Wong v. May May Gourmet Food — Illinois appellate court affirmed elimination of a Medicaid lien because the appellate record was incomplete

Case
Cindy Wong, Special Administrator of the Estate of Guo Ning Li, Deceased v. May May Gourmet Food, Inc., New Market Inc., d/b/a 88 Marketplace, and Shi Xin Tan
Court
Appellate Court of Illinois, First District, Fifth Division
Judge
Justice C.A. Walker; Presiding Justice Oden Johnson; Justice Wilson
Date Decided
September 30, 2026
Docket No.
1-25-2026
Topics
Medicaid liens, Wrongful death, Appellate record, Preservation of error
Source
Read the full opinion

Background

Cindy Wong, acting as special administrator of her father Guo Ning Li’s estate, brought a wrongful-death action against May May Gourmet Food, New Market, and Shi Xin Tan after Li was injured in a March 2023 automobile accident and later died. The parties settled the action, and the circuit court retained jurisdiction to address liens and related matters.

The Illinois Department of Healthcare and Family Services asserted a $27,206.30 lien for Medicaid benefits paid on Li’s behalf. Wong argued that section 11-22 of the Illinois Public Aid Code expressly excludes claims arising under the Wrongful Death Act. IDHFS responded that section 11-22b independently permitted recovery from a wrongful-death settlement. The circuit court granted Wong’s motion and reduced the lien to zero, but its order did not explain the basis for that decision. The appellate record contained neither a transcript nor a bystander’s report from the hearing.

The Court’s Holding

The appellate court affirmed because IDHFS failed to supply a record sufficient for meaningful review. As the appellant, IDHFS had the burden to present a record showing the claimed error. Because the written order did not identify the ground for eliminating the lien and the hearing record was missing, the court could not determine whether the circuit court had resolved the statutory issue IDHFS raised on appeal or had relied on another permissible basis.

Applying the presumption governing incomplete appellate records, the majority presumed that the circuit court’s ruling conformed to the law and had an adequate factual basis. It expressly declined to decide whether sections 11-22, 11-22a, and 11-22b permit a Medicaid lien against a standalone wrongful-death recovery.

Justice Wilson specially concurred. She agreed that the judgment should be affirmed but would have reached the merits and held that section 11-22’s express wrongful-death exclusion prevented the lien from attaching, notwithstanding section 11-22b.

Key Takeaways

  • An appellant must provide a sufficiently complete record to establish the trial court’s alleged error.
  • When the order gives no reasons and the hearing transcript or an authorized substitute is absent, reviewing courts generally presume the ruling was lawful and factually supported.
  • The majority did not resolve whether Illinois law permits a Medicaid lien against a standalone wrongful-death settlement; that statutory analysis appeared only in the special concurrence.

Why It Matters

The decision underscores that even an issue framed as pure statutory interpretation may escape appellate review if the record does not establish that the trial court actually decided the case on that ground. Parties challenging lien adjudications should preserve the hearing and obtain an order that identifies the ruling’s basis.

Because the order was issued under Illinois Supreme Court Rule 23, it is nonprecedential except in the limited circumstances allowed by Rule 23(e)(1). The majority therefore left the underlying dispute over Medicaid liens and standalone wrongful-death recoveries unresolved.

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