If you pay the money directly to the facility, there is no dollar limit on how much you can effectively gift to benefit your mother for purposes of federal gift taxes. What’s more, this action may even entitle you to include the payment with your own medical expenses if you itemize deductions. As long as you pay more than half of your mother’s support of the year and meet certain other tests, you can treat this medical payment on behalf of your mother as your own (even if you can’t take a dependency exemption for her because her gross income is more than the allowable limit, which is $4,000 in 2015).
A written determination issued to a taxpayer by the IRS that interprets and applies the tax laws to the taxpayer’s specific set of facts. A letter ruling advises the taxpayer regarding the tax treatment that can be expected from the IRS in the circumstances specified by the ruling. It may not be used or cited as precedent by another taxpayer.