Hillsborough County  special needs planning

For families in Hillsborough County who have worked hard to protect a loved one with special needs, a special needs trust represents years of careful planning and deep love. But one question I hear from families regularly is: what actually happens to that trust when the beneficiary passes away? It’s a difficult topic to think about, and it’s also one of the most important things to understand before it becomes urgent.

The Trust Doesn’t Simply Disappear

When a special needs trust beneficiary passes away, the trust doesn’t just dissolve. The trust document itself dictates what happens next, and the details matter enormously. In most cases, the document outlines who receives any remaining assets, whether that’s a secondary beneficiary, other family members, or a charitable organization the family designated years earlier.

But before any of that distribution happens, there’s another step many families don’t anticipate.

Florida’s Medicaid Payback Requirement

If the beneficiary received Medicaid benefits during their lifetime, Florida law typically requires that the state be reimbursed from the remaining trust assets before anything passes to other beneficiaries. This is called a Medicaid payback provision, and it applies to first-party special needs trusts funded with the beneficiary’s own assets.

Third-party special needs trusts, which are funded by family members rather than the beneficiary, are treated differently and are not subject to the same payback requirement. This distinction is one of the reasons why the structure of a special needs trust matters so much from the very beginning.

When Family Members Have Different Expectations

Even the most thoughtfully drafted trust can become a source of confusion after a beneficiary passes. Family members may have different understandings of what the trust says, especially if it hasn’t been reviewed in years or if circumstances have changed. Working through those disagreements without guidance can be stressful and costly.

Having an attorney review the trust document periodically and making sure the right people understand its terms goes a long way toward preventing conflict during an already emotional time.

Regular Reviews Protect Your Intentions

Florida law evolves, and so do family situations. A special needs trust that was perfectly structured a decade ago may not reflect current legal requirements or your family’s current wishes. I recommend sitting down with a special needs attorney every few years to make sure the trust is still doing exactly what you intended it to do.

You Don’t Have to Navigate This Alone

Special needs planning is one of the most layered areas of estate planning, and the decisions you make now have a real impact on your loved one’s life and your family’s future. Whether you’re creating a new trust, reviewing an existing one, or trying to understand what comes next, having an experienced guide makes a meaningful difference.

Laurie Ohall is a Florida Board Certified Elder Law Attorney who has been helping families throughout Hillsborough County since 1994. Call the Law Offices of Laurie E. Ohall, P.A. at (813) 438-8503 to schedule a consultation. We’re here to help you protect the people who matter most.