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Long-Term Care

NYT: Forced arbitration clauses in nursing home contracts hurt seniors

By Elder Law, Long-Term Care

In a recent New York Times article called “Nursing Home Residents Still Vulnerable to Abuse,” the author discusses how federal regulations fail nursing home residents by not protecting them from mandatory arbitration clauses in contracts.

According to the article, forced arbitration requires residents to settle any conflicts regarding services through private arbitration rather than public lawsuits. Arbitration allows nursing homes and corporations to avoid liability, and preserve their reputations. Nursing homes also employ these clauses because private arbitration is much faster than litigation.

The article goes on to state that the Centers for Medicare and Medicaid Services, which could have banned nursing home contracts from using arbitration clauses, allowed for homes to use them as long as they disclosed the clauses before making residents sign the contract.

Most of the disputes brought against nursing homes do not involve money but rather allegations of neglect and abuse. Unfortunately, the continuation of these arbitration clauses works to the detriment of the most vulnerable seniors.

Read the full article here: http://www.nytimes.com/2016/07/25/opinion/nursing-home-residents-still-vulnerable-to-abuse.html?rref=collection%2Ftimestopic%2FElder%20Care&action=click&contentCollection=timestopics&region=stream&module=stream_unit&version=latest&contentPlacement=3&pgtype=collection

What are some of the federal regulations for home care workers that work through a Medicaid-funded, self-directed program?

By Elder Law, Long-Term Care, Medicaid Planning

If you hired a worker through a self-directed program and act as the employer, federal regulations require that you:

  • You are responsible for making sure the home care workers receives minimum wage and any overtime pay
  • Make sure the fiscal intermediary pays the worker properly, if necessary
  • Make sure the fiscal intermediary or agency keeps employment records

What are some of the federal regulations for home care workers that do not live with us?

By Elder Law, Long-Term Care

If you hired a home care worker directly and the worker does not live with you, federal regulations require that you:

  • Pay the worker the federal minimum wage for each hour worked up to 40 in a week
  • For any hours worked over 40 in a week, pay the worker the one and a half times the worker’s hourly rate
  • Keep employment records
  • Count all hours worked

Department of Labor releases payment guide for home care workers

By Elder Law, Long-Term Care

In January of 2015, the Department of Labor (DOL) announced that home care workers are required to receive federal minimum wage and overtime pay. The DOL released a guidebook in April of 2016 to advise seniors and family members on how to properly compensate their home care workers.

Home care workers include workers who provide personal care, health-care related, fellowship and protection services. These workers include home health aides, certified nursing assistants (CNAs), and caregivers.

Over the next couple weeks, we’ll cover some of the new requirements for home care providers in different situations.

Are skilled nursing facility fees tax deductible as medical care expenses?

By Long-Term Care, Tax Law

            Because skilled nursing facilities are basically medical facilities, all expenses incurred including room and board are deductible for income tax purposes.  However, independent living facilities are different as only expenses directly associated with medical care are deductible.

For personalized tax planning advice from a Florida Board Certified Tax Attorney, contact our office at (941) 906-1231.

Are assisted living facility fees tax deductible as medical care expenses?

By Long-Term Care, Tax Law

If the client’s physician prescribes assisted living pursuant to a plan of care and the client has either severe cognitive impairment or is chronically ill, 100% of the cost of the client’s monthly charges in the assisted living facility will be tax deductible as medical care expense.  The IRS defines “chronically ill” as applying to a person who is unable to perform at least two activities of daily living without substantial assistance for at least 90 days.  The activities of daily living are eating, toileting, transferring, bathing, dressing and continence.  This tax exemption would not apply to purely discretionary items such as telephone costs or extra meals for visitors.

For personalized tax planning advice from a Florida Board Certified Tax Attorney, contact our office at (941) 906-1231.

End of Life Care Plans

By Asset Protection Planning, Elder Law, Estate Planning, Guardianship, Long-Term Care

Distinct from healthcare directives such as a healthcare power of attorney or a living will, a personal care plan is a document telling your loved ones how you wish to be taken care of throughout your life if you lose capacity.  Living wills only concern end of life medical treatment but personal care plans can be used to express desires such as nursing home preferences and what types of entertainment and hobbies they should have access to.  Although on their own end of life care plans are not enforceable, their power can be strengthened by tying them to a trust and directing that the trustee use the assets in the trust to ensure your desires are met.

If you are interested in setting up an end of life care plan or healthcare directives to ensure that your later life care will be carried out on your own terms, contact Board Certified Elder Law Attorney Babette Bach, Esq. at (941) 906-1231.

How do I choose the best assisted living facility?

By Long-Term Care

Choosing the right assisted living facility for you or a loved one is a very individual process which depends largely on personal needs and desires.  Comparing choices and options can be daunting and to find a good fit it is important that the future resident is involved in the search as much as possible.  We developed the following comparison checklist to help you keep in mind what each facility under consideration offers to decide what option is best for you or your loved one.

Assisted Living Facility Comparison Checklist

New Law Increases Protections for those in Assisted Living Facilities in Florida

By Elder Law, Long-Term Care

Enacted legislation (HB 1001) that will go into effect on July 1st, 2015 will provide more consumer protections to patients in assisted living facilities.  This bill seeks to better and more strictly enforce current regulations by increasing the number of required inspections for assisted living facilities which have been reported for violations.  More training will be required for facility staff and the Agency for Health Care Administration will be required to provide more website content so consumers have adequate information to select a quality assisted living facility.

    Planning for incapacity and long term or end of life care is an important part of estate planning with Bach & Jacobs, P.A.  To discuss your estate planning and create documents to protect your medical preferences, contact Bach & Jacobs, P.A. at (941) 906-1231.