Last progress May 20, 2025 (6 months ago)
Introduced on May 20, 2025 by Tammy Duckworth
Read twice and referred to the Committee on Finance.
This bill would help families afford diapers and adult incontinence supplies. It sends extra money to states so they can give out free diapers and related items, do outreach, and team up with local groups like diaper banks. The help is aimed at infants and toddlers, medically complex children, and low-income adults or adults with disabilities who rely on these supplies. States can spend up to 5% on administration. Any help a family gets won’t count against them when applying for other federal benefits .
From 2026 through 2029, the plan boosts the Social Services Block Grant and adds dedicated funding each year for diaper assistance, with a small portion set aside for training and an evaluation. States must report how many families were helped, where supplies were given out, and what was distributed. The program will be studied within two years and updated after three years, and federal guidance will come within 180 days of enactment. The funding is shielded from across-the-board budget cuts. Funds given to local groups can be used in the current or next fiscal year only .
The bill also lets people use HSAs, FSAs, HRAs, and similar accounts to pay for medically necessary diapers and diapering supplies starting in 2026. It defines what counts as “medically necessary,” including quality standards, and covers items like wipes and diaper creams when needed to prevent rash .
| Who is affected | What changes | When |
|---|---|---|
| Infants, toddlers, medically complex children; low-income adults and adults with disabilities; diaper banks and local nonprofits | States get added funds to distribute free diapers and adult incontinence supplies; help can be coordinated with programs like TANF, WIC, Medicaid/CHIP, child care, and early intervention; aid doesn’t reduce eligibility for other federal benefits | Funding increase and reporting run 2026–2029; HSA/FSA/HRA coverage for medically necessary diapers and supplies starts after Dec. 31, 2025 . |