Articles Tagged with New York elder law attorney

UNIFORMITY OF LAWS

Many laws across the country are the result of non-profit civic minded legal entities. The American Legal Institute is perhaps the most well known of these groups. Not all laws are “laws” in the traditional sense. Some are written by these legal entities and the various states adopt them as compacts, which are in essence legal contracts between states as to how they will handle intra-state legal problems. For example, there is a drivers compact that enables one state to recognize and punish out of state drivers for driver under the influence infractions.

For example, New Jersey driver receives a driving under the influence infraction in New York. The worst thing that New York can do is to revoke that driver’s right to operate a vehicle in New York state. Indeed this does happen. In addition, under the driver’s compact, New York also forwards this conviction to New Jersey and New Jersey then punishes the driver in accordance with New Jersey law, thereby suspending his/her driving privileges. Congress has never weighed in on this issue because there was no need to. Almost every state partakes in the Driver’s compact. States also cooperate with the placement of foster children across state lines to relatives or family friends via a compact. Once again, Congress has not created any statutory framework for the states. At the current moment there is some general agreement between the states when it comes to the laws that deal with Adult Protective Services (“APS”). The key term is that there is “general agreement.”

COMMON LEGAL WAY TO PROTECT EXCESS INCOME

       Unfortunately many means based programs, such as Medicaid, are strict in their qualifying criteria.  Depending on the specific facts you may not qualify for Medicaid and even as little as twenty dollars a month can make a difference.  There is no sliding scale of benefits based on your income.  Each state has its own financial thresholds for income qualification, given the drastic difference in cost of living throughout the country.  New York only allows for up to $845 in income, anything above that will disqualify the potential recipient.  So what of the millions of men and women throughout New York that live on modest means and yet still receive more than $845 in monthly income?  For example, a person in Manhattan or even Long Island who earns approximately $2,000 per month does not live luxuriantly, yet he/she may need certain services and does not want or even need to go into a nursing home facility for those services.

Pooled trusts allow for seniors to setup their own trusts so that they can still live a respectable and modest life and not be required to turn over all of their income to the state for Medicaid eligibility.  In the case of the senior above, he/she would $1,155 ($2,000 – $845) to a pooled trust that they joined so that he/she could still qualify for Medicaid and have money left to pay bills and perhaps enjoy their normal lifestyle with family and friends without much financial impact.

MANY ISSUES TO ADDRESS – PRIVACY AND LEGAL CONSIDERATIONS

       The issue of video cameras in nursing homes has exploded over the last several years.  With the large scale saturation of such user friendly technologies as Skype, Facetime and similar video technologies it should not come as a surprise that these issues are cropping up in nursing homes.  Video cameras can be a major liability for nursing homes, including even criminal liability.  It seems almost weekly that someone is arrested or charged due to evidence gleaned from video cameras located in nursing home residents’ rooms or other areas.  While management may decide to utilize video monitoring equipment in public areas, there are many problems with residents using the same or similar video technology even in their own rooms.  

Certainly there are common areas that are not public in nature that are a definite problem area for video imaging.  The distinction lies in the public versus private designation.  You do not have an expectation of privacy in public.  There is an expectation of privacy in a residential unit.  With a video camera a resident may be able to, unwittingly, record another resident without his or her permission, in a private area of the nursing home.  Such a broadcast, depending on the audience, could be grounds for an invasion of privacy lawsuit.  In addition, it could be a violation of the Health Insurance Portability and Accountability Act, usually known as HIPAA, the federal law that requires the confidentiality of medical records.  In addition, if there is an audio recording function, recording a third party’s conversations may also violate state criminal wiretapping laws.  New York is in the majority of states that require the consent of at least one of the interlocutors for any interception to be deemed legal.

CONTINUING CARE RETIREMENT COMMUNITIES

There are currently 1,900 continuing care retirement communities throughout the country, with approximately one half of a million residents.   As you may already know, continuing care retirement communities are communities that offer seniors or older adults – depending on the community – independent living options with various medical and social care features.  There is a recent trend to offer senior housing options in association with universities, which usually give the residents cutting edge medical care.  The residents also benefit from being allowed to attend college lectures and have access to the universities exercise and recreational activities.  

MAJOR FINANCIAL AND LIFE DECISION

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