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Heckerling Institute on Estate Planning
News and insights from the annual conference held in Orlando, Fla.

Important Developments in Special Needs and Elder LawImportant Developments in Special Needs and Elder Law

Bernie Krooks gives a heads-up on what to expect in 2023.

Susan R. Lipp - Moderator, Editor in Chief

January 10, 2023

2 Min Read
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Copyright Matt Cardy, Getty Images

The 2023 Heckerling Institute on Estate Planning has officially begun. As in past years, members of our editorial advisory board have been tapped to speak at the various sessions, including Bernie Krooks, chair of our Elder Care Committee, who’s scheduled to speak on Wednesday morning, along with Tara Anne Pleat, on “Current Trends in Special Needs and Elder Law.” I asked Bernie to provide some insights on what we can expect in this area.

SECURE Act 2.0

Bernie noted that based on the Setting Every Community Up for Retirement Enhancement (SECURE) Act of 2019 and the recently enacted SECURE Act 2.0, clients won’t be able to take advantage of the stretch individual retirement account, unless the beneficiaries of the IRA are eligible designated beneficiaries, such as those who are disabled and chronically ill (DCI). Trusts for DCI beneficiaries are permitted if the DCI beneficiary is the sole beneficiary during their lifetime. This can include special needs trusts. In that case, the life expectancy of the oldest DCI beneficiary is used to determine the stretch period for mandatory distributions of the assets in the IRA. On the DCI beneficiary’s death, a charity is allowed to receive the remainder left in the trust.

Gallardo v. Marstiller

This recent U.S. Supreme Court decision allows states to seek reimbursement of money received by Medicaid recipients after they settled a tort lawsuit when the money is allocated to pay the recipient’s past and future medical care. The lawsuit was based on a challenge to a Florida statute that permits Florida to recover a percentage of these settlement payments for “past and future medical expenses.” The court upheld the statute. This could impact personal injury settlements because, in some cases, a larger portion of the settlement may be subject to recovery by the government.

Diminished Capacity

Bernie says that in 2023, practitioners will encounter more clients with diminished capacity. This will present certain ethical issues, such as whether the client has the capacity to engage or terminate your services or to execute certain legal documents. Practitioners may also have to fend off malpractice claims from heirs of a client with diminished capacity if the heirs claim that the client wasn’t able to make decisions on the client’s own behalf regarding the estate plan. Practitioners need to recognize when a client has diminished capacity and may decide to take steps to help these clients by getting a guardian appointed in appropriate circumstances.

About the Author

Susan R. Lipp - Moderator

Editor in Chief, Trusts & Estates Magazine

Susan R. Lipp is editor in chief of Trusts & Estates magazine, the WealthManagement.com Journal for estate-planning professionals. She oversees both the print and online version of T & E, as well as the monthly e-newsletter articles.
Susan served in leadership positions at Vendome Group, LLC (formerly Brownstone Publishers, Inc.) with editorial responsibility for publications and newsletters. Following her tenure at Vendome Group, Susan joined Community Housing Improvement Program (CHIP) as General Counsel, where she was editor in chief of its monthly newsletter and implemented initiatives to educate members on legal requirements. Susan began her career at Rosenberg and Estis, P.C., a real estate law firm in New York City.
Susan holds a Bachelor of Arts in Sociology from Brandeis University. She received her Juris Doctor Law degree from Hofstra University School of Law, graduating with distinction and having served as Associate Editor of the Law Review. Susan is admitted to practice law in New York State and is a member of the New York State Bar Association.