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How Does a Special Needs Trust Work: A Clear Guide for Families and Caregivers

Caring for a loved one with a disability often means thinking about their future long after you’re gone. One of the most reliable tools you can use is a special needs trust. But how does a special needs trust work exactly, and what makes it different from a regular trust?

Let’s cover everything you need to know. From its core function to how it operates under Texas law, you’ll get a full understanding of how it helps protect your loved one’s future without risking their access to public assistance.

What a Special Needs Trust Actually Does

A special needs trust (SNT) is a legal arrangement designed to support someone with a disability without disqualifying them from benefits like Supplemental Security Income (SSI) or Medicaid. These trusts hold money or assets for the benefit of the person with special needs, but the funds are not counted as their personal resources.

When you ask, “how does a special needs trust work”, the answer starts with control and protection. The assets in the trust are controlled by a trustee—not the beneficiary. This structure keeps your loved one under the financial limits required to remain eligible for means-tested programs.

The trustee is responsible for managing the trust and spending the funds in ways that support the beneficiary. Common expenses that can be paid from the trust include:

  • Therapy or medical costs not covered by insurance
  • Education or vocational training
  • Assistive technology and equipment
  • Travel, recreation, and hobbies
  • In-home care not funded by public programs

However, the trustee cannot give the money directly to the beneficiary as cash or it could affect their eligibility for benefits.

Different Ways a Special Needs Trust Can Be Funded

There are two main types of special needs trusts based on who funds them:

1. First-Party Special Needs Trust

This trust is funded with the disabled person’s own assets. This might include money from an inheritance, a lawsuit settlement, or even savings they had before qualifying for benefits. Texas law requires that the person be under 65 years old when the trust is created.

First-party trusts must include a payback provision. That means when the beneficiary dies, any remaining assets must first go to the state to repay Medicaid before going to other heirs.

2. Third-Party Special Needs Trust

This is funded by someone else, like a parent or grandparent. It can be created during your lifetime or through your will. Unlike a first-party trust, it does not have to pay back Medicaid upon the death of the beneficiary.

This type of trust is ideal if you’re planning to support your child or relative with special needs using your own money or property.

In both cases, the structure of how a special needs trust works remains the same: the trustee manages the money, and the beneficiary uses it without direct access.

If you’re living in Texas, it’s important to understand the specific rules that apply to special needs trusts under both federal and state oversight.

In Texas, special needs trusts are commonly used to help individuals stay qualified for Medicaid programs, including those that provide long-term support and services. These programs have strict asset and income limits, and exceeding those limits can mean losing coverage.

To be valid in Texas, your special needs trust must:

  • Be irrevocable (once set up, it cannot be changed or undone)
  • Name a qualified trustee who will act in the best interest of the beneficiary
  • Clearly state that the funds are to supplement, not replace, public benefits

Texas courts may also review the trust to ensure it meets these criteria, especially if it’s a first-party trust established through a court order or settlement. When done correctly, your trust can help preserve eligibility while giving your loved one a higher quality of life.

Why the Trustee’s Role Matters So Much

The trustee plays the most important role in how a special needs trust works. They must understand the laws and responsibilities that come with the job. They’ll be the one making decisions, handling paperwork, and ensuring the beneficiary doesn’t accidentally lose access to benefits.

When choosing a trustee, you have several options:

  • A trusted family member who is willing and able to manage the legal and financial aspects
  • A professional trustee such as a bank or trust company
  • A pooled trust administered by a nonprofit organization that handles many such accounts

In Texas, using a professional or pooled trustee may make sense if the trust is large or the needs are complex. However, even for small trusts, good management is key to making it work properly.

The trustee is also responsible for:

  • Keeping records of all transactions
  • Reporting to government agencies as needed
  • Filing taxes for the trust
  • Ensuring that distributions do not violate SSI or Medicaid rules

If you’re setting up the trust yourself, you may also name a successor trustee in case your first choice is unable to continue in the future.

What Happens to the Trust Over Time and After Death

Once the trust is in place, it functions over the lifetime of the beneficiary. It can continue to be funded if it’s a third-party trust or stay static if it was created with a lump sum.

You’ll want to think ahead about the trust’s longevity. This includes:

  • Whether more funds will be added
  • How long the funds will last based on spending patterns
  • Whether there is a plan for successor trustees

When the beneficiary dies, what happens next depends on the type of trust:

  • First-party trust: Remaining assets are used to repay the state for Medicaid expenses
  • Third-party trust: Assets are passed to the next named beneficiaries in the trust document

It’s important to keep the trust updated as laws change or as your loved one’s needs evolve. Keeping good communication with the trustee and reviewing the trust regularly helps make sure everything continues to work smoothly.

Steps to Set Up a Special Needs Trust Properly

Setting up a special needs trust typically involves working with an attorney who is experienced with disability and estate planning. In Texas, there are specific drafting requirements depending on the type of trust, the funding source, and the age and benefits eligibility of the beneficiary.

To get started, you’ll usually need to:

  1. Decide what type of trust is needed (first-party or third-party)
  2. Choose the trustee and possible successors
  3. Draft the trust document, ensuring it complies with both federal and Texas rules
  4. Fund the trust with money, property, or life insurance
  5. Notify government agencies if required (especially for first-party trusts)

Even though setting one up may seem complicated, the benefit is peace of mind. You’re creating a legal structure that can support your loved one in ways you can’t always do yourself.

How This Trust Works with the Rest of Your Estate Plan

A special needs trust is often just one part of a larger plan. It can work alongside other tools, like:

  • Life insurance policies that pay into the trust
  • ABLE accounts for limited tax-free spending
  • Guardianship or supported decision-making agreements
  • Powers of attorney or health care proxies

Together, these tools ensure that your loved one has both financial and legal support.

In Texas, combining a third-party special needs trust with a life insurance policy is a common approach. You can designate the trust as the beneficiary of the policy, allowing your support to continue long after you’re gone without jeopardizing their benefits.

Conclusion

Understanding how special needs trust work is an important step if you want to plan for the future of a loved one with a disability. The trust can provide them with additional support, protection, and comfort without risking their access to public assistance programs. By setting it up correctly and managing it wisely, you’re putting a lasting safety net in place.

  1. How to Create an Online Living Will That Meets Legal Standards in Texas
  2. How Do I Set Up a Special Needs Trust? A Step-by-Step Texas Overview
  3. Living Will vs Power of Attorney: What You Should Know Before Making a Choice
  4. Understanding Special Needs Trust Taxation Basics
  5. How Do I Make A Living Will? How One Simple Step Can Avoid Future Legal Nightmares
  6. Understanding ABLE Account vs Special Needs Trust for Smarter Financial Planning
  7. The Only Revocable Living Trust Template Parents Should Consider
  8. Special Needs Trust Rules You Can’t Afford to Ignore
  9. Difference Between Revocable and Living Trust: Are You Making the Right Estate Planning Choice?
  10. Did Special Needs Trust Rules Change? What Families and Caregivers Should Know in 2025
  11. Medical Directive vs Living Will: What Texans Should Know Before Choosing
  12. Adult Guardianship in Texas: A Step-by-Step Legal Guide for Families

Frequently Asked Questions

1. How does a special needs trust work without affecting government benefits?

The trust holds assets outside the beneficiary’s direct control. Because the beneficiary cannot withdraw funds on their own, the trust does not count toward their resource limits for SSI or Medicaid.

2. Can you buy a house with a special needs trust?

Yes, but the trustee must hold the title and the home must benefit the beneficiary. There are rules to follow to ensure it doesn’t impact public assistance eligibility.

3. Who can serve as a trustee in Texas?

You can name a family member, professional trustee, or pooled trust organization. Texas law allows flexibility, but the trustee must act in the best interest of the beneficiary.

4. Is there a minimum amount needed to start a special needs trust?

There’s no legal minimum in Texas, but because of legal and administrative costs, most families fund it with at least a few thousand dollars or more.

5. What’s the difference between a special needs trust and an ABLE account?

A special needs trust can hold large amounts of money with fewer spending restrictions, while an ABLE account has contribution and usage limits but offers tax benefits. They can work well together.

Legal Tip:

Having a will is a fundamental step in ensuring your assets are distributed according to your wishes. It's a critical component of estate planning that shouldn't be overlooked.

Understand the importance of wills in Texas: The Importance of Wills in Texas Estate Planning .

Legal Tip:

Trusts can be a powerful tool in estate planning, offering flexibility and control over asset distribution. Understanding the different types of trusts is key to effective planning.

Explore the various trust options available in Texas: Trusts in Texas Estate Planning: When and How to Use Them .

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