@stevespen it's an addition to your income. take amount entered from schedule A for medical expenses. That amount is then limited to amount in excess of 7.5% of AGI for Federal. For VA Purposes that amount is limited to amount in excess of 10% of AGI. Ex. 100k in AGI has a limit for federal of only amounts of medical over 7500. For VA it's for medical expenses only in amounts over $10k. So if you had $9k in medical expenses, you add back $1,500, the full amount allowed for federal as no amount exceeded the limits. If you had $11k in medical expenses you will add back only $500.
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