finding at the preliminary injunction stage that defendants were likely to succeed on the merits in proving that plaintiff’s loan and promissory note transaction was not made in good faith after a majority of the aforementioned factors favored defendants
How later courts described this case
- finding at the preliminary injunction stage that defendants were likely to succeed on the merits in proving that plaintiff’s loan and promissory note transaction was not made in good faith after a majority of the aforementioned factors favored defendants
- “In discerning [whether a suit is barred by the Eleventh Amendment] we look to the substance rather than to the form of the relief sought”
- concluding that “even if [the deceased plaintiff’s] estate is substituted as the plaintiff, no relief is available in federal court (regardless of whether [the plaintiff] was Medicaid eligible) so the case is moot.”
- “Beltz’s claims for prospective relief are moot because he has died.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF OKLAHOMA
PAUL BAKER, Personal Representative )
of the Estate of Lois Isabelle Matti, )
deceased; )
NELTA ROSE, by and )
through IVAN D. ROSE, next of friend )
and attorney-in-fact; and )
IDABELLE SCHNOEBELEN, by and )
through MICHAEL SCOTT MILLER )
and SHAWN TREY MILLER, next of )
friends and attorneys-in-fact, )
)
)
Plaintiff, )
)
)
v. ) Case No. CIV-19-479-R
)
JUSTIN BROWN, Director of Oklahoma )
Department of Human Services (OKDHS), )
in his official capacity; and )
KEVIN CORBETT, Director of Oklahoma )
Health Care Authority (OKHCA), )
in his official capacity1 )
)
)
Defendants. )
ORDER
Before the Court are the parties’ cross-motions for summary judgment, Doc. Nos.
28, 31. Each party has responded in opposition to the other’s motion. Doc. Nos. 38, 39.
1 Plaintiffs initially filed this case against Ed Lake, Director of OKDHS and Becky Pasternik-Ikard, Director of
OKDHCA. Those directors have since been succeeded by Justin Brown, and Kevin Corbett, respectively. In
accordance with Federal Rule of Civil Procedure 25(d), Directors Brown and Corbett were automatically substituted
as the proper Defendants herein.
Defendants have replied, Doc. No. 41; Plaintiffs have not. Defendants have also provided
the Court with supplemental authority in support of their motion, Doc. No. 46, to which
Plaintiffs have responded, Doc. No. 47. Defendants further move for oral argument, Doc.
No. 42, to which Plaintiffs object, Doc. No. 44. Upon review, the Court grants Defendants’
Motion for Summary Judgment, denies Plaintiffs’ Motion for Summary Judgment, and
denies Defendants’ Motion for Oral Argument.
I. Background
On May 28, 2019, Plaintiffs Lois Matti, Nelta Rose, and Idabelle Schnoebelen filed
suit alleging that OKDHS Director Justin Brown and OKDHCA Director Kevin Corbett
discontinued their Medicaid benefits in violation of federal law.2 Doc. No. 1. Below, the
Court recites the undisputed material facts surrounding the cancellation of each Plaintiff’s
Medicaid benefits in turn.
Lois Matti, now deceased, was an elderly resident of Kingfisher County, Oklahoma,
who, with the help of her son and attorney-in-fact, Paul Baker, applied for Medicaid
services in Oklahoma on May 26, 2015. Doc. No. 28, ¶ 2; Doc. No. 31, ¶¶ 7–9. Prior to
filing her application, Ms. Matti took certain steps to reduce her available resources. On
April 2, 2015 and May 18, 2015, Ms. Matti transferred assets to Mr. Baker in exchange for
two promissory notes in the amounts of $144,000.00 and $37,000.00, totaling $181,000.00.
Doc. No. 28, ¶ 1; Doc. No. 31, ¶¶ 12–13. Thereafter, on June 3, 2016, OKDHS approved
Ms. Matti’s Medicaid application. Doc. No. 28, ¶ 5; Doc. No. 31, ¶ 14.
2 The OKDHCA is the agency responsible for administering Medicaid programs in Oklahoma and it has designated
the OKDHS responsible for making certain eligibility determinations. 63 O.S. § 5009(B); 42 C.F.R. § 431.10.
In 2016, 2017, and 2018, Mr. Baker transferred money to Ms. Matti as payment on
the two 2015 notes. After each of Mr. Baker’s payments, Ms. Matti transferred the money
back to Mr. Baker in exchange for a new promissory note. Doc. No. 28, ¶¶ 3–4, 7–8, 10–
12; Doc. No. 31, ¶¶ 17–23. After discovering these transactions, OKDHS issued a “Notice
of Closure” discontinuing Ms. Matti’s Medicaid benefits. Doc. No. 28, ¶ 14; Doc. No. 31,
¶ 25. OKDHS found that the payments on the two 2015 notes were invalid and as a result,
the 2015 notes were in default such that the amounts due under the notes were counted as
available resources above the Medicaid limit. Doc. No. 28, ¶ 15. Alternatively, it
categorized the later notes as improper deferrals of the 2015 note payments and counted
the notes as available resources above the Medicaid limit. Id. As a final rationale, it
determined that the later notes were not bona fide and thus were countable as available
resources above the Medicaid limit. Id. Ms. Matti appealed the decision, and an
administrative hearing was held wherein the Administrative Law Judge affirmed
OKDHS’s determination. Doc. No. 31, ¶ 26–30.3 Thereafter, on May 28, 2019, Ms. Matti
further appealed the decision to OKDHS’s Director. Id. ¶ 32. The parties have not indicated
whether the Director has completed his final review.
3 Plaintiffs deny the facts asserted by Defendants relating to the ALJ’s decision on appeal, including those in
paragraphs 26 to 30. Doc. No. 38, p. 6. Plaintiffs contend that all facts related to the ALJ’s decision should be
disregarded because the OKDHS’s administrative process is under judicial review in The Estate of Schultz v. Lake, et
al., No. 19-CIV-00217-JD (W.D. Okla. 2020). Since the filing of Plaintiffs’ response, the Court has dismissed The
Estate of Schultz on jurisdictional grounds. See id. at Doc. Nos. 34, 35. In accordance with Federal Rule of Civil
Procedure 56(e)(2), the Court considers Defendants’ assertion of facts regarding OKDHS’s administrative process—
those found in paragraphs 26 to 32, 69 to 74, and 90 to 96—undisputed for purposes of Defendants’ motion because
Plaintiffs fail to otherwise properly address those facts.
Plaintiff Nelta Rose is a 92-year old resident of Woods County, Oklahoma, who,
with the help of her son and attorney-in-fact, Ivan Rose, applied for Medicaid services in
Oklahoma on March 2, 2017. Doc. No. 28, ¶ 17; Doc. No. 31, ¶¶ 53, 58. Like Ms. Matti,
Ms. Rose took certain steps to reduce her available resources prior to filing her application.
In 2017, Ms. Rose transferred assets to Jean Rose—her daughter-in-law, Ivan Rose’s
wife—in exchange for two promissory notes in the amounts of $267,650.00 and
$36,365.00, totaling $304,015.20. Doc. No. 28, ¶ 16; Doc. No. 31, ¶¶ 55, 61. On October
17, 2017, OKDHS approved Ms. Rose’s application. Doc. No. 28, ¶ 18; Doc. No. 31, ¶ 62.
In 2018, OKDHS asked for verification that Ms. Rose received the first payment of
$66,508.75 due on the 2017 notes. Doc. No. 28, ¶ 19. Ms. Rose provided evidence that
Jean Rose fulfilled her 2018 payment obligations of $66,508.75 by paying certain personal
and nursing home expenses for Ms. Rose, totaling $28,900.81, and by depositing the
remainder—$37,607.94—into Ms. Rose’s bank account. Doc. No. 28, ¶ 20; Doc. No. 31,
¶ 63–64. OKDHS then requested confirmation that the $37,607.94, which was presumably
in Ms. Rose’s possession, had been spent down.4 In response, Ms. Rose notified OKDHS
that on February 28, 2018 she transferred $37,700.00 back to Jean Rose in exchange for a
promissory note. Doc. No. 28, ¶ 21; Doc. No. 31, ¶ 66. OKDHS followed up with a “Notice
of Closure” discontinuing Ms. Rose’s Medicaid benefits. Doc. No. 28, ¶ 23; Doc. No. 31,
¶ 67. Like in Ms. Matti’s case, OKDHS found that Ms. Rose had available resources over
the Medicaid limit based upon three rationales. First, it construed the 2018 promissory note
4 A “spend down” occurs when a Medicaid beneficiary deducts funds spent toward medical care from those otherwise
considered available for purposes of determining Medicaid eligibility.
transaction to be an invalid payment of the 2017 notes. Doc. No. 28, ¶ 24. Alternatively, it
construed the 2018 note to be a deferral of the payments due on the 2017 notes. Id. Lastly,
it found that the 2018 promissory note was not bona fide. Id. Ms. Rose appealed the
decision, and an administrative hearing was held wherein the Administrative Law Judge
affirmed OKDHS’s determination. Doc. No. 31, ¶ 68–74.
Plaintiff Idabelle Schnoebelen is an 86-year old resident of Woodward County,
Oklahoma, who, with the help of her two sons and attorneys-in-fact, Michael and Shawn
Miller, applied for Medicaid services in Oklahoma on June 20, 2017. Doc. No. 28, ¶ 26;
Doc. No. 31, ¶¶ 79, 82. Ms. Schnoebelen also took certain steps to reduce her available
resources prior to filing her application. On June 15, 2017, she transferred assets to her two
sons in exchange for a promissory note in the amount of $207,400.00. Doc. No. 28, ¶ 25;
Doc. No. 31, ¶ 81. On November 28, 2017, OKDHS approved Ms. Schnoebelen’s
application. Doc. No. 28, ¶ 27; Doc. No. 31, ¶ 83.
In 2018, OKDHS requested verification that Ms. Schnoebelen received the first
annual payment of $31,996.63 on the 2017 note. Doc. No. 31, ¶ 84. Ms. Schnoebelen
provided evidence that her sons had fulfilled their 2018 payment obligations of $31,996.63
by paying certain of her legal, pharmaceutical, dental, and vision expenses, totaling
$5,972.06, and depositing the remainder—$26,024.57—into their mother’s bank account.
Doc. No. 28, ¶ 29; Doc. No. 31, ¶ 85. Shortly thereafter, however, Ms. Schnoebelen
transferred $26,100.00 back to her sons in exchange for a promissory note. Doc. No. 28,
¶ 30; Doc. No. 31, ¶ 86. Upon discovery of this, OKDHS issued a “Notice of Closure”
discontinuing Ms. Schnoebelen’s Medicaid benefits. Doc. No. 28, ¶ 32; Doc. No. 31, ¶ 87.
As in the two prior cases, OKDHS found that Ms. Schnoebelen had available resources
over the Medicaid limit based upon three rationales. First, it construed the 2018 promissory
note to be an invalid payment of the 2017 notes. Doc. No. 28, ¶ 33. Alternatively, it
construed the notes to be a deferral of the payments due on the 2017 notes. Id. Lastly, it
found that the 2018 promissory note was not bona fide. Id. Ms. Schnoebelen appealed the
decision, and an administrative hearing was held wherein the Administrative Law Judge
affirmed OKDHS’s determination. Doc. No. 31, ¶ 90–93.
Ms. Schnoebelen then filed suit in federal court—alongside Ms. Matti and Ms.
Rose—pursuant to 42 U.S.C. § 1983, alleging that the decision of Directors Brown and
Corbett to terminate her Medicaid benefits violated federal law, namely 42 U.S.C.
§§ 1396a(a)(8), 13960(c)(2)(C), and 20 C.F.R. § 416.1202. Doc. No. 1. Approximately
three months after filing suit, on September 8, 2019, Ms. Matti passed away. Doc. No. 31,
¶ 42. Her son, attorney-in-fact, and personal representative of her estate, Paul Baker, was
substituted as one of the named Plaintiffs in her place. Doc. No. 36. Both sides have since
filed motions for summary judgment. Doc. Nos. 28, 31.
II. Standard of Review
Summary judgment is appropriate when “the movant shows that there is no genuine
dispute as to any material fact and the movant is entitled to judgment as a matter of law.”
Hiatt v. Colo. Seminary, 858 F.3d 1307, 1315 (10th Cir. 2017) (quoting Fed. R. Civ. P.
56(a)). A dispute is genuine “if there is sufficient evidence on each side so that a rational
trier of fact could resolve the issue either way,” and it is material “if under the substantive
law it is essential to the proper disposition of the claim.” Becker v. Bateman, 709 F.3d
1019, 1022 (10th Cir. 2013)(internal quotation marks and citation omitted). In assessing
whether summary judgment is appropriate, the Court views the facts and all reasonable
inferences in the light most favorable to the nonmoving party. Williams v. FedEx Corp.
Services, 849 F.3d 889, 896 (10th Cir. 2017).
The parties’ filing of cross-motions for summary judgment does not change this
standard of review. Atl. Richfield Co. v. Farm Credit Bank of Wichita, 226 F.3d 1138, 1148
(10th Cir. 2000). The Court is to consider each motion on its own merits; “the denial of
one does not require the grant of another.” Buell Cabinet Co., Inc. v. Sudduth, 608 F.2d
431, 433 (10th Cir. 1979).
“To the extent the cross-motions overlap, however, the court may address the legal
arguments together.” Skogen v. City of Overland Park, No. CIV.A. 08-2657-DJW, 2010
WL 973375, at *3 (D. Kan. Mar. 16, 2010), aff’d sub nom. Skogen v. City of Overland
Park, Kan., 404 F. App’x 327 (10th Cir. 2010). If the granting of one motion requires the
denial of the other, the Court need not delve into the other motion separately. See Arroyo
v. Geico Cas. Co., No. 2:16 CV 511, 2019 WL 415252, at *2 (N.D. Ind. Jan. 29, 2019)
(noting that where cross-motions for summary judgment overlap, “[i]t is wasteful and
unnecessary to address each motion separately.”). The Court begins with Defendants’
Motion for Summary Judgment.
III. Defendants’ Motion for Summary Judgment
At the end of their motion, Defendants argue that both the Eleventh Amendment
and the doctrine of mootness bar some of Plaintiffs’ claims. Doc. No. 31, pp. 47–52. The
Court addresses these challenges first, as they relate to the Court’s jurisdiction. See Kirby
v. Dallas Cnty. Adult Prob. Dep’t, 359 F. App’x 27, 32 (10th Cir. 2009); Disability Law
Ctr. v. Millcreek Health Ctr., 428 F.3d 992, 996 (10th Cir. 2005). The Court then addresses
whether Defendants are entitled to summary judgment on the merits of those claims over
which it has jurisdiction.
A. Eleventh Amendment
The Eleventh Amendment prohibits citizens from suing states in federal court.
Lewis v. N.M. Dep’t of Health, 261 F.3d 970, 975 (10th Cir. 2001). However, the Supreme
Court carved out an exception in Ex parte Young, 209 U.S. 123 (1908), which “permit[s]
citizens to seek prospective equitable relief for violations of federal law committed by state
officials in their official capacities.” Lewis, 261 F.3d at 975. To proceed under Ex parte
Young, a suit must: (1) be against state officials, not the state itself; (2) allege a non-
frivolous violation of federal law; (3) seek only prospective equitable relief, not retroactive
monetary compensation; and (4) not implicate “‘special sovereignty interests.’” Id.
Only the third requirement is presently at issue. In their Complaint, Plaintiffs request
both declaratory and injunctive relief. Doc. No. 1, p. 14. Defendants contend that Plaintiffs’
request for declaratory relief—asking the Court to declare that Defendants violated
Plaintiffs’ federal rights by discontinuing their Medicaid benefits—violates the Eleventh
Amendment. Doc. No. 28, p. 51. Tenth Circuit precedent holds that “[t]he Eleventh
Amendment ‘does not permit judgments against state officers declaring that they violated
federal law in the past.’” Johns v. Stewart, 57 F.3d 1544, 1554–55 (10th Cir. 1995) (quoting
P.R. Aqueduct & Sewer Auth. v. Metcalf & Eddy, Inc., 506 U.S. 139, 146 (1993)). Thus,
Plaintiffs’ request for a declaratory judgment must be dismissed for lack of jurisdiction.5
As to Plaintiffs’ request for injunctive relief, Plaintiffs ask the Court to order
Defendants to cease denying Medicaid coverage to Plaintiffs, to certify Plaintiffs eligible
for coverage from the date each was deemed ineligible, and to pay back-benefits
accordingly. Doc. No. 1, p. 14. Although the Eleventh Amendment does not bar the Court
from issuing an injunction requiring Defendants to certify Plaintiffs eligible for Medicaid
going forward, it does prevent the Court from backdating its certification order. In Lewis,
the Tenth Circuit distinguished permissible prospective relief—“ask[ing] that state
officials be compelled to comply with federal statutes that allegedly entitle them to . . .
services”—from retroactive monetary compensation barred by the Ex parte Young
doctrine—“reimburse[ment] for past . . . services.” 261 F.3d at 977–78. Certifying
Plaintiffs eligible from the date each of them were deemed ineligible would “require[ ]
payment of state funds . . . as a form of compensation,” Edelman v. Jordan, 415 U.S. 651,
668 (1974), and thus constitutes improper relief. Therefore, Plaintiffs’ request for
retroactive injunctive relief is dismissed for lack of jurisdiction.6
5 Plaintiffs formally request a declaratory judgment that Defendants “have violated and are violating Plaintiffs’ federal
rights by failing to certify them eligible for Medicaid benefits.” Doc. No. 1. Plaintiffs thus appear to be requesting the
Court declare that Defendants violated the law in the past and are continuing to violate the law in the present. However,
based on Plaintiffs’ briefing before the Court, the Court construes Plaintiffs’ requested relief as noted above, asking
the Court to declare only that OKDHS’s past determinations—regarding Plaintiffs Medicaid eligibility—were made
in violation of federal law. See Papasan v. Allain, 478 U.S. 265, 279 (1986) (“In discerning [whether a suit is barred
by the Eleventh Amendment] we look to the substance rather than to the form of the relief sought”). Given this
construction, the Court’s dismissal of Plaintiffs’ request for declaratory relief is proper.
6 The Court has previously found, however, that Medicaid payments “extending back three months prior to any order
of the Court that might grant Plaintiff[s] relief [in the form of an order requiring OKDHS to certify Plaintiffs eligible
for Medicaid benefits going forward] would not run afoul of the Eleventh Amendment in light of 42 U.S.C.
§ 1396a(a)(34).” See Pecha ex rel. Pecha-Weber v. Lake, No. CIV-14-1356-R, 2015 WL 4460212, at *3 (W.D. Okla.
B. Mootness
Defendants also argue that Plaintiffs’ only remaining request for relief—that the
Court order Defendants to certify Plaintiffs eligible for Medicaid going forward—is moot
as to Ms. Matti because she is deceased. Doc. No. 31, pp. 47–51. Plaintiffs do not challenge
Defendants’ assertion. Doc. No. 38, p. 30. Instead, they argue that this mootness issue was
remedied when Mr. Baker, the personal representative for Ms. Matti’s estate, was
substituted for Ms. Matti as one of the three named Plaintiffs. See Doc. No. 38, p. 32.
Defendants respond that Ms. Matti’s claim for injunctive relief is moot, regardless of
whether it is brought in her name, or in the name of her estate. Doc. No. 31, pp. 49–51.
“Mootness is a threshold issue because the existence of a live case or
controversy is a constitutional prerequisite to federal court jurisdiction.” Rio
Grande Silvery Minnow, 601 F.3d at 1109 (quoting Disability Law Ctr. v.
Millcreek Health Ctr., 428 F.3d 992, 996 (10th Cir. 2005)).[] . . . Mootness
is essentially “the doctrine of standing set in a time frame: The requisite
personal interest that must exist at the commencement of the litigation
(standing) must continue throughout its existence (mootness).” S. Utah
Wilderness All. v. Smith, 110 F.3d 724, 727 (10th Cir. 1997) (quoting
Arizonans for Official English v. Arizona, 520 U.S. 43, 68 n.22, 117 S.Ct.
1055, 137 L.Ed.2d 170 (1997)).
Pecha by & through Pecha-Weber v. Lake, 700 F. App’x 840, 844 (10th Cir. 2017)
(unpublished). “Where a plaintiff seeks prospective equitable relief, such as an injunction,
we have recognized that, for purposes of the mootness inquiry, . . . the plaintiff must show
susceptibility to continuing injury.” Id. (international citations and quotation marks
omitted) (alteration in original). Relevant here, the Tenth Circuit has recognized “what
July 21, 2015) (citing Morenz v. Wilson–Coker, 415 F.3d 230, 237 (2d Cir.2005)). Put differently, if the Court were
to grant Plaintiffs the prospective injunctive relief they request, Plaintiffs would also be due ancillary benefits
extending back three months prior to any order of the Court, but no further. See 42 U.S.C. § 1396a(a)(34).
commonsense should already tell us: the dead . . . cannot suffer a continuing injury.
Therefore, [an] action for injunctive (i.e. prospective) relief [brought by a deceased
individual] is moot.” Pecha, 700 F. App’x at 846; see also, Tandy v. City of Wichita, 380
F.3d 1277, 1290 (10th Cir. 2004) (“Beltz’s claims for prospective relief are moot because
he has died.”).
Because of her death, Ms. Matti “cannot suffer a continuing injury.” See Pecha, 700
F. App’x at 846. “The injunction sought here—requiring the [D]efendants to certify a
deceased [Ms. Matti] eligible for benefits—can have no effect on future benefits.” Pecha
by & through Pecha-Weber v. Lake, 864 F.3d 1100 (10th Cir. 2017) (Hartz, J., concurring)
It can only have an effect on past benefits allegedly due to Ms. Matti and is thus precluded
as improper relief. The substitution of Ms. Matti’s estate as a Plaintiff did not alter the
relief Plaintiff Baker seeks, nor does it affect the Court’s analysis. See id. (concluding that
“even if [the deceased plaintiff’s] estate is substituted as the plaintiff, no relief is available
in federal court (regardless of whether [the plaintiff] was Medicaid eligible) so the case is
moot.”); see also Estate of Schultz v. Brown, et al., No. CIV-19-00217-JD, at 15 (W.D.
Okla. May 18, 2020) (citing Judge Hartz’s concurrence in Pecha and dismissing plaintiff’s
claims for injunctive relief—requiring defendants to certify the deceased plaintiff eligible
for Medicaid benefits—as moot, even though such relief was asserted by the deceased
plaintiff’s estate).
Based on the foregoing, Defendants are entitled to summary judgment on Plaintiffs’
claim for declaratory relief, Plaintiffs’ claim for retroactive injunctive relief, and Plaintiff
Baker’s claim for prospective injunctive relief, asserted on behalf of Ms. Matti’s estate.
C. Medicaid eligibility7
The only remaining claims are those asserted by Plaintiffs Ms. Rose and Ms.
Schnoebelen for prospective injunctive relief, based upon Defendants’ alleged improper
discontinuation of Medicaid benefits.
Medicaid is designed to provide medical assistance to “families with dependent
children and [to] aged, blind, or disabled individuals, whose income and resources are
insufficient to meet the cost of necessary medical services . . . .” 42 U.S.C. § 1396–1.
Although it is a federal program, it is implemented by the states. See, e.g., OAC 317:35 et
seq. States that elect to participate in Medicaid must comply with the Medicaid statute, and
federal regulations. See generally 42 U.S.C. § 1396a; Brown v. Day, 555 F.3d 882, 885
(10th Cir. 2009). Additionally, States must comply with the Social Security
Administration’s Program Operations Manual System (POMS), “which . . . further
construes the statutes governing” Medicaid. Gragert v. Lake, 541 F. App’x 853, 856 (10th
Cir. 2013) (internal quotation marks omitted).8
One category of medical assistance provided by Medicaid is long-term care
(Medicaid LTC), which pays for the care of individuals who live in institutions, such as
nursing homes. E.g., 42 U.S.C. § 1396a(a)(10)(A)(ii)(V). As relevant here, to qualify for
7 The parties’ arguments regarding Defendants’ discontinuation of Plaintiffs’ Medicaid benefits substantially overlap.
Compare Doc. Nos. 31, pp. 36–44, 38, pp. 18–35 with Doc. Nos. 28, pp. 25–44, 39, pp. 19–35. The Court addresses
the overlapping arguments together. See Skogen v. City of Overland Park, No. CIV.A. 08-2657-DJW, 2010 WL
973375, at *3 (D. Kan. Mar. 16, 2010), aff’d sub nom. Skogen v. City of Overland Park, Kan., 404 F. App’x 327 (10th
Cir. 2010).
8 The Court defers to the POMS provisions as neither party alleges the provisions are arbitrary, capricious, or contrary
to law. See Ramey v. Reinertson, 268 F.3d 955, 964 (10th Cir. 2001).
Medicaid LTC, an individual must have countable resources of $2,000.00 or less. E.g.,
Frantz ex rel. Spain v. Lake, No. CIV-14-117-W, 2014 WL 4204875, at *4 (W.D. Okla.
Aug. 22, 2014).9
Individuals have attempted by various means to shelter resources—i.e., to
purposely render them not currently “available”—in order to qualify for
Medicaid. . . . One such sheltering strategy is crude and straightforward: the
transfer of an asset as a gift, or for less than fair market value. Congress has
attempted to remove any economic incentive to pursue that strategy by
imposing a penalty period, during which the transferor is ineligible to receive
Medicaid benefits. 42 U.S.C. § 1396p(c). A second sheltering strategy is the
placement of assets in a trust. In 1999, Congress amended the statute to close
that loophole. A trust or a “legal instrument or device that is similar to a
trust,” sometimes called a “trust-like device,” is now deemed a countable,
available asset of the beneficiary. 42 U.S.C. § 1382b(e)(6)(A)(SSI); 42
U.S.C. § 1396p(d)(6) (Medicaid). Thus DHS will determine whether a trust-
like device is being used to park assets in friendly hands. A third sheltering
strategy is to lend out cash, either informally or by purchasing a promissory
note, as Plaintiffs did here. A cash loan or promissory note may, however, be
considered a countable and available resource in three ways: the funds could
be deemed “available,” the purchase of the note could be deemed an asset
transfer for less than fair market value, or the loan/note could be deemed a
trust-like device.
Landy v. Velez, 958 F. Supp. 2d 545, 552–53 (D.N.J. 2013)(original paragraph structure
omitted).
As noted previously, OKDHS found Plaintiffs ineligible for Medicaid LTC benefits
under three separate rationales at the administrative level. First, it construed Plaintiffs’
2018 promissory notes as invalid payments on Plaintiffs’ original notes, issued in 2017.
Doc. No. 32-11, 32-27. This construction put the borrowers in default on the 2017 notes
9 For purposes of Medicaid, the term “resource” is synonymous with the word “asset.” E.g., 20 C.F.R.
§ 416.120(c)(3)(“[r]esources means cash or other liquid assets or any real or personal property that an individual . . .
owns and could convert to cash to be used for [her] support and maintenance”).
such that the amounts due thereunder were considered available resources, placing
Plaintiffs above the Medicaid limit. Id. Alternatively, OKDHS found that both Plaintiffs
purchased their 2018 promissory notes to defer payment on the 2017 notes such that the
amounts due under the 2017 notes and the 2018 notes were available resources, placing
Plaintiffs above the Medicaid limit. Doc. Nos. 32-11, pp. 2–5, 32-27, pp. 2–6. Lastly, it
found that the 2018 notes were not bona fide notes, but trust-like devices, and therefore
counted them as available resources, placing Plaintiffs above the Medicaid limit. Doc. Nos.
32-11, p. 5, 32-27, p. 6. Defendants do not argue that summary judgment is warranted
based upon OKDHS’s first administrative rationale. Instead, they contend that summary
judgment is warranted based upon the second and third rationales, arguing that those
determinations were factually correct, and made in accordance with federal laws and
regulations. Doc. No. 31, pp. 36–44. Plaintiffs argue that OKDHS’s determinations were
made in direct violation of those same laws and regulations. Doc. No. 38, pp. 13–27.
Regarding OKDHS’s second rationale at the administrative level, Defendants
contend that Plaintiffs were properly denied benefits because their 2018 promissory notes
did not meet the requirements of 42 U.S.C. § 1396p(c)(1)(I). Doc. No. 31, p. 43. Under 42
U.S.C. § 1396p(c)(1)(A), if a Medicaid applicant transfers resources for less than fair
market value during the sixty-month period before submitting an application, the applicant
will be subject to a penalty period.10 The statute provides exemptions for certain financial
10 Generally speaking, the penalty period is calculated by “dividing the amount of the transfer by the monthly regional
nursing home rate and the quotient is the number of months that Medicaid will not pay.” Harper v. Okla. ex rel. Okla.
Dep’t of Human Serv’s, No. Civ-10-514-R, Doc. No. 45, at 14 (W.D. Okla. Mar. 22, 2011) (unpublished).
instruments, including promissory notes. To be exempted from § 1396p(c)(1)(A)’s penalty
period, a promissory note must:
(i) ha[ve] a repayment term that is actuarially sound (as determined in
accordance with actuarial publications of the Office of the Chief Actuary of
the Social Security Administration);
(ii) provide[] for payments to be made in equal amounts during the term of
the loan, with no deferral and no balloon payments made; and
(iii) prohibit[] the cancellation of the balance upon the death of the lender.
42 U.S.C. § 1396p(c)(1)(I). In the event a promissory note does not meet this criteria, the
value of the note for purposes of calculating the penalty period is the outstanding balance
thereof. Id.; see also Harper v. Okla. ex rel. Okla. Dep’t of Human Serv’s, No. Civ-10-514-
R, Doc. No. 45, at 14 (W.D. Okla. Mar. 22, 2011) (unpublished).
In their motion, and in response to Plaintiffs’ motion, Defendants argue that the
2018 promissory notes were deferral payments on Plaintiffs’ 2017 notes, and therefore, the
2018 notes fail to meet criteria (ii). Doc. No. 38, p. 43; Doc. No. 39, pp. 19–26. Plaintiffs
argue that prior case law from the Western District and expert testimony foreclose
Defendants’ contention. Doc. No. 28, pp. 25–30, 40–44. Additionally, Plaintiffs argue that
Defendants misapply § 1396p(c). Doc. No. 38, pp. 11–14.
The Court need not address either parties’ arguments. At the administrative level,
OKDHS did not conclude that Plaintiffs were eligible for assistance subject to a penalty
period because their 2018 promissory notes were unexempted transfers of assets for less
than fair market value. Nor do they raise that contention before the Court here. Rather,
OKDHS concluded, and Defendants argue here, that Plaintiffs were ineligible for Medicaid
benefits altogether because they had resources exceeding the Medicaid limit. See Doc. Nos.
32-11, 32-13, pp. 12, 32-27, 32-29, p. 10; Doc. No. 31, p. 12. Thus, whether Plaintiffs’
2018 promissory notes meet the requirements of § 1396p(c)(1)(I) is not outcome
determinative. See Harper, No. Civ-10-514-R, Doc. No. 45, at 14.11
Regarding OKDHS’s third rationale at the administrative level—that Plaintiffs’
2018 notes were not bona fide notes, but trust-like devices—the Court’s review involves
two layers of analysis. The Court must first determine whether the notes were bona fide,
and if so, whether they were properly considered trust-like devices.
Defendants argue that OKDHS’s administrative assessment stands because
Plaintiffs’ 2018 promissory notes were not bona fide. Doc. No. 31, p. 39–43; Doc. No. 39,
pp. 20–21. Under POMS § 1140.300(D)(1) the Court is to “[a]ssume, absent evidence to
the contrary, that [a] written agreement is bona fide . . . .” In this case, Defendants contend
there is “evidence to the contrary.” Doc. No. 31, p. 39–43; Doc. No. 39, pp. 20–21.
A bona fide agreement is defined as an agreement that is “legally valid under the
applicable State’s law and made in good faith.” POMS § 1120.220(B)(3). Defendants do
not challenge the legality of Plaintiffs’ 2018 promissory notes under Oklahoma law.
Instead, they contend that the promissory notes were not executed in good faith. Plaintiffs
11 If OKDHS’s outright cancellation of Plaintiffs’ Medicaid benefits was based entirely upon a finding that the 2018
promissory notes were a transfer of assets for less than fair market value, and failed to satisfy the requirements of
§ 1396p(c)(1)(I) because they were deferral payments on the original 2017 notes, OKDHS’s determination may be in
violation of federal law. See 42 U.S.C. § 1396(c)(1)(A) (requiring an applicant be eligible for Medicaid benefits, but
subject to a penalty period in such circumstances). Plaintiffs alleged deferral payments and failure to comply with
§ 1396p(c)(1)(I) could only have resulted in an outright cancellation of Medicaid benefits under § 1396p(c)(1)(A) if
Plaintiffs were found to be “institutionalized individuals.” OKDHS made no such finding at the administrative level,
and the record before the Court does not support such a finding. However, because OKDHS rested their determination
on valid alternative grounds, see Doc. No. 32–11, 32-27, the Court does not find that Defendants violated federal law
when OKDHS found Plaintiffs ineligible for Medicaid benefits.
fail to address Defendants’ good faith argument, suggesting that the only relevant factors
to consider are those in POMS § 1120.220(D).12 Doc. No. 38, pp. 18–19; Doc. No. 30–36.
The Court disagrees. In addition to satisfying the informal loan requirements under POMS
§ 1120.220(D), to be exempted from the resource-counting rules, a “promissory note must
also be bona fide.” Sable v. Velez, 437 F. App’x 73, 77 (3d Cir. 2011)(citing POMS §
1140.300(D)(1)); see also Landy, 958 F. Supp. 2d at 556–59. Thus, “the Court, may, and
must, review the loans for good faith.” See Landy, 958 F. Supp. 2d at 558.
Good faith is not defined in the POMS. The phrase must therefore be given its
ordinary meaning. See Asgrow Seed Co. v. Winterboer, 513 U.S. 179, 187 (1995). Good
faith means “honest in fact in the conduct or transaction concerned.” See American Exch.
Bank, Collinsville, Okl. v. Cessna, 386 F. Supp. 494, 498 (N.D. Okla. 1974); see also Good
Faith, Black’s Law Dictionary, (11th ed. 2019) (“state of mind consisting in (1) honesty
and belief in purpose, (2) faithfulness to one’s duty or obligation, (3) observance of
reasonable commercial standards of fair dealing in a given trade or business, or (4) absence
of intent to defraud or to seek unconscionable advantage.”). The Court finds—consistent
with at least one other federal court that has addressed the exact issue—that this ordinary
meaning of good faith should apply here. See Landy, 958 F. Supp. 2d at 558.
To determine whether a loan was entered into in good faith, a court should
look at all of the facts and circumstances surrounding it. See Sable, 2010 WL
5140004 at *3 (district court opinion); see also Sable II, 437 Fed. Appx. at
12 Under POMS § 1120.220(D), an informal loan may be bona fide if (1) it is enforceable under state law, (2) was in
effect at the time the cash proceeds were provided, (3) there is an acknowledgment of an obligation to repay, (4) there
is a plan for repayment, and (5) the repayment plan is feasible. While Defendants do not allege that Plaintiffs failed to
comply with this provision in their Motion for Summary Judgment, they do make the argument in their response to
Plaintiffs’ Motion for Summary Judgment. Doc. No. 39, p. 23–25. The Court need not address the parties’ contentions
regarding POMS § 1120.220(D) because the Court ultimately determines that, even assuming Plaintiffs satisfy POMS
§ 1120.220(D), Plaintiffs’ 2018 notes were not made in good faith and are thus not bona fide.
77; Wesner, 2010 WL 1609674 at *8. A nonexclusive list of factors that may
play into this analysis include whether (1) the entities are related or are at
arm’s length; (2) the lender is in the business of lending money; (3) the
borrower has power of attorney over the lender; (4) the loan is backed by
collateral; (5) documentation existed regarding the borrower’s ability to
repay the loan; (6) the date of the loan is close to the date the lender applied
for Medicaid; (7) the amount of the loan brought the lender close to or under
the maximum resource threshold for Medicaid eligibility; (8) payments on
the loans were late; and (9) the loan was disclosed in the lender’s Medicaid
application. Sable II, 437 Fed.Appx. at 77; Wesner, 2010 WL 1609674 at *8.
Id. at 558–59.
Most of these factors weigh in favor of a finding that Plaintiffs’ 2018 notes were not
made in good faith. The loans were not arm’s-length transactions in the marketplace; as to
both Plaintiffs, they were informal loans between a mother and her close relatives. Doc.
No. 31, ¶¶ 55–66, 79–86. Neither Plaintiff Rose nor Plaintiff Schnoebelen are in the
business of lending money. Doc. No. 32-2, p. 100:3–6; Doc. No. 32-30, p. 28:17–22.
Plaintiff Schnoebelen’s children and borrowers, Michael Miller and Shawn Miller, both
have power of attorney over their mother. Doc. No. 31, ¶ 79. Neither Plaintiff’s loan is
backed by collateral. Doc. No. 32–10; Doc. No. 32–6. There was also no documentation
regarding the borrower’s ability to repay the loans. Doc. No. 32-2, p. 73:2–82:25; Doc. No.
32-30, p. 29:3–14; Doc. No. 32-31, p. 26:12–20. Finally, the amount of the 2018
promissory notes clearly brought Plaintiffs closer to the Medicaid limit as it reduced their
available resources by $37,700.00 and $26,100.00, respectively. Moreover, both Ms.
Rose’s son and Ms. Schnoebelen’s son testified that the promissory notes were executed,
at least in part, so their mothers could be eligible for Medicaid. See Doc. No. 32-2, p. 93:6–
9; Doc. No. 32-30, p. 56:15–23.
The two factors that weigh against Defendants include the fact that Ms. Rose’s
daughter-in-law and borrower, Jean Rose, does not have power of attorney over Ms.
Rose—though, Jean Rose’s husband, Ivan Rose, does have power of attorney over Ms.
Rose. Id. ¶ 53. Additionally, Plaintiffs disclosed their 2017 promissory notes in their
Medicaid applications—though, the 2018 notes were not disclosed until OKDHS requested
additional information regarding Plaintiffs’ Medicaid applications. See Doc. No. 31, ¶¶ 63–
66, 83–85.
The only remaining factor—whether payments on the notes were late—does not
weigh in either party’s favor because there is no information in the record regarding
whether the borrowers made timely payments on the 2018 notes in 2019 or in 2020.
Based on the foregoing, the Court finds that Plaintiffs’ loans and promissory note
transactions in 2018 were not made in good faith and were thus not bona fide. The majority
of factors weigh in favor of such a finding, as does the determination of other courts that
have considered the issue. See Landy v. Velez, 958 F. Supp. 2d 545, 559 (D.N.J. 2013)
(finding at the preliminary injunction stage that defendants were likely to succeed on the
merits in proving that plaintiff’s loan and promissory note transaction was not made in
good faith after a majority of the aforementioned factors favored defendants). Defendants
are therefore entitled to summary judgment as federal law was not violated when OKDHS
concluded that Plaintiffs’ 2018 promissory notes were not bona fide, and thus were
countable, available resources in determining Plaintiffs’ Medicaid eligibility.
The Court does not, however, end its analysis there. Out of an abundance of caution,
the Court addresses whether the notes were properly considered trust-like devices.13 This
analysis involves two steps. The first step requires a determination of “whether the notes
qualify under the regular [Supplemental Security Income] resource-counting rules as . . .
promissory notes according to the Social Security Administration’s [POMS].” See Sable v.
Velez, 437 F. App’x 73, 76 (3d Cir. 2011).14 If the notes do not qualify as resources under
those rules, “then the analysis proceeds to whether the notes are to be considered as trust-
like devices pursuant to the POMS § 1120.201.” Id.
Under SSI resource-counting rules, “[i]f the individual has the right, authority or
power to liquidate the property . . . , it is considered a resource[, but] [i]f a property right
cannot be liquidated, the property will not be considered a resource of the individual . . . .”
20 C.F.R. § 416.1201(a)(1). “Liquid resources are cash or other property which can be
converted to cash within 20 days,” Id. § 416.1201(b).
[P]romissory notes are ordinarily liquid. . . . But that is because promissory
notes are ordinarily transferable and hence convertible to cash. If a
promissory note cannot be transferred . . . , then it is not convertible to cash
13 Plaintiffs argue the Court should ignore Defendants’ argument that the relevant notes are trust-like devices because
to address the issue on the merits would constitute “trial by ambush.” Doc. No. 38, pp. 20–22. They allege that up
until Defendants’ summary judgment briefing before the Court, Defendants had never mentioned the issue of trust-
like devices. Id. Plaintiffs are mistaken. In OKDHS’s “Notice of Closure” letters, sent to both Plaintiffs Rose and
Schnoebelen in 2018, OKDHS stated that Plaintiffs’ promissory notes were not bona fide notes, and cited for support
POMS § 1120.200(D)—relating to “Trusts that are resources”—and the portion of Landy v. Velez, 958 F. Supp. 2d
545, 561–62 (D.N.J. July 17, 2013) wherein the court recorded its determination that a promissory note was properly
considered to be a trust-like device, and not a bona fide note. See Doc. Nos. 32-11, p. 5, 32-27, p. 6. Additionally, in
Plaintiff Schnoebelen’s appeal, the administrative law judge noted explicitly that in 2019 OKDHS argued Plaintiff’s
promissory notes were trust-like devices under the POMS. Doc. No. 32-29, p. 3.
14 Consistent with the above, the Tenth Circuit has found that “in determining Medicaid eligibility, state agencies must
use criteria that are no more restrictive than the eligibility requirements under the Supplemental Security Income (SSI)
Act. . . . Thus, the SSI regulation that defines what constitutes a resource, 20 C.F.R. § 416.1201, properly guides the
analysis here.” Gragert, 541 F. App’x at 856 (internal citations and quotation marks omitted).
and therefore not a resource. Indeed, POMS indicate that notes count as
resources for eligibility purposes unless there is “evidence of a legal bar to
the[ir] sale.”
Gragert, 541 Fed. App’x at 857 (citing 20 C.F.R. § 416.1201(b) and POMS SI 01140.300
at D(1), D(3))(internal quotation marks omitted). The 2018 notes at issue here expressly
provide that neither Ms. Rose nor Ms. Schnoebelen “may grant, bargain, sell, assign,
convey or transfer th[e] note[s] or any payments [t]hereunder except [Plaintiffs] may assign
or transfer th[e] note for estate planning purposes to a revocable trust . . . .” Doc. Nos. 32-
10, p. 2, 32-26, p. 2. Consistent with both Tenth Circuit precedent and the Court’s prior
decisions, this express language demonstrates that Plaintiffs’ 2018 notes cannot be readily
converted to cash and are, therefore illiquid under § 416.1201. See, e.g., Gragert, 541 Fed.
App’x at 857; Peterson ex rel. Jones v. Lake, No. CIV-13-1235-W, 2014 WL 2949509, at
*5 (W.D. Okla. June 30, 2014). Accordingly, the notes do not qualify as available resources
under the first step.
Consequently, the Court proceeds to the second step: determining whether the notes
were properly considered trust-like devices pursuant to POMS § 1120.201. A trust-like
device is a countable, available resource and is defined as “a legal instrument, device or
arrangement, which may not be called a trust under State law but is similar to a trust.”
Shackelford v. Lake, No. CIV-15-0218-HE, 2016 WL 6993960, at *4 (W.D. Okla. Nov.
29, 2016) (quoting POMS § 1120.201(B)(5)).15 It “must include: (1) a grantor (2) who
transfers property (3) to an individual or entity with fiduciary obligations (a trustee) (4)
15 The language that was once in POMS § 1120.201(B)(5) is now found in POMS § 1120.201(B)(4).
with the intention that it be held, managed or administered by the individual or entity for
the benefit of the grantor or others.” Peterson, 2014 WL 2949509, at *3 n.6 (internal
citation and quotation marks omitted).
Defendants assert that Plaintiffs’ 2018 promissory notes satisfy each element. Doc.
No. 31, pp. 43–44. Plaintiffs object, arguing that three of the Court’s previously decided
cases foreclose a judgment in Defendants’ favor. Doc. No. 38, p. 23–27.
The first case Plaintiffs cite has been vacated. See Doc. No. 38, p. 23 (citing
Lemmons v. Lake, No. CIV-12-1075-C, 2013 WL 1187840, at *1–2 (W.D. Okla. Mar. 21,
2013), vacated as moot, 2013 WL 6913757 (W.D. Okla. June 28, 2013)). In the other two
cases—Frantz v. Lake, 2014 WL 4204875, at * 10–12 n.4 (W.D. Okla. Aug. 22, 2014) and
Peterson v. Lake, 2014 WL 2949509, at *9–11 n.6 (W.D. Okla. June 30, 2014)—the Court
simply found that there was no evidence in the record as to elements (3) and (4). In this
case, however, there is evidence in the record demonstrating each element.
There is no question that Plaintiffs are properly considered grantors who transferred
property. Plaintiffs also transferred that property to individuals with fiduciary obligations.
Under Oklahoma law, “[t]he expression ‘fiduciary or confidential relationship’ has a broad
meaning and includes technical relations and informal relations in which one person trusts
and relies on another.” Krug v. Helmerich & Payne, Inc., 320 P.3d 1012, 1017 (Okla.
2014). Such a relationship exists “whenever trust and confidence are placed by one person
in the integrity and fidelity of another.” E.g., MidAmerica Fed. Sav. & Loan Ass’n v.
Shearson/Am. Exp., Inc., 886 F.2d 1249, 1257 (10th Cir. 1989). However, before a court
“declare[s] a relationship fiduciary it ‘[must] require a relation where there is weakness on
one side and strength on the other resulting in dependence or trust justifiably reposed in
the stronger.’” Id. (quoting Matter of Estate of Beal, 769 P.2d 150, 155 (Okla. 1989)).
Here, Ms. Rose transferred property to a fiduciary: her daughter-in-law, Jean Rose,
who is the wife of Ms. Rose’s son and attorney-in-fact, Ivan Rose. She is also the sole
member of Jivin, LLC—a company that holds the money Ms. Rose loaned to Jean Rose
and which has a corporate purpose of paying for Ms. Rose’s needs. Doc. No. 32-2, p. 23:9–
24:7. As the wife of Ms. Rose’s attorney-in-fact, and as the sole corporate officer in charge
of the money Ms. Rose needed to pay for her livelihood, Jean was certainly in a position
of strength. And as an elderly person who was seeking the physical and financial care of
others, Ms. Rose was certainly in a position of weakness. That Jean was Ms. Rose’s
daughter-in-law further elevates the atmosphere of trust and confidence regarding the
transactions at issue herein. See Landy, 958 F. Supp. 2d at 562 (“Loans between close
relatives . . . are often made in an atmosphere of trust and confidence . . . .”)(internal
quotation marks and citation omitted). Plaintiff Schnoebelen likewise transferred property
to fiduciaries: her two sons, who were also her attorneys-in-fact. Doc. No. 31, ¶ 79; see
Harper, No. Civ-10-514-R at 15 (noting transferor’s daughter, and attorney-in-fact, was a
fiduciary in the context of determining whether a promissory note was properly considered
a trust-like device for purposes of determining Medicaid eligibility).
Finally, those transfers were made with the intention that the money be held in order
to pay for the needs of Plaintiffs Rose and Schnoebelen, respectively. Ivan Rose admitted
in his sworn deposition that the purpose of his mother’s loans was, at least in part, to enable
him and his wife to pay for items his mother needed. See Doc. No. 32-2, p. 72:4–12, 32:5–
16. And after Ms. Rose executed the 2018 promissory note, Jean Rose transferred the
money to Jivin, LLC, see Doc. No. 38, p. 25, a company whose purpose, as mentioned
above, was to “take care of [Ms. Rose’s] needs”, Doc. No. 32-2, p. 23:9–24:7.16
Likewise, both Michael and Shawn Miller testified that the purpose of their mother’s
loan, in exchange for the 2018 note, was to enable them to provide care for their mother’s
medical and legal expenses, in addition to any home repairs or other unforeseen
miscellaneous expenses down the road. Doc. No. 53, p. 44:22–45:20, 56:7–14, 60:17–61:1;
Doc. No. 54, p. 21:9–17. What’s more, Shawn Miller testified that the money his mother
transferred to him and his brother was kept in its own account, not comingled with any
personal funds, and used exclusively to pay his mother’s various expenses. Doc. No. 32-
31, p. 34:2–19. At bottom, Plaintiffs’ 2018 notes were being impermissibly used “to park
assets in friendly hands.” Landy, 958 F. Supp. 2d at 553.
OKDHS did not violate federal law when it considered Plaintiffs’ promissory notes
to be trust-like devises, and thus available resources for purposes of determining Plaintiffs’
Medicaid eligibility. Defendants are therefore entitled to summary judgment.
IV. Plaintiffs’ Motion for Summary Judgment
There are two issues raised in Plaintiffs’ Motion for Summary Judgment that are not
directly addressed in the Court’s discussion of Defendants’ motion above. First, Plaintiffs
argue that the doctrine of issue preclusion forecloses Defendants’ right to summary
judgment. See Doc. No. 28, pp. 17–25. Specifically, Plaintiffs contend that the issues in
16 To the extent Jean or Ivan paid for their mother’s care out of their personal accounts, Jivin LLC reimbursed them
for their expense. Doc. No. 38, p. 26.
this case relating to Plaintiffs’ use of promissory notes are identical to issues that have
already been litigated before the Court. Id. Defendants respond, arguing that issue
preclusion is irrelevant because the cases Plaintiffs cite are factually different from the case
now before the Court. Doc. No. 39, pp. 15–19. The Court agrees with Defendants, the
doctrine of issue preclusion is not relevant here.
The doctrine of issue preclusion “is designed to prevent needless relitigation and
bring about some finality to litigation.” Moss v. Kopp, 559 F.3d 1155, 1161 (10th Cir.
2009). It “bars a party from relitigating an issue once it has suffered an adverse
determination on the issue, even if the issue arises when the party is pursuing or defending
against a different claim.” Id. The doctrine is applicable if four elements are met:
(1) the issue previously decided is identical with the one presented in the
action in question, (2) the prior action has been finally adjudicated on the
merits, (3) the party against whom the doctrine is invoked was a party or in
privity with a party to the prior adjudication, and (4) the party against whom
the doctrine is raised had a full and fair opportunity to litigate the issue in the
prior action.
Id. Here, Plaintiffs fail to satisfy the first element. In their briefing, Plaintiffs list six cases
that they claim involve issues that are identical to the issues presented in this case. Doc.
No. 28, pp. 22–23 (citing Gragert v. Lake, 541 Fed. App’x 853 (10th Cir. 2013); Frantz v.
Lake, 2014 WL 4204875 (W.D. Okla. Aug. 22, 2014); Peterson v. Lake, 2014 WL 2949509
(W.D. Okla. June 30, 2014); Gragert v. Hendrick, 2014 WL 287238 (W.D. Okla. Jan. 24,
2014); Lemmons v. Lake, No. CIV-12-1075-C, 2013 WL 1187840, at *1–2 (W.D. Okla.
Mar. 21, 2013), vacated as moot on other grounds, 2013 WL 6913757 (W.D. Okla. June
28, 2013); and Harper v. Okla. ex rel. Okla. Dep’t of Human Serv’s, No. Civ-10-514-R
(W.D. Okla. Mar. 22, 2011) (unpublished)).
To be sure, the cases Plaintiffs cite involved issues that the Court deals with here.
See, e.g., Peterson ex rel., 2014 WL 2949509, at *4, n.6. However, in addressing those
issues in the aforementioned cases, the Court—and in Gragert, the Tenth Circuit—came
to different conclusions based upon the different facts relevant to each case. See id.
Consequently, issue preclusion was not relevant in any of those cases. So too here. The
facts that relate to the question of whether Plaintiffs’ promissory notes were properly
counted as available resources differ significantly from the facts in cases the Court has
previously decided. For example, in Frantz, the Court found that a promissory note was
not properly considered a trust-like device, and thus could not be counted as an available
resource, because there was “no evidence” suggesting the notes met the criteria for a trust-
like device. Frantz, 2014 WL 4204875 at *4 n.4. Here, however, that evidence is easily
found within the record. See, e.g., Doc. No. 32-2, p. 72:4–12, 32:5–16; Doc. No. 54, p.
21:9–17; Doc. No. 53, p. 44:22–45:20, 56:7–14, 60:17–61:1.
Second, Plaintiffs argue that summary judgment is warranted in their favor because
of OKDHS’s inconsistent application of the law: approving of Plaintiffs’ loan and note
transactions in 2017 and disapproving of similar transactions in 2018. Doc. No. 28, pp. 36–
39. Defendants do not appear to address the argument directly, and Plaintiffs failed to file
a reply elucidating the issue. Even so, Plaintiffs’ argument is not determinative. While the
2017 and 2018 notes have similar contractual obligations, the factual issues surrounding
the 2018 notes raised questions of legitimacy that were not apparent when OKDHS
evaluated the 2017 notes. Even so, Defendants do in fact suggest that Plaintiffs’ 2017
promissory notes may not have been bona fide. See, e.g., Doc. No. 31, p. 42. But because
Plaintiffs challenge OKDHS’s administrative determinations—determinations that relied,
in part, on the bona fides of the 2018 notes—most of Defendants’ discussion at the
summary judgment stage is appropriately cabined to the 2018 notes.
Ultimately, Plaintiff is not entitled to summary judgment on the grounds of issue
preclusion or OKDHS’s alleged inconsistent treatment of Plaintiffs’ financial dealings, nor
on any other ground raised in their motion that overlaps with those addressed in the Court’s
discussion of Defendants’ Motion for Summary Judgment.
V. Conclusion
For the foregoing reasons, the Court hereby grants Defendants’ Motion for
Summary Judgment, Doc. No. 31, and denies Plaintiffs’ Motion for Summary Judgment,
Doc. No. 28. The Court also denies Defendants’ Motion for Oral Argument, Doc. No. 42,
as moot.
IT IS SO ORDERED this 13" day of August 2020.
UNITED STATES DISTRICT JUDGE
27