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Deductions & credits
Medical expenses are sometimes deductible in Alabama, even if you take the Standard Deduction on the federal return.
You should enter medical expenses on the federal return (Federal->Deductions & Credits->Medical) even if you won't get a deduction on the federal return, because they will carry down to Alabama and, if deductible, will reduce your Alabama tax due or increase your Alabama refund.
Also, if you enter the medical expenses are entered this way (on the federal return), then the correct limits in Alabama are applied. If you entered the medical expenses on the state return as a deduction on the "Let's Check for any Alabama Deductions" screen (at the bottom under the subheading "Other Deductions"), you would be responsible for calculating the correct amount that can be deducted.