Most of what an adult child needs to know about Massachusetts estate and incapacity planning concentrates in a few documents and one giant tax issue: the $2M state estate-tax cliff, the most punitive state estate-tax structure in the US.

The four documents to have in place this year

1. Durable Power of Attorney

Massachusetts uses a state-specific Durable POA under Mass. Gen. Laws ch. 190B §5-501 et seq..1 The POA should be:

2. Health Care Proxy

Massachusetts treats medical decision-making distinctively. The Health Care Proxy under Mass. Gen. Laws ch. 201D is the primary instrument.2 The proxy names a health-care agent to make medical decisions when your parent cannot communicate.

Notable Massachusetts feature: traditional living wills are not legally binding in Massachusetts in the way they are in many states. Instructions about end-of-life care should be communicated to the Health Care Agent through the proxy form and supplementary documents; the agent then has authority to act on them. Most Massachusetts elder-law attorneys recommend a detailed Health Care Proxy plus a Massachusetts MOLST form for residents in care facilities.

3. Last Will and Testament

Massachusetts wills are governed by the Massachusetts Uniform Probate Code (MUPC), adopted 2012, codified at Mass. Gen. Laws ch. 190B. The will must be signed by the testator and witnessed by two competent witnesses. Massachusetts recognizes self-proving affidavits.

4. Revocable Living Trust

A revocable trust is often the right tool in Massachusetts for two big reasons: probate avoidance, and Massachusetts estate-tax planning. Properly drafted credit-shelter and marital-deduction trust provisions can preserve both spouses’ $2M exemptions, effectively raising the couple’s combined Massachusetts exemption to $4M.3 Without the trust structure, the surviving spouse loses the first-to-die spouse’s exemption.

The Massachusetts $2M estate-tax cliff

Massachusetts is one of 12 states (plus DC) with a state estate tax. The Massachusetts exemption is $2M per individual— the lowest in the country — and Massachusetts is one of only two states (with Oregon) that taxes the entire estate from dollar one once the threshold is crossed, rather than just the amount above the exemption.4

A practical example:

Rates are graduated from 0.8% on the lowest bracket to 16% on amounts above $10.04M. For Boston-metro families with a house, a 401(k), and a brokerage account, crossing $2M is not unusual — particularly with the home-value appreciation of recent decades.

Probate in Massachusetts: the MUPC

Massachusetts adopted the Uniform Probate Code in 2012 (codified at Mass. Gen. Laws ch. 190B), which streamlined what had been a notoriously slow probate process.5 Three procedure tracks:

Even with the MUPC streamlining, probate-avoidance planning — beneficiary designations, joint tenancy used carefully, and revocable trusts — remains the higher- leverage move for most families, particularly because the trust also enables the estate-tax planning above.

The Massachusetts elective share

Massachusetts law gives a surviving spouse the right to take an elective share of the deceased spouse’s estate regardless of what the will says. The Massachusetts elective-share rules under Mass. Gen. Laws ch. 191 §15 are complex and depend on the existence of children and the size of the estate; the surviving spouse can choose between the will’s provisions and a statutory share that includes both income and a portion of the residue.6 Massachusetts elective share planning is its own specialty; most second marriages benefit from a prenuptial agreement and careful trust drafting.

No state inheritance tax

Massachusetts has no inheritance tax. Only six US states do: Iowa (phasing out), Kentucky, Maryland, Nebraska, New Jersey, and Pennsylvania.

If your parent moved to Massachusetts from another state

Out-of-state wills are generally valid in Massachusetts if valid where executed, but a Massachusetts review is wise:

What to do this quarter