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Turning 18: Decision-Making and SSI for a Student with Autism

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Turning 18: Decision-Making and SSI for a Student with Autism

Miguel is 17 years 10 months old, has autism spectrum disorder and an intellectual disability, and attends a public high school with an IEP. He works 8 hours a week at a grocery store earning $15 per hour, about $520 per month, and wants to increase his hours after graduation. His parents have $60,000 in savings and a combined income of $110,000. Miguel has $2,000 in a savings account. The school reports that he cannot reliably manage money, sign contracts, or make medical decisions, but he can express preferences and has a job coach. His parents are considering full guardianship when he turns 18. The state offers supported decision-making agreements and limited conservatorship, and Miguel's vocational rehabilitation counselor believes competitive employment is possible. The family asks whether Miguel should apply for SSI at 18, how his earnings affect eligibility, and whether guardianship is necessary. They also want to know what documents to complete before his birthday.

1. Recommend a decision-making framework for Miguel and explain the factors that weigh for and against full guardianship. What evidence should the family gather?

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Start with the least restrictive option that matches Miguel's actual functional capacity. Full guardianship is the most restrictive and removes rights to vote, marry, contract, and make medical decisions. The school's statement that he cannot reliably manage money or sign contracts supports some protection, but his ability to express preferences and work with a job coach supports supported decision-making or a limited conservatorship. The family should gather records: IEP, psychological testing, vocational assessment, medical records, examples of decisions he has made, and a capacity evaluation. A supported decision-making agreement can name trusted supporters without a court, but it may not bind third parties and does not cover decisions he cannot make. Limited conservatorship can be tailored to specific areas. If he lacks capacity for health care or finances, a court may need to appoint a guardian or conservator. The judgment call is to match the legal tool to the evidence, not to assume disability equals incapacity.

2. Explain how Miguel's SSI eligibility and payment amount may change when he turns 18, including parental deeming, in-kind support and maintenance, and earnings. Assume he continues at $520 per month.

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At 18, the SSI rules change in three ways. First, parental income and resources are no longer deemed to Miguel, so the parents' $110,000 income and $60,000 savings should not disqualify him. Second, if he lives with his parents and receives food and shelter free, SSA may count in-kind support and maintenance, reducing the benefit by the presumed maximum value or one-third of the federal benefit rate. He can reduce this by paying a fair share from his earnings. Third, his earnings count: SSI excludes $65 and half of the remainder, so $520 per month becomes about $227.50 countable, and the 2025 federal benefit rate of $967 would be reduced to roughly $739.50 before in-kind support. Because $520 is below the 2025 SGA level of $1,620, it does not automatically bar eligibility. If he already receives SSI as a child, SSA will conduct an age-18 redetermination using adult disability criteria. He should apply or report the birthday promptly; benefits can start with the birthday month if eligible.

3. Identify two actions the family should complete before Miguel turns 18 and explain why each matters.

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Two actions before 18 are important. First, prepare and file the SSI application in the month he turns 18, because parental deeming ends then and a gap can delay cash benefits and Medicaid; gather identity, medical, school, and work records. Second, complete a supported decision-making agreement or, if the evidence supports it, petition for limited conservatorship before his birthday, because parents lose legal authority at 18. The family should also update the IEP transition plan and vocational rehabilitation referral and write a letter of intent. The reason is timing: once he turns 18, the parents cannot sign for him without legal authority, and the SSI application needs his adult disability evidence. A special needs trust is not urgent unless he is receiving an inheritance or settlement.