Disclaimer
I am not a lawyer.
I am not a financial advisor.
Consult an expert before proceeding.
This information only applies in the United States (although there may be analogous accounts in other countries.) The details can also vary from state to state.
This is from the IRS (Internal Revenue Service):
An ABLE account. The Stephen Beck, Jr., Achieving a Better Life Experience Act of 2014 (ABLE) was enacted to help people with disabilities or who are blind save money in a tax-favored ABLE account to maintain health, independence, and quality of life. Compare ABLE programs on the websites of state governments to see which program is best suited for you.
This is from the California State Website (CalAble):
For many people with disabilities, the fear of losing critical public benefits, coupled with the high cost of support expenses, has limited them from building financial security.
Until recently, individuals receiving federal benefits have been restricted in the amount of money they can save, essentially keeping them in poverty and preventing them from saving or planning for the future. When the Stephen Beck Jr. Achieving a Better Life Experience (ABLE) Act was signed into federal law by President Obama in 2014, these obstacles were removed as the law provides that eligible individuals with disabilities could now save above the $2,000 resource limit without impacting their eligibility for means-tested public benefits, such as such as Supplemental Security Income (SSI) and Medicaid/Medi-Cal. The ABLE Act has been heralded as one of the most important pieces of disability legislation since the Americans with Disabilities Act.
The CalABLE Savings Plan opened to the public on December 18, 2018. The program enables Californians and out-of-state residents the ability to save for disability-related expenses by putting money in tax-advantaged investments, while protecting their eligibility for means-tested public benefits programs. After-tax contributions allow earnings to grow tax-deferred, and withdrawals, when used for a broad range of Qualified Disability Expenses, are federal and state tax-free.
Thanks for your concern, governmental fucks!
I love that the legislation that created these accounts is called the Achieving a Better Life Experience (ABLE) Act!
Ultimately, what the ABLE Act does is make it easier for people with disabilities and their families and friends to save money in a particular account for the disabled person’s disability-related expenses. That means the government has a “moral out” about not paying for some of those things, right? Whatever.
Like most regulations that touch on taxes savings and public benefits, the details are complicated, and if you want to do anything remotely complicated, you need an expert to guide you through it.
Basic Highlights
I researched this for about eight hours in preparation for writing this piece, and I am only going to give you a few basics that I feel sure of.
Eligibility
To be eligible for an ABLE account, you or the beneficiary must:
Be blind or have a medically determinable physical or mental impairment that results in marked and severe functional limitations, and such condition developed before the age of 26 and will last, or has lasted at least a year;
Be a U.S. citizen; and
Confirm one of the following:
Are eligible for Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI) because of a disability;
Experience blindness as determined by the Social Security Act; or
Can provide a signed diagnosis from a licensed physician if requested.
In 2022, the U.S. Congress passed the ABLE Age Adjustment Act. This legislation increases the eligibility age of beneficiaries of ABLE accounts from the onset of disability before age 26 to age 46 — beginning January 1, 2026. Until then, only individuals who have a qualifying disability beginning before age 26 are eligible to open a CalABLE account. (CalAble website)
Qualified Eligible Expenses
Some examples of expenses eligible for payment from a CalABLE account include:
Education
Tuition for preschool through post-secondary education
Books
Supplies and educational materials
Computers or other assistive technology
Housing*
Rent
Purchase of primary home
Expenses of primary home
Mortgage payments
Mortgage insurance, if required by the lender
Property taxes
Utility charges
Home improvement, changes, maintenance, and repairs
Home modifications
*Money you withdraw for housing expenses may affect your SSI benefits if you do not spend it within the same month. To avoid any impact to your SSI benefits, be sure to spend housing money within the same calendar month that you make the withdrawal.
Transportation
Use of mass transit
Purchase of vehicle
Alteration of the vehicle to accommodate a disability
Moving expenses
Taxis or ride-sharing service
Employment Support
Cost related to gaining and maintaining employment
Job-related training
Job coach
Employment training
Benefits planning
Health, Prevention, and Wellness
Premiums for health insurance
Mental health, medical, vision, and dental expenses
Habilitation and rehabilitation services
Durable medical equipment
Therapy
Respite care
Long-term services and support
Nutritional management
Personal assistance
Assistive Technology and Personal Support
Cost of assistive technology and personal support
Communication services and devices
Adaptive equipment
Miscellaneous Expenses
Financial management and administrative services
Legal fees
Oversight and monitoring
Funeral and burial expenses
People Who Should Be Interested in This
Anyone (like me) who became permanently disabled before age 26 OR who has a child in this circumstance.
In 2026, the age ceiling is going up to 46, so if you become disabled or become disabled before then, you will be able to open an account starting then.
There are separate rules for people on different types of Social Security, particularly SSI. But the main thing is, you can have money in one of these accounts that is over the typical $2,000 limit even if you are on SSI, as long as you are careful about your record keeping.
If you are not worried about becoming disqualified for one type of benefit or another, you can have considerably more money in the account; each state has determined its own limit.
Also, people who are eligible based on when they became disabled but “don’t like to think of myself as disabled” need to get over it. This culture is so ableist that WE MUST use every tool we can for any tiny advantage we can get. This legislation would have helped me so much more thirty years ago, but I have been told it’s not all about me.
Other people can contribute to the account up to the total annual limit. To be clear, the contributions are not tax-deductible, but the earnings on the savings are tax-sheltered.
My Experience
So far, I have saved in an ABLE account but haven’t made any withdrawals for expenditures. I am saving toward a new power wheelchair if my insurance won’t pay for an adequate chair. I will also be using it for some wheelchair van-related expenses.
Resources
California's ABLE Account Website
IRS link that lists publications for people with disabilities.
This is eye-opening, Teri. I knew nothing about this. Ironically, I became fully disabled at age 46, just three weeks before age 47. Can you elaborate on something I also don’t know: what is the rule regarding income or savings that triggered the need for these ABLE accounts? I am still in the SSDI appeal process so it may not be relevant if I ultimately lose, but who knows. Thank you for sharing your knowledge. Your outrage seems justified (that the government created a savings mechanism for things it should pay for itself but may not).