Requiring Adult Children to Pay for Aging Parents’ Care

POSTED ON: June 4, 2022

Filial responsibility laws are on the books in about half the states, including Louisiana. Read this article about the potential of being held responsible, or alternatively, qualifying for Medicaid long-term care.

Requiring Adult Children to Pay for Aging Parents’ Care

Did you know you could be responsible for your parents’ unpaid bills? More than half of all states currently have laws making adult children financially responsible for their parents, including their long-term care costs. However, these laws are rarely enforced, but they could be used more in the future.  This subject was addressed by Forbes in it’s article “When Adult Children Can Be Required to Pay for their Parents’ Long-Term Care”

Filial responsibility laws obligate adult children to provide necessities like food, clothing, housing, and medical attention for their parents who cannot afford to take care of themselves. States may allow a civil court action to obtain financial support or cost recovery, impose criminal penalties on children who do not support their parents, or allow both civil and criminal actions.

Generally, most states with such laws do not require children to provide care if they lack the ability to pay. States also vary on what factors they consider when determining whether an adult child is able to pay. Children may not be required to support their parents if the parents abandoned them or did not support them.

With regard to long-term care, most low-income parents qualify for Medicaid, making it unnecessary for a nursing home to pursue the resident’s children for payment. When the Deficit Reduction Act of 2005 made it more difficult to qualify for Medicaid, experts predicted a wave of lawsuits by nursing homes under state filial responsibility statutes, but that has not happened. However, in 2012 a court in Pennsylvania ruled that a son was responsible for his mother’s $93,000 nursing home bill under the state’s filial responsibility law.

While in most instances adult children are not held responsible for their parents’ long-term care bills under these laws, they may have to pay a nursing home in other circumstances. In rare cases, children have been held liable if their parent transferred assets to them, making the parent ineligible for Medicaid. Additionally, there are cases in which children who signed an agreement affirming that they would assist their parent in paying for a nursing home have been sued for breach of contract by the nursing home. After a parent dies, Medicaid estate recovery allows the state to recoup Medicaid benefits from the parent’s estate, reducing the amount the children can inherit.

Luckily, filial responsibility laws have not been enforced in Louisiana, and families can implemenet a long-term care plan that would allow Medicaid to help pay for long-term care costs.  But planning ahead is important.  Even if you don’t plan ahead, a qualified Elder Law attorney can save you or your parents more than one-half or more in assets.  That is, unless filial responsibility laws start to be enforced, at which point the game will change.

If your parent needs long-term care, be sure to consult with your estate planning attorney to make certain you are not creating a situation in which you might be liable for your parent’s care.

BOOK A CALL with me, Ted Vicknair, Board Certified Estate Planning and Administration Specialist, Board Certified Tax Law Specialist, and CPA to learn more about estate planning, incapacity planning, and asset protection.

If you liked this article, “Requiring Adult Children to Pay for Aging Parents’ Care” read also these additional articles: Which States Have Been Hardest Hit by the Nursing Home Staffing Crisis? and The Tax Consequences of Selling a House After the Death of a Spouse and What to Do If You Want to Leave Your Children Unequal Inheritances and What are Your Early Signs of Dementia? and What Happens if I Take a Bigger RMD?

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