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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.
- U.S. Court of Appeals for the Ninth Circuit
- California Supreme Court
- U.S. District Court for the Northern District of California
J.D., cum laude, University of San Francisco School of Law (1975)
B.A., University of California, Davis (1972)
Areas of Practice
- Health Care
- Real Estate
- Senior Housing and Care
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.
- Bar Association of San Francisco, Former Board of Directors
- American Bar Association, Former Chair, Housing for the Elderly Committee, Real Property Division
- LeadingAge, CA
- American and California Assisted Living Facility Associations
- LeadingAge, Former Chair, Legal Committee
- American Seniors Housing Association, General Counsel and Executive Board
Professional Activities and Experience
- Best Lawyers in America - Health Care Law, Best Lawyers® (2016, 2019-2022)
- Best Lawyers in Northern California - Health Care Law, Best Lawyers® (2019-2020)
- Top Rated Lawyer in Northern California, ALM (2019)
- Chambers and Partners USA, Healthcare
- Martindale-Hubbell AV® Preeminent™ (2016)
- Top Rated Lawyer in Health Care, Martindale-Hubbell™ (2013)
- Northern California Super Lawyers (2006, 2010-2013)
"Complete Immunity for Senior Living COVID Responses", American Seniors Housing Association (February 2021)
"Senior Living Communities Eligible for PREP Act Protection," Senior Housing and Care Law Alert (August 2020)
"Business Realities in the Age of COVID-19," co-author, Seniors Housing Business (June 2020)
"Employer’s Notification Requirements of Possible COVID-19 Exposure," co-author, Labor & Employment Law Alert (March 2020)
"Coronavirus Preparedness and Response for Senior Living Communities," co-author, Senior Housing and Care Alert (February 2020)
"Tech Advances in the Senior Space: Adoption, Implementation and Risk Management," co-author, ASHA Special Issues Brief (Winter 2019)
"When Disaster Strikes: Disaster Preparedness in Seniors Housing," ASHA Special Issues Brief (Fall 2017)
"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)
"NonâProfit, ForâProfit 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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