Medicaid Planning: Pros and Cons of Gifting the House Under Current Tax Law
Eligibility Rules, Gift and Capital Gains Tax Implications, Trust Drafting Issues, and Gifting Alternatives

Course Details
- smart_display Format
On-Demand
- signal_cellular_alt Difficulty Level
- work Practice Area
Family Law
- event Date
Wednesday, June 24, 2020
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
This CLE course will explain and analyze the complex issues facing counsel when advising elderly clients regarding gifting their house. The panel will discuss Medicaid eligibility and gifting rules, tax implications, transfers to a trust, pros and cons of an outright gift, and alternatives to gifting.
Faculty

Ms. Vantrease assists older clients, their children and other family members, with Nursing Home, Medicaid, asset preservation, asset distribution, mental capacity, probate, Guardianship and other issues, both financial and non-financial. In addition, she drafts legal documents such as Wills, Powers of Attorney, Living Wills, Health Care Surrogates, and Care Agreements for clients and family members. She also speaks and teaches in a variety of forums.

Ms. Gannott assists older clients, their children and other family members with Nursing Home, Medicaid, asset preservation, asset distribution, mental capacity, probate, guardianship and other issues, both financial and non-financial. In addition, she drafts legal documents such as Wills, Powers of Attorney, Living Wills, Health Care Surrogates, Care Agreements and Qualified Income Trusts (QITs) for clients and family members. She also speaks on elder law issues in a variety of forums.

Mr. Keenan specializes in elder law, estate planning, special needs trusts and probate law. He has written articles for legal journals and periodicals on the topics of special needs trusts, estate planning and the termination of parental rights. He is a frequent speaker at professional organizations on the topics of elder law, estate planning and special needs trusts.
Description
Elderly clients often consider gifting their house to their children. Under Medicaid laws, transferring ownership of a home, usually in the form of a gift, is subject to the look-back period unless an exception applies. Elder law counsel must structure the gift of a residence to avoid risking Medicaid eligibility or minimize a penalty that will be assessed.
Other considerations when structuring the gift of a home include liability for gift and capital gains tax, and whether to set up the gift as an outright gift or transfer to a trust. Besides protecting real estate from a potential Medicaid spend-down, irrevocable income-only trusts may offer tax advantages, as well as asset protection if the trust beneficiaries are sued or become subject to a divorce proceeding.
Counsel must understand the pros and cons of retaining a life estate in the residence. Counsel must know and consider the alternatives to gifting the home.
Listen as our authoritative panel of practitioners guides you through the complexities and considerations for a senior client wishing to transfer a house to the children. The panel will discuss Medicaid eligibility and gifting rules, gift and capital gains tax implications, ways to structure the gift, and alternatives to gifting.
Outline
- Medicaid eligibility and gifting rules
- Functional eligibility
- Asset limitations
- Impact of gifting and look-back period
- Individual vs. married couple
- Gift tax
- Annual exemption
- Impact on estate tax exemption
- Tax filing requirements
- Capital gains tax
- Determining tax basis
- Who gets the capital gains tax exemption?
- Estimating capital gains tax liability
- Outright gift?
- Pros
- Cons
- Transfer to a trust?
- Pros
- Cons
- Trust drafting requirements
- Retain life estate?
- Definition of "life use"
- Pros
- Cons: clients maintain a valued ownership; will the state force the children to be landlords someday?
- Alternatives to gifting the house
Benefits
The panel will review these and other key issues:
- In what situations should elderly clients gift their house to their children outright versus setting up a trust?
- What are the key tax issues to understand and consider when senior clients want to gift the residence?
- What issues should counsel consider to maintain Medicaid eligibility for their clients?
Unlimited access to premium CLE courses:
- Annual access
- Available live and on-demand
- Best for attorneys and legal professionals
Unlimited access to premium CPE courses.:
- Annual access
- Available live and on-demand
- Best for CPAs and tax professionals
Unlimited access to premium CLE, CPE, Professional Skills and Practice-Ready courses.:
- Annual access
- Available live and on-demand
- Best for legal, accounting, and tax professionals
Related Courses

Substance Use and Child Custody: Alcohol, Drugs, and Emerging Cannabis Issues
Available On-Demand

Grandparent and Nonparent Custody and Visitation After Divorce or Death
Wednesday, April 2, 2025
1:00 PM E.T.

Medicaid Promissory Notes: Gift and DRA Compliant Transactions, Shielding Assets, Safe Harbors, Spousal Refusals
1:00 p.m. ET./10:00 a.m. PT

Divorce and Social Security Benefits: Navigating Complex Rules for Support
Available On-Demand
Recommended Resources
Explore the Advantages of Consistent Legal Language
- Learning & Development
- Business & Professional Skills
- Talent Development
Your Guide to Professional Development with BARBRI
- Learning & Development
- Business & Professional Skills
- Career Advancement
- eDiscovery