End Diaper Need Act of 2023

Where This Stands

Introduced

Committee

Floor Vote

Passed

Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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The Frame

What this does

If passed, this bill would authorize $200 million annually from 2024 through 2027 to subsidize essential hygiene supplies for low-income households and individuals with medical needs, while changing tax rules to allow the use of Health Savings Accounts (HSAs) for these purchases starting in 2025.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Low-income families

Families with income up to 200% of the federal poverty line may receive free diapers and incontinence supplies through state-distributed grants.

Medically complex children

Children diagnosed with significant chronic conditions may receive coverage for 200 medically necessary diapers per month through Medicaid waivers.

Nonprofit organizations

501(c)(3) organizations with experience in basic needs distribution may serve as eligible entities to receive and distribute grant funds.

States

States are responsible for distributing grant funds, monitoring subgrantees, and reporting program data to the federal government.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Summary

This bill creates a federal grant program to provide free diapers and incontinence supplies to low-income families, medically complex children, and adults with disabilities. It also mandates that s cover medically necessary diapers for certain children and allows families to use tax-advantaged health accounts to pay for these supplies.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Who is eligible for the diaper assistance program?

Eligible entities (states, tribes, or nonprofits) will distribute funds to low-income families with children age 3 or younger, medically complex children, or low-income adults and adults with disabilities who require incontinence supplies.

Can I use my HSA to buy diapers?

Under this bill, starting January 1, 2025, you would be able to use funds from an HSA, Archer MSA, or health flexible spending arrangement to purchase medically necessary diapers and supplies.

What counts as a 'medically necessary diaper'?

The bill defines these as absorbent garments for individuals age 3 or older with specific medical conditions like bowel/bladder incontinence or severe skin conditions, which meet specific quality standards for absorbency and fit.

Why It Matters

If passed, this bill would authorize $200 million annually from 2024 through 2027 to subsidize essential hygiene supplies for low-income households and individuals with medical needs, while changing tax rules to allow the use of Health Savings Accounts (HSAs) for these purchases starting in 2025.

News Coverage

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Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Expansion of HSA eligibility

The bill explicitly adds 'medically necessary diapers' to the list of qualified medical expenses for tax-advantaged accounts, a notable expansion of what is considered a reimbursable medical cost.

Internal Revenue Code of 1986

Connected Entities

organizationSecretary“The Secretary of the relevant department (likely HHS) will oversee the grant pro”Map →

organizationEnergy and Commerce Committee“Committee responsible for reviewing the bill”Map →

personLee, Ms.“Representative who introduced the bill”Map →

organizationWays and Means Committee“Committee responsible for reviewing the bill”Map →

bill_numberInternal Revenue Code of 1986“The legal code governing nonprofit organizations”Map →

Analysis Score

0–100

Significance85
How much this matters to a regular citizen
Controversy40
Intensity of disagreement among stakeholders
Entertainment5
Compellingness for a non-policy-wonk reader
Buzz30
Current news / social attention level