M.T., APPELLANT,
v.
AGENCY FOR PERSONS WITH DISABILITIES, APPELLEE

Fla. 3d DCA | 2016-08-24
No. 3D15-2360
Before SALTER, EMAS and FERNANDEZ, JJ.
212 So. 3d 413 Florida District Court of Appeal, Third District (2016) Positive Treatment
Cited by 5 cases

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Synopsis

M.T., a young man with Lennox-Gastaut syndrome and continuous seizures, sought enrollment in Florida's Home and Community-Based Services Waiver Program for intellectually disabled individuals. The Agency for Persons with Disabilities (APD) and a hearing officer denied his application because an IQ test meeting the statutory threshold was not administered before age 18, even though medical evidence established intellectual disability before that age. The court reversed, holding that the statute does not require the IQ test itself to be administered before age 18, only that the intellectual disability be manifested before age 18.


Holding

The court held that the Legislature did not impose a requirement that an applicant provide an IQ test administered before turning 18. Rather, the statute requires only that the intellectual disability be manifested before age 18, which M.T. satisfied through Dr. Berqvist's written diagnosis of mental retardation at age 14.


Headnotes

[1] An applicant seeking benefits under APD's Home and Community-Based Services Waiver Program bears the burden of establishing eligibility by a preponderance of the evidence…

[2] An agency's interpretation of the laws it enforces is entitled to deference, but not when that interpretation is clearly erroneous.

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Key Quotes

“In its definition of intellectual disability, the Legislature did not impose a requirement that an applicant for the HCBS Waiver Program provide an IQ test administered before the applicant turned 18.”

This is the dispositive legal holding that rejects APD's interpretation requiring pre-age-18 IQ testing.

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Facts & Procedural History

M.T., born in June 1998, has Lennox-Gastaut syndrome with intractable seizures. At age 14, Dr. Berqvist, an M.D. neurologist at Children's Hospital of…

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Opinion of the Court
SALTER, J.

SALTER, J.

M.T., a young man diagnosed with Len-nox-Gastaut syndrome1 and afflicted with seizures that are continuous and non-responsive to any known medical treatment, appeals a final order by Florida’s Agency for Persons with Disabilities (APD) and a hearing officer denying M.T.’s mother’s application (on M.T.’s behalf) for enrollment in APD’s Home and Community-Based Services Waiver Program (the “HOBS Waiver Program”).2 We reverse.

Facts and Procedural History

M.T.’s mother applied for participation in the HOBS Waiver Program under the “intellectual disability” statutory definition, section 393.063(21), Florida Statutes (2016):3

“Intellectual disability” means significantly subaverage general intellectual functioning existing concurrently with deficits in adaptive behavior which manifests before the age of 18 and can reasonably be expected to continue indefinitely. For the purposes of this definition, the term:
(a) “Adaptive behavior” means the effectiveness or degree with which an individual meets the standards of personal independence and social responsibility expected of his or her age, cultural group, and community.
(b) “Significantly subaverage general intellectual functioning” means performance that is two or more standard deviations from the mean score on a standardized intelligence test specified in the rules of the agency.

The application was denied by APD in a written notice stating summarily that M.T. had been determined not to have an intel*415lectual disability as defined in the statute. As provided by APD’s rules and procedures, M.T.’s mother then sought and was granted an administrative hearing. M.T.’s mother and APD introduced testimony and written exhibits over the course of two days. In September 2015, the hearing officer issued a final order containing findings of fact, analysis, and a decision denying M.T.’s appeal. This further and timely appeal followed. We have jurisdiction pursuant to section 120.68, Florida Statutes (2015), and Florida Rule of Appellate Procedure 9.080(b)(1)(C).

Standard of Review

Although we review an administrative hearing officer’s findings of fact to determine whether they are supported by competent, substantial evidence in the record before us, the hearing officer’s conclusions of law are subject to de novo review. Diaz & Russell Corp. v. Dep’t of Bus. & Prof'l Regulation, 140 So.3d 662, 664 (Fla. 3d DCA 2014). While a state agency’s interpretation of the laws it is charged with enforcing is entitled to great deference, that deference does not apply when the agency’s interpretation is clearly erroneous. Verizon Fla., Inc. v. Jacobs, 810 So.2d 906, 908 (Fla.2002); S.C. v. Agency for Pers. with Disabilities, 159 So.3d 1033, 1036 (Fla. 3d DCA 2015).

Analysis

An applicant who seeks benefits under the programs administered by APD bears the burden of establishing eligibility “by a preponderance of the evidence, to the satisfaction of the hearing officer.” Fla. Admin. Code R. 65-2.060(1). The evidence admitted on behalf of M.T. established that: (a) at age 10, M.T. scored in the borderline range on a visual motor integration test, in the average range for visual-perception skills, and in the extremely low range for adaptive functioning; (b) when M.T. was 14, his Philadelphia physician reported (in writing) a diagnosis of “Chronic Static Encephalopathy resulting in mental retardation;”4 (c) at age 21, M.T. was assessed by the Miami-Dade County Public Schools and had an IQ score of 61; (d) four months later, M.T.’s Miami doctor tested him and M.T. scored an estimated IQ of 75;5 M.T.’s cognitive decline, brain damage, and deficits in adaptive functioning had manifested themselves before he turned 18 years of age.

APD relied on its own notice of ineligibility, its “diagnostic and evaluation team screening committee form,” and its argument that M.T. was ineligible because his mother had not provided an IQ test result as administered before M.T. turned 18 years of age. APD’s only witness was an “operations management consultant” who served as chair of the APD eligibility committee on M.T.’s case. The consultant did not evaluate M.T. in person, nor did he contradict any of the assessment reports and testimony by medical professionals ad*416mitted into evidence on behalf of M.T. APD’s witness testified that the IQ test offered by M.T.’s current neurologist “was conducted after the developmental years, that is, after age 18, as defined by statutes.” He further testified that the test “can be accepted,” and that “the main thing is that prior to the age of 18 we don’t have any document that substantiates the presence of an intellectual disability.”

The hearing officer, apparently accepting APD’s legal argument that the statutory definition of “intellectual disability,” together with the pertinent administrative rules promulgated by APD, require an applicant to provide a qualifying IQ test score administered prior to the applicant’s eighteenth birthday, continued the hearing to permit M.T.’s mother to obtain and provide that evidence. At that hearing, M.T.’s mother offered additional evidence, including the report from M.T.’s physician in the Division of Neurology at the Children’s Hospital in Philadelphia that “M.T. is now a 14-year-old with chronic static encephalopathy of unknown etiology resulting in mental retardation and intractable generalized epilepsy.” (Emphasis provided).

In response, APD reiterated its legal position that the statutory eligibility criteria includes a qualifying “full scale IQ score before the age of 18.” The hearing officer affirmed APD’s determination of ineligibility in the final order based on the following interpretation of section 393.063(21) and Florida Administrative Rule 65G-4.014: “Specifically, there is no record of a full-scale IQ score below 70 prior to age eighteen (18) as required by the regulations.”

APD and the hearing officer reached this conclusion based on the provisions of Rule 65G-4.014:

(3) Mental Retardation or Intellectual Disability—is evidenced by the concurrent existence of:
(a) Significantly subaverage general intellectual functioning evidenced by an Intelligence Quotient (IQ) two or more standard deviations below the mean on an individually administered standardized intelligence test, and
(b) Significant deficits in adaptive functioning in one or more of the following areas:
1. Communication skills,
2. Self-care, home living,
3. Social and interpersonal skills,
4. Use of community resources and self-direction,
5. Functional academic skills,
6. Work, leisure, health and safety awareness and skills,
(c) Which are manifested prior to age 18; and
(d) Constitute a substantial handicap which is reasonably expected to continue indefinitely.

M.T. provided an individually administered standardized test reflecting a full-scale IQ of 61, which APD concedes is two or more standard deviations below the mean. APD does not dispute that M.T. also established the requisite “deficits in adaptive functioning” specified in the statute and rule, and the existence of those deficits both before and after M.T. turned 18.

Instead, APD relies exclusively on the fact that the IQ test was administered when M.T. was 21 years of age, rather than when he was age 18 or younger. In taking that position, however, APD has ignored (and the hearing officer did not address) M.T.’s written diagnosis of “mental retardation” by Dr. Berqvist, an M.D. neurologist at the Children’s Hospital of Philadelphia, when M.T. was fourteen years old. Reports by Dr. Berqvist dated June 3 and July 10, 2007, were introduced and admitted to the record in this case without objection. M.T. was born in June, *4171998. Each report states that in addition to “intractable mixed epilepsy,” M.T. was determined to be mentally retarded.6 That diagnosis was established, and thus “manifested,” before M.T. was 18. In its definition of intellectual disability, the Legislature did not impose a requirement that an applicant for the HCBS Waiver Program provide an IQ test administered before the applicant turned 18.

Based on that dispositive legal issue, we reverse the decision below and remand with directions to APD to grant M.T.’s application for benefits under the HCBS Waiver Program.7

Reversed and remanded with instructions.


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  • Yewande Smith v. Miami-Dade Cnty. Sch. Bd., 322 So. 3d 1182 (Fla. 3d DCA 2025)
    …21 of the Florida Constitution, the previously afforded deference to the agency's interpretation of the statutes it implements has been abolished; our review is de novo.”)). See also M.T. v. Agency for Persons with Disabilities, 212 So. 3d 413 (Fla. 3d DCA 2016); A.W. v. Agency for Persons with Disabilities, 288 So. 3d 91 (Fla. 1st DCA 2019). 2 On appeal, Smith contends generally that the trial court “unknowingly became a victim of fra…
  • Fatigato v. Agency for Persons With Disabilities, 344 So. 3d 627 (Fla. 2d DCA 2022)
    …Fatigato has instituted this timely appeal, which we review under a mixed standard: findings of fact are reviewed for competent, substantial evidence; conclusions of law are subject to de novo review. See M.T. v. Agency for Pers. with Disabilities, 212 So. 3d 413, 415 (Fla. 3d DCA 2016). As to the latter, "we give no deference to agency interpretations of statutes or rules." A.C. v. Agency for Health Care Admin., 322 So. 3d 1182, 1187 (Fla. 3d DCA 2019). The point of contention here is quite discrete inso…
  • Welliington Residental v. Vill. of Wellington (15th Cir. Ct. App. Div. 2019)

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