CELINA GONZALEZ, APPELLANT,
v.
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES, APPELLEE

Fla. 1st DCA | 1989-12-07
No. 89-876
WIGGINTON and BARFIELD, JJ., concur.
558 So. 2d 32 Florida District Court of Appeal, First District (1989) Positive Treatment
Cited by 6 cases

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Synopsis

Celina Gonzalez appealed HRS's denial of restoration of AFDC and food stamp benefits lost during a 15-month processing delay after the family's move from New Jersey to Florida. The court held that HRS violated federal regulations by failing to inform Gonzalez of the waiver requirement needed to obtain immigration documentation assistance, and reversed to require full restoration of benefits.


Holding

HRS failed to comply with federal regulations and violated its affirmative duty to inform applicants about relevant eligibility requirements. The 15-month delay caused by the agency's failure to inform Gonzalez of the waiver requirement constituted exactly the type of "red flag" situation requiring agency intervention under applicable precedent and federal law. Accordingly, HRS must restore AFDC benefits from July 7, 1986 through October 1, 1987, and food stamp benefits from June 27, 1987 through October 1, 1987.


Headnotes

[1] Government agencies administering public assistance programs have an affirmative duty to inform applicants about eligibility requirements and their rights and obligations…

[2] When an applicant for public assistance faces unequivocal facts raising a red flag as to conditions of eligibility, the agency has an affirmative duty to inform the appli…

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Key Quotes

“shall be informed about the eligibility requirements and their rights and obligations under the program. Under this requirement individuals are given information in written form, and orally as appropriate, about coverage, conditions of eligibility, scope of the program, and related services available, and the rights and responsibilities of applicants for and recipients of assistance”

Federal regulation establishing the requirement that applicants be informed about eligibility requirements, which the court found HRS violated

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Facts & Procedural History

Gonzalez and her daughter Yanet came to the U.S. from Cuba in 1980 and received AFDC and food stamps in New Jersey. When the family moved to South Flo…

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Opinion of the Court
BOOTH, Judge.

BOOTH, Judge.

This cause is before us on appeal of an order of the Department of Health and Rehabilitative Services (HRS) denying appellant’s application for restoration of lost Aid to Families with Dependent Children (AFDC) and food stamp benefits. At issue is HRS’s compliance with federal regulations and Florida case law governing that agency’s duty to affirmatively assist applicants for public assistance programs. Finding that the agency has insufficiently complied, we reverse and remand with directions to restore the lost benefits.

The relevant facts are that appellant and her daughter Yanet came to the United States from Cuba in 1980. Following their arrival, they moved to New Jersey, where they received AFDC and food stamps. Appellant gave birth to another child in New Jersey. In July 1986, the family moved to South Florida and applied for the same benefits in Hialeah. What followed was a classic example of bureaucratic runaround, and for 15 months no benefits were paid for Yanet.

The Hialeah HRS office took appellant’s copies of her New Jersey paperwork. She had to reapply in Miami later that month. The Miami office told her she had insufficient documentation of Yanet’s immigration status and told her to contact the Immigration and Naturalization Service (INS). She did, but despite her repeated efforts, INS did nothing for more than a year. She also contacted New Jersey authorities but got no response. She finally received the necessary documentation in October 1987, and Yanet was added to the grant.

Appellant does not speak English. During the 15-month wait, her Spanish-speaking case workers twice told her that HRS could help her get the documents. They had her sign a form indicating she understood. They never told her, however, that she had to sign a written waiver before HRS would help. The form did not mention the waiver. Appellant testified she would have gladly signed if she had only known.

Appellant correctly argues that applicable federal regulations required HRS to inform her about the waiver requirement. The Code of Federal Regulations provides that applicants for public assistance programs

shall be informed about the eligibility requirements and their rights and obligations under the program. Under this requirement individuals are given information in written form, and orally as appropriate, about coverage, conditions of eligibility, scope of the program, and related services available, and the rights and responsibilities of applicants for and recipients of assistance, [emphasis added]

45 C.F.R. § 206.10(a)(2)(i) (1988). In Pond v. Department of Health and Rehabilitative Services, 503 So. 2d 1330 (Fla. 1st DCA 1987), this court held that where federal regulations required applicants to be informed about eligibility requirements, those regulations created an affirmative duty to inform applicants about relevant requirements when case workers were “confronted with unequivocal facts raising a red flag as to conditions of eligibility.” In Buckley v. Department of Health and Rehabilitative Services, 516 So. 2d 1008 (Fla. 1st DCA 1987), this court held that under the same regulation cited above, AFDC applicants must be “fully informed of eligibility requirements so they may change their circumstances sufficiently to comply with such requirements.”

Appellant’s repeated attempts to obtain the required documentation, her complete lack of success as the months wore on, and her inability to do anything more than she had already done created the type of “red flag” situation described in Pond. A 15-month delay is an unconscionably long time to do nothing where a child is involved, and this is exactly the kind of situation that Buckley, Pond, and federal regulations seek to avoid.

Lost food stamp benefits may be restored for a period of not more than 12 months beginning with the date the agency receives a request for restoration. 7 C.F.R. § 273.17(a)(2)(i) (1989). AFDC regu lations require full restoration of all lost benefits. 45 C.F.R. §§ 205.10(a)(18) and (b)(2) (1988), and 233.20(a)(13)(ii) (1988). Appellant requested restoration on June 27, 1988. Accordingly, we direct HRS to award AFDC benefits from July 7, 1986 through October 1, 1987, and food stamps from June 27, 1987 until October 1, 1987.

WIGGINTON and BARFIELD, JJ., concur.


Cases With Similar Vibessemantic neighbors from the corpus


Citator

Cited By

  • Debose v. Dep't of Health & Rehabilitative Servs., 598 So. 2d 195 (Fla. 3d DCA 1992)
    …heck until June, a delay of approximately 60 days. The only record basis for such delay is Department error. Accordingly, the assistance group is entitled to restoration of lost benefits. See Gonzalez v. Department of Health & Rehabilitative Servs., 558 So. 2d 32 (Fla. 1st DCA 1989) (where department’s failure to inform applicant how to proceed resulted in fifteen month delay in benefits applicant entitled to restoration of lost benefits); see also Bussey v. Department of Health & Rehabilitative Servs., 526…
  • Forman v. State of Fla. Dep't OF Child. & Families, 956 So. 2d 477 (Fla. 4th DCA 2007)
    …be eligible for benefits. See generally Pond v. Dep’t of Health & Rehab. Servs., 503 So. 2d 1330 (Fla. 1st DCA 1987); Buckley v. Dep’t of Health & Rehab. Servs., 516 So. 2d 1008, 1009 (Fla. 1st DCA 1987); Gonzalez v. Dep’t of Health & Rehab. Servs., 558 So. 2d 32 (Fla. 1st DCA 1989). In Pond, an Aid to Families with Dependent Children (AFDC) applicant told a caseworker that her rent was $95 per week and that she received money to pay the rent directly from friends and neighbors. 503 So. 2d at 1331. The case…
  • Garcia v. Dep't of Child. & Families, 106 So. 3d 961 (Fla. 3d DCA 2013)
    …be eligible for benefits. See generally Pond v. Dep’t of Health & Rehab. Servs., 503 So. 2d 1330 (Fla. 1st DCA 1987); Buckley v. Dep’t of Health & Rehab. Servs., 516 So. 2d 1008, 1009 (Fla. 1st DCA 1987); Gonzalez v. Dep’t of Health & Rehab. Servs., 558 So. 2d 32 (Fla. 1st DCA 1989). Id. The court also noted that Leftow set up an account to transfer the entire proceeds of her mother’s pension check to the facility and thereby created a de facto income trust. Id. at 480. Importantly, the court noted that ha…

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