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The article highlights decisions of the Massachusetts Supreme Judicial Court in cases "Daley v. Executive Office of Health and Human Services" and "Nadeau v. Director of the Office of Medicaid." It reports that the cases were surfaced due to the use of irrevocable income-only trusts (IIOTs), which are commonly used in Medicaid and long-term care planning.

The article focuses on the issues of use of irrevocable trusts in long-term Medicaid care planning in the U.S. Topics discussed include Medicaid laws concerning an individual's ability to use irrevocable trusts in long-term care planning; limiting State Medicaid agency in Massachusetts; and Doherty v. Director of the Office of Medicaid court case on same.

The article discuses decision of the Massachusetts Appeals Court for case Heyn v. Director of the Office of Medicaid. Topics discussed include specific reference of a case Nadeau v. Thorn; long-term care benefits of a nursing home resident Everlenna Roche terminated by the Massachusetts Medicaid and legislative history and case law concerning treatment of self-settled irrevocable irrevocable trusts.