Iowa Department of Human Services v. Eral

WIGGINS, Justice.

We must decide whether the district court correctly allowed the State to en*563force its Title XIX lien against a trust containing a spendthrift clause. Because we find the trust is a discretionary trust with standards, we conclude our common law allows the State to recover its lien for necessities supplied to the beneficiary from the trust, in spite of the spendthrift provision. We also conclude the lack of symmetry between Medicaid’s eligibility requirements and Medicaid’s ability to recover from an estate does not preclude recovery. Therefore, we affirm the decision of the…