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Filial responsibility laws (filial support laws, filial piety laws) are laws in the United States that impose a duty, usually upon adult children, for the support of their impoverished parents or other relatives. [1] In some cases the duty is extended to other relatives. Such laws may be enforced by governmental or private entities and may be at the state or national level. While most filial responsibility laws contemplate civil enforcement, some include criminal penalties for adult children or close relatives who fail to provide for family members when challenged to do so. The key concept is impoverished, as there is no requirement that the parent be aged. For non-Western societies, the term " filial piety " has been applied to family responsibilities toward elders.
A “filial responsibility law” is not the same thing as the provision in United States federal law which requires a “lookback” of five years in the financial records of anyone applying for Medicaid to ensure that the person did not give away assets in order to qualify for Medicaid.
Similar laws also exist in Germany, France, Taiwan, China, and Singapore.
Filial support laws were an outgrowth of the Elizabethan Poor Law of 1601. [2] [3]
At one time[ year needed ], as many as 45 U.S. states had statutes obligating an adult child to care for his or her parents. Some states repealed their filial support laws after Medicaid took a greater role in providing relief to elderly patients without means. Other states did not, and a large number of filial support laws remain dormant on the books. [4]
Generally, the media has not covered filial responsibility laws much, and there has not been the political will to see that they are enforced. [5] As of 2019, twenty-six states plus Puerto Rico have such laws on the books, [6] and a few states require the potential support of grandparents or even siblings. [ citation needed ]
Typically, these laws obligate adult children (or depending on the state, other family members) to pay for their indigent parents’/relatives' food, clothing, shelter and medical needs. Should the children fail to provide adequately, they allow nursing homes and government agencies to bring legal action to recover the cost of caring for the parents. Adult children can even go to jail in some states if they fail to provide filial support. [7]
Note: Iowa repealed its filial responsibility law in 2015. [9]
In 2012, the media reported the case of John Pittas, whose mother had received care in a skilled nursing facility in Pennsylvania after an accident and then moved to Greece. The nursing home sued her son directly, before even trying to collect from Medicaid. A court in Pennsylvania ruled that the son must pay, according to the Pennsylvania filial responsibility law. [10]
Every Canadian province except for Alberta and British Columbia has filial support laws on the books, although these laws are very rarely enforced. Unlike the United States where filial responsibility laws were based on English poor laws, filial responsibility laws were enacted by the Canadian provinces in response to the harsh economic conditions of the Great Depression. Despite the official passage of these laws, very few parents sought the enforcement of these laws by the courts, with one study finding only 58 reported cases in the years between 1933 and 1963.
In the 1980s and 1990s, most provinces included the old filial responsibility laws in their reformed family laws.
Alberta dropped their filial responsibility law in 2005 and British Columbia repealed theirs in 2011. [11]
In Germany, people who are related in a "direct line" (grandparents, parents, children, grandchildren) are required to support each other, this includes children with impoverished parents ( de:Elternunterhalt , support to parents). [12]
In France, close relatives (such as children, parents and spouses) are required to support each other in case of need ( fr:obligation alimentaire, duty to support). [13]
Singapore, Taiwan, India, and Mainland China criminalize refusal of financial or emotional support for one's elderly parents. [14]
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: CS1 maint: multiple names: authors list (link)In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding.
Child support is an ongoing, periodic payment made by a parent for the financial benefit of a child following the end of a marriage or other similar relationship. Child maintenance is paid directly or indirectly by an obligor to an obligee for the care and support of children of a relationship that has been terminated, or in some cases never existed. Often the obligor is a non-custodial parent. The obligee is typically a custodial parent, a caregiver, or a guardian.
A nursing home is a facility for the residential care of older people, senior citizens, or disabled people. Nursing homes may also be referred to as care homes, skilled nursing facilities (SNF) or long-term care facilities. Often, these terms have slightly different meanings to indicate whether the institutions are public or private, and whether they provide mostly assisted living, or nursing care and emergency medical care. Nursing homes are used by people who do not need to be in a hospital, but require care that is hard to provide in a home setting. The nursing home staff attends to the patients' medical and other needs. Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day.
Elder abuse is a single or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person. This definition has been adopted by the World Health Organization (WHO) from a definition put forward by Hourglass in the UK. Laws protecting the elderly from abuse are similar to and related to laws protecting dependent adults from abuse.
Filial piety is the virtue of exhibiting love and respect for one's parents, elders, and ancestors, particularly within the context of Confucian, Chinese Buddhist, and Daoist ethics. The Confucian Classic of Filial Piety, thought to be written around the late Warring States-Qin-Han period, has historically been the authoritative source on the Confucian tenet of filial piety. The book—a purported dialogue between Confucius and his student Zengzi—is about how to set up a good society using the principle of filial piety. Filial piety is central to Confucian role ethics.
Deadbeat parent is a pejorative term referring to parents who do not fulfill their parental responsibilities, especially when they evade court-ordered child support obligations or custody arrangements. They are also referred to as absentee fathers and mothers. The gender-specific deadbeat father and deadbeat mother are commonly used to refer to people who have parented a child and intentionally fail to pay child support ordered by a family law court or statutory agency such as the Child Maintenance Service.
Elderly care, or simply eldercare, serves the needs of old adults. It encompasses assisted living, adult daycare, long-term care, nursing homes, hospice care, and home care.
Long-term care (LTC) is a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. Long-term care is focused on individualized and coordinated services that promote independence, maximize patients' quality of life, and meet patients' needs over a period of time.
Residential care refers to long-term care given to adults or children who stay in a residential setting rather than in their own home or family home.
Supplemental needs trust is a US-specific term for a type of special needs trust. Supplemental needs trusts are compliant with provisions of US state and federal law and are designed to provide benefits to, and protect the assets of, individuals with physical, psychiatric, or intellectual disabilities, and still allow such persons to be qualified for and receive governmental health care benefits, especially long-term nursing care benefits, under the Medicaid welfare program.
In the United States, child support is the ongoing obligation for a periodic payment made directly or indirectly by an "obligor" to an "obligee" for the financial care and support of children of a relationship or a marriage. The laws governing this kind of obligation vary dramatically state-by-state and tribe-by-tribe among Native Americans. Each individual state and federally recognized tribe is responsible for developing its own guidelines for determining child support.
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) is the child health component of Medicaid. Federal statutes and regulations state that children under age 21 who are enrolled in Medicaid are entitled to EPSDT benefits and that States must cover a broad array of preventive and treatment services. Unlike private insurance, EPSDT is designed to address problems early, ameliorate conditions, and intervene as early as possible. For the 25 million children enrolled in Medicaid and entitled to EPSDT in 2012, the program is a vital source of coverage and a means to improve the health and well-being of beneficiaries.
In the United States, the federal and state social programs including cash assistance, health insurance, food assistance, housing subsidies, energy and utilities subsidies, and education and childcare assistance. Similar benefits are sometimes provided by the private sector either through policy mandates or on a voluntary basis. Employer-sponsored health insurance is an example of this.
The Pennsylvania Department of Aging is a cabinet-level agency charged with providing aid to Pennsylvania's approximately three million individuals age 60 and older. Although the bureau operates some services directly, such as the Pharmaceutical Contact for the Elderly (PACE) prescription drug program, it generally serves as a clearinghouse of funding and information for county-level Area Agencies on Aging. The department was formed under the governorship of Milton Shapp.
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and informally as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the enactment of Medicare and Medicaid in 1965. Most of the act's provisions are still in effect.
The Missouri Department of Social Services (DSS) is a state agency of Missouri. It has its headquarters in the Broadway State Office Building in Jefferson City. The department operates the state's social services.
As of 2017, approximately 1.4 million Americans live in a nursing home, two-thirds of whom rely on Medicaid to pay for their care. Residential nursing facilities receive Medicaid federal funding and approvals through a state health department. These facilities may be overseen by various types of state agency.
Caregiving by country is the regional variation of caregiving practices as distinguished among countries.
The PIETY Study is a U.S. longitudinal study of Chinese families derived from the PINE Study. It is the product of a synergistic collaboration between the Chinese Health, Aging, and Policy Program (CHAP) at Rush University, Northwestern University, and many community-based organizations and social service providers. This academic-community partnership is led by XinQi Dong MD, MPH, at Rush University, Melissa A Simon, MD, MPH, at Northwestern University, and Esther Wong, ACSW and Bernarda Wong, ACSW, at Chinese American Service League.
Granny dumping (informal) is a form of modern senicide. The term was introduced in the early 1980s by professionals in the medical and social work fields. Granny dumping is defined by the Oxford English Dictionary as "the abandonment of an elderly person in a public place such as a hospital or nursing home, especially by a relative". It may be carried out by family members who are unable or unwilling to continue providing care due to financial problems, burnout, lack of resources, or stress. However, instances of institutional granny dumping, by hospitals and care facilities, has also been known to occur. The "dumping" may involve the literal abandonment of an elderly person, who is taken to a location such as hospital waiting area or emergency room and then left, or in the refusal to return to collect an elderly person after the person is discharged from a hospital visit or hotel stay. While leaving an elderly person in a hospital or nursing facility is a common form of the practice, there have been incidences of elderly people being "dumped" in other locations, such as the side of a public street.