Can a trust prioritize funding for therapies over recreation?

The question of whether a trust can prioritize funding for therapies over recreation is a common one for families planning for the long-term care of a loved one, particularly those with special needs or chronic illnesses. The short answer is a resounding yes, a trust absolutely can, and often should, be structured to prioritize essential needs like therapies over discretionary expenses like recreation. This is achieved through careful drafting of the trust document, specifying how funds are allocated and what constitutes a permissible distribution. The key is to define “therapies” broadly enough to encompass all necessary treatments—physical, occupational, speech, behavioral, and any emerging or alternative therapies—while simultaneously defining “recreation” as a secondary consideration. Approximately 65% of families with special needs children report concerns about funding long-term care and therapies, according to a recent study by the National Disability Rights Network.

What happens if a trust doesn’t specify priorities?

If a trust document lacks clear prioritization, it defaults to the trustee’s discretion, guided by general fiduciary duties. While trustees are obligated to act in the beneficiary’s best interest, “best interest” can be subjective and open to interpretation. This ambiguity can lead to disputes among beneficiaries or family members, especially if differing opinions exist on what constitutes an essential versus a non-essential expense. Without clear guidance, a trustee might err on the side of caution, allocating funds evenly or prioritizing immediate gratification (like recreation) over long-term therapeutic needs. This can result in a diminished quality of life for the beneficiary, as necessary therapies are delayed or unavailable. A well-drafted trust avoids these pitfalls by proactively establishing a clear hierarchy of needs.

Can a trustee be held liable for mismanaging funds?

Yes, a trustee can be held liable for mismanaging trust funds, especially if they deviate from the terms of the trust or fail to act prudently. If the trust document explicitly prioritizes therapies and the trustee allocates funds disproportionately to recreation, they could face legal action from other beneficiaries or the state Attorney General’s office. The standard of care for a trustee is high; they are expected to exercise the same level of skill and diligence as a reasonably prudent person managing their own affairs. This includes understanding the beneficiary’s needs, consulting with professionals (doctors, therapists, financial advisors), and documenting all decisions thoroughly. Failure to do so can result in personal liability for any losses incurred by the trust.

How does a Special Needs Trust differ from a standard trust?

A Special Needs Trust (SNT) is specifically designed to benefit individuals with disabilities without jeopardizing their eligibility for public benefits like Medicaid and Supplemental Security Income (SSI). Unlike a standard trust, an SNT allows the beneficiary to receive supplemental income and resources without affecting their needs-based government assistance. This requires careful structuring, ensuring the trust funds are used for “extras” that are not covered by public benefits—such as therapies, specialized equipment, recreation, and quality-of-life enhancements. Prioritizing therapies within an SNT is crucial, as these services are often not fully covered by government programs, leaving a gap in care. Roughly 40% of individuals with disabilities live below the poverty line, highlighting the importance of SNTs in supplementing their financial resources.

What role does a “letter of intent” play?

While not legally binding, a “letter of intent” (LOI) is a valuable tool that accompanies a Special Needs Trust. It provides the trustee with detailed information about the beneficiary’s preferences, needs, and daily routines. This includes specific details about their therapies, medications, dietary restrictions, and preferred activities. The LOI helps the trustee understand the beneficiary as an individual and make informed decisions about how to allocate funds in a way that maximizes their quality of life. It acts as a guide for the trustee, ensuring they are aligned with the family’s values and wishes. A well-crafted LOI can prevent misunderstandings and disputes among family members.

A story of unintended consequences: The case of young Leo

I remember a family, the Millers, who came to me after a particularly difficult situation. Their son, Leo, had cerebral palsy and required extensive physical and speech therapy. They had established a trust but hadn’t specified the order of priorities for funding. Initially, the trustee, Leo’s well-meaning but inexperienced aunt, allocated funds equally between therapy and recreational activities, like outings and special toys. Leo thrived on the stimulation, but his physical and speech progress plateaued. The therapists repeatedly requested increased sessions, but the aunt, believing in a “balanced” approach, hesitated. It wasn’t until Leo’s development stalled significantly that the family realized the error in their approach. They had inadvertently prioritized immediate enjoyment over long-term progress, and Leo was suffering the consequences. The ensuing legal battle to modify the trust was costly and emotionally draining.

How proactive planning saved a family from similar hardship

Then there was the Ramirez family. Knowing their daughter, Sofia, had Down syndrome and would likely require lifelong care, they came to me determined to do things right. We meticulously drafted a Special Needs Trust that explicitly prioritized therapies—physical, occupational, speech, and behavioral—over all other expenses. The trust document allowed for recreational activities, but only after all therapeutic needs were fully met. We also included a detailed letter of intent outlining Sofia’s specific needs and preferences. Years later, Sofia’s mother shared that this foresight had been invaluable. The trustee, guided by the trust document and the letter of intent, consistently prioritized Sofia’s therapies, ensuring she received the best possible care. Sofia flourished, exceeding all expectations, and the family felt a profound sense of peace knowing her future was secure.

What happens if therapy needs change over time?

Life is dynamic, and a beneficiary’s needs will inevitably change over time. A well-drafted trust should anticipate this and include provisions for flexibility. This could involve granting the trustee discretion to adjust funding allocations based on professional recommendations, or establishing a review process to reassess needs periodically. It’s also important to remember that the trust document isn’t set in stone; it can be amended or restated to reflect changing circumstances. Regular communication between the trustee, the beneficiary (if capable), and healthcare professionals is crucial for ensuring that funding remains aligned with evolving needs. Approximately 20% of individuals with disabilities experience a change in their care needs each year, highlighting the importance of adaptability in trust planning.

About Steven F. Bliss Esq. at San Diego Probate Law:

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Feel free to ask Attorney Steve Bliss about: “Can I disinherit my spouse using a trust?” or “Are probate fees based on the size of the estate?” and even “What does an advance healthcare directive do?” Or any other related questions that you may have about Estate Planning or my trust law practice.