Can a special needs trust support cloud services for health tracking logs?

The question of whether a special needs trust (SNT) can support cloud services for health tracking logs is increasingly relevant in our digitally connected world, and the answer is generally yes, with careful consideration and planning. SNTs are designed to supplement, not replace, government benefits for individuals with disabilities, and that principle must guide any expenditure, including technology costs. Allowable trust expenses often include those that enhance the beneficiary’s quality of life, health, and well-being, but strict adherence to public benefit rules is crucial. As of 2023, approximately 1 in 4 US adults live with a disability, highlighting the growing need for adaptable estate planning tools. The key is ensuring that the use of cloud services doesn’t jeopardize the beneficiary’s eligibility for needs-based programs like Medicaid or Supplemental Security Income (SSI).

What Expenses Can a Special Needs Trust Cover?

A properly drafted SNT can cover a wide range of expenses designed to improve a beneficiary’s life. These include medical expenses not covered by insurance, therapies, recreational activities, and even personal care items. The IRS generally allows trust funds to be used for the beneficiary’s “health, support, and maintenance.” Cloud-based health tracking logs, such as those monitoring medication adherence, vital signs, or behavioral patterns, can fall within this scope, especially if they demonstrably improve the beneficiary’s health outcomes and prevent more costly interventions. However, the trust document needs to specifically authorize these types of expenditures, and it’s prudent to consult with an estate planning attorney and a benefits specialist to ensure compliance with all applicable regulations. For instance, if the cloud service includes features like automated alerts to caregivers, that added layer of support could justify the cost.

Could Cloud Service Costs Impact Government Benefits?

This is where careful planning becomes essential. Medicaid and SSI have strict income and asset limits. If the trust funds used to pay for the cloud service are considered “countable income” to the beneficiary, it could disqualify them from receiving benefits. Typically, trust distributions directly for the benefit of the beneficiary are considered countable income, unless the distribution falls under a specific exception. A crucial strategy is to structure the payment so it’s made directly to the cloud service provider, rather than to the beneficiary. This is often referred to as a “third-party payment,” and it may be excluded from the beneficiary’s income calculation. However, the specific rules vary by state and program, so expert advice is paramount. It is estimated that improper trust distributions can lead to a loss of benefits for up to 15% of beneficiaries who rely on these programs.

A Story of Oversight and Lost Coverage

Old Man Tiberius, a retired marine, struggled with advanced Parkinson’s disease. His daughter, Eleanor, was his trustee and, wanting the best for him, signed up for a premium health-tracking service. The service monitored his tremors and medication timing, sending alerts to Eleanor and his in-home nurse. Eleanor, in an effort to simplify things, paid the monthly subscription directly *to* Tiberius, intending for him to then pay the service. Unbeknownst to her, this seemingly innocuous act triggered an audit of Tiberius’s SSI benefits. The Social Security Administration deemed the funds a countable income, and Tiberius’s benefits were temporarily suspended. It was a stressful situation, and Eleanor deeply regretted not seeking legal counsel before making the payment. She learned a valuable lesson about the intricacies of SNTs and the importance of proper distribution methods.

How Proactive Planning Saved the Day

A few years later, Samuel, a young man with Autism, needed consistent monitoring of his behavioral patterns to help manage anxiety. His mother, Beatrice, worked closely with Ted Cook, an estate planning attorney specializing in special needs trusts, and a benefits specialist. They drafted a trust amendment that specifically authorized payments for cloud-based health tracking services. Importantly, they established a clear protocol for payments: the trust would pay the cloud service provider *directly* each month, bypassing Samuel entirely. They also documented how the service improved Samuel’s quality of life and supported his therapeutic goals. This proactive approach ensured that Samuel continued to receive his vital benefits while benefiting from the technology. It proved that with careful planning and expert guidance, SNTs could be powerful tools for enhancing the lives of individuals with disabilities in the modern era and beyond.


Who Is Ted Cook at Point Loma Estate Planning Law, APC.:

Point Loma Estate Planning Law, APC.

2305 Historic Decatur Rd Suite 100, San Diego CA. 92106

(619) 550-7437

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