Sponsors (12)
Official title: To provide targeted funding for States and other eligible entities through the Social Services Block Grant program to address the increased burden that maintaining the health and hygiene of infants and toddlers, medically complex children, and low-income adults or adults with disabilities who rely on adult incontinence materials and supplies place on families in need, the resultant adverse health effects on children and families, and the limited child care options available for infants and toddlers who lack sufficient diapers and diapering supplies, and for other purposes.
Introduced May 20, 2025 by Rosa L. Delauro · Last progress May 20, 2025
The bill substantially improves affordability and access to diapers for low‑income families and people with disabilities—through direct funding, nonprofit support, and expanded pre‑tax benefit use—while increasing federal costs, imposing administrative and reporting burdens on states and nonprofits, and creating potential price and eligibility tradeoffs due to product standards and rules.
Low-income families and parents will receive free diapers and diapering supplies through a federal assistance program, directly reducing out‑of‑pocket child care costs.
People with disabilities, medically complex children, and seniors who require diapers will gain access to medically necessary diapers and incontinence supplies—via the assistance program and by using pre‑tax HSA/FSA/HRA/Archer MSA funds—improving hygiene and health outcomes and lowering personal costs.
The bill provides $200 million per year (FY2026–2029) and explicitly supports nonprofit diaper banks and national partners, expanding program capacity and nationwide distribution infrastructure.
Federal costs rise: taxpayers bear the $200M/year appropriation and a modest revenue loss from expanded pre‑tax benefits, increasing federal budgetary obligations over FY2026–2029.
States and administering agencies must absorb new reporting, monitoring, and administrative duties (capped at 5%), and SSBG 'supplement‑not‑supplant' constraints may reduce State flexibility or force reallocation of existing resources, potentially leaving some local needs unmet.
Manufacturers and suppliers face stricter product specifications (latex/allergen exclusions and retail‑quality disposable requirements) that may raise production costs and make compliant products more expensive or harder to source, potentially increasing prices for consumers and facilities.
Based on analysis of 3 sections of legislative text.
Increases SSBG funding for FY2026–2029 (directed to diaper and incontinence assistance), appropriates $200M/year, and makes medically necessary diapers and supplies HSA/FSA-eligible after 2025.
Provides new federal funding and program rules so states and qualified nonprofits can deliver diapers, diapering supplies, and adult incontinence products to low-income families, medically complex children, and low-income adults. Also lets health savings accounts, Archer MSAs, FSAs, and HRAs reimburse medically necessary diapers and diapering supplies for expenses after 2025. Increases the Social Services Block Grant (SSBG) formula amount for FY2026–2029, directs states to use any increase for diaper/incontinence assistance, appropriates $200 million per year to support the effort, sets program and oversight rules for national nonprofit partners, and amends tax law to make diapers and related supplies qualified medical expenses for tax-advantaged accounts beginning in 2026.