Articles

Promissory Notes and Medicaid Planning

What is Medicaid? Nursing homes in Pennsylvania typically cost $150,000 – $180,000 a year. Medicare and health insurance don’t pay. Medicaid does, without any dollar caps or time limits. But you must first go broke in order to qualify and, if you’re married, your spouse could forfeit a substantial part of his or her estate

Better Together…Integrating Financial Products with Medicaid Planning

For all but the very wealthy, prudent retirement and estate planning includes legal measures to protect against the cost of financially ruinous long-term care. Nursing homes in Pennsylvania cost $150,000 – $180,00 a year. Medicare and private health insurance don’t pay for this. Medicaid does, without any dollar caps or time limits. But poverty is

Maximize Income Tax Deductions With An “Incomplete Gift Non-Grantor (Ing) Trust”

The One Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, has breathed some new life into a little-used estate planning measure for high income taxpayers. Beginning in 2025 incomplete non-grantor (ING) trusts provide new opportunities to reduce income taxes by shifting income to one or multiple trusts. This can be especially

Irrevocable Trusts – Modification and Termination

Did you know that a properly drafted “irrevocable trust” can be modified or terminated with or without court permission? The settlor (creator and funder) of an irrevocable trust cannot simply “revoke” a trust. But there are other legal means to modify or terminate it. Why, you may ask, would a someone who creates and funds

Legal Measures to Protect Rental Real Estate

For many Pennsylvanians, a rental property is more than an investment. It’s a source of income, a family asset, and a cornerstone of long‑term financial security. Yet few owners realize how vulnerable rental real estate can be — not only to lawsuits and creditor claims, but also to the devastating cost of nursing home care.

Tax Loopholes Of The Rich And Famous: The Laffer Curve And Why Less Is More

EDITOR’S NOTE: This article appeared one year ago in our February 2025 issue of Elder Law Alert. Subsequently, on July 4, OBBBA, the new federal tax law, came into existence. We chose to run this article again to offer an opportunity for our readers, as well as for ourselves, to see if the new tax

What Is the Generation-Skipping Transfer Tax?

Takeaways The generation-skipping transfer (GST) tax applies primarily to very large estates that transfer wealth to grandchildren (or unrelated individuals 37.5+ years younger), ensuring at least one layer of transfer tax is paid. The new One Big Beautiful Bill Act permanently increases the GST exemption to $15 million per person starting in 2026 (up from

PACE Program Helps Seniors Remain at Home

Most seniors want to stay at home as long as they can. The little-known Program for All-Inclusive Care of the Elderly (PACE) allows persons to do just that instead of going into a nursing home. Program History PACE’s inception dates to the 1970s when the federal and state governments were developing community-based services for some

Protect This House – Bob & Carol, Ted & Alice

Two retired married couples, long-time friends, Bob & Carol, Ted & Alice, experienced very similar health care crises. They responded differently with radically different results. Bob’s wife, Carol, sustained a massive stroke, rendering her severely paralyzed. After a brief hospitalization, Carol transferred to Dirty Pines Nursing and Rehabilitation Center for short-term rehab. Thirty days later,