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IRA withdrawals kicked me out out of ACA. I had to repay over $14,000 Advance Premium Tax Credits with my 2018 tax return. The answers I am seeing seem to say I can take it as a 2018 medical expense even though I did not pay it until April 2019. As a cash basis tax payer I think it should be a 2019 medical expense.

I would like to make plans to maximize itemized deductions in 2019 if it qualifies as an insurance premium paid in 2019 and therefore a 2019 medical expense.

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