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The financial reality of long-term care shocks most families. According to the 2024 CareScout Cost of Care Survey, the statewide median cost of a semi-private nursing home room in New York is about $176,660 per year, and a private room runs closer to $186,698. And those are statewide medians; in New York City, Long Island, and Westchester, the numbers are commonly higher. Few families can absorb costs like these out of pocket for long, which is why so many turn to Medicaid, and why planning ahead is essential. Our elder law and Medicaid planning attorneys help clients confront these numbers before they become a crisis.
New York Long-Term Care Costs (2024)
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One of the most common and costly misunderstandings is the belief that Medicare will pay for long-term nursing home care. It generally will not. Medicare covers only limited, short-term skilled care following a hospital stay, not the ongoing custodial care most seniors eventually need. Medicaid, a needs-based program, is the primary payer for long-term care in the United States. The catch is that Medicaid is designed for people with limited income and assets, so qualifying while preserving your hard-earned savings requires strategy, not luck. This is the heart of Medicaid planning.
To qualify for Medicaid long-term care benefits, an applicant must fall within strict income and asset limits, and the specific figures change from year to year. Certain assets are counted, while others, such as a primary residence within limits or a vehicle, may be exempt under particular conditions. Simply giving money away to qualify is dangerous, because Medicaid can impose a look-back period that penalizes transfers made too close to an application, particularly for nursing home care. The rules differ depending on whether you need care at home or in a facility, and New York’s rules in this area have been evolving, so it is critical to confirm the current requirements with a knowledgeable attorney rather than relying on outdated advice.
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One of the most powerful tools in Medicaid planning is the irrevocable trust, often called a Medicaid Asset Protection Trust. When properly established and funded well in advance, assets placed in this kind of trust may no longer be counted for Medicaid eligibility, helping protect a home or savings for the next generation. Trusts are not a one-size-fits-all solution, and the timing and structure must be handled with precision to be effective. Coordinating these strategies with your broader trusts and estates plan ensures that protecting assets from long-term care costs does not accidentally create problems elsewhere, such as unintended tax consequences.
When one spouse needs care and the other remains at home, the fear of leaving the healthy spouse impoverished is very real. Medicaid includes spousal protections designed to prevent exactly that, allowing the community spouse to keep a portion of the couple’s income and assets. Maximizing these protections requires careful analysis, because the default rules often leave more on the table than the law actually requires a family to spend down. A thoughtful plan looks at both spouses together, preserving as much security as possible for the one who continues to live independently.
The single biggest mistake families make is waiting until a crisis strikes. Once a loved one suddenly needs nursing home care, many of the best planning tools, especially those affected by the look-back period, are far less effective or unavailable. Crisis planning is still possible and can preserve meaningful assets, but proactive planning years in advance offers dramatically more protection. Building Medicaid planning into your overall estate plan while you are healthy gives you the widest range of options and the greatest peace of mind.
Not everyone who needs long-term care wants to move into a nursing home, and many New Yorkers prefer to age in place with help at home. Medicaid can help pay for home care and other community-based services, which allow a person to remain in familiar surroundings while receiving assistance with daily activities like bathing, dressing, and medication. The eligibility rules for community-based care have historically differed from those for nursing home care, and New York has been changing this area of the law, including adjustments to how transfers of assets are treated for home care. Because these rules directly affect how and when you should plan, it is especially important to get current, personalized guidance. For families who want to keep a loved one at home for as long as possible, understanding the community Medicaid landscape is just as important as planning for a potential nursing home stay, and the two should be considered together as part of one coherent strategy.
Not necessarily. A primary residence may be protected during your lifetime, but without planning it can be exposed to estate recovery after death. Proper planning helps protect it.
No. Even in a crisis, planning strategies can protect a portion of assets. You have more options than you might think, but you should act quickly.
Outright gifts are risky and can trigger penalties under Medicaid’s look-back rules. Trusts and other tools are usually far safer and more effective.
The cost of long-term care is frightening, but with the right plan it does not have to destroy everything you have worked for. Whether you are planning ahead or facing an immediate need, the elder law team at Capell Barnett Matalon Schoenfeld can help you protect your assets and secure quality care for your loved ones. Contact Capell Barnett Matalon Schoenfeld at (212) 661-1144 to schedule a consultation and take control of your family’s future.
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]]>The post Legal Requirements for the Sale of Real Property by New York Religious Corporations appeared first on Capell Barnett Matalon and Schoenfeld LLP.
]]>In order to accomplish these real property transactions, religious corporations and their religious and lay leaders are required to navigate their own corporate and ecclesiastical process along with New York State’s unique regulatory framework. The legal requirements placed on religious organizations will shape the real property transaction process, from the point of discernment through to consummating the transaction. Therefore, it is encouraged that all institutions, and the individuals that lead them, who are considering selling, mortgaging, or leasing any portion of real property owned by a religious corporation to first recognize and understand the basic legal requirements, and who to turn to for assistance, in order to be able to have a valid and enforceable real estate transaction.
Understanding and complying with the procedural obligations is essential to ensure a real property transaction reflects the institution’s best interests of the religious corporation and the interests of its members, and that the chosen real transaction can occur.
New York Religious Corporations Law (RCL) establishes that a religious corporation cannot sell, mortgage, or lease any portion of its real estate for a term exceeding five (5) years without securing approval from the New York State. Section 12(1) of the RCL provides that a religious corporation must apply for, and obtain, permission or leave before such a real property transaction can legally take place. The process to obtain permission to transact such business from New York State requires that the religious corporation comply with RCL, including Section 12 of the RCL, along with New York Not-for-Profit Corporation Law (NPCL), specifically Section 511 of the NPCL or Section 511-A of the NPCL.
Section 511 of the NPCL sets forth the statutory standard for obtaining permission from the New York State Supreme Court for these real property transactions, where NPCL Section 511-A provides certain religious organizations, in lieu of obtaining approval from the New York State Supreme Court, an alternative method for obtaining approval from the Charities Bureau of the Office of the New York State Attorney General. In many scenarios, Section 511 of the NPCL also requires religious organizations to also provide notice of the proposed real estate transaction to the Office of the New York State Attorney General, in order to afford its Charities Bureau an opportunity to appear before the New York State Supreme Court and provide an opinion and position on whether or not the Court should grant an approval of the transaction or deny the religious corporation’s request. The petition, among many other things, outlines the details of the transaction, demonstrates that the transaction was duly authorized following the religious corporation’s governing documents as well as why the transaction was pursued and for what purpose, and describes how the proceeds will be used to promote the religious organization’s purpose. Absent such regulatory approval, the religious corporation—and its leaders—are legally unable to transact such business in connection with the organization’s real property, and the transaction could be deemed unenforceable.
This oversight by the New York State Supreme Court and the New York State Attorney General is designed to protect religious congregations from mismanagement or unilateral decisions that could compromise the integrity of their mission or the sustainability of their assets. It ensures that all proposed transactions are thoroughly reviewed, that congregational governance structures (and in certain situations, that the ecclesiastical governing body) are respected, and that any sale proceeds will be used for proper and lawful purposes, consistent with the religious corporation’s purpose.
At Capell Barnett Matalon & Schoenfeld LLP, our team regularly guides religious corporations and their directors/trustees, officers, executives, and members through the sale and regulatory approval process, which oftentimes involves internal and ecclesiastical approvals and oversight by the New York State Supreme Court and/or the Charities Bureau of the Office of the New York State Attorney General.
Capell Barnett Matalon & Schoenfeld LLP has decades of experience advising religious institutions across New York State on all aspects of real estate transactions. From the initial consideration by a religious organization to sell its real property and the ecclesial considerations, to contract negotiation through to the regulatory approval process, and then to ultimately closing of the real property transaction, our team can provide religious and lay leaders, and the institution’s members, thorough and reliable legal counsel tailored to each religious corporation’s unique needs, internal doctrines, and regulations. If your congregation is contemplating the sale of its real estate, Capell Barnett Matalon & Schoenfeld LLP welcomes the opportunity to assist and ensure your organization’s transaction proceeds smoothly and in compliance with the law.
For purposes of applicability, please reference RCL Section 2-a, which establish that the RCL applies to corporations that are formed in accordance with (i) RCL; (ii) any other New York State statute or special act, which would, if it were to be formed currently per the New York State laws, be formed per the RCL; and (iii) the laws other than the statutes of New York State, which is otherwise authorized to conduct or chooses to conduct activities in New York State and which would, if it were to be formed currently per the New York State laws, be formed per the RCL.
However, RCL Section 12(1) specifically excludes purchase money mortgages and similar purchase money transactions from the statutory approval process. Therefore, if a religious corporation is purchasing a new property and securing a mortgage for that purchase, then that real property transaction does not trigger the statutory approval requirement set forth in RCL Section 12(1).
RCL Section 12(1) modifies NPCL Section 511 and allows certain churches affiliated with historical and hierarchical denominations to not involve the Office of the New York State Attorney General. The churches exempt from providing notice to the Office of the New York State Attorney General on its real property transactions includes: (1) Protestant Episcopal church, (2) Roman Catholic church, (3) Ruthenian Catholic church of the Greek Rite, (4) African Methodist Episcopal Zion, (5) Presbyterian church connected with the General Assembly of the Presbyterian Church (U.S.A.), (6) United Methodist church, and (7) Reformed Church connected with the General Synod of the Reformed Church in America.
[1] For purposes of applicability, please reference RCL Section 2-a, which establish that the RCL applies to corporations that are formed in accordance with (i) RCL; (ii) any other New York State statute or special act, which would, if it were to be formed currently per the New York State laws, be formed per the RCL; and (iii) the laws other than the statutes of New York State, which is otherwise authorized to conduct or chooses to conduct activities in New York State and which would, if it were to be formed currently per the New York State laws, be formed per the RCL.
[2] However, RCL Section 12(1) specifically excludes purchase money mortgage and similar purchase money transactions from the statutory approval process. Therefore, if a religious corporation is purchasing a new property and securing a mortgage for that purchaser, then that real property transaction does not trigger the statutory approval requirement set forth in RCL Section 12(1).
[3] RCL Section 12(1) modifies NPCL Section 511, and allows certain churches affiliated with historical and hierarchical denominations to not involve the Office of the New York State Attorney General. The churches exempt from providing notice to the Office of the New York State Attorney General on its real property transactions includes: (1) Protestant Episcopal church, (2) Roman Catholic church, (3) Ruthenian Catholic church of the Greek Rite, (4) African Methodist Episcopal Zion, (5) Presbyterian church connected with the General Assembly of the Presbyterian Church (U.S.A.), (6) United Methodist church, and (7) Reformed Church connected with the General Synod of the Reformed Church in America.
This article was writen by David de Barros a Partner and a member of the firm’s Real Estate, Not-for-Profit and Religious Organizations practice groups. It is intended for informational purposes only and does not constitute legal advice. For guidance specific to your organization, please consult qualified legal counsel.
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]]>The post City & State New York Names Jodi Warren a 2024 Not-for-Profit Trailblazer appeared first on Capell Barnett Matalon and Schoenfeld LLP.
]]>The not-for-profit Trailblazer award recognizes Jodi as a leading figure in New York, acknowledging her commitment to empowering not-for-profit organizations to better serve their communities.
“We are delighted to congratulate Jodi on receiving the not-for-profit Trailblazer Award,” said Renato Matos, Managing Partner at Capell Barnett Matalon & Schoenfeld LLP. “This accolade is a testament to her outstanding contributions in advancing the missions of our not-for-profit and religious organization clients.”
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]]>The post Renato Matos Recognized as a Trailblazer in Law 2024 by City & State appeared first on Capell Barnett Matalon and Schoenfeld LLP.
]]>Being named a 2024 Trailblazer honors the impact of Renato’s work with charitable organizations as the head of Capell Barnett Matalon & Schoenfeld’s Not-for-Profit and Religious Organizations practice.
Renato is also the primary organizer behind Religious Law Advisors, which works with faith-based organizations as integral members of their advisory teams to deliver innovative, sound legal strategies to assist clients in accomplishing their mission goals. He is also the main driver of our firm’s proprietary Mission Driven Development process, which aims to guide not-for-profit and religious organizations on utilizing undeveloped and underdeveloped real property to support and expand their missions and ministries.
“Thank you to City & State for including me in their 2024 Trailblazers in Law list,” Renato says. “The achievements they recognize are not the work of a single attorney but a deeply appreciated acknowledgment of our entire firm. All of us at Capell Barnett Matalon & Schoenfeld look forward to delivering ongoing counsel that contributes to the legal landscape and our community.”
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]]>The post Joseph Milano Wins City & State Above & Beyond Award: Social Services appeared first on Capell Barnett Matalon and Schoenfeld LLP.
]]>This honor also celebrates Joe’s work as a skilled litigator, including serving as a special assistant to the state attorney general. As our partner, he continues to focus on advising and defending religious institutions of all denominations — from guiding congregations on financial viability strategies to navigating complex legal issues around migrant sanctuary guidelines and transgender youth support.
Joe’s deep commitment to supporting communities—whether through helping religious institutions or addressing housing and social service needs—exemplifies the values we hold dear at Capell Barnett Matalon & Schoenfeld. We are immensely proud of this City & State recognition, which reflects not just Joe’s individual excellence but also the collective mission of our firm to make a meaningful difference.
Please join us in congratulating Joe on this well-deserved recognition of the positive impact he continues to make in the community.
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]]>The post What to Know About Buy-Sell Agreements – Post Connelly appeared first on Capell Barnett Matalon and Schoenfeld LLP.
]]>The Connelly case involved two brothers, who owned a corporation. When one brother died, the corporation redeemed his shares by utilizing company-owned life insurance. The Supreme Court held that insurance proceeds owned by the corporation and used to redeem the majority shareholder must be included in the valuation of the corporation, without an offsetting liability. The inclusion of three million dollars of life insurance in the fair market value of the company resulted in increased estate tax due.
All buy-sell agreements should be reviewed, and consideration should be given to using a cross-purchase plan or life insurance partnership instead of a redemption approach.
The issues presented in Connelly require planning, as the Federal Estate Tax exemption is scheduled to be reduced by one-half on January 1, 2026.
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