Summary#
The End Diaper Need Act of 2025 would provide targeted funding through the Social Services Block Grant (SSBG) program so States and eligible groups can buy and distribute diapers, diapering supplies, medically necessary diapers, and adult incontinence materials. The bill sets program rules, reporting, and an evaluation schedule. It also adds medically necessary diapers and diapering supplies to the list of qualified medical expenses that can be paid or reimbursed from Health Savings Accounts (HSAs), Archer MSAs, and health flexible spending or reimbursement accounts.
What it means for you#
- States must use the added SSBG funds to give or make available diapers and related supplies to low-income families with children under 4, medically complex children, and low-income adults or adults with disabilities who rely on incontinence products. Eligible recipients include State and local governments, Indian tribes, diaper banks, and qualified nonprofits.
- Funds can also be used for community outreach, improving access, and integrating diaper assistance with other programs (for example, SNAP, Medicaid/CHIP, WIC, home visiting, and child care programs).
- Families who receive diapers or supplies through this program will have that assistance disregarded when checking eligibility or benefit amounts for other Federal needs-based programs.
- Starting for expenses after December 31, 2025, medically necessary diapers and diapering supplies are eligible expenses for HSAs, Archer MSAs, and health FSAs/HRAs for people who meet the bill's medical definitions (including medically necessary diapers for individuals age 3 and older with diagnosed medical needs).
Expenses#
- The bill treats the SSBG annual amount as $1,900,000,000 for each fiscal year 2026–2029.
- It appropriates $200,000,000 from the Treasury for each fiscal year 2026–2029 to carry out the diaper assistance provisions.
- Up to 2 percent of each year’s appropriation may be reserved to fund a national nonprofit to provide technical assistance and support. For fiscal year 2026, up to $3,000,000 may be reserved to fund an evaluation.
- States may use up to 5 percent of funds they receive for State administrative costs.
- The bill also exempts the program from sequestration rules as specified in the Balanced Budget and Emergency Deficit Control Act.
Proponents' View#
According to the bill text and sponsors' findings, supporters say the funding would reduce the burden on families who must maintain infant and toddler hygiene and care for medically complex children or adults who need incontinence supplies. They say the program would reduce health risks tied to unmet diaper needs, support access to child care for children who lack diapers, and strengthen links between diaper assistance and other basic needs and child health programs.
Opponents' View#
No publicly available information.