Bills › 89th General Assembly

HF 835Signed by Governor · May 20, 2021

Relating to trusts for persons with disabilities

Sponsored by the House Judiciary Committee

Topics:Courts & civil lawHealth careMedicaid

Same legislation: SF 60, HF 595, SF 474, SSB 1228, SF 527

Write your legislators about it

Also covers SF 60 and HF 595 and SF 474 and SSB 1228 and SF 527.

What changed before it passed

Where it is now

  1. Done: IntroducedJanuary 12, 2021
  2. Done: SubcommitteeFebruary 22, 2021
  3. Done: House committeeMarch 5, 2021
  4. Done: Passes the HouseMarch 25, 2021
  5. Done: Senate committeeApril 1, 2021
  6. Done: Passes the SenateApril 21, 202146–0
  7. Done: To the GovernorMay 20, 2021
  8. Done: Signed into lawMay 20, 2021

Signed into law What’s a funnel?

What’s in it

This bill relates to trusts for persons with disabilities. The bill amends provisions relating to the Iowa ABLE savings plan trust. The disabilities expenses savings plan trust under Code chapter 12I is also known as the Iowa ABLE savings plan trust which was established as a qualified ABLE program under section 529A of the Internal Revenue Code. The purpose of ABLE savings accounts is to encourage and assist individuals and families in saving private funds for the purpose of supporting individuals with disabilities to maintain health, independence, and quality of life and to provide secure funding for disability-related expenses on behalf of designated beneficiaries with disabilities that will supplement, but not supplant, benefits provided through private insurance, the Medicaid program, the federal supplemental security income program, and other sources.

Read the full explanation

ABLE savings accounts allow eligible individuals the opportunity to save and fund a variety of qualified disability expenses without endangering eligibility for certain benefits such as Medicaid and supplemental security income. The bill amends Code chapter 12I relating to persons eligible to enter into a participation agreement and have signature authority over an account on behalf of an eligible individual. The bill provides that a person other than the account owner may enter into a participation agreement and have signature authority over the account on behalf of the account owner in accordance with the Internal Revenue Code and regulations promulgated under federal law. These provisions of the bill are in response to Internal Revenue Code final regulations for qualified ABLE programs published November 19, 2020, which in part, broadened the categories of people who may establish an ABLE account for an eligible individual to provide greater flexibility and reduce the burden on the eligible individual. The final regulations permit an ABLE account to be established by the eligible individual, a person selected by the eligible individual, or if the eligible individual is unable to establish the individual’s own account, by the individual’s agent under a power of attorney or, if none, by a conservator or legal guardian, spouse, parent, sibling, grandparent, or a representative payee appointed by the social security administration, in that order. Additionally, the final regulations allow the ABLE program to rely on self-certification of the individual establishing the account for their basis of authority and priority. The final regulations also provide for signatory authority over the ABLE account by the designated beneficiary, an individual other than the designated beneficiary who establishes the account, or a person selected by the beneficiary. The bill also includes provisions relating to transfers between similar types of trusts and allows that any funds retained in a medical assistance special needs trust or in a supplemental needs trust of a beneficiary with a disability who is also a designated beneficiary of an Iowa ABLE savings plan trust account may be transferred to the Iowa ABLE savings plan trust account of the designated beneficiary in accordance with the provisions of the Code chapters applicable to the specific trusts. With regard to the disposition of account balances following the death of a designated beneficiary, the bill provides that following the death of an individual who is a designated beneficiary of an ABLE savings account established under a participation agreement, to the extent permitted pursuant to Code chapter 12I and under federal law including section 529A of the Internal Revenue Code, the department of human services (DHS) shall not seek recovery of any account balance remaining in the designated beneficiary’s account for medical assistance paid to or on behalf of the designated beneficiary on or after the date the participation agreement was entered into and an account established for the designated beneficiary; DHS shall not file a claim for payment under section 529A(f) of the Internal Revenue Code; and any account balance remaining in the designated beneficiary’s account may be transferred to an account for another eligible individual specified by the designated beneficiary, or if another eligible beneficiary is not so designated, then the account balance shall be transferred to the estate of the designated beneficiary or to the successor.

Changed since by amendment S-3136; see Amendments.

Full bill text · What changed before it passed1

Fiscal note

Can’t be estimated Compare with other bills

AI summary This bill allows others to have signature authority over ABLE accounts and permits funds from certain special needs trusts to be transferred into these accounts. The fiscal impact cannot be determined, but it will likely lead to a significant reduction in Medicaid recoveries over time. If all current Medicaid Special Needs Trust beneficiaries qualify, up to $17.4 million could be transferred to an ABLE Account over a seven-year time period.2

Read the fiscal note

Description

House File 835 amends various provisions related to the Iowa Achieving a Better Life Experience (ABLE) Savings Plan Trust Accounts.

The Bill allows a person other than the account owner to enter into a participation agreement and have signature authority over the ABLE Account on behalf of the account owner in accordance with the Internal Revenue Code and regulations promulgated under federal law. The Bill also allows any funds retained in a Medical Assistance Special Needs Trust or in a Supplemental Needs Trust to be transferred to the ABLE Account of the designated beneficiary. The Bill specifies that to the extent allowed under federal law, the Department of Human Services (DHS) cannot seek recovery of any account balance remaining in the designated beneficiary’s ABLE Account for Medicaid, and any remaining account balance may be transferred to another eligible individual or to the estate of the designated beneficiary or to the successor.

Background

ABLE Accounts allow individuals and families to save for qualified disability expenses without losing eligibility for certain assistance programs, like Supplemental Security Income (SSI) and Medicaid. The earnings on investments are federally tax-deferred and tax-free if used for qualified disability expenses. ABLE Accounts are limited to $100,000 without affecting Medicaid eligibility, and the annual contribution to an ABLE Account is limited to $15,000 per year. In addition, ABLE Accounts may be canceled at will, with the account owner receiving the balance.

Assumptions

  • As of January 19, 2021, there were 385 Medicaid Special Needs Trusts monitored by the DHS, with a total of $53.2 million invested, and total funds have been increasing by 6.0% annually. This includes:
  • 207 Accounts contain less than $100,000, for a total of $6.7 million.
  • 107 Accounts contain more than $100,000, of which $100,000 may be available to move to ABLE Accounts, for a total of $10.7 million.
  • 71 individuals have not yet reported the balance of their Account. They are required to file a report on the Account with the DHS annually.
  • A maximum of $15,000 per year may be moved from a Medicaid Special Needs Trust to an ABLE Account.
  • Supplemental Needs Trusts may also be impacted. The DHS does not have data on the number of Supplemental Needs Trusts or the balances in the Trust accounts.

Fiscal Impact

The fiscal impact of HF 835 cannot be determined, but it will likely lead to a significant reduction in Medicaid recoveries over time. If all current Medicaid Special Needs Trust beneficiaries qualify for an ABLE Account, up to $17.4 million could be transferred to an ABLE Account over a seven-year time period, in addition to the unknown impact from the Supplemental Needs Trusts. This could result in fewer potential Medicaid recoveries due to less rigid guidelines to withdraw funds from an ABLE Account and due to the prohibition on Medicaid recovering ABLE Account balances. The DHS recovered $1.1 million from the six largest Medicaid Special Needs Trusts in calendar year 2020.

Source

  • Department of Human Services

Reading a fiscal note3

Iowa Code it changes

Amends§12I.1§12I.2§12I.3§12I.4§249A.53§633C.2§634A.2

How the Code works4

Lobbying

21 for · 0 against · 8 undecided · Who →

Family tree

Earlier and later bills are matched by wording or an identical title.

Tried before

This idea has been filed in an earlier General Assembly. None got through a chamber.

  • SF 2070 Relating to trusts for persons with disabilities
    88th General Assembly · In committee · same title
    Cleared committee
  • HF 2295 Relating to transfer between trusts for persons with disabilities
    88th General Assembly · Withdrawn · nearly identical
    Didn’t advance

Matched by wording or an identical title.