MEDICAL ALERT SCAM

In March of 2013 at the Federal Trade Commission’s (FTC) request, a U.S. district court has temporarily shut down a Brooklyn, New York-based operation that the allegedly used deception, threats, and intimidation to induce elderly consumers to pay for medical alert systems they neither ordered nor wanted.

In its complaint, the FTC charges that telemarketers for Instant Response Systems call elderly consumers – many of whom are in poor health and rely on others for help with managing their finances – and try to pressure them into buying a medical alert service that consists of a pendant that supposedly allows them to get help during emergencies.  In numerous instances, Instant Response Systems allegedly has falsely claimed during sales calls that consumers who did not order the medical alert service have, in fact, bought the service and owe the company money — often hundreds of dollars.

The company also allegedly has shipped bogus invoices and unordered medical alert pendants to consumers without their consent, has repeatedly threatened consumers with legal action in order to induce and coerce payment, and has subjected them to verbal abuse.  In addition, the FTC contends that Instant Response Systems has illegally made numerous unsolicited calls to consumers whose phone numbers are listed on the National Do Not Call Registry.

According to the FTC’s complaint, consumers who tried to contact the company to dispute the false charges or find out how to return unopened packages often were unable to reach anyone.  If they did reach a representative, they allegedly faced threats, verbal abuse, and demands that they pay for the product.

Based on this alleged conduct, the FTC charged the company and its principals with making illegal misrepresentations to consumers, violating the Telemarketing Sales Rule by calling phone numbers on the Do Not Call Registry, and violating the Unordered Merchandise Statute by sending consumers pendants they did not order.

Similar scams have now been reported in Texas, Wisconsin and Kentucky. The Michigan Attorney General’s Office has received about 50 complaints about this scam in the past two weeks.  The Better Business Bureau is telling consumers that get similar calls just to hang up the phone, do not press any buttons and if someone does talk to you, be sure to first ask for the company’s physical address. If the representative wants your address but won’t give out its own address, it’s a red flag to a scam.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

 

Medicare Urges Seniors to Join the Fight Against Fraud

In mailboxes across the country, people with Medicare will soon see a redesigned statement of their claims for services and benefits. The new statement will help them better spot potential fraud, waste, and abuse.  Because of actions like these, the number of suspect providers and suppliers thrown out of the Medicare program has more than doubled in 35 states. The redesigned notice will make it easier for people with Medicare to understand their benefits, file an appeal if a claim is denied, and spot claims for services they never received. The Centers for Medicare & Medicaid Services (CMS) will send the notices to Medicare beneficiaries on a quarterly basis.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

New Website for Mental Health Resources

The federal government has introduced a new resource for people struggling with mental illness. Mentalhealth.gov is a new website providing consumer-friendly content. At the website, you can find information about the signs of mental health problems, how individuals can seek help, and how communities can host conversations on mental health. The website’s social media channels will connect people to the latest information on the national mental health conversation. You can also share your story for others to learn from your experience. The website also includes videos featuring first-person narratives of individuals who have recovered from or managed mental health problems, or supported a friend or loved one struggling with these issues. Individuals contributing their stories to this initiative include: Glenn Close, Demi Lovato, John Saunders, and Cher.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

New Americans with Disabilities Act (ADA) Website

In the first re-design of the ADA website since 2002, the Department of Justice launched a redesigned ADA website, ADA.gov. The new design incorporates improved navigation and usability features making it easier to find information on ADA technical assistance, enforcement, and regulations.   Additional features include information for returning service members with disabilities, service animals, and a sign up for an email list to receive the latest updates.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

Social Security Administration Revises Rules: Permits First-Party Trusts to Pay for Non-Beneficiary Travel in Some Cases

The Social Security Administration (SSA) has revised its Program Operations Manual System (POMS) to allow first-party trusts to pay for travel expenses incurred by non-beneficiaries in limited cases. In addition, the revised POMS clarifies the rule that payment of some administrative expenses upon early termination of the trust or otherwise, including trustee fees, will not violate the sole benefit rule.

A controversy surrounding trusts and travel expenses began last spring, when the SSA added two examples to POMS Section 1120.201. The new wording stated that trusts that permit a trustee to reimburse a beneficiary’s family for expenses incurred in visiting the beneficiary would violate the “sole benefit rule” and would therefore not qualify as exempt resources.

The SSA removed the offending examples after attorneys and other advocates objected, but the agency warned that it would revisit the issue. The latest revisions, announced in a Policy Transmittal and effective May 15, 2013, represent a compromise position.

According to the updated POMS Section 1120.201.F.2, the general rule is that a trust is established for the sole benefit of an individual “if the trust benefits no one but that individual, whether at the time the trust is established or at any time for the remainder of the individual’s life.” However, the revised POMS establishes two exceptions, one for third-party payments and one for administrative expenses.

The new rule states that payments do not violate the sole benefit rule if they are to third parties for goods or services received by the beneficiary, payments of third-party travel expenses “which are necessary in order for the trust beneficiary to obtain medical treatment,” or payments that allow a third party to “visit a trust beneficiary who resides in an institution, nursing home, or other long-term care facility (e.g., group homes and assisted living facilities) or other supported living arrangement in which a non-family member or entity is being paid to provide or oversee the individuals living arrangement.” However, [t]he travel must be for the purpose of ensuring the safety and/or medical well-being of the individual.”

The new POMS section also provides a 90-day safe harbor period for revision of a trust that was previously judged to be an exempt resource but has run afoul of the new travel provisions. The 90-day period does not start running until the beneficiary or his representative payee is informed that the trust violates the new rules.

Revised POMS Section 1120.201.F.2.c, which is incorporated into several additional sections, including 1120.199 (the early termination rules) and 1120.203, makes it clear that payments for “reasonable compensation for a trustee(s) to manage the trust, as well as reasonable costs associated with investment, legal or other services rendered on behalf of the individual with regard to the trust” do not violate the sole benefit rule.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

Federal Web Site Links to Programs and Services for People With Disabilities

There are so many programs and services available for people with disabilities that it can make your head spin. Fortunately, the federal government has created a Web site that collects information about a wide variety of state and federal resources in one place.

The U.S. Department of Labor’s Disability.gov site is a one-stop source of government information relevant to people with disabilities, their families, employers, and service providers. Visitors choose from a number of broad categories — including housing, health, transportation, and employment — and receive a list of links to state and federal resources.

In addition to assembling all of the links in one place, Disability.gov also allows users to sort the tremendous amount of data in a variety of helpful ways. For instance, visitors can narrow their searches by target audience or by curated sub-topics. The Web site also recommends sites or organizations that do a particularly good job. On top of all of these resources, Disability.gov contains an up-to-date news feed describing various events and stories of interest to people with disabilities and their families.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

National Elder Law Month

As proud and dedicated members of the National Academy of Elder Law Attorneys (NAELA), we are helping to recognize and celebrate May as National Elder Law Month.  Along with hundreds of elder law attorneys across the country, our entire firm focuses our practice on the issues of older individuals and individuals with special needs in order to help them deal with their special concerns.  We also dedicate substantial time to educating seniors, individuals with special needs, and their families in the greater Silicon Valley about the legal matters they care most about and the importance of planning for their future health and legal needs.

As part of National Elder Law Month, during May our firm will be holding the following workshops and seminars at the firm’s offices and around the community:

  • Secrets of Long-term Care Planning:   May 7th & May 14th, at the firm’s law offices
  • Spring Client Seminars on The EASE Program (Emergency Advocacy Support & Education):  May 8th & 16th, at the firm’s law offices
  • Issues of Elder Law, presented as part of the “Should I Stay or Should I Go” series:  May 7th, at the Los Gatos Recreation Center
  • Secrets of Planning for Long-Term Health Care for Seniors:  May 21st, at the Palo alto Financial Planning Forum, The Sheraton Palo Alto
  • Planning for the Second Half of Life:  May 22nd, at the SVBA Luncheon Meeting, Santa Clara Superior Court

Check out our firm’s website  to learn more about us and how dedicated we are to representing and advocating for older and disabled individuals and their families in our community.

To learn more about National Elder Law Month, visit the National Academy of Elder Law Attorneys (NAELA) website.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

Information on Elder Abuse

A recent story in the Los Gatos Patch illustrates that elder abuse can occur anywhere, even here in our beautiful little town of Los Gatos in the heart of the highly educated Silicon Valley.  It is a growing problem everywhere.  Certainly, we don’t know why the abuse happened in the particular case that was reported or everything about why it ever occurs.  And, we are struggling as a society with efforts to stop its spread.  But, we do know that help is available for victims.  Concerned people can spot the warning signs of a possible problem and make a call for help if an elder is in need of assistance.  We can start by knowing that elder abuse includes:

Physical abuse, which is the type of abuse we most commonly recognize.  It is the use of physical force that results in bodily injury, physical pain, or impairment to a senior. Examples of physical abuse include acts of violence (such as hitting, beating, pushing, shoving, shaking, slapping, kicking, pinching, and burning), as well as inappropriate use of drugs and physical restraints, force-feeding, and physical punishment of any kind.

Sexual abuse, which is non-consensual sexual contact of any kind. Sexual contact with any person incapable of giving consent is also considerer sexual abuse and includes, but is not limited to, unwanted touching, all types of sexual assault or battery, such as rape, sodomy, coerced nudity, and sexually explicit photographing.

Emotional or psychological abuse, which is the infliction of anguish, pain, or distress through verbal or nonverbal acts. Examples of this type of abuse includes verbal assaults, insults, threats, intimidation, humiliation, and harassment. It also can include treating an older person like an infant; isolating an elderly person from his/her family, friends, or regular activities; and giving an older person the “silent treatment.”

Neglect, which is the refusal or failure to fulfill any part of a person’s obligations or duties to an elder, is also abuse. It typically means the refusal or failure to provide an elderly person with such life necessities as food, water, clothing, shelter, personal hygiene, medicine, comfort, personal safety, and other essentials included in an implied or agreed-upon responsibility to an elder.  It also includes the failure of a person who is responsible for the elder’s finances to pay for necessary home care services and the failure on the part of a care-provider to provide necessary care.

Abandonment, which is the desertion of an elderly person by an individual who has assumed responsibility for providing care for the elder, or by a person with physical custody of an elder.

Financial or material exploitation is the illegal or improper use of an elder’s funds, property, or assets. Examples include, but are not limited to, cashing an elderly person’s checks without authorization or permission; forging an older person’s signature; misusing or stealing an older person’s money or possessions; manipulating, coercing or deceiving an older person into signing documents such as contracts, trusts and a will.

Self-neglect is characterized as the behavior of an elderly person that threatens his/her own health or safety, such as refusal or failure to provide himself/herself with adequate food, water, clothing, shelter, personal hygiene, proper medication, and safety precautions. Certainly we may inflict such abuse on ourselves as our personal choice.  However, when the abuse is the result of incapacity, the court can step in and appoint a conservator to prevent further such self-neglect.

If you are worried about an elder in your family or a older (or other dependent adult) friend or neighbor in Santa Clara County, you can contact Adult Protective Services (408-975-4900 or 1-800-414-2002) to make a report, call 911 if you think it is an emergency situation, or seek the advice of a local elder law attorney, such as our firm.  We can also help seniors protect themselves from future abuse through pre-planning.  Contact us if you have a question or want to discuss your circumstances.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

National Health Care Decisions Day

Today is National Health Care Decisions Day. All adults can benefit from thinking about what their healthcare choices would be if they are unable to speak for themselves.  These decisions can be written down in an advance directive so that others know what they are.

In California we refer to this as an Advance Health Care Directive. With this document you can choose an agent and alternative agent(s) to make health care decisions for you in the event that you are not able to do so or if you want your agent to be involved with your health care immediately.  You are able to state the types of treatments that you want and do not want. These can include: whether you agree or disagree to diagnostic tests, surgical procedures, and medication plans. Whether or not you would permit the providing, withholding, or withdrawal of artificial feeding and fluids and all other forms of health care, including cardiopulmonary resuscitation (CPR). You can also plan for your funeral, the disposition of your remains, and state your wishes in regards to pain management, religious practices, and anatomical gifts/organ donation and autopsy.

In my experience of advising clients when making difficult decisions for their incapacitated loved ones, the burden and stress is lessened when their family member or friend has clearly stated their wishes. Both parties benefit in that the patient gets the treatment that they wanted without the treatment that they do not want and the agent can feel confident in the decisions that they are making.

There are a number of resources available to you to help you make these decisions. Depending on your specific concerns you may want to talk with your doctor, with an attorney, or use a fill in the blank form. To learn more about advance directives in general you can visit the National Health Care Decision website.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.

Acedemy of Special Needs Planners Annual Meeting

I recently attended and spoke at the 7th Annual Academy of Special Needs Planners in Austin, Texas. Each year that I attend, I come back with more ideas to improve the trusts that I write and to solve problems faced by our trustees and beneficiaries.

I have been serving on the Model Trust Drafting Committee for the past two years and was part of a panel that presented the model 3rd Party Special Needs Trust to attorneys from all across the United States. Our program was called “The Anatomy of Drafting Special Needs Trusts.” Our committee will resume our efforts in the coming year to draft a Model 1st Party special Needs Trust.

* The information contained in this Blog is intended for general information and educational purposes only and does not constitute legal advice or an opinion of counsel.