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Credit: Illustrations by Dominic Bodden, special to ProPublica


STATES ACROSS THE COUNTRY ARE REFORMING GUARDIANSHIP. NEW YORK IS NOT ONE OF
THEM.


NEW YORK’S SYSTEM FOR CARING FOR THE SICK AND ELDERLY IS IN SHAMBLES, EXPERTS
SAY. BUT WHILE LAWMAKERS IN OTHER STATES ARE OVERHAULING THEIR APPROACHES TO
GUARDIANSHIP, NEW YORK ONLY BUDGETED $1 MILLION TO ADDRESS ITS DEEP-SEATED
PROBLEMS.

by Jake Pearson April 30, 5 a.m. EDT
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 * Link Copied!
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Republish


SERIES: “THE UNBEFRIENDED”: HOW NEW YORK FAILS ITS MOST VULNERABLE

In New York, more than 28,000 adults are under the care of legally appointed
guardians. But the system is in shambles, and weak oversight has enabled
guardians to abuse, neglect and defraud the very people they are supposed to
care for.

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to
receive our biggest stories as soon as they’re published.

Across the country, states are reexamining their approaches to guardianship,
overhauling decades-old laws to better protect vulnerable adults who, because of
their age or ailment, can no longer care for themselves.

In Pennsylvania, legislators recently passed a sweeping bill requiring
professional guardians to pass a certification exam in order to serve, among
other changes. And in Illinois, lawmakers are seeking to make it harder for
private guardians to profit off of vulnerable wards who have nobody else to look
after them.

ProPublica


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But in New York, where more than 28,000 people rely on guardians to ensure their
personal and financial welfare, and where judges, lawyers and advocates have
been warning of a growing crisis in the system, elected officials have taken
little action.

The $237 billion state budget passed by the Legislature this month includes no
new funding to support guardianship services, despite reporting by ProPublica
that showed how the state’s system is in shambles, with authorities straining to
ensure proper care of elderly and sick wards.



Guardianship Access New York, a coalition of nonprofit providers, had sought a
modest sum from legislators: just $5 million to help them manage the finances
and health care of poor adults who have nobody else to look after them and
little to no money to pay for a private guardian — a group known in the industry
as the “unbefriended.” That would have been a significant increase over the $1
million legislators had previously allotted to fund a statewide hotline that
hundreds of people have consulted on behalf of friends or family.

But the budget passed April 20 only renewed the $1 million that funds the
hotline.

“We’re disappointed that the Legislature is still unwilling to invest in this
underfunded mandate that leaves so many people hurting,” said Brianna McKinney,
who oversees advocacy for Project Guardianship, a nonprofit that serves as
guardian to about 160 New York City wards.

As ProPublica reported last month, there aren’t enough guardians in New York for
all of the people judges have found to be in need of one. The system relies on
private attorneys, who experts say frequently refuse to take on people who do
not have substantial assets, and a small network of nonprofits, two of which
have shuttered in recent years because of financial constraints.

Oversight of guardians is also threadbare, ProPublica found. In New York City
there are 17,411 people in guardianships but only 157 examiners to scrutinize
the reports guardians must file documenting wards’ finances and care, according
to state court data. With such thin ranks, reviews can take years to complete,
during which time vulnerable wards have been defrauded and neglected.

In recent years, the guardianships of celebrities like Britney Spears and former
NFL star Michael Oher have captured the public’s interest and prompted scrutiny
of the legal arrangements.

In New York, a recent Lifetime documentary about the former talk show host Wendy
Williams — and her guardian’s unsuccessful effort to prevent it from airing —
has put an even brighter spotlight on the state’s guardianship system, raising
questions of court oversight amid allegations of exploitation and improper care.



Spokespeople for Senate Majority Leader Andrea Stewart-Cousins, Assembly Speaker
Carl Heastie and Gov. Kathy Hochul, the state’s most powerful Democrats who
negotiated the spending bills, didn’t respond to questions about the lack of
guardianship funding in the latest budget or the prospect of future funding.

That includes whether an additional $3 million earmarked for the state’s Office
for the Aging’s budget to fund “various aging initiatives” would be used to
finance guardianship providers.

Agency spokesperson Roger Noyes said a plan proposed by Hochul to confront the
needs of the state’s aging population “presents an opportunity for additional
policy focus on guardianship access, programmatic or structural changes, and
alternatives to guardianship.” But the governor has provided few specifics on
how her proposal will work, particularly with respect to combating elder abuse,
a key pillar of the plan.

Many people in guardianship today are elderly and suffer from dementia,
Alzheimer’s disease and other ailments that require assistance, according to
judges. And advocates say the demand for services will only grow, with the state
estimating a population of 5.6 million New Yorkers over 60 by 2030, one of the
largest concentrations in the country.

In Illinois, the state’s aging population is driving the guardianship debate.
Democratic Rep. Terra Costa Howard, a lawyer, said she was inspired to write
legislation after her own representation of an elderly ward. She learned that a
private guardianship company and a prominent law firm representing hospitals
appeared to be working together, running up costly bills at the ward’s expense.

“What this little piece of legislation has uncovered is a huge problem — elder
care is a big, big mess,” Costa Howard told ProPublica. “In our chamber, in our
legislature, this is an issue people are willing to fight for. People weren’t
paying attention to this until I raised it. I brought it up and now we’re going
to go.”

But in New York there is neither a state legislator willing to champion reform
nor are there powerful lobbying groups advocating on behalf of those in
guardianship, many of whom live in assisted living facilities and nursing homes.

AARP New York said in a statement that it had dedicated its efforts elsewhere
this legislative session, including securing funding to support older New
Yorkers “who require home- and community-based services” as well as funding an
oversight program for nursing homes and adult care facilities.

“If there are additional guardianship proposals introduced in the Legislature,
AARP New York will certainly evaluate them in conjunction with our national
policy and decide when or if to engage in the issue,” the statement said.

ProPublica

Read More


New York’s Guardianship System Is Broken. Will Lawmakers Pay for a Modest Fix?

Such legislative action appears unlikely this session, which ends in June.

Sen. Kevin Thomas, a Long Island Democrat who first secured the $1 million to
fund the statewide guardianship hotline and advocated for more funding this
session, is leaving the Senate when his term ends next year. He didn’t respond
to an interview request.

Do You Have a Tip for ProPublica? Help Us Do Journalism.

Got a story we should hear? Are you down to be a background source on a story
about your community, your schools or your workplace? Get in touch.



Expand
Jake Pearson

Jake Pearson is a reporter in New York.

 * Mail jake.pearson@propublica.org
 * Message 917-512-0276


Most Read
Uncovered


A DOCTOR AT CIGNA SAID HER BOSSES PRESSURED HER TO REVIEW PATIENTS’ CASES TOO
QUICKLY. CIGNA THREATENED TO FIRE HER.

Cigna tracks every minute that its staff doctors spend deciding whether to pay
for health care. Dr. Debby Day said her bosses cared more about being fast than
being right.

by Patrick Rucker, The Capitol Forum, and David Armstrong, ProPublica, April 29,
5 a.m. EDT

Mayor, Judge and Jury


THE LOUISIANA TOWN WHERE A TRAFFIC STOP CAN LEAD TO ONE CHARGE AFTER ANOTHER

Gretna, Louisiana, brings in more money through fines and fees than some larger
cities in the state. Much of that revenue comes from motorists who rack up
multiple traffic violations.

by Lee Zurik, Samantha Sunne and Dannah Sauer, WVUE-TV, data analysis by Joel
Jacobs, ProPublica, April 26, 10 a.m. EDT

Local Reporting Network

Heart Failure


TEXAS APPEALS COURT THROWS OUT DEFAMATION LAWSUIT AGAINST PROPUBLICA, HOUSTON
CHRONICLE

The news outlets’ 2018 investigation into famed Houston heart surgeon Bud
Frazier provided a “fair, true, and impartial account,” the court said in its
ruling, potentially bringing a close to the nearly six-year legal battle.

by Jeremy Schwartz, April 25, 6 p.m. EDT


10 TIMES AS MUCH OF THIS TOXIC PESTICIDE COULD END UP ON YOUR TOMATOES AND
CELERY UNDER A NEW EPA PROPOSAL

Against the guidance of scientific advisory panels, the EPA is relying on
industry-backed tests to relax regulations on acephate, which has been linked to
neurodevelopmental disorders. “It’s exactly what we recommended against,” one
panelist said.

by Sharon Lerner, April 24, 5 a.m. EDT

A Closer Look


TRUMP BUILT A NATIONAL DEBT SO BIG THAT IT’LL WEIGH DOWN THE ECONOMY FOR YEARS

The “King of Debt” promised to reduce the national debt — then his tax cuts made
it surge. Add in the pandemic, and he oversaw the third-biggest deficit increase
of any president.

by Allan Sloan, ProPublica, and Cezary Podkul for ProPublica, Jan. 14, 2021, 5
a.m. EST

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