The End Diaper Need Act of 2023 would provide 200 million dollars per year from 2024 through 2027 to help low-income families afford diapers and incontinence supplies through existing state social services programs. States would distribute these funds to local organizations and nonprofits that could purchase and give away diapers, diapering supplies, and adult incontinence materials to families earning up to 200 percent of the federal poverty line, including those with infants, toddlers, medically complex children, and adults with disabilities. States could spend up to 5 percent of the funding on administrative costs and would need to report annually on how many people received assistance and what supplies were distributed. The bill also allows medically necessary diapers and related supplies to be purchased with health savings accounts and similar tax-advantaged medical accounts starting in 2025, and requires Medicaid programs to cover at least 200 medically necessary diapers per month for eligible children with chronic conditions.