November Wrap-Up: Medicare, Dementia and the Corporate Transparency Act

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November is over and the holiday season is well under way. In the news last month was Medicare and Medicaid, Alzheimer’s and Dementia, and the Corporate Transparency Act.

Alzheimer’s and Dementia News

More places are creating “dementia friendly” experiences. These experiences encourage people with an Alzheimer’s or dementia diagnoses and their caregivers to venture into the community and participate in social experiences. Restaurants, grocery stores, cafes, travel and even entire cities are offering these experiences. The accommodations special opening hours, simplified menus, specially trained workers and quiet spaces.

Also cropping up in the news are guides for how to make the holidays more enjoyable when celebrating with loved ones with dementia. For example, this article includes a holiday gift guide for people living with Alzheimer’s disease. Another example- the Alzheimer’s Foundation of America shares tips for having a great Thanksgiving. While Thanksgiving will have passed by the time this newsletter gets posted, many of the tips (like scheduling the celebration early, planning for help and preparing other guests prior to the celebration) are applicable to other upcoming holiday meals as well.

NPR released an article on how you may be able to reduce your risk of dementia. Healthy habits like eating well and exercising can help lower the risk of dementia. Weight-loss drugs like Ozempic have also been linked to lowering the risk of developing Alzheimer’s. Finally, a new study suggests that a nasal spray in development could delay Alzheimer’s progression by up to 15 years.

Medicare and Medicaid

In 2024, almost thirty three million Medicare beneficiaries enrolled in a Medicare Advantage plan, a private alternative to traditional Medicare. Looking to the future, a brief put out by KFF outlines the Medicare Advantage plans available for 2025.

The Biden Administration announced plans to provide Medicare coverage for weight-loss drugs. In the past, law has prohibited Medicare to provide weight-loss drugs for older Americans who are obese but do not have diabetes or a heart condition. The proposed rule would need to be finalized by the next administration.

President-elect Donald Trump has also announced that former surgeon and TV show host Dr. Mehmet Oz is his pick to lead the Centers for Medicare and Medicaid Services (CMS). CMS is part of the Health and Human Services, which the President-elect has picked Robert F. Kennedy Jr. to head.

Corporate Transparency Act Beneficial Ownership Reporting

The deadline to file your Beneficial Ownership Report is coming up quick! If you have an LLC, partnership, or any other type of company that required you to file paperwork with the Secretary of State, you may have to file a Beneficial Ownership Report under the Corporate Transparency Act. You can file the report online. It is due by the end of the year. Fines are steep for non-compliance so, make sure you do it.

The new reporting obligations also create new liabilities for fiduciaries. Trusts themselves are not generally considered reporting companies, but trusts that hold ownership interests as part of trust assets may still need to report. Fiduciaries of trusts holding ownership interests in businesses could face liability for failing to report accurate information, untimely filing or other failures to comply.

Other Stuff

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Robert B. Fleming

After more than 50 years of practice, Robert Fleming will retire on January 1, 2027. Our hearts are full of appreciation for Robert. A founding member of Fleming & Curti, PLC, he leaves behind a legacy built on mentorship, advocacy and education. A champion of autonomy and self-reliance, Robert advocated for thousands of vulnerable children and adults throughout his career. A visionary in the Special Needs Planning and Elder Law communities, his innovative ideas created new opportunities for individuals with special needs. The Fleming & Curti team look forward to celebrating Robert and promoting the legacy he leaves behind in the decades ahead.

If you would like to meet with Robert or learn more about Fleming & Curti, PLC, please contact us at 520-622-0400 or by email: [email protected].

Attorney

Robert Fleming is a Fellow of both the American College of Trust and Estate Counsel and the National Academy of Elder Law Attorneys. He has been certified as a Specialist in Estate and Trust Law by the State Bar of Arizona‘s Board of Legal Specialization, and he is also a Certified Elder Law Attorney by the National Elder Law Foundation. Robert has a long history of involvement in local, state and national organizations. He is most proud of his instrumental involvement in the Special Needs Alliance, the premier national organization for lawyers dealing with special needs trusts and planning.

Robert has two adult children, two young grandchildren and a wife of over fifty years. He is devoted to all of them. He is also very fond of Rosalind Franklin (his office companion corgi), and his homebound cat Muninn. He just likes people, their pets and their stories.

Elizabeth N.R. Friman

Attorney

Elizabeth Noble Rollings Friman is a principal and licensed fiduciary at Fleming & Curti, PLC. Elizabeth enjoys estate planning and helping families navigate trust and probate administrations. She is passionate about the fiduciary work that she performs as a trustee, personal representative, guardian, and conservator. Elizabeth works with CPAs, financial professionals, case managers, and medical providers to tailor solutions to complex family challenges. Elizabeth is often called upon to serve as a neutral party so that families can avoid protracted legal conflict. Elizabeth relies on the expertise of her team at Fleming & Curti, and as the Firm approaches its third decade, she is proud of the culture of care and consideration that the Firm embodies. Finding workable solutions to sensitive and complex family challenges is something that Elizabeth and the Fleming & Curti team do well.

Amy F. Matheson

Attorney

Amy Farrell Matheson has worked as an attorney at Fleming & Curti since 2006. A member of the Southern Arizona Estate Planning Council, she is primarily responsible for estate planning and probate matters.

Amy graduated from Wellesley College with a double major in political science and English. She is an honors graduate of Suffolk University Law School and has been admitted to practice in Arizona, Massachusetts, New York, and the District of Columbia.

Prior to joining Fleming & Curti, Amy worked for American Public Television in Boston, and with the international trade group at White & Case, LLP, in Washington, D.C.

Amy’s husband, Tom, is an astronomer at NOIRLab and the Head of Time Domain Services, whose main project is ANTARES. Sadly, this does not involve actual time travel. Amy’s twin daughters are high school students; Finn, her Irish Red and White Setter, remains a puppy at heart.

Famous people's wills

Matthew M. Mansour

Attorney

Matthew is a law clerk who recently earned his law degree from the University of Arizona James E. Rogers College of Law. His undergraduate degree is in psychology from the University of California, Santa Barbara. Matthew has had a passion for advocacy in the Tucson community since his time as a law student representative in the Workers’ Rights Clinic. He also has worked in both the Pima County Attorney’s Office and the Pima County Public Defender’s Office. He enjoys playing basketball, caring for his cat, and listening to audiobooks narrated by the authors.