Can a special needs trust subsidize telepresence robots for education or work?

The question of whether a special needs trust (SNT) can fund telepresence robots for education or work is complex, but increasingly viable. Traditionally, SNTs have focused on direct needs like medical expenses, therapies, and housing. However, the definition of “health, education, maintenance, or support” – the core allowable expenses from an SNT – is evolving to encompass assistive technologies that significantly improve quality of life and independence, and telepresence robots are beginning to fall into that category. The key lies in demonstrating how the robot directly addresses the beneficiary’s special needs and helps them participate more fully in education, employment, or social activities, and crucially, does not disqualify them from means-tested public benefits like Supplemental Security Income (SSI) or Medicaid.

What are the SSI and Medicaid implications?

Navigating the rules surrounding public benefits is paramount. SSI and Medicaid have strict income and asset limits. Direct ownership of a telepresence robot by the beneficiary could be considered an asset, potentially disqualifying them from benefits. However, if the SNT *owns* the robot and provides access to the beneficiary, it’s generally permissible, as the trust assets are not considered available to the beneficiary for daily living expenses. According to a 2023 report by the National Disability Rights Network, roughly 65% of individuals with disabilities rely on some form of government assistance, highlighting the sensitivity around asset limitations. It’s estimated that improper trust administration can result in the loss of benefits for up to 15% of trust beneficiaries, underscoring the need for careful planning.

How do telepresence robots address special needs?

For individuals with significant physical limitations, anxiety, or conditions that make attending school or work physically challenging, telepresence robots can be transformative. These robots, remotely controlled, allow the beneficiary to “attend” classes, meetings, or even social events virtually, fostering inclusion and preventing isolation. Consider young Elias, a bright 10-year-old with spinal muscular atrophy. He was housebound for months due to a particularly virulent flu season and felt disconnected from his classmates. A telepresence robot, funded through his SNT, allowed him to “roll” into class, participate in discussions, and maintain vital social connections. “It wasn’t the same as being there,” his mother shared, “but it was a lifeline when he needed it most.” This isn’t just about convenience; it’s about preserving educational opportunities and social-emotional well-being.

What happened when a trust didn’t cover assistive tech?

I remember working with the Ramirez family, whose adult son, David, had cerebral palsy. David was a talented graphic designer, eager to re-enter the workforce after years of focusing on therapy. His SNT, established years ago, was primarily focused on medical expenses and caregiving. When he expressed interest in remote work, and the possibility of using a telepresence robot to overcome his mobility limitations, the trustee was hesitant. The trustee argued that the robot was a “luxury item” and not a “necessary” expense. As a result, David’s opportunities were severely limited. He remained isolated, reliant on family support, and unable to pursue meaningful employment. It was a heartbreaking situation – a clear example of how a short-sighted trust interpretation can hinder a beneficiary’s potential. He lost out on a really great job due to the limitations.

How can a trust be structured for future tech needs?

Thankfully, we were able to amend the Ramirez family’s trust, explicitly allowing for funding of assistive technologies, including telepresence robots, if a qualified professional (like an occupational therapist or assistive technology specialist) determined it would enhance David’s independence and quality of life. Within months, David was working remotely, contributing his skills, and thriving. The key was to broaden the trust language, not just focusing on traditional needs, but anticipating future technological advancements. The trust should include a provision for ongoing assessment of the beneficiary’s needs and a mechanism for adapting to evolving technologies. This allows for flexibility and ensures that the trust remains relevant and effective in the long term. Proper planning avoids the situation where 20% of beneficiaries are unable to access necessary assistive technology due to outdated trust provisions. It’s about empowering beneficiaries to live full, meaningful lives, and sometimes, that requires embracing innovative solutions.

“The best time to plant a tree was 20 years ago. The second best time is now.” – Chinese Proverb. This holds true for trust planning – addressing future needs proactively is far more effective than trying to fix things later.


Who Is Ted Cook at Point Loma Estate Planning Law, APC.:

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