Sponsors (3)
The bill increases access to diapers and medically necessary diapering supplies—reducing costs and health risks for low-income families, children, and adults with medical needs—while imposing modest new federal costs and creating administrative and compliance burdens for states, nonprofits, manufacturers, and employers.
Low-income families and caregivers will receive free diapers and incontinence supplies, reducing out-of-pocket costs for parents and households with young children or adults who need these products.
Adults with incontinence or severe skin/medical conditions can use pre-tax HSA/Archer MSA/FSA/HRA funds to buy medically necessary diapers, wipes, creams and related supplies, lowering health-care out-of-pocket costs and making routine care easier to reimburse.
Children and medically complex kids will have more reliable diaper access, improving hygiene and reducing health risks (skin problems, infections) associated with unmet diaper needs.
The bill increases federal fiscal costs—authorizing $200 million annually for the program and modestly reducing federal tax revenue by expanding pre-tax account coverage—adding budget/deficit pressure borne by taxpayers.
States and local grantees will face added administrative burdens: reallocation of SSBG formula allotments, reserved funds for a national entity that reduce state entitlements, and new reporting/compliance requirements (ZIP-level data, counts, distribution methods).
New product quality/allergen standards and certification requirements could raise procurement costs, limit the supplier pool for nonprofits and manufacturers, and—if standards are narrow or hard to certify—delay reimbursements or restrict access for users with specific needs.
Based on analysis of 3 sections of legislative text.
Funds new State diaper/incontinence assistance programs (FY2026–2029) and makes medically necessary diapers and diapering supplies eligible expenses for HSAs, FSAs, HRAs, and Archer MSAs after Dec 31, 2025.
Official title: 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 Tammy Duckworth · Last progress May 20, 2025
Provides $200 million per year (FY2026–FY2029) to expand diaper and adult incontinence supply assistance through State programs and national nonprofits, and makes medically necessary diapers and diapering supplies eligible tax-free reimbursements from HSAs, Archer MSAs, health FSAs, and HRAs for expenses after December 31, 2025. Creates program rules, a national-entity technical assistance set-aside, and evaluation authority to support distribution, outreach, and capacity building for families and medically complex individuals who need diapers or incontinence supplies.