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Special Needs Planning · California

Provide for your child without ending their benefits.

A special needs trust holds assets for a beneficiary with a disability without those assets counting against Medi-Cal or SSI. Bob drafts third-party and first-party trusts for families across California.

A special needs trust holds assets for a beneficiary with a disability without those assets counting against Medi-Cal, SSI, or other needs based public benefits. Bob drafts third-party trusts (funded with parents’ or grandparents’ assets) and first-party trusts (funded with the beneficiary’s own assets, often from a personal injury settlement) for families across California. With the 2026 Medi-Cal asset test coming back, planning now is the cheapest insurance available.

The 2026 Medi-Cal asset limit is coming back.

California eliminated the Medi-Cal asset test on January 1, 2024. In 2026 the state is reinstating an asset limit. Families who relied on the elimination to leave assets in the beneficiary’s own name will need to move those assets into a properly drafted special needs trust before the limit returns, or risk losing coverage.

Read the 2026 Medi-Cal guide

How It Works

What a special needs trust does.

Medi-Cal and SSI are needs-based programs: they cut off coverage when the beneficiary owns or earns too much. For most families, those programs are the spine of the care plan. A direct gift, inheritance, or settlement can quietly end all of it the moment the assets land in the beneficiary’s name.

A special needs trust holds those assets in a trust the beneficiary does not own for eligibility purposes. The trustee uses them for what public benefits do not cover. The beneficiary keeps Medi-Cal and SSI; the trust supplements them. It must be drafted to exact federal and California rules, a generic template usually fails when tested.

What the trust can pay for

  • Therapies and care beyond what Medi-Cal covers.
  • Dental and vision care outside the public programs.
  • A vehicle modification or a wheelchair upgrade.
  • A vacation, a hobby, a tutor, or technology.
  • A companion or personal-care attendant.

Two Structures

Third-party vs. first-party trusts.

Which one you need depends on whose money funds the trust. The rules, and the payback obligation at death, are very different.

First-party (self-settled)

Has payback
  • Who funds itThe beneficiary, with their own assets — a settlement, back-paid SSI, or an inheritance received outright.
  • Legal authority42 U.S.C. § 1396p(d)(4)(A) (expanded by the 2016 Cures Act).
  • Payback to the stateRequired. Medi-Cal is reimbursed at death before any remainder.
  • When to set it upBefore the beneficiary's 65th birthday. Urgent if a settlement is landing.
  • A Common Question

    Special needs trust vs. CalABLE account.

    An ABLE account is a separate tool, not a replacement. Most California families use both together.

    CalABLE account

    A tax-advantaged account the beneficiary owns directly. Keeps benefits while under the limit ($100,000 for SSI; no limit for Medi-Cal). Contributions are capped at the federal gift exclusion (~$19,000/yr). The disability must begin before age 26 (rising to 46 in 2026).

    Special needs trust

    No annual contribution limit and no funding age cutoff for third-party trusts. Holds any asset class — real property, investments, business interests — and a trustee controls the distributions.

    The practical pattern: an ABLE account for everyday savings the beneficiary manages themselves, and a third-party SNT for the larger inheritance from parents and grandparents. Bob coordinates both in the same engagement.

    Scope

    What Bob handles.

    Third-party SNTs in the estate plan

    Drafted to receive inheritances, gifts, and life-insurance proceeds, and coordinated with the trust, wills, powers of attorney, and beneficiary designations. Sibling shares balanced with equalization provisions where the family wants that.

    First-party (self-settled) trusts

    For beneficiaries who received a personal injury settlement, back-paid SSI, or an inheritance in their own name. Drafted to 42 U.S.C. § 1396p(d)(4)(A) standards with the required payback provision.

    Trust modifications to add a sub-trust

    When an existing irrevocable trust would distribute directly to a beneficiary who later became disabled, a Probate Code §15403 or §15409 petition can redirect that share into a special needs sub-trust.

    Trust modification

    ABLE account coordination

    Where a CalABLE account fits alongside the SNT, Bob explains the contribution rules, the eligibility cutoff, and the housing-distribution interaction so the family can use both.

    Trustee guidance after funding

    Distributions must follow specific rules to avoid reducing benefits. Bob advises trustees on in-kind support and maintenance, housing payments, and when to coordinate with the SSI office.

    The Process

    What to expect, start to finish.

    Most third-party plans are signed within three to six weeks of the first meeting.

    1. 1
      Step 1

      Plan Design Meeting

      Bob asks about the beneficiary, the disability, current benefits, and the assets you want to direct into the trust, then gives a written recommendation and a fee estimate.

    2. 2
      Step 2

      Drafting

      The trust, related estate-plan documents, and updated beneficiary-designation instructions — drafted to current federal and California rules.

    3. 3
      Step 3

      Draft review

      Bob walks you through the trust in plain English, including exactly what the trustee can and cannot do.

    4. 4
      Step 4

      Signing

      In person at the San Jose office, with witnesses or a notary as required.

    5. 5
      Ongoing

      Funding

      Bob walks you through the steps so the trust actually receives the assets when the time comes.

    What It Costs

    Priced as a fixed fee.

    A standalone third-party special needs trust is typically packaged with the parents’ full estate plan and the related beneficiary-designation updates. The fee depends on the family situation and whether sub-trusts for other beneficiaries are needed. A first-party trust tied to a personal injury settlement is priced separately.

    Bob gives a written, fixed fee estimate at the Plan Design Meeting, so you know what the engagement costs before you decide to move forward.

    Why Bob

    Unforgiving work, done right.

    Get a clause wrong and the beneficiary can lose every dollar of monthly benefit. The trust language has to match federal statutes, the California Welfare and Institutions Code, and the operational rules of the SSA and Medi-Cal.

    • Certified SpecialistState Bar of California, Estate Planning, Trust and Probate Law. Held by less than 1% of attorneys.
    • Current on the rulesThe 2016 Cures Act, the 2026 Medi-Cal limit, and the rolling ABLE expansions all change the drafting.
    • Guides the trustee tooBob walks the family through the distribution rules so the trustee can use the trust without mistakes.

    Special Needs Trust FAQ

    Common questions about special needs trusts in California.

    Plain-language answers on first vs third-party trusts, ABLE accounts, trustees, housing, and the 2026 Medi-Cal change. If something is missing, bring it to your meeting.

    Don’t see your question?

    Email or call the office, or bring it to your free Preliminary Planning Session.

    Ask Bob directly
    • A special needs trust is a trust drafted to specific federal and California rules so that assets inside the trust are not counted as the beneficiary’s assets for Medi-Cal or SSI eligibility. The beneficiary still benefits from the trust (the trustee can pay for supplemental needs the public benefits do not cover), but does not own the assets for eligibility purposes. Without the trust, even a modest inheritance can disqualify a person with a disability from the benefits they depend on.

    • A third-party special needs trust is funded with someone else’s assets, typically a parent or grandparent. There is no payback to the state at the beneficiary’s death; remaining assets pass to other family members named in the trust. A first-party (self-settled) special needs trust is funded with the beneficiary’s own assets, typically from a personal injury settlement or an inheritance received in their own name. First-party trusts must include a payback provision: when the beneficiary dies, the state is reimbursed for Medi-Cal benefits paid before any remainder passes to other beneficiaries. The federal authority is 42 U.S.C. § 1396p(d)(4)(A).

    • Yes, in most cases, unless the inheritance is directed into a properly drafted special needs trust. Once the 2026 Medi-Cal asset limit reinstatement takes effect, even a small inheritance held in the beneficiary’s own name can push them above the limit and end coverage. SSI also has its own asset and income tests. Routing the inheritance through a third-party special needs trust avoids both problems if the structure is in place before the inheritance arrives.

    • No, but they often work together. A CalABLE account is a tax-advantaged savings account a person with a disability can hold in their own name without losing means-tested benefits, up to a federal contribution cap (currently $19,000 per year, indexed). A special needs trust has no annual contribution limit, can hold any kind of asset (real property, investments, business interests), and is administered by a trustee. Most California families with a special needs child use both: the SNT for the larger inheritance or settlement, the ABLE account for everyday savings the beneficiary can manage themselves.

    • A family member, a professional fiduciary, a trust company, or a pooled trust administrator. The trustee has to understand the distribution rules. A distribution that pays directly to the beneficiary (or that pays for food or shelter without following SSI’s in-kind support and maintenance rules) can reduce or eliminate benefits. Many California families name a parent as initial trustee and a professional as successor, so the trust does not depend on the family forever.

    • For a third-party trust, before any inheritance or gift is made. The trust receives the assets directly; once the assets land in the beneficiary’s name, recovering them is much harder. For a first-party trust, before the beneficiary’s 65th birthday (federal law restricts first-party SNTs to beneficiaries under 65 at the time the trust is funded). For a beneficiary already on Medi-Cal who is about to receive a settlement, the timing is urgent because the asset limit kicks in immediately when the funds arrive.

    • Yes, but with care. Direct payments for rent, mortgage, property taxes, or utilities count as in-kind support and maintenance under SSI rules and can reduce SSI by up to one-third (the Presumed Maximum Value reduction). Some families accept the reduction because the housing benefit is still worth more than the lost SSI. Others structure distributions to pay for non-housing items only. The right approach depends on the beneficiary’s benefit mix and what the family wants the trust to do. Bob walks through this decision with every special needs trust client.

    • California eliminated the Medi-Cal asset test on January 1, 2024. In 2026, the state is reinstating an asset limit. Families who relied on the elimination to leave assets in the beneficiary’s name will need to move those assets into a properly drafted special needs trust before the limit takes effect, or risk losing coverage. The Law Offices of Robert P. Bergman has a separate guide on the 2026 change. Read it on the blog: https://lawbob.com/blog/medi-cal-asset-limit-reinstated-2026

    • A standalone third-party special needs trust drafted by Bob is typically packaged with the parents’ full estate plan (revocable trust, pour-over wills, powers of attorney, advance health care directives) and a coordinated beneficiary designation update on retirement accounts and life insurance. A first-party trust drafted in connection with a personal injury settlement is priced separately and depends on the complexity of the funding. Bob gives a written fee estimate at the Plan Design Meeting.

    • Maybe not, if the child is not on Medi-Cal or SSI now and is not expected to be in the future. But circumstances change. A mild disability can become a more limiting one. A job loss can mean enrollment in benefits. A future inheritance can land at a moment when the child is in a difficult period. Many families set up a third-party special needs trust as a safety net, fund it modestly, and never have it tested. The cost of having one and not needing it is small. The cost of needing one and not having it is total benefit loss.

    • Yes. Special needs trusts are governed by federal Social Security and Medicaid rules plus California state law, both of which apply uniformly across California counties. Bob drafts SNTs for families throughout California and coordinates remotely when needed. Plan Design Meetings happen by Zoom for clients outside the immediate area.

    Next Step

    Set up the trust before the inheritance, the settlement, or 2026 arrives.

    Bob reads the existing plan, the beneficiary’s current benefits, and the assets you want to direct into the trust. You leave with a written plan recommendation and a fixed fee estimate.

    Bob is one of less than 1% of California attorneys certified as a specialist by the State Bar.