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It depends. Wisconsin treats some items differently than they are treated on the Federal return.
See the Instructions for Wisconsin Schedule I, page 9:
Medical Expense Deduction
Wisconsin follows the federal treatment of distributions from an HSA for 2011-2023. However, if a portion of your distribution was allocated to the balance in your HSA as of December 31, 2010, you may be able to treat all or part of the distribution as a medical expense.
Amounts paid for medical expenses from a health savings account are allowed as an itemized deduction, if the amount is otherwise deductible, for purposes of Wisconsin’s itemized deduction credit if the contribution is included in federal adjusted gross income for failure of the health plan to be treated as a high deductible health plan.
Line 2a - Health Savings Accounts Adjustment
The federal provisions relating to HSAs apply for Wisconsin for 2011-2023. However, an adjustment may be required if you withdrew from the account in 2023, you had an HSA prior to 2011 for which you were not allowed a deduction for Wisconsin for contributions to that account, and you reported the earnings on the account as income on your Wisconsin return. If this is the case, complete the worksheet below.
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