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CAREER PATHWAYS: ELDER LAW
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I. Overview
A. Survey of Substance
Elder law practicefocuses on legal issues commonly faced by older clients, including:
pre-death planning; “advanced directives”; conservatorships; health care access; payment
and quality of care issues (involving Medicare, Medicaid and Medigap insurance); Social
Security/SSI/VA benefits issues; elder abuse and neglect; and grandparent/grandchildren
issues. The steady increase in the number of Americans reaching retirement age and
life expectancy make elder law a growing field. In addition, because the subject
matter of elder law practice often involves issues of disability, many elder law practitioners
also represent persons of any age with disabilities.
B. Typical Practices Settings
Elder law practicecontinues to be associated with small firms and solo practitioners,
often employing non-lawyer staff members, such as geriatric social workers, elder
care coordinators, or financial planners that specialize in age-related issues. Recently,
however, as client populations are aging overall, larger firms have begun to recognize
the value of having a lawyer within the firm who possesses elder law expertise and
have begun recruiting elder law practitioners as well. A number of private personal
injury firms specialize in representing elderly and disabled persons who have been
victims of neglect or abuse in nursing homes. As the numbers of elderly who have
been physically abused or financially exploited increases, many district attorneys
are including within their offices a special unit dedicated to the prosecution of
such cases. In addition, elder law attorneys are in demand for staff counsel positions
with government agencies that deal with the elderly, such as Adult Protective Services,
the Aging Commission of the Mid-South, the Tennessee Commission on Aging and Disability,
the Department of Health and Human Services Administration on Aging, the Social Security
Administration, and Centers for Medicare and Medicaid Services.
There is also a substantial non-profit, public interest practice relating to elder
law, including Title III practitioners within the Legal Services programs, public
guardians/conservators, long-term care ombudsmen, counsel for the AARP Legal Foundation,
and counsel for the National Senior Citizens Law Center, to name a few. Court appointment
to serve as guardian ad litem for disabled and/or incapacitated adults and seniors
who have been named as respondents in conservatorship proceedings are also available.
C. Typical Tasks
Elder law practitioners typically serve older individuals or individuals
of any age with disabilities, but they may also find themselves serving younger clients
in those cases where the older person is already incapacitated or has an issue that
would come within the specific expertise of the elder law attorney. Elder law is
a holistic practice, meaning that elder law practitioners concentrate on the legal
needs of the whole client, as opposed to focusing on discrete substantive areas of
the law. Elder law practice is also proactive, seeking to employ law and legal expertise
to maximize the quality of life for elder clients through counseling and advice concerning
the options available for clients to plan ahead for their future needs for such things
as income, shelter, medical care, and assistance with decision-making. Elder law
practitioners can therefore expect to spend significant time counseling with clients
and drafting various legal documents, such as wills, trusts, and advanced directives,
to assist clients with planning. Because family members may be involved or may be
impacted by a client’s planning, elder law practitioners are often required to function
as intermediaries, who attempt to resolve any conflict or friction that may result
from implementation of the client’s wishes. Elder law attorneys can expect to engage
in a considerable amount of fiduciary representation as well. In addition, elder
law practitioners represent clients in administrative proceedings before government
agencies. Such representation will entail factual investigation, legal research,
issuance of subpoenas and preparation for the administrative hearing, as well as appellate
advocacy where necessary. Finally, a significant number of elder law practitioners
also engage in litigation in areas such as age discrimination, disability discrimination,
insurance and pension benefits, and torts involving quality of care in nursing homes,
etc.
D. Related Areas of Practice
Elder lawis related to family law to the extent that elder law practitioners may deal
with issues arising out of marriage/divorce/remarriage, juvenile court dependency
and neglect, termination of parental rights, child support, custody and visitation,
and widow/widower status from the standpoint of older clients. Such issues include
spousal pension rights, estate planning and advanced directives for the benefit of
the family unit, grandparent custody, visitation and adoption, conservatorship of
incapacitated family members, Social Security and other benefits, issues of elder
abuse and neglect, and elder domestic violence. Elder law also focuses on drafting
of wills and trusts, which is relevant to estate planning practice, and deals with
issues such as healthcare access, payment and quality of care issues, Medicare/Medicaid
and Medigap insurance coverage issues, advanced healthcare directives, nursing home
residents’ rights issues, and end of life issues, which is relevant to the health
law area. Elder lawinvolves issues of public policy and intergenerational justice
relating to allocation of resources as between the older generation and senior citizens,
and the themes of holistic and therapeutic practice are relevant to jurisprudence/interdisciplinary
study/public policy.
II. Courses
A. Primary Courses
- Elder Law
- Decedents’ Estates
- Estate Planning
- Income Tax
- Estate and Gift Tax
- Trust Law
- Elder Law Seminar
- Elder Law Clinic
- MALSI Senior Externship
B. Secondary Courses
- Administrative Law
- Health Law
- ADR (Mediation or Arbitration)
- Disability Law and Practice
- Trial Advocacy
- Legal Drafting and Scholarly Writing (directed to an elder law topic)
- Family Law
- Juvenile Law
III. Related Opportunities
The MALSI Senior Externship allows students to work directly with the
Older Americans Act Title III staff attorney employed by MALSI to handle a wide variety
of cases involving the elderly. The Elder Law Clinic course is a “live client” clinic,
where students have the opportunity to provide legal representation to elderly clients
referred by MALSI.
Students may wish to gain experience by volunteering to work with the
MALSI Seniors/Benefits unit, the MIFA Ombudsman Program, or the District Conservator/Public
Guardian program operated by the Aging Commission of the Mid-South. Students may
also apply for internships with the ABA Commission on Law & Aging, the National Senior
Citizens Law Center, the Department of Health and Human Services Administration on
Aging, the AARP Legal Foundation,and the Borchard Foundation on Law and Aging summer
elder law internships. Additionally, students may wish to attend the annual National
Academy of Elder Law Attorneys (NAELA) conference, which generally sets aside a daylong
session designed for student attendees and for which scholarships may be available.
IV. Resources
- National Academy of Elder Law Attorneys - law student membership is $35
- Tennessee Bar Association's Elder Law Section
- National Elder Law Foundation - offers national certification in elder law following
five years of practice in the area and succesful passage of the certifying examination.
- AARP is the preeminent advocate group of America's senior citizens
- The ABA's Commission on Law and Aging
- ElderWeb is a website that highlights legal and financial issues facing the elderly
- The Social Security Administration website
- Elder Care and Estate Planning Group
- American Association of Trust, Estate and Elder Law Attorneys
V. Contacts
A. Law School Faculty
B. Law School Faculty Adjuncts
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