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I'm sure it's not isolated to my situation only. Here's the deal....if you have to pay back advance tax credits, whatever the amount is you have to pay back is added to your total medical expenses. This is not new. However, since sch 2 eliminates the payback, the payback still shows up as a medical expense. Trust me, this is happening for everyone. Now it may be the IRS just decided to eat the lost tax revenue which is the result of keeping the ATC in the medical expenses since it reduces AGI and therefore, taxes.