Sponsors (3)
The bill reduces out‑of‑pocket costs and health risks by expanding access to diapers and incontinence supplies for low‑income families and medically needy adults, at the expense of increased federal spending, some lost tax revenue, and new state and provider administrative and procurement burdens.
Low-income parents, caregivers, and people who need diapers will receive free diapers and incontinence supplies through a federal program, substantially lowering out‑of‑pocket costs for families and adults with need.
People with incontinence or severe skin conditions can use pre-tax HSA/Archer MSA/FSA/HRA funds to buy medically necessary diapers and related supplies, making routine medical care more affordable and easier to reimburse.
Children and medically complex individuals will have improved hygiene and reduced health risks from unmet diaper needs; clear product definitions and allergen/quality standards aim to ensure safer supplies for people with sensitivities and reduce eligibility disputes.
The federal cost (authorized ~$200 million per year for the program plus some lost tax revenue from allowing tax‑favored accounts to cover diapers) increases federal spending and modestly reduces tax receipts, creating budgetary pressure.
States will face fiscal tradeoffs and administrative burdens because portions of SSBG formula allotments must be reallocated, some funds are reserved for a national entity/evaluation rather than State entitlements, and new reporting/distribution requirements increase compliance workload.
Narrow product quality thresholds and supplier certification requirements could raise procurement costs for nonprofits and manufacturers, limit the pool of eligible suppliers, and slow or complicate access to qualifying products for recipients.
Based on analysis of 3 sections of legislative text.
Appropriates $200M/year (FY2026–FY2029) for diaper and incontinence assistance and lets HSAs/FSAs/HRAs cover medically necessary diapers and supplies after Dec 31, 2025.
Introduced May 20, 2025 by Tammy Duckworth · Last progress May 20, 2025
Provides $200 million per year for fiscal years 2026–2029 to expand diaper and adult incontinence assistance for low-income people and directs states to use the funds for free supplies, outreach, and capacity building. Also allows medically necessary diapers and diapering supplies to be paid with pre-tax health accounts (HSAs, Archer MSAs, health FSAs, and HRAs) for qualifying individuals beginning after December 31, 2025.