Yes, if you don't enter the 1099-SA, you run the risk of the IRS sending you a letter wondering where that form is, and letting their imagination run wild on how much tax you owe because of it.
As you see, when you enter the 1099-SA, TurboTax assumes that you are reimbursing medical expenses that you entered this year.
So let's try this: enter a Miscellaneous item in the Medical Deduction section. Make the description "HSA adjustment" and make the dollar amount equal to the distribution amount on the 1099-SA. I assume that you did not enter ANY medical expenses in your 2024 return that was reimbursed by this 1099-SA distribution? I.E., that the Miscellaneous entry is not duplicating anything you have already entered?
Now TurboTax thinks that all of your medical expenses were made in 2024, so the automatic subtraction that TurboTax makes won't artificially reduced the amount of real unreimbursed medical expenses you paid this year (well, 2024).
If this works for you, just remember that lying to TurboTax is not the same as lying to the IRS - Make a note of what you did and why so that in case any one ever asks (which I highly doubt), you can remember why you did it.
Come back and tell me if this doesn't work for you.
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