Can I Gift My Home to My Child? Taxes, Medicaid, and Alternatives

Gifting a home to your child is legally simple but tax-expensive in a way most families don’t see coming. You can transfer ownership with a new deed, a notary, and a filing at the county recorder. The real bill arrives later, when your child sells the property and owes capital gains tax measured from what you originally paid, not what the house was worth the day you handed it over. Before you sign anything, weigh that hit against Medicaid rules, mortgage complications, and a few alternatives that usually save the family far more money.

The Capital Gains Problem

When you gift a home during your lifetime, your child takes your original cost basis. Tax professionals call this carryover basis. Buy a house decades ago for $80,000, gift it when it’s worth $450,000, and your child’s basis is still $80,000. If they sell for $475,000, they owe capital gains tax on $395,000 of profit.1Office of the Law Revision Counsel. 26 U.S.C. 1015 – Basis of Property Acquired by Gifts and Transfers in Trust

Inheriting the same home works very differently. Property received at death gets a stepped-up basis equal to the fair market value on the date of death.2Office of the Law Revision Counsel. 26 U.S.C. 1014 – Basis of Property Acquired From a Decedent If the house is worth $450,000 when you pass, your child’s basis becomes $450,000. Sell for $475,000, and only $25,000 is taxable gain. The gap between the two paths runs into tens of thousands of dollars for most families, and often more.

Your child can add the cost of major improvements to their basis, which reduces the eventual gain. The starting point, though, stays anchored to what you paid.

One more wrinkle if your child won’t live in the home. The primary-residence exclusion lets a homeowner shield up to $250,000 of gain from tax ($500,000 for a married couple filing jointly), but only if they owned and used the property as their principal residence for at least two of the five years before selling. A child who keeps the gifted home as a rental or a second house gets none of that exclusion.

Gift Tax: You File, You Usually Don’t Pay

The federal gift tax rarely produces an actual tax bill. The annual gift tax exclusion for 2026 is $19,000 per recipient.3Internal Revenue Service. Rev. Proc. 2025-32 A house exceeds that, so the gift has to be reported. Reporting is not the same as paying.

Anything above the annual exclusion counts against your lifetime gift and estate tax exemption, which is $15 million per individual for 2026.4Internal Revenue Service. What’s New — Estate and Gift Tax A married couple has two exemptions. Actual gift tax kicks in only after you exhaust that $15 million lifetime figure, which almost no family does.

You still owe the paperwork. The form is IRS Form 709, due by April 15 of the year after the gift. Filing is required even when no tax is due; the IRS uses it to track how much of your lifetime exemption you’ve used up. If you and your spouse elect to split the gift so each of you is treated as giving half, both of you file a separate Form 709.5Internal Revenue Service. Instructions for Form 709 (2025)

Plan on paying for a professional appraisal to fix the fair market value on the date of the gift. A standard single-family appraisal usually runs about $300 to $450. That report is the documentation behind the value you enter on Form 709.

The Medicaid Look-Back Period

Gifting your home can wreck your Medicaid eligibility if you later need nursing home or long-term care. Federal law requires state Medicaid agencies to review every asset transfer you made in the 60 months before you apply.6Office of the Law Revision Counsel. 42 U.S.C. 1396p – Liens, Adjustments and Recoveries, and Transfers of Assets A transfer for less than fair market value during that window produces a penalty period of Medicaid ineligibility.

The penalty length equals the gift’s value divided by the average monthly cost of nursing home care in your state. A home worth $300,000 in a state where care runs $10,000 a month yields a 30-month penalty.

The timing catches families off guard. The penalty clock doesn’t start on the day you gift the home. It starts when you’ve spent down your remaining assets and would otherwise qualify for Medicaid. So you may find yourself out of money, out of the house, and still months away from any coverage.

Federal law does exempt certain transfers from the penalty, including transfers to a spouse, to a child under 21, to a blind or permanently disabled child, to an adult “caretaker child” who lived in the home for at least two years providing care that kept you out of a facility, and to a sibling with an existing equity interest who lived there for at least a year. These exceptions are narrow and heavily documented.

What Happens to the Mortgage

Most mortgages contain a due-on-sale clause letting the lender demand the balance when ownership changes. A gift technically triggers it. Federal law blocks the lender from enforcing that clause when a borrower transfers a residential property with fewer than five units to a spouse or child.7Office of the Law Revision Counsel. 12 U.S.C. 1701j-3 – Preemption of Due-on-Sale Prohibitions

The loan itself doesn’t move. You stay personally liable for the payments unless the lender releases you, which usually means your child has to refinance in their own name. If they can’t qualify, you may end up paying a mortgage on a house you no longer own. Any HELOC or second mortgage should be checked separately; the Garn-St. Germain protection covers the residential first lien.

How the Deed Transfer Works

The transfer itself happens through a new deed. A quitclaim deed conveys whatever interest you have without any guarantees about the title’s history. A warranty deed adds your promise that the title is clean and that you’ll defend against future claims. Families often use quitclaim deeds because they’re simple; a warranty deed gives your child stronger legal footing.

The deed needs your full legal name and address, your child’s full legal name and address, and the property’s complete legal description. Pull the legal description from your existing deed or the county recorder; the street address alone isn’t enough. Sign in front of a notary, then file the original with the county recorder or register of deeds where the property sits. Recording fees typically run $25 to $50.

Insurance and Property Tax Fallout

Recording the deed doesn’t finish the job. Homeowners insurance is a personal contract, not an interest that rides with the property, so your policy ends when ownership changes. Your child needs their own policy in place the day the deed records; any gap leaves the home uninsured. Your title insurance policy also terminates on transfer, and a new one requires a new purchase.

Property taxes can change as well. Many counties reassess when ownership changes, which can push the taxable value up sharply if your current assessment sits well below market. Homestead exemptions, senior freezes, and similar owner-occupancy reductions generally end when the new owner doesn’t qualify for them.

Better Ways to Get the House to Your Child

Because carryover basis is so costly, an outright lifetime gift is often the worst option. Several alternatives preserve the stepped-up basis and sidestep other problems.

Revocable Living Trust

You transfer the home into a trust, name yourself trustee and beneficiary during life, and name your child as beneficiary after your death. You keep full control, including the right to sell or refinance. At your death, the home passes outside probate and your child gets the stepped-up basis. This is the most common alternative and eliminates the carryover basis problem.

Transfer-on-Death Deed

More than half of states allow a transfer-on-death deed, sometimes called a beneficiary deed. You sign it now, naming your child as beneficiary, but the transfer takes effect only at your death. You keep full ownership and can revoke the deed anytime. Your child receives the stepped-up basis, and no Medicaid look-back applies because no lifetime transfer occurred. It’s cheaper and simpler than a trust where it’s available.

Life Estate Deed

A life estate lets you keep the right to live in and use the home for life while conveying the remainder interest to your child now. Full ownership passes automatically at your death, with a stepped-up basis. The tradeoffs are real: you can’t sell or mortgage without your child’s consent, the arrangement is effectively irreversible, and creating the remainder interest triggers the Medicaid five-year look-back. If you survive that five years, the home is generally protected from Medicaid estate recovery.

Leave It in Your Will

Doing nothing during your lifetime and letting the home pass through your will remains the simplest route. Your child gets the stepped-up basis, avoids any Medicaid complications tied to a lifetime transfer, and takes clean title. Probate adds time and cost, but in most states the tax savings from the step-up outweigh probate fees. When the goal is getting the home to your child at the lowest tax cost, inheritance usually beats a gift.