Even though you are under age 59½, you won’t be penalized for an IRA distribution used to pay medical expenses in excess of 7.5% of adjusted gross income in 2017 or 2018. The AGI threshold is set to rise to 10% in 2019. This penalty exception applies even if you claim the standard deduction. But the distribution must be taken in the same year that you incurred the medical expenses. And remember, the distribution is still includible in gross income.
Rules for determining whether a person is active in a business activity for passive activity rule purposes. Unless the tests are met, passive loss limits apply.