I had to renew my medical assistant certifications and my state licenses out of pocket last year. I thought you could claim these, but I don't see that here.

Miscellaneous deductions subject to the 2% limit, including unreimbursed job expenses (reported on Form 2106) have been repealed for tax years 2018–2025. 

Self-employed (Schedule C) filers can still deduct these business-related expenses as they have in the past. 

Which federal tax deductions have been suspended by tax reform?

However, Job-related expenses might be deductible in your state even if they’re not deductible on your federal return. You can enter your expenses as below and we’ll figure out if you can deduct them.

1. Open (continue) your return.
2. In TurboTax, search for 2106 and then select the Jump to link in the search results
3. Answer Yes on the Do you have any expenses from one of these professions or situations? screen
4. Enter your occupation on the next screen, then select Continue
5. Answer the questions about your occupation and follow the onscreen instructions to enter your employee expenses