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Special Needs Trusts in Florida: A Starter Guide for Parents

Understand

By the Hope Center clinical team · Clinically reviewed by Aisha Albright-Jourdan, MSW, LCSW, BCBA · Updated October 20, 2026 · Facts current as of October 20, 2026

The short answer

A special needs trust holds money for a person with a disability under a trustee's control, so the money can pay for extra needs without being counted as the person's own resource for SSI. Third-party trusts hold family money. First-party trusts hold the person's own money and must repay the state for Medicaid costs at death. Pooled trusts are run by nonprofits. A Florida attorney should draft one.

Many parents of autistic children worry about the same thing: if we leave our child money, or if they receive an inheritance or a settlement, will it cost them disability benefits they may need as adults? A special needs trust is one of the main tools families use to answer that. This starter guide explains what these trusts are, the three main types, how the Social Security Administration (SSA) treats them for Supplemental Security Income (SSI), how they compare with an ABLE account, and when to talk to a Florida attorney. It explains general rules only. Trusts are legal documents with tax and benefit consequences, and yours should be drafted by a Florida attorney who handles special needs planning.

What is a special needs trust?

A trust is a legal arrangement in which a trustee holds property for someone else, the beneficiary. SSA's operations manual (POMS SI 01120.200) explains that "property held in trust may or may not be considered a resource for SSI purposes." A special needs trust is written so that, if it meets SSA's rules, the money in it is not counted as the beneficiary's own resource. The trustee then uses the money for things that improve the person's life, such as therapies, education, equipment, transportation and recreation, without giving the beneficiary direct control.

Why this matters: SSI is a needs-based benefit with a low resource limit. For a child, SSA also generally counts part of the parents' income and resources until age 18 (it calls this deeming). Many autistic young adults first qualify for SSI at 18, so money that lands in their own name can affect eligibility. See SSI for children with autism in Florida for the basics.

What are the three main types?

Types of special needs trusts (general rules from SSA's POMS)
TypeWhose money goes inKey rulesCommon uses
Third-party trustSomeone other than the beneficiary, such as parents or grandparentsEvaluated under SI 01120.200. Generally not a resource if the beneficiary cannot revoke it or direct its use for their support. The state payback requirement in SSA's rules belongs to the first-party and pooled trust exceptions, not to third-party trusts.Parents' estate plans, gifts and inheritances from relatives, life insurance proceeds
First-party trust (often called a (d)(4)(A) trust)The person with the disability, such as a personal injury settlement or money already in their namePerson must be under 65 and disabled; set up by the individual, a parent, grandparent, legal guardian or court; must repay the state for Medicaid paid during the person's life, up to what remains, at death (SI 01120.203)Settlements, an inheritance that was left directly to the person, savings over the SSI limit
Pooled trust (a (d)(4)(C) trust)The person with the disability, held in a separate account within a poolEstablished and managed by a nonprofit association, with an individual account for each beneficiary, who must be the sole beneficiary of that account; must include payback language for funds the trust does not keepSmaller amounts where a stand-alone trust is not practical

One detail changed in 2016. Before December 13, 2016, a first-party trust had to be set up by a parent, grandparent, legal guardian or court. The 21st Century Cures Act added the individual, so a capable adult with a disability can now set up their own first-party trust (SI 01120.203C).

SSA's own manual cautions that trusts "are often complex legal arrangements involving State law" and may need review by agency counsel. That is a good reason to use an attorney rather than a template.

How do trust payments affect SSI?

How the trustee spends the money matters as much as how the trust is written. Under POMS SI 01120.200:

  • Cash paid to the beneficiary is unearned income, and SSA treats payments to the beneficiary's own debit card the same as cash. This can reduce the SSI payment.
  • Payments made directly to a third party are generally not income. SSA's list of examples includes "educational expenses, therapy, transportation, professional fees," phone bills, recreation and entertainment, and says the list is "illustrative."
  • Items the trust buys that would be excluded resources, such as a computer counted as a household good, are not income.
  • Housing costs paid by the trust can count as in-kind support and maintenance, which can reduce the SSI payment.

SSA has changed some in-kind support rules in recent years, so ask the trust's attorney or SSA before the trust pays for housing or food. A trustee who keeps receipts and pays vendors directly makes reviews much easier.

Special needs trust or ABLE account?

Many families use both. ABLE accounts are run in Florida by ABLE United under s. 1009.986, Florida Statutes.

Special needs trust and ABLE account compared
FeatureSpecial needs trustABLE account
Who controls the moneyThe trusteeUsually the account owner, or someone with signature authority
SSI treatmentNot a resource if it meets SSA's trust rulesSSA excludes up to and including $100,000 of the balance (POMS SI 01130.740)
EligibilityFirst-party and pooled trusts: disabled and, for first-party, under 65Since January 1, 2026, a disability or blindness that began before the 46th birthday (it was before 26)
ContributionsNo federal annual cap on what family can put into a third-party trustAnnual contribution limit set by federal law
SetupDrafted by an attorneyOpened online

For a detailed comparison that includes 529 plans, see ABLE, 529 or special needs trust, and for ABLE itself see ABLE United in Florida.

Where does a trust fit with guardianship and adult planning?

Florida's guardianship law treats a trust as one of the "alternatives to guardianship." Section 744.334(1) lists them: an advance directive, a durable power of attorney, a representative payee, and "a trust instrument as defined in s. 736.0103." A guardianship petition must explain why such alternatives are insufficient. A well-run trust can manage money for your child without a court-supervised guardianship of property, though it does not cover health care or other personal decisions. See turning 18 in Florida and supported decision-making vs guardianship.

Common mistakes to avoid

  • Leaving money directly to your child in a will, or naming them directly on a life insurance policy or retirement account. Ask your attorney about naming the trust instead.
  • Forgetting relatives. Grandparents who mean well can leave an inheritance in your child's name. Share the trust's name with family who plan to include your child.
  • Mixing money. Putting your child's own money into a third-party trust can change how SSA evaluates it. SSA's manual tells staff to watch for trusts that claim to be third-party but are funded with the beneficiary's property.
  • Handing over cash. Cash from the trust to your child counts as income for SSI.
  • Waiting too long. Plan before an inheritance or settlement arrives, and before your child applies for adult SSI at 18.

When should we talk to a Florida attorney?

Consider an appointment when you write or update your wills, when a relative wants to leave your child money, when your child is due to receive a settlement or inheritance, or in the year or two before your child turns 18. Ask the attorney about the trust type, who should be trustee and successor trustee, how distributions will be handled, and how the trust fits with ABLE, SSI and your child's future decision-making plans. A financial professional can help with funding the trust, and SSA can answer questions about how benefits are counted.

How Hope Center can help

Hope Center provides ABA therapy, parent training and mental health therapy; we do not give legal or financial advice. What we can do is help you understand what ABA will cost. We accept several commercial plans and TRICARE East, offer self-pay for all services with a sliding scale, and do a free benefits check. If your child has Medicaid, center policy does not allow self-pay at Hope Center; you can add marketplace or employer insurance, which we accept, and the sliding scale can help with your share. See insurance or contact us, or call 561-337-8865.

This page explains general rules as of October 2026. It is not legal, tax or financial advice. For your family's plan, talk with a Florida attorney and a financial professional.

Common questions

Can I set up a special needs trust myself with an online form?+

You can find templates, but SSA's own manual calls trusts complex legal arrangements involving state law. A small drafting mistake can make the trust count as your child's resource. A Florida attorney who handles special needs planning can draft a trust that fits your family and current SSA rules.

Does a third-party special needs trust have to repay the state?+

In SSA's rules, the state payback requirement is part of the first-party and pooled trust exceptions, not the rules for trusts funded only with someone else's money. Whether any other rule applies to your trust depends on how it is written and funded, so confirm with the attorney who drafts it.

Can the trust pay for ABA therapy?+

SSA's manual lists therapy among third-party payments that are generally not income to the beneficiary. Whether paying for a specific service is allowed and wise depends on the trust's terms and your child's other coverage. Ask the trustee and the trust's attorney before paying.

Who should be the trustee?+

Families often choose a parent, a trusted relative, a professional trustee or a nonprofit pooled trust. The trustee must follow the trust terms and keep records. Name a successor trustee too. An attorney can explain the duties and costs of each choice.

This guide is general information for Florida families, not medical, legal or financial advice for your child. Laws, plan rules and program amounts change; check with your plan, the agency named, or a Florida attorney before you act.

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