If the 1099-SA distribution did not appear on line 8 on Schedule 1 (1040), then something else is happening, and we've been barking up the wrong tree.
You will have to look carefully at your 1040 and its three schedules (1, 2, and 3) and see what changes to cause this increase in tax, because it isn't your 1099-SA distribution.
So what changed besides your tax? What income or deduction item?
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