News

We are pleased to announce that the Delaware Law firm of Crossland Heinle & Bryde will join our firm effective July 1, 2021.

The merger will add 4+ lawyers and 5 support staff to our well established Delaware office—raising our total to 12 lawyers in Centreville and Hockessin. Overall, our firm becomes one of the largest regional firms in Eastern Pennsylvania and Delaware with 42 lawyers practicing out of 5 offices.

The Crossland attorneys are highly experienced trusts and estates, business and real estate attorneys and their addition means that MacElree will have one of the largest and strongest practices in Delaware.

Said MacElree’s CEO Michelle Foster, “we are tremendously excited about this merger and the opportunities it affords our Delaware current and future clients. This merger is in furtherance of our Strategic Plan to only grow with exceptional lawyers who share our deep commitment to providing outstanding service to our clients. We are so pleased to have found a firm that indeed does share our values and has a culture of collegiality, integrity and professionalism close to our own.”

The following Crossland lawyers will join MacElree in Delaware:

• Daniel T. Crossland, Partner — Estate Planning/Probate, Business, and Real Estate
• Carolina R. Heinle, Partner — Estate Planning/Probate
• Danielle Sawyer, Associate — Estate Planning/Probate
• Courtney D. Heinle, Of Counsel — Elder Law
• Sean M. Quinn, Law Clerk – soon to take Delaware Bar

According to Crossland Partner Dan Crossland, “MacElree was exactly the kind of firm we were looking to join. It has exceptional attorneys in areas that complement our practice and in areas that will expand our offerings to our clients. It also has the same values and culture that we have diligently worked to cultivate. We are thrilled to make this move.”

 

With COVID-19 vaccine eligibility for children approaching fast, many parents may be concerned about whether their children should or should not get vaccinated. These questions get even more complicated for parents who are co-parenting with a former spouse or partner.

Getting a vaccine, like all medical decisions, is a legal custody decision. Generally, co-parents will have shared legal custody. This means they each parent has an equal voice in the decision-making process. So, what happens when one parent wants to vaccinate their child and one does not?

The short answer is you end up in court. When parents disagree on vaccinations or other medical procedures, a Custody Master or Judge will hold the tie-breaking vote. Medical decisions in this context are often tough and emotional as everyone wants best for their children. Both parents should do their homework and research. It is important that you understand all of the pros and cons of any medical procedure including a COVID-19 vaccine. Talk to your child’s doctors and do you own research so you are prepared to have an intelligent discussion. The COVID-19 vaccination decision may even be taking out of the hands of some parents as many schools and colleges are considering requiring a COVID-19 vaccine for admission in the fall.

If you have any questions or concerns about the legal questions surrounding vaccinating your child against COVID-19, or other custody related issues, please do not hesitate to contact a member of our family law team.

President Biden has introduced a plan to spend $400 billion over eight years on home and community-based care for the elderly and people with disabilities. The money would go to expand access to care and support higher-paying caregiving jobs.

As the elderly population grows, our long-term care system is becoming increasingly strained. The AARP found that in 2020, more than one out of every five Americans — 21.3 percent — were acting as caregivers, either caring for a relative or a close friend. Many women have had to drop out of the workforce to care for aging family members. In the meantime, paid caregivers are typically underpaid and overworked, with one in six paid caregivers living in poverty. And our elderly population is only expected to grow: By 2030, one in five Americans is projected to be over 65.

Recognizing that the United States is “in the midst of a caregiving crisis,” President Biden has proposed boosting funding for home and community based long-term care as part of his $2 trillion American Jobs Plan. While the plan does not have specifics, it proposes to expand access to long-term care services under Medicaid that help people stay at home and avoid care in an institution. Currently, only nursing home care is mandated under Medicaid, with states providing care at home or in the community at their discretion. Waiting lists for home and community-based services under state Medicaid programs can stretch on for years, and only a small fraction of those who need care receive these services, according to Kaiser Health News.

Among other things, President Biden wants to extend the Money Follows the Person program, which is a federal initiative designed to move people out of nursing homes and into home-based care. The program provides grants to states to create innovative home and community-based programs.

President Biden is also proposing that money be put toward creating well-paying caregiving jobs and that home health care workers be able to join a union and engage in collective bargaining. The White House states that this “will improve wages and quality of life for essential home health workers and yield significant economic benefits for low-income communities and communities of color.”

President Biden’s plan does not provide details, leaving It up to Congress to fill in the particulars when drafting its legislation. It is unclear how much of Biden’s proposed funding will make it into a final bill.

To read about the American Jobs Plan, click here.

For more about the home health care proposal, click here and here.

The one-year deadline for nursing home residents on Medicaid to spend down their first round of stimulus checks is here, but they may have a little extra time.

In March 2020, the Coronavirus Aid, Relief, and Economic Security (CARES) Act authorized $1,200 stimulus checks to most Americans, including Medicaid recipients. Another round of $600 checks was authorized in December 2020, and $1,400 checks were ordered in February 2021. The stimulus checks are not considered income for Medicaid recipients, and the payments have been excluded from Medicaid’s strict resource limits for 12 months.

While the one-year deadline for spending down the first round of checks is here, another COVID-19 bill gives beneficiaries more time. The Families First Coronavirus Response Act passed in March 2020 provides that if you were enrolled in Medicaid as of March 18, 2020, the state cannot terminate a recipient’s benefits even if there is a change in circumstances that would normally cause the benefits to be stopped. The law states that the recipient’s Medicaid coverage must continue through the end of the month in which the Secretary of Health and Human Services declares that the public health emergency has ended. The public health emergency is set to end April 20, 2021, but it will likely be extended.

While Medicaid recipients may have a little extra time, they shouldn’t delay too long in spending down the money if it has pushed them over the resource limit, which is $2,000 in most states. The following are examples of what a Medicaid recipient may be able to spend the money on without affecting their eligibility:

• Make a payment toward paying off debt.
• Make small repairs around the house.
• Update personal effects. Buy household goods or personal comfort items. Buy a new wardrobe, electronics, or furniture.
• Buy needed medical equipment, see a dentist or get eyes checked if those items aren’t covered by insurance.

While Medicaid recipients usually cannot gift money or assets and remain eligible for benefits, recipients in at least some states should be able to make gifts from the stimulus money during the first 12 months following receipt. If you have questions about how you or a family member in a nursing home can spend the money, contact your attorney.

President Biden has signed the latest COVID-19 relief bill, which in addition to authorizing stimulus checks, funding vaccine distribution, and extending unemployment benefits, also provides assistance to seniors in a number of ways.

The $1.9 trillion American Rescue Plan Act (ARPA) delivers a broad swath of relief, covering families, employers, health care, education, and housing. The following are the provisions that most directly affect older Americans:

• Relief checks. The ARPA provides $1,400 direct payments to individuals earning up to $75,000 in annual income and couples with incomes up to $150,000. The payments phase out for higher earners, and there are no payments for individuals earning more than $80,000 a year or couples making more than $160,000. Eligible dependents, including adult dependents, also receive $1,400. People collecting Social Security, railroad retirement, or VA benefits will automatically receive the payment even if they don’t file a tax return. The checks will not affect eligibility for Medicaid or Supplemental Security Income as long as any amount that pushes recipients above the programs’ asset limits is spent within 12 months.
• Medicaid home care. The Act provides more than $12 billion in funding to expand Medicaid home and community-based waivers for one year. This funding will allow states to provide additional home-based long-term care, which could keep people from being forced into a nursing home. The money will also allow states to increase caregivers’ pay.
• Nursing homes. Nursing homes have been hit hard during the pandemic. The Act supports the deployment of strike teams to help nursing homes that have COVID-19 outbreaks. It also provides funds to improve infection control in nursing homes.
• Pensions. Many multi-employer pension plans are on the verge of collapse due to underfunding. The Act creates a system to allow plans that are insolvent to apply for grants in order to keep paying full benefits.
• Medical deductions. If you have a large number of medical expenses, you may be able to deduct some of them from your taxes, including long-term care and hospital expenses. The Act permanently lowers the threshold for deducting medical expenses. Taxpayers can deduct unreimbursed medical expenses that exceed 7.5 percent of their income. The threshold was lowered to 7.5 percent under the 2017 tax law, but was set to revert to 10 percent for some taxpayers in 2021.
• Older Americans Act. The ARPA provides funding to programs authorized under the Older Americans Act, including vaccine outreach, caregiver support, and the long-term care ombudsman program. It also directs funding for the Elder Justice Act and to improve transportation for older Americans and people with disabilities.

For more information about what is in the ARPA, click here and here.