Generosa died of cancer on August 22, 2003. She left her estate to her two children, Alexa and Greg; however, their inheritance was only $1 million each "after taxes, attorneys’ fees and funds lost to Pelosi’s squandering." Generosa appointed Kathryn Mayne, the children's nanny, as her children's legal guardian. She also bequeathed a life interest in the house where Ammon was murdered to Mayne to raise the twins. In 2005, however, full custody of the twins was awarded to Ted's sister, Sandra Williams.