Paul has been working with seniors housing and care providers since 1975. He is the author of the book Seniors' Housing and Care Facilities: Development, Business and Operations (Urban Land Institute, 1998). He has been called "godfather of senior housing" by the Chambers USA legal directory.
Paul's entire practice is devoted to representation of senior housing and long-term care providers and related organizations. His practice includes business structuring, licensure, regulatory counseling, resident/patient contracts, management agreements; anti-kickback compliance, operational issues, risk management, dispute resolution, nonprofit organizations, specialized tax issues, fair housing and ADA compliance. He has litigated in federal and state courts, including court and jury trials and appellate work in the California Supreme Court and Courts of Appeal and the U.S. Court of Appeal for the Ninth Circuit. He has also served as an expert witness on senior care communities in federal and state courts. He has been instrumental in drafting state and model national continuing care and assisted living facility legislation, as well as an accreditation system being developed in China. In 2010, the U.S. General Accountability Office consulted with him in preparation of its report to the Senate on Continuing Care Retirement Communities.
Paul is a highly sought-after speaker with an international reputation. He has addressed audiences at conferences sponsored by the Urban Land Institute, Harvard University, Boston University, China Real Estate Chamber of Commerce, Sun-Yat Sen University in Guangzhou, China, the American Bar Association, The Canada Forum, the World Research Group, the American Seniors Housing Association, LeadingAge, the National Investment Center, the American Society on Aging, the American Health Care Association, the National Real Estate Development Center, AIC Conferences, Ernst & Young, Coopers & Lybrand, Laventhol & Horwath, the Practising Law Institute, the National Academy of Elder Law Attorneys, and the American Health Lawyers Association.
Paul has written or consulted on articles on retirement community development and operations published in The New York Times, The Wall Street Journal, Consumer Reports, Urban Land Magazine, the National Real Estate Investor Provider Magazine, Contemporary Long-Term Care, Multi Housing News, The Practical Real Estate Lawyer, and Retirement Housing Report.
Americans Senior Housing Association (ASHA). Paul serves as General Counsel to the American Seniors Housing Association and is on their Executive Board.
China Real Estate Chamber of Commerce. Assists with development of accreditation standards for senior living facilities in China.
The Episcopal Home Communities. Sale, leaseback, management agreements and regulatory approvals for a continuing care campus.
Regulatory approvals in connection with a major debt restructuring for a senior living campus.
Corporate reorganizations for multiple clients.
"Home Care Aides in Senior Living: Risks and Responses," American Seniors Housing Association Special Issue Brief (Winter 2017)
"Disruptive Residents And The Law," American Seniors Housing Association (July 2016)
"Fair Housing Act Implications of 'Minority' Senior Communities," co-author, Senior Housing Forum (April 2016)
"Seniors Housing Guide to Fair Housing and ADA Compliance: Balancing Rights and Risks," American Seniors Housing Association (January 2016)
"U.S. Department of Justice: Separation of Residents by Levels of Care Can Violate the Fair Housing Act," LeadingAge California (July 2015)
"Fair Housing Update: Recent HUD Conciliation Agreement," American Seniors Housing Association (November 2014)
"California Supreme Court Limits Business Proprietor’s Duty to Provide an AED, but Leaves Open the Possibility of such a Duty in High Risk Settings," co-author, LeadingAge California Engage Magazine (Summer 2014)
"Non‐Profit, For‐Profit Collaboration," co-author, Rockwood Pacific – Topic #4 (July 2014)
"California Supreme Court Limits Business Proprietor's Duty to Provide an Automated External Defibrillator, but Leaves Open the Possibility of Such a Duty in High Risk Settings," co-author, American Seniors Housing Association Legal Notes (July 2014)
"California Federal Court Invalidates Skilled Nursing Arbitration Restrictions in Patients’ Bill of Rights Act," co-author, Senior Housing and Care Law Alert (February 2014)
"CPR in Independent Living and Assisted Living Communities," American Seniors Housing Association Special Issue Brief (Spring 2013)
"The Importance of Managing Rising Acuity Levels," Seniors Housing Business (November 2012)
"Medical Expense Tax Deductions: A Guide for Senior Living Providers and Residents," American Seniors Housing Association Special Issue Brief (Summer 2012)
"Inspector General Rules CCRC Referral Fees Do Not Violate Anti-Kickback Laws," American Seniors Housing Association Legislative Update (June 2010)
"Fair Housing Compliance Guide: Charting the Way, 4th ed.," American Seniors Housing Association (2009)
"The Development, Operation, and Regulation of Continuing Care Retirement Communities," American Health Lawyers Association (2009)
"Medical Expense Deductions for Assisted Living Fees," California Assisted Living Association Bulletin (February 2009)
"Key Tax Benefits for Seniors Housing Residents," American Seniors Housing Association Special Issue Brief (Summer 2008)
"The Impact of Landlord Tenant Laws on Community Fees," American Seniors Housing Association Special Issue Brief (Spring 2007)
"Condominiums With Services: A Growing Trend," American Seniors Housing Association – Seniors Housing Legal Notes (Fall 2005)
"Defibrillator Use in Seniors Housing," American Seniors Housing Association – Seniors Housing Legal Notes (June 2005)
"Seniors Housing and Care Facilities: Development, Business and Operations," 3rd ed., Urban Land Institute (1998)
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“Developing a Structure for Modernizing Home Care,” co-presenter, Aging2.0 OPTIMIZE (October 2016)
"IC Federal Restrictions on Separating Levels of Care" and "Legal & Liability Issues for Pilot Projects," LeadingAge CA 2016 Annual Conference and Exposition (May 2016)
"Fair Housing in Senior Living Update," co-presenter, live webinar (April 2016)
"Integrating Tech Solutions into Senior Care," AHLA Long Term Care and the Law Conference (February 2016)
"Legal and Liability Issues for Pilot Projects," Aging 2.0 AgeTech Expo (November 2015)
"Integrating Tech Solutions in Senior Living," Urban Land Institute, Senior Housing Council (October 2015)
"2015 Department of Justice Consent Orders: Government Micro-Management of the Levels of Care," The Greystone Event (July 2015)
"Emergency Response in Senior Care Communities," co-speaker, American Health Lawyers' Association (February 2015)
"Resident Transfer and Review: A Play in 3 or 4 Acts," co-presenter, LeadingAge California Annual Conference (May 2014)
"CCRC Statute Revisions: Modernizing to Meet the New Realities," LeadingAge California – Policy and Leadership Summit (March 2014)
"American Senior Living Goes to China," AHLA Long Term Care and the Law Conference (February 2014)
"Applying Western Senior Care Models to China," panelist, International Association of Homes and Services for the Aging Conference (November 2013)
"Acuity Creep and Private Aides," LeadingAge of California (May 2013)
"Challenge the Experts," LeadingAge of California (May 2013)
"The Transformation of the IL Model: Temporary Shift or Permanent, Market-Driven Reality?" National Investment Center (March 2013)
"Hospital-to-Home Transition Programs," American Health Lawyers Association (February 2013)
"Shining in Distress: Communications, Legal and Regulatory Strategy," Erickson School: UMBC (February 2013)
"Legal Issues Roundtable," American Seniors Housing Association (January 2013)
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Best Lawyers in America® Award for Health Care Litigation (2016)
Martindale-Hubbell AV® Preeminent™ (2016)
Best Lawyers in America® (2016)
Chambers and Partners, USA
Top Rated Lawyer in Health Care, Martindale-Hubbell™ (2013)
Northern California Super Lawyers (2006, 2010-2013)