diff --git a/changelog_entry.yaml b/changelog_entry.yaml
index e69de29..aa159f0 100644
--- a/changelog_entry.yaml
+++ b/changelog_entry.yaml
@@ -0,0 +1,4 @@
+- bump: minor
+  changes:
+    added:
+    - Incorporate take-up of itemized medical deduction.
\ No newline at end of file
diff --git a/policyengine_us_data/datasets/cps/cps.py b/policyengine_us_data/datasets/cps/cps.py
index 64c1b1c..0522d86 100644
--- a/policyengine_us_data/datasets/cps/cps.py
+++ b/policyengine_us_data/datasets/cps/cps.py
@@ -137,6 +137,14 @@ def add_takeup(self):
         generator.random(len(data["tax_unit_id"])) < eitc_takeup_rate
     )
 
+    itemized_medical_deduction_takeup_rate = (
+        parameters.gov.irs.deductions.itemized.medical.takeup
+    )
+    data["takes_up_itemized_medical_deduction"] = (
+        generator.random(len(data["tax_unit_id"]))
+        < itemized_medical_deduction_takeup_rate
+    )
+
     self.save_dataset(data)