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The Elder Care Law Alert

Marshall, Parker & Associates' E-mail Newsletters

2008

Elder Care Law Alert

                October 23, 2008 Issue 

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Jersey Shore, Williamsport, Wilkes-Barre, Scranton

1-800-401-4552

www.paelderlaw.com 

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The Elder Law Firm of Marshall, Parker  & Associates, LLC, is a recognized leader in providing coordinated legal and elder care planning services to older adults and their families throughout Pennsylvania.

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PA Nursing Home Guide
Assisted Living Guide
Advance Directive Planning Tools
Medical Assistance Estate Recovery

Social Security Payments to Increase 5.8% in 2009

Written By: Attorney Jeffrey A. Marshall , CELA*

The Social Security Administration has announced that monthly Social Security and Supplemental Security Income benefits for more than 55 million Americans will increase 5.8 percent in 2009. The 5.8 percent increase is the largest since 1982.

Social Security and Supplemental Security Income benefits increase automatically each year based on the rise in the Bureau of Labor Statistics' Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W).  This year's increase in the CPI-W was 5.8 percent. This means that the average Social Security benefit that will be payable in 2009 to all retired workers is estimated at $1,153 per month.   The 5.8 percent Cost-of-Living Adjustment (COLA) increase will apply to benefits that are paid to over 50 million Social Security beneficiaries beginning in January 2009. 

Increased payments to more than 7 million Supplemental Security Income beneficiaries will begin on December 31, 2008.  The SSI Federal Payment Standard for 2009 will rise to $674 per month for an individual (up from $637) and $1,011 per month for a couple (up from $956).

The Social Security COLA serves as a factor in determining financial eligibility for the PDA 60+ Waiver program, the LIFE program, and a number of Medicaid home-and community-based waiver programs which are operated in Pennsylvania .  For these programs Pennsylvania uses a special income rule option that sets the income standard at 300 percent of the federal benefit (SSI) rate. As a result of the COLA, the maximum income figure will increase from $1,911 per month in 2008 to $2,022 in 2009. Thus, in 2009, an applicant for PDA Waiver or LIFE Program services who has monthly gross income of $2,022 or less will meet this Medicaid eligibility requirement.

Some other changes that take effect in January of each year are also based on the Social Security increase.  In 2009 the maximum amount of earnings subject to the Social Security tax (taxable maximum) will increase to $106,800 from $102,000.  Of the estimated 164 million workers who will pay Social Security taxes in 2009, about 11 million will pay higher taxes as a result of the increase in the taxable maximum. 

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


Bailout Law Includes More Than Rescue Plan

Written By: Attorney Jeffrey A. Marshall , CELA*

The recently enacted Emergency Economic Stabilization Act of 2008 (more commonly called the “Bailout Bill”) contains a lot more than just the financial bailout measures. Over $150 billion in separate tax goodies are included, along with $44 billion in “offsets” (also known as “tax increases.”) 

Some of the following provisions may be of significance to seniors:

FDIC Coverage Increase. Section 136 of the new law provides for a temporary increase in Federal Deposit Insurance Coverage. This raises the FDIC and the National Credit Union Share Insurance Fund deposit insurance limits from $100,000 per account to $250,000 until December 31, 2009. See the related article in this issue of the Elder Care Law Alert

Additional Standard Deduction for Real Property Taxes. In 2008, Congress authorized a maximum $500 additional deduction for tax filers who take the standard deduction ($1,000 for joint fil­ers).  This added deduction was originally available only for the 2008 tax year. The new law extends this stan­dard deduction addition for real property taxes for non-itemizers through 2009. This increases the standard deduction by $1,000 (to $11,900) for non-itemizing joint filers, by $500 (to $5,950) for non-itemizing individuals and to $8,500 for non-itemizing heads of household.

Tax-Free Distributions from IRAs for Charitable Purposes. The new law permits taxpayers who are over age 70 ½ to make tax-free distributions from IRAs for charitable purposes through December 31, 2009. This charitable contribution option had previously existed but expired January 1, 2008. The maximum contribution limit for 2008 and again for 2009 is $100,000.

State and Local Sales Tax Deduction The American Jobs Creation Act of 2004 al­lowed individuals to deduct state and local general sales taxes in lieu of state and local income taxes. This deduction expired at the end of 2007. The new law makes the deduction retroactive for 2008 and extends it for two years through December 31, 2009.

Energy

The new law extends a host of energy tax incentives for con­sumers, producers and manufacturers. It expands the definition of renewable energy sources that are eligible for tax incentives, extends some credits for as long as eight years, and ends or modifies the caps on others. For example, the 30% solar electricity credit currently has a $2,000 cap. This limitation is removed, effective for solar electric property placed in service after December 31, 2008. That means that a qualifying installation of a $25,000 residential solar system would allow a homeowner to take $7,500 off his taxes.

A credit of up to $500 is available under IRC Sec. 25C credit for the purchase of residential energy property improve­ments such as insulation materi­als, exterior windows, including skylights and exterior doors. 

AMT Patch

Congress included an Alternative Mini­mum Tax (AMT) patch in the new law. Under the new law’s patch for the 2008 tax year, the AMT exemption amounts are $69,950 for married couples filing jointly and surviving spouses, $46,200 for single taxpayers and heads of house­hold, and $34,975 for married couples filing separately.  The patch only applies to 2008. Without the change for 2008, the exemptions would have reverted to $45,000 for couples and $33,750 for individuals.

Click here for the full text of the law: http://financialservices.house.gov/ESSABill.pdf 

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


FDIC Deposit Insurance Coverage Increased

Written By: Attorney Jeffrey A. Marshall , CELA*

As a result of the recent economic crisis, the Federal Government has expanded federal deposit insurance coverage for many Bank and Credit Union deposit accounts.  Here is a brief summary of changes with links to further information.

Non-Interest Bearing Accounts
All non-interest bearing transaction deposit accounts at an FDIC-insured institution, including all personal and business checking deposit accounts that do not earn interest, are fully insured for the entire amount in the deposit account. This unlimited insurance coverage is temporary and will remain in effect for participating institutions until December 31, 2009.

For more information visit: http://www.fdic.gov/news/news/press/2008/pr08100.html

Insurance Increase to $250,000
All other deposit accounts at FDIC-insured institutions are insured up to at least $250,000 per depositor until December 31, 2009. On January 1, 2010, FDIC deposit insurance for all deposit accounts—except for certain retirement accounts—will return to at least $100,000 per depositor. Insurance coverage for certain retirement accounts, which include all IRA deposit accounts, will remain at $250,000 per depositor.

For more information visit: http://www.fdic.gov/news/news/press/2008/pr08093.html

Trust Accounts
The FDIC has simplified its rules for the insurance coverage of revocable trust accounts. The new rules provide at least as much coverage as the former rules, and expiration dates are removed.

Read more about this change at: http://www.fdic.gov/news/news/financial/2008/fil08099.html.

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html


Heating Assistance

Written By: Planning Specialist Karen Griswold

As we enter this year’s heating season, we should all take a moment to spread the word about The Pennsylvania Low Income Home Energy Assistance Program (LIHEAP).  We should not assume that our family, friends and neighbors are aware of this program.  The LIHEAP season opens November 3, 2008 and helps low-income families pay their heating bills.  Resources are excluded in determining LIHEAP eligibility and the applicant can choose whether the time period to be used in determining gross annual income is 30 days, 90 days, or 12 months prior to the date of application.  This allows the applicant to use the income time period that is most advantageous to them. 

The 2008/2009 Income Guidelines are:

                        Household Size                                              Maximum Income

                                    1                                                                      $23,110

                                    2                                                                      $30,221

                                    3                                                                      $37,332

                                    4                                                                      $44,443

                                    5                                                                      $51,554                                               

You can apply online at www.compass.state.pa.us, by completing a mail-in application, or by contacting your local County Assistance Office or the LIHEAP hotline at 1-866-857-7095.  Applicants who received benefits last year will automatically receive a mail-in application. 

Karen can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Karen is available on our website at www.paelderlaw.com/staff.html   


Annual Gift Tax Exclusion Increases to $13,000

Written By: Attorney Jeffrey A. Marshall, CELA*

Each year the dollar amounts of a number of tax provisions are revised to keep pace with inflation. The IRS has announced that key changes affecting 2009 returns, which will be filed by most taxpayers in early 2010, will include the following:

·         The annual gift tax exclusion will increase from $12,000 to $13,000 effective January 1, 2009. The gift tax exclusion is the amount the IRS allows a taxpayer to gift to another individual without reporting the gift or using any of their lifetime gift tax exclusion.

·         The value of each personal and dependency exemption, available to most taxpayers, will be $3,650, up $150 from 2008.

·         The new standard deduction will rise to $11,400 for married couples filing a joint return (up $500), $5,700 for singles and married individuals filing separately (up $250) and $8,350 for heads of household (up $350). Nearly two out of three taxpayers take the standard deduction, rather than itemizing deductions, such as mortgage interest, charitable contributions and state and local taxes.

·         Tax-bracket thresholds increase for each filing status. For a married couple filing a joint return, for example, the taxable-income threshold separating the 15-percent bracket from the 25-percent bracket will be $67,900, up from $65,100 in 2008.

·         The maximum earned income tax credit for low and moderate income workers and working families with two or more children will be $5,028, up from $4,824. The income limit for the credit for joint return filers with two or more children is $43,415, up from $41,646.

The IRS news release announcing these inflation-adjusted tax figures for 2009 is available online at http://www.irs.gov/newsroom/article/0,,id=187825,00.html

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


Assisted Living Regulations Update

Written By: Attorney Jeffrey A. Marshall, CELA*

Act 56 of 2007 created a new class of assisted living providers. Regulations will permit them to serve residents with higher care needs including some who would qualify for Medicaid-funded nursing home care.  Unlike personal care homes, this new Assisted Living Residence (ALR) provider class will be able to deliver some health care services to their residents.  The Legislature directed the Department of Public Welfare to develop regulations to implement the intent of Act 56. 

On August 9, 2008, the Department of Public Welfare (DPW) published proposed Assisted Living Regulations #14-514.  The proposed regulations are available online at http://tinyurl.com/6y7yml.  In accordance with Pennsylvania law, interested parties were permitted to submit comments.  Comments, which were filed by industry and consumer representatives as well as legislators, are available at http://tinyurl.com/6x6rex.  

On October 15th, the Independent Regulatory Review Commission issued its comments to DPW.  Those comments are available at http://tinyurl.com/3ky6sr .  The Independent Regulatory Review Commission reviews state agency regulations to ensure that they are in the public interest.  Its comments suggest that DPW’s proposed regulations need a lot more work. Chief among the concerns raised by the IRRC is the confusion over the term “assisted living

DPW is now in the process of reviewing and addressing the comments and preparing final regulations.  While the Department intends to move the process along as expeditiously as possible, it is not clear how soon that will be.  DPW will not issue final regulations until next year, and it is unlikely that they will be implemented before July 1, 2009 at the earliest.    

A Pittsburgh Post Gazette story on the comments to the regulations and DPW’s response is available online at http://www.post-gazette.com/pg/08296/921716-85.stm

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


Amendments to the Americans with Disabilities Act

Written By: Attorney Jeffrey A. Marshall, CELA*

On September 25, 2008 the President signed Amendments to the Americans with Disabilities Act into law.  The new law corrects a series of Supreme Court decisions that limited the scope of the Americans with Disabilities Act (ADA) which took effect in 1990. In cases heard in 1999 and 2002, the Supreme Court ruled that individuals who could compensate for their disabilities with medications, medical devices or prosthetics did not qualify for protection under ADA.  Because of the rulings, some disabled people, like those with epilepsy or diabetes, were forced to choose between treating their conditions and forfeiting their protections under the 1990 law.

The new Act expands the definition of "disabled" which is set out in the ADA. It states that the Supreme Court erred by "eliminating protection for many individuals whom Congress intended to protect" under the ADA. In addition, the legislation states that courts should not consider the effects of "mitigating measures" -- such as medications, hearing aids, and artificial limbs -- in the determination of a disability, and that "an impairment that is episodic or in remission is a disability if it would substantially limit a major life activity when active."

The law includes a number of clarifications of aspects of the ADA and states that disability should be construed in favor of broad coverage of individuals under the ADA. 

The text of the new law is available online at:

http://thomas.loc.gov/cgi-bin/bdquery/z?d110:SN03406:@@@L&summ2=m&

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


New PA Legislation Enacted

Written By: Attorney Jeffrey A. Marshall, CELA*

On October 8th and 9th, Governor Rendell signed a number of bills into law. 

Act 102 [House Bill 834 (HB 834)] commonly known as the “Mandatory Overtime” law, establishes the “Prohibition of Excessive Overtime in Health Care Act” which provides that, except in certain circumstances, a health care facility cannot require an employee to work in excess of an agreed to, predetermined and regularly scheduled shift. Overtime can be mandated when an unforeseeable emergent circumstance occurs and the assignment of additional hours is a last resort; the employer has exhausted reasonable efforts to obtain other staffing; and the employer gives the employee an hour to arrange for child or elder care or care of a disabled family member.

Act 102 is intended to restrict the use of mandatory overtime for direct patient caregivers such as nurses and nursing assistants.  Its purported goal is to improve patient safety.  This new legislative ban will affect a wide range of Pennsylvania health care providers including hospitals, hospices, ambulatory surgical centers, long-term care facilities, and mental retardation facilities 

Health care facilities can no longer require an employee to work hours beyond an agreed-to, predetermined, regularly-scheduled daily work shift; facilities also may not retaliate against workers who refuse to work extra hours.  The law does not bar employees from working voluntary overtime and mandatory overtime is to be permitted in certain emergency situations as noted above.    

The Act represents a big political victory for labor organizations including The Pennsylvania Association of Staff Nurses and Allied Professionals, and SEIU Healthcare Pennsylvania, the Commonwealth’s largest health care workers’ union.

Act 108 (House Bill 1177) amends Title 40 (Insurance) to provide that professional health service plans must directly pay for services provided by social workers, occupational therapists, marriage and family therapists and professional counselors.

Act 114 (House Bill 2034) allows a pharmacist employed by, or a pharmacy under contract with, a long-term care facility to repackage, re-label and dispense a dose of a drug acquired by a Veteran’s Administration hospital to a veteran who is a patient of the long-term care facility.

Act 120 (House Bill 2629) amends the Health Care Facilities Act to require that the Department of Health promulgate regulations for the licensure and operation of small residential hospices with 22 or fewer beds.

 Act 118 (House Bill 2499) enacts the Massage Therapy Law and establishes an 11-member State Board of Massage Therapy. The board’s charge is to approve qualifications and fitness of applicants for a license to practice massage therapy; promulgate necessary regulations; revoke, deny, approve, renew or suspend licenses; and submit an annual report.

Act 91 (Senate Bill 1023) amends the Acupuncture Registration Law to require that acupuncturists be licensed by the commonwealth. Current law requires them to be registered.

Copies of these new laws and other enacted legislation are available online at the website of the Pennsylvania General Assembly, HERE

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


New Secretary of Aging

Written By: Attorney Jeffrey A. Marshall, CELA*

Pennsylvania’s Secretary of Aging has resigned effective October 31.  Nora Dowd Eisenhower has served as Pennsylvania’s Secretary of Aging since the start of the Rendell Administration. 

She will be replaced on an acting basis by John Michael Hall.  Hall currently heads Pennsylvania’s Office of Long Term Living which operates under and coordinates the work of the departments of Aging and Public Welfare.

As secretary of Aging, Hall will oversee the provision of Lottery-funded services and benefits to older Pennsylvanians, which include the PACE/PACENET prescription programs, family caregiving, transportation, home and community based services, Alzheimer’s programs, health and wellness education, senior community centers and nutrition programs, adult day services and protective services for older people at risk of abuse or neglect. Many of the services are provided through the state’s 52 Area Agencies on Aging.

Before joining the Rendell administration, Hall served as deputy commissioner for health, integrated access and strategy in the Maine Department of Health and Human Services. Hall also held a number of executive-level positions in the Vermont Agency of Human Services and Vermont’s Department of Aging and Disabilities.   A lawyer, Hall worked at Vermont Legal Aid Inc. from 1982 to 1996, serving as state ombudsman, and director of the Elderly Law Unit. 

More information about the Pennsylvania Department of Aging is available online at  www.aging.state.pa.us.

Attorney Marshall can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Attorney Marshall is available on our website at www.paelderlaw.com/staff.html   


Be In the Pink

Written By: Planning Specialist Josephine Reviello

October is National Breast Cancer Awareness Month.  Since the inception of The National Breast Cancer Awareness Month organization (NBCAM) more than 20 years ago, there has been an increased awareness of breast cancer issues, including treatments, updated information, resources, and providing access to screening services for early detection. NBCAM is comprised of several national public service organizations, professional medical associations, and government agencies all focusing on encouraging women to take charge of their own breast health.

Breast cancer is the most common cancer in women, aside from skin cancer.  Breast cancer is cancer that forms in the tissues of the breast, usually the ducts and lobules or glands that make milk.  New cases of breast cancer in the United States are estimated to be 178,480 (female); 2,030 (male).  The disease is 100 times more common in women than men.  Among the risk factors, besides being female, are increased age, genetics, early start of menstruation and use of hormone replacement therapy (for additional information on risk factors, to the NBCAM website www.nbcam.com or the American Cancer Society Website www.cancer.org).

The basic treatment choices for breast cancer are surgery, radiation, chemotherapy, and hormonal therapy, which may or may not be included in the treatment regimen, depending on hormonal involvement in the growth of the tumor. However, early detection is key. Mammograghy or mammogram screening remains the best available method to detect breast cancer early and is usually recommended on a regular basis for women around 40 or so, depending on your personal and family history and your doctor. A regular Breast Self-Exam (BSE) is important early detection practice as well. For more information on BSE and other screening methods, visit Susan G. Komen for the Cure: Early Detection & Screeing (www.komen.org). 

You can visit the NBCAM website to find local breast cancer awareness events. Besides wearing something pink, find out how you can participate in these events or spread awareness on the job or in your neighborhood to promote your support in raising awareness and funds in the fight against breast cancer.

Josephine can be contacted at webmail@paelderlaw.com or at 1-800-401-4552. More information about Josephine is available on our website at www.paelderlaw.com/staff.html   


Learn How To Protect Your Family from Long Term Care Costs

at our FREE Consumer Workshop

Saturday, November 1, 2008 from 10:00 AM until 12:00 PM at Durrwachter Alumni Conference Center on the campus of Lock Haven University

 More information available on our website at www.paelderlaw.com/workshops.html


Contacting Marshall, Parker & Associates for Assistance

Marshall, Parker & Associates is a nationally recognized law firm which provides long-term care planning, estate planning & estate administration services to Pennsylvania clients from our offices in Jersey Shore, Williamsport, Wilkes-Barre and Scranton. 

If you or someone you know needs assistance with estate planning or with qualification for Medicaid benefits for nursing home or home care, please call us toll free at 1-800-401-4552. 

 


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*Attorneys Marshall and Parker are certified as Elder Law Attorneys by the National Elder Law Foundation under authorization from the Pennsylvania Supreme Court

**In addition to her law degree, Attorney Colbert holds an advanced legal degree (LLM) in Estate Planning from the University of Miami School of Law

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