June 10, 1999
Programs to Stop Smoking Now Tax-Deductible
WASHINGTON - The Internal Revenue Service today added
another benefit to the value of programs to help people stop smoking: the cost of these
programs counts as a medical expense for taxpayers who itemize deductions.
Citing reports of the Surgeon General from 1988 to 1998, the IRS noted that scientific
evidence has established that nicotine is addictive and that smoking is detrimental to a
smokers health. In light of this, the IRS revoked a 1979 ruling and said that
taxpayers may count the unreimbursed costs of smoking-cessation programs as deductible
medical expenses, even though they have no specific ailment or disease.
Taxpayers may also deduct expenses for prescription drugs designed to alleviate
nicotine withdrawal. However, the tax law does not allow a deduction for over-the- counter
medications, such as non-prescription nicotine patches and gum. The law also limits the
itemized deduction for unreimbursed medical expenses to the amount by which these expenses
exceed 7� percent of adjusted gross income.
Taxpayers who paid for smoking-cessation programs in recent years might get a refund by
filing an amended tax return. Those who already had enough medical expenses to deduct them
should amend their returns to include the smoking program costs. Other taxpayers should
check their returns to see if these added expenses would give them enough medical expenses
to itemize. A person may generally file an amended return on Form 1040X until three years
from the due date of the original return.
Revenue Ruling 99-28, which explains the deductibility of smoking-cessation programs,
will be in Internal Revenue Bulletin 1999-25, dated June 21, 1999, and will be available
through the IRS Web site at http://www.irs.gov.
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