@George4Tacks Thanks again for your time and valuable comment.

If  the additional medical deduction on CA as shown on Schedule CA  is correct, can I ask why didn't PTO also include the distribution as additional income in section B of Schedule CA?  I am asking this to determine whether I should add back the distribution as additional income in section B of Sch CA, specifically Line 21f-other income of Sch CA.

Thanks.