The End Diaper Need Act of 2023 authorizes $200 million per year through 2027 to help low-income families afford diapers and incontinence supplies for infants, toddlers, medically complex children, and adults with disabilities. States would distribute grant funding to eligible entities like nonprofits and local governments to purchase and distribute diapers, diapering supplies, and adult incontinence materials, with states permitted to use up to five percent of funds for administrative costs. The bill also expands access to medically necessary diapers through Medicaid waivers, requiring at least 200 diapers per month for qualifying medically complex children, and allows medically necessary diapers and diapering supplies to be purchased tax-free through health savings accounts and other tax-advantaged health accounts starting in 2025. States must report annually on how many individuals and families received assistance, the types and quantities of supplies distributed, and distribution methods, while the federal government will evaluate the program's effectiveness in reducing health risks like diaper rash and infections within two years of the law's enactment.
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