Payments made to carry out hearing decisions, or to take
corrective action prior to the hearing, including corrected
payments retroactively to the date the incorrect adminis
trative action was taken.
(b) Payments of assistance continued pending a hearing decision.
(c) Payments of assistance within the scope of the federally aided
public assistance programs made in accordance with a court
order.
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