Can a trust pay for tech used to track treatment adherence?

As estate planning attorneys in San Diego, we often encounter questions about the permissible uses of trust funds, and the increasingly complex world of healthcare technology adds a new layer to these considerations. The short answer is, generally, yes, a trust can pay for technology used to track treatment adherence, but it’s not always straightforward and depends heavily on the trust document’s language, the beneficiary’s needs, and applicable laws. Trusts are designed to provide for the beneficiary’s well-being, and in today’s world, that can certainly include tools that enhance healthcare management and ensure they are receiving the care outlined in their treatment plans. It’s vital to remember that trust administration requires prudent decision-making and adherence to the grantor’s intent, especially as technology evolves.

What are the limits of using trust funds for healthcare expenses?

Trust documents usually outline permissible uses of funds, typically prioritizing healthcare, education, and basic living expenses. While most trusts broadly cover medical costs, the specificity regarding “technology” might be lacking. According to a recent study by the National Center for Health Statistics, approximately 68% of adults over 65 use some form of digital health technology, showing a growing need for these tools. The trustee has a fiduciary duty to act in the beneficiary’s best interest, meaning they must reasonably believe the technology is necessary or beneficial for the beneficiary’s health and well-being. However, frivolous or unnecessary purchases would be a breach of that duty. If a beneficiary has a chronic condition, like diabetes, a continuous glucose monitor linked to a telehealth platform could demonstrably improve their care and justify the expense from trust funds. This is even more persuasive if the doctor recommends it.

What happens when a trust isn’t clear on tech expenses?

I recall a situation with a client, Mrs. Eleanor Vance, whose trust was established decades ago and didn’t anticipate the rise of digital health. Her son, David, suffered from early-onset Alzheimer’s, and his physician strongly recommended a GPS tracking device and a medication dispensing system to ensure he took his medication correctly and didn’t wander. The trustee, Eleanor’s daughter, initially hesitated, concerned about whether these “gadgets” were legitimate medical expenses covered by the trust. After a detailed discussion and a letter from David’s doctor outlining the medical necessity of these technologies, we were able to demonstrate that the expenses were directly related to his care and therefore permissible. Approximately 5.5 million Americans are living with Alzheimer’s, and technology can be a vital aid in managing their care. Without the doctor’s letter it would have been a difficult case, the trustee would have been on shaky ground.

How can a trustee proactively plan for future tech needs?

A proactive approach to trust administration is crucial. Grantors should consider incorporating language addressing technological advancements into their trust documents. This could include a clause allowing the trustee to use funds for “medically-related technology” or a more general provision allowing for expenses that are “necessary or beneficial to the beneficiary’s health and welfare.” It’s also essential to document everything. Keep records of doctor’s recommendations, invoices, and a clear explanation of how the technology benefits the beneficiary. I once assisted a client, Mr. Peterson, in updating his trust to specifically include provisions for digital health tools. He was particularly concerned about his aging mother’s ability to manage her medications. He wanted to ensure that funds could be used for smart pill dispensers and telehealth appointments. By incorporating this foresight, we avoided potential complications down the road. “A well-drafted trust anticipates future needs, not just present ones,” is a quote I often share with my clients.

What happens when things go wrong, and a trustee makes a mistake?

I recall another client, Mr. Harrison, whose trust was fairly straightforward. His wife, Clara, needed a specialized wearable device to monitor her heart condition. The trustee, a well-meaning but inexperienced friend, purchased the device without obtaining prior approval or documenting the medical necessity. Clara’s condition worsened, and there was a question about whether the device was even properly functioning. The family started a legal battle, arguing that the trustee had mismanaged the funds and failed to act in Clara’s best interest. While the situation was eventually resolved with mediation, it was a costly and stressful experience for everyone involved. Ultimately, it highlighted the importance of thorough documentation, medical justification, and a clear understanding of the trustee’s fiduciary duties. Had they followed a simple process of obtaining a doctor’s recommendation and documenting the purchase, the entire ordeal could have been avoided. By learning from these experiences, we ensure our clients’ trusts are administered responsibly and effectively, protecting their loved ones and preserving their legacy.


Who Is Ted Cook at Point Loma Estate Planning Law, APC.:

Point Loma Estate Planning Law, APC.

2305 Historic Decatur Rd Suite 100, San Diego CA. 92106

(619) 550-7437

Map To Point Loma Estate Planning Law, APC, a trust attorney: https://maps.app.goo.gl/JiHkjNg9VFGA44tf9


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