ABLE Account

There has been a lot of confusion as to what an ABLE account is and how to get one. Here is a video put out by the National Disability Institute that explains a few of these questions. Transcript available here (through Family Voices Indiana) and below.

Here is an article put out by the American Association on Intellectual and Developmental Disabilities (AAIDD) on the ABLE Act.

Here is a fact sheet from Congressman Ander Crenshaw with additional details.

I am Michael Morris, the executive director of National Disability Institute. Today marks a historic day in our country’s understanding and support of people with disabilities and their families. On this past Wednesday night, the Achieving a Better Life Experience Act of 2014, or ABLE Act, was passed by an overwhelming majority in the U.S. Senate after passing in the House earlier this month.

This is important because, for the very first time in our country’s policy on disability, the ABLE Act recognizes that there are added costs to living with a disability. The ABLE Act responds to these significant daily and weekly out-of-pocket expenses by creating, for the first time, a tax advantaged savings account (an ABLE account).

In recognition of this unprecedented legislation, NDI has created a list of 10 items about ABLE accounts that individuals with disabilities and their families should know:

ABLE Accounts: 10 Things You Must Know

What is an ABLE account?
ABLE Accounts, which are tax advantaged savings accounts for individuals with disabilities and their families, will be created as a result of the passage of the ABLE Act of 2014. Income earned by the accounts would not be taxed. Contributions to the account made by any person (the account beneficiary, family and friends) would not be tax deductible.

Why the need for ABLE accounts?
Millions of individuals with disabilities and their families depend on a wide variety of public benefits for income, health care and food and housing assistance. Eligibility for these public benefits (SSI, SNAP, Medicaid) require individuals to report more than $2,000 in cash savings, retirement funds and other items of significant value. To remain eligible for these public benefits, an individual must remain poor. For the first time, eligible individuals and families will be allowed to establish ABLE savings accounts that will not affect their eligibility for SSI, Medicaid and other public benefits.

Am I eligible for an ABLE account?
The final version of the ABLE Act limits eligibility to individuals with significant disabilities with an age of onset of disability before turning 26 years of age. If you meet this criteria and are also receiving benefits already under SSI and/or SSDI, you are automatically eligible to establish an ABLE account. If you are not a recipient of SSI and/or SSDI, but still meet the age of onset disability requirement, you would still be eligible to open an ABLE account if you meet SSI criteria regarding significant functional limitations. The regulations to be written in 2015 by the Treasury Department will have to explain further the standard of proof and required medical documentation. You need not be under the age of 26 to be eligible for an ABLE account. You could be over the age of 26, but must have the documentation of disability that indicates age of onset before the age of 26.

Are there limits to how much money can be put in an ABLE account?
The total annual contributions by all participating individuals, including family and friends, is $14,000, an amount which will be adjusted annually for inflation. Under current tax law, $14,000 is the maximum amount that individuals can make as a gift to someone else and not pay taxes. The total limit over time that could be made to an ABLE account will be subject to the individual state and their limit for education-related 529 savings accounts. Many states have set this limit at more than $300,000 per plan. However, for individuals with disabilities who are recipients of SSI and Medicaid, the ABLE Act sets some further limitations. The first $100,000 in ABLE accounts would be exempted from the SSI $2,000 individual resource limit. If and when an ABLE account exceeds $100,000, the beneficiary would be suspended from eligibility for SSI benefits and no longer receive that monthly income. However, the beneficiary would continue to be eligible for Medicaid.

Which expenses are allowed by ABLE accounts?
A “qualified disability expense” means any expense related to the designated beneficiary as a result of living a life with disabilities. These include education, housing, transportation, employment training and support, assistive technology, personal support services, health care expenses, financial management and administrative services and other expenses which will be further described in regulations to be developed in 2015 by the Treasury Department.

Where do I go to open an ABLE account?
Each state is responsible for establishing and operating an ABLE program. If a state should choose not to establish its own program, it may contract with another state to still offer its eligible individuals with significant disabilities the opportunity to open an ABLE account. After President Obama signs the ABLE Act, the Secretary of the Department of Treasury will begin to develop regulations that will guide the states in terms of a) the information required to be presented to open an ABLE account; b) the documentation needed to meet the requirements of ABLE account eligibility for a person with a disability; and c) the definition details of “qualified disability expenses” and the documentation that will be needed for tax reporting. No accounts can be established until the regulations are finalized following a public comment period on proposed rules for program implementation. States will begin to accept applications to establish ABLE accounts before the end of 2015.

Can I have more than one ABLE account?
No. The ABLE Act limits the opportunity to one ABLE account per eligible individual.

Will states offer options to invest the savings contributed to an ABLE account?
Like state 529 college savings plans, states are likely to offer qualified individuals and families multiple options to establish ABLE accounts with varied investment strategies. Each individual and family will need to project possible future needs and costs over time, and to assess their risk tolerance for possible future investment strategies to grow their savings. Account contributors or designated beneficiaries are limited, by the ABLE Act, to change the way their money is invested in the account up to two times per year.

How many eligible individuals and families might benefit from establishing an ABLE account?
There are 58 million individuals with disabilities in the United States. To meet the definition of significant disability required by the legislation to be eligible to establish an ABLE account, the conservative number would be approximately 10 percent of the larger group, or 5.8 million individuals and families. Further analysis is needed to understand more fully the size of this market and more about their needs for new savings and investment products.

How is an ABLE account different than a special needs or pooled trust?
An ABLE Account will provide more choice and control for the beneficiary and family. Cost of establishing an account will be considerably less than either a Special Needs Trust (SNT) or Pooled Income Trust. With an ABLE account, account owners will have the ability to control their funds and, if circumstances change, still have other options available to them. Determining which option is the most appropriate will depend upon individual circumstances. For many families, the ABLE account will be a significant and viable option in addition to, rather than instead of, a Trust program.

For more information about the ABLE Act and what it might mean, please visit with us at the website of National Disability Institute. You can find us at www.realeconomicimpact.org.

Colorado lawmakers advance bill to spread telehealth across state

Getting medical help for many people in rural communities is quite the challenge. “The House Health, Insurance and Environment Committee approved a bill that would expand a current law supporting telemedicine” which can bring health care to the fingertips of people who do not have direct access to a doctor. You can read the full article here or below.

DENVER AND THE WEST

Colorado lawmakers advance bill to spread telehealth across state

By Electa Draper
The Denver Post

POSTED:   01/22/2015 04:46:27 PM MST2 COMMENTS| UPDATED:   5 DAYS AGO

 

Doctors in the NICU unit at the Rocky Mountain Hospital for Children use telemedicine to video conference with doctors in rural and remote areas, such as

Doctors in the NICU unit at the Rocky Mountain Hospital for Children use telemedicine to video conference with doctors in rural and remote areas, such as Vail, Colo., helping with medical advice and administering care in some cases. ( Kathryn Scott Osler, Denver Post File )

A bill that would boost telemedicine in Colorado by preventing health insurance plans from requiring in-person care to patients when it can be appropriately provided remotely progressed to the House floor on a unanimous committee vote Thursday.

The House Health, Insurance and Environment Committee approved a bill that would expand a current law supporting telemedicine — care delivered via a computer, smartphone or other device — only for patients residing in counties with 150,000 or fewer residents.

The bill, sponsored by Rep. Perry Buck, R-Windsor, and Rep. Joann Ginal, D-Fort Collins, was amended to call it telehealth — a reflection, committee members said, of the broad array of services that can be delivered using telecommunications and other information technologies. They approved an amendment that would push back removal of the population restrictions starting Jan. 1, 2017, rather than 2016.

If passed, the bill would preclude health plans from requiring in-person care if consulting, monitoring and other care could be administered as effectively at a distance. It would prevent plans from reimbursing providers who deliver telehealth on a different basis than for in-person care. Health plans could not charge different deductibles, co-payments or co-insurance amounts or set different annual or lifetime dollar maximums.

Telehealth would lower costs and improve access to medical services and outcomes in urban and rural areas, said supporting witnesses, including representatives of the Colorado Hospital Association, Centura Health hospital network, Colorado Association of Health Plans, Children’s Hospital Colorado, Colorado Telehealth Network. No one spoke against it.

Electa Draper: 303-954-1276, edraper@denverpost.com or twitter.com/electadraper

Making Colorado a better place for children and youth with special health care needs

Follow

Get every new post delivered to your Inbox.

Join 2,397 other followers