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The IRS will not seize your federal refund for outstanding medical bills. Laws vary in states, so we cannot say if your state can offset your state refund for outstanding hospital bills. TurboTax never knows about offsets to your federal or state refunds.
https://turbotax.intuit.com/tax-tips/tax-payments/who-can-garnish-an-income-tax-refund/L7cPPzDyc
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