The election of Donald Trump as president will certainly mean changes in policy are likely to occur that affect the elderly population and those with special needs. According to WealthManagement.com’s article, “How Trump Policies Could Affect the Elderly and Those with Special Needs,” the uncertainty and challenges now facing seniors, disabled, and medically needy citizens are unsettling. Let’s look at a few:
Social Security and Medicare. Trump has said Social Security and Medicare will remain intact and (presumably) solvent. But how solvency would work with the impending bankruptcy of both programs (Medicare first, long before Social Security) remains to be seen. One proposal to counter insolvency is some form of Social Security and Medicare privatization. The Affordable Care Act (ACA) took some steps designed to extend the solvency of Medicare, and Trump said he’d keep parts of the ACA, but didn’t explain how he’d pay for it.
Medicaid. Each state has its own state Medicaid plan, but there are rules to be followed from Washington. Proposed block grants mean each state would receive a certain number of Medicaid dollars, and the state would decide how to use and spend those dollars. The proposed plans may be designed to restrict protective planning and make it much harder for seniors to protect their homes and other assets while qualifying for Medicaid, particularly for long-term care.
Gift and estate tax. Trump wants to eliminate the gift and estate tax, perhaps replaced by a “mark to market” tax of capital gains at death. A compromise could significantly increase the level of estate and gift tax protection.
Individuals with special needs. So far, there are no proposals made that would directly affect services for special needs children and adults.
Veterans’ Benefits. Many think Trump supports maintaining and maybe expanding services for veterans. But proposals that predate the election have been introduced that could restrict access to needed programs, such as Aid and Attendance, which provides financial assistance for veterans and spouses of veterans who need higher levels of home care assistance.
Regardless of the future changes, there will be a premium on advanced planning. This will increase the involvement of younger generations, since planning that involves and relies on involvement of the children and grandchildren will expand dramatically.
Reference: WealthManagement.com (January 6, 2017) “How Trump Policies Could Affect the Elderly and Those with Special Needs”