Can a special needs trust help fund research participation compensation?

The question of whether a Special Needs Trust (SNT) can fund research participation compensation is a surprisingly common one, particularly as medical advancements accelerate and opportunities for participation in clinical trials and research studies increase. The short answer is generally yes, but with several crucial caveats and considerations. SNTs are designed to supplement, not supplant, government benefits like Supplemental Security Income (SSI) and Medi-Cal, so any disbursement must adhere strictly to those rules. Compensation received for research participation is often viewed as earned income, which could disqualify the beneficiary from needs-based public benefits if not handled properly. Ted Cook, a San Diego trust attorney, frequently guides families through these complex situations, ensuring compliance and maximizing the benefits for their loved ones.

What are the SSI income limits for beneficiaries?

Understanding the SSI income limits is paramount. As of 2024, the individual SSI benefit rate is $943 per month, but any income exceeding $20 per month can reduce this benefit. This is where research compensation becomes tricky. If a beneficiary receives $250 for participating in a study, that entire amount could be deducted from their SSI check. However, certain exceptions exist. The Social Security Administration (SSA) has specific rules for payments received for research, categorizing them differently based on the nature of the study and the payment structure. According to the SSA, approximately 15% of individuals receiving SSI participate in some form of research, underscoring the importance of understanding these regulations. Ted Cook emphasizes that meticulous record-keeping and proper structuring of the trust are essential to avoid jeopardizing benefits.

Can a trust pay for “unreimbursed” medical or research expenses?

A properly drafted SNT can pay for “unreimbursed” expenses that benefit the beneficiary, and this principle extends to research participation. Unreimbursed means the expense isn’t covered by insurance or other public benefits. Consider this: the compensation received for participation is considered income to the beneficiary. However, the SNT can use funds to cover any *related* expenses incurred *because* of the research participation – things like travel, lodging, meals, or even childcare – essentially offsetting the benefit reduction. The key is demonstrating that the funds are used for these allowable expenses, not simply as a “pass-through” to avoid income limits. Ted Cook often advises clients to maintain detailed receipts and documentation to support these claims. It’s a matter of framing the disbursement as an expense paid *on behalf* of the beneficiary, rather than direct income received by them.

How do you structure the trust to allow for research funding?

The language in the trust document itself is critical. It should explicitly grant the trustee the authority to pay for expenses related to research participation, specifically defining those expenses as allowable under the trust terms. The trustee needs discretionary power to determine what constitutes a reasonable and necessary expense. They also need to understand the SSA’s Program Operations Manual System (POMS), which provides guidance on how research payments are treated. Approximately 80% of SNTs are established by parents, but regardless of the grantor, clear language addressing research participation is vital. Ted Cook’s expertise lies in crafting trust documents that are both comprehensive and adaptable to evolving regulations. He stresses the importance of regular review and updates to ensure continued compliance.

What happened when a family didn’t plan ahead?

I recall a case where a lovely woman named Eleanor wanted her son, David, who has Down syndrome, to participate in a promising new clinical trial for cognitive enhancement. He qualified, and the study offered a modest $300 stipend for his time and effort. However, Eleanor hadn’t consulted with an attorney beforehand and simply deposited the money into David’s account. Within weeks, they received a notice from the SSA stating that David’s SSI benefits were being reduced. The $300, even though intended to improve his quality of life, was being treated as unearned income, and they were facing a significant financial hardship. Eleanor was distraught, realizing her good intentions had inadvertently jeopardized her son’s crucial benefits. It was a heartbreaking situation, and it highlighted the importance of proactive planning.

How did proactive planning resolve a similar situation?

Fortunately, we were able to assist another family, the Millers, in a very similar circumstance. Their daughter, Sarah, was invited to participate in a research study exploring a new therapy for autism. Before Sarah even enrolled, Mr. and Mrs. Miller sought guidance from Ted Cook. He drafted an amendment to Sarah’s existing SNT specifically authorizing the trustee to pay for all reasonable expenses related to the study, including travel, meals, and even respite care for her siblings while she was participating. When Sarah received the $500 stipend, the funds were immediately used by the trustee to cover these pre-approved expenses. The SSA reviewed the documentation and confirmed that Sarah’s benefits remained unaffected. The Millers were relieved and grateful, knowing they had protected their daughter’s financial security while allowing her to contribute to important medical research. It was a perfect example of how proactive planning can make all the difference.

What documentation should be kept for research participation?

Meticulous record-keeping is absolutely essential. The trustee should maintain copies of all relevant documents, including the research study invitation, informed consent forms, payment details, and receipts for all expenses paid with SNT funds. A detailed log of how the funds were used, specifically linking the expenditures to the research participation, is crucial. The SSA may request this documentation during a benefits review, so it must be readily available. Many families find it helpful to create a dedicated file or folder for all research-related expenses. Ted Cook recommends keeping digital copies of all documents, backed up securely, to prevent loss or damage. Approximately 30% of benefit reductions are due to improper documentation, illustrating the need for careful record-keeping.

Can a trust cover indirect costs related to research?

Yes, a properly drafted SNT can often cover indirect costs associated with research participation. This might include things like the cost of hiring a caregiver to accompany the beneficiary to the study site, or the expense of adapting their environment to facilitate their participation. The key is that these expenses must be demonstrably related to the research and necessary to enable the beneficiary to participate fully. The trustee must exercise reasonable judgment and ensure that the expenses are consistent with the beneficiary’s overall care plan. Ted Cook emphasizes that the trustee has a fiduciary duty to act in the best interests of the beneficiary, and this includes making sound financial decisions that support their well-being. He often encourages families to discuss these potential expenses with the research team to ensure they are appropriate and justified.


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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