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@ErnieS0 @NicoleU , came across your thorough responses on this subject.  Since you can claim for reimbursement of the Cash Receipts Assessment (CRA) on the NYS tax return, I assume that the CRA amount can NOT be included as part of the nursing home facility’s room & board fee when itemizing medical expenses on Federal Schedule A.  Is that correct?
Note: From what I’ve found, the current maximum CRA reimbursement is 6% of the 6.8% charged in 2024.