Some 30 states currently have laws making
adult children responsible for their parents if their parents can't afford to
take care of themselves. These “filial responsibility” laws have rarely been enforced, but six years ago
when federal rules made it more difficult to qualify for Medicaid
long-term care coverage, some elder law attorneys predicted that nursing
homes would start using the laws as a way to get care paid for.
There has been a recent stir in
Pennsylvania regarding one man being forced to financially care for his ailing
mother. As a recent Pennsylvania appeals court case dramatizes, many of us with
elderly loved ones receiving expensive care may just end up footing the bill.
The case is Health Care & Retirement Corporation of America v. Pittas
(Pa. Super. Ct., No. 536 EDA 2011, May 7, 2012), and the law at issue is a type
of “filial responsibility law” on the books in as many as 30 states. Both the
case and the law were addressed in a recent blog post titled “Son Liable for Mom's $93,000
Nursing Home Bill Under 'Filial Responsibility' Law.”
If you haven’t yet heard of
“filial responsibility,” it is the cornerstone of Confucius’ Analects, the
Bible, and much of modern estate law. That noted, in this Pennsylvania case and
the laws of numerous states, filial responsibility is a way to ensure someone
comes up with the payment.
In this Pennsylvania case, John
Pittas’ mother entered a nursing home after a car crash and later left both the
nursing home and the country once she recouped. She recovered well before
Medicaid was able to process her application and assume payment for the nursing
home. As a result, the nursing home saw $93,000 appear in its accounts
receivable column.
Rather than wait for Medicaid to
consider payment, the nursing home filed a lawsuit against Mr. Pittas for his
mother’s bill under the state’s filial responsibility law. Note: the nursing
home didn’t care that there were a number of family members – other children
and a spouse – and neither did the court. Why? Because under the doctrine of
filial responsibility, the nursing home could simply pick its target to receive
payment, and they chose John Pittas.
While this horror story is
specific to Pennsylvania law and its court system, the basic concepts of this
law and its application are shared by many states. It is important to note,
also, that this case only existed because Medicaid (or Medicare) hadn’t reviewed
and approved the bill. If Medicaid (or Medicare) had paid the tab, then the no
claim would have been established against John Pittas.
Reference: ElderLawAnswers.com
(May 11, 2012) “Son Liable for Mom's $93,000 Nursing Home
Bill Under 'Filial Responsibility' Law