,,ii  #aadth ,,congress  #b;d ,session  
,s4 #cjgj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #af1     
#bjaf,mr4 ,franken 7for himself and ,mr4
 ,casey7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to address the increased burden that    
maintaining the health and hygiene of   
infants and toddlers places on families 
in need1 the resultant adverse health   
effects on children and families1 and   
the limited child care options available
 for infants and toddlers who lack      
sufficient diapers4  #a4 ,short title   
,this ,act may be cited as the ,hygiene 
,assistance for ,families of ,infants   
and ,toddlers ,act of #bjaf4  #b4       
,improving opportunity diaper           
distribution demonstration project ,part
 ,p of title ,,iii of the ,public       
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;g et seq47 is amended by adding at 

the end the following3  #cii,v-#f4      
,diaper distribution demonstration      
project  7a7 ,in general ,the ,secretary
 shall make grants to eligible entities 
to conduct demonstration projects that  
implement and evaluate strategies to    
help families with eligible children    
address the diapering supply needs of   
such children4  7b7 ,purpose ,the       
purpose of the diaper distribution      
demonstration project under this section
 is to identify new approaches to reduce
 the substantial cost of diapers and    
related supplies for lowincome families 
and mitigate the health risks1 including
 increased rates of depression and      
anxiety1 that can arise when lowincome  
families do not have an adequate supply 
of diapers for infants and toddlers4    
7c7 ,application requirements ,an entity
 desiring a grant under this section    
shall submit to the ,secretary an       
application that includes the following3
  7#a7 ,a description of how the entity 
will use the grant funds in a           

cost-effective manner to develop a      
diaper distribution program that will   
provide sufficient diapers and diapering
 supplies to each participating family1 
and the mechanisms the entity has in    
place to ensure the safety and          
appropriateness of the diapers and      
diapering supplies provided to families4
  7#b7 ,a description of how the entity 
will coordinate with other ,state1      
,federal1 and community-based programs  
and agencies 7particularly other        
programs and agencies targeted at       
assisting infants1 toddlers1 or the     
parents or guardians of infants or      
toddlers7 that provide benefits and     
services to families participating in   
the diaper distribution program1 to     
integrate the distribution of diapers   
and diapering supplies with the delivery
 of such other benefits and services4   
7#c7 ,a description of how the entity   
will provide for the delivery of        
benefits under the diaper distribution  
program1 which may include--  7,a7 cash 

assistance to be used to purchase       
diapers and diapering supplies2  7,b7   
vouchers1 coupons1 electronic benefit   
transfer systems1 or any other non-cash 
method to be used to purchase diapers   
and diapering supplies1 except that the 
entity may not require a store to cover 
the cost of any equipment1 system1 or   
processing required for any such method 
as a condition of participation in the  
program2  7,c7 assistance in            
distributing diapers and diapering      
supplies from any programs or agencies  
the entity considers appropriate2  7,d7 
the distribution of diapers and         
diapering supplies at diaper banks or   
through other nonprofit organizations   
described in section #eja7;c77#c7 of the
 ,internal ,revenue ,code of #aihf and  
exempt from taxation under section      
#eja7;a7 of such ,code1 including       
through the assistance of other ,state  
or ,federal agencies that partner with  
such organizations to assist with diaper
 and diapering supply distribution2 and 

7,e7 the distribution of diapers and    
diapering supplies at any other location
 or through any other means that will   
allow the entity to deliver diapers and 
diapering supplies to participating     
families without undue inconvenience4   
7d7 ,eligible entities ,to be eligible  
to receive a grant under this section1  
an entity shall be a ,state or local    
governmental entity1 an ,indian tribe or
 tribal organization 7as defined in     
section #d of the ,indian               
,self-,determination and ,education     
,assistance ,act71 or a nonprofit       
organization4  7e7 ,use of funds ,an    
entity to which a grant is made under   
this section shall use the grant funds  
to carry out a diaper distribution      
program in accordance with the grant    
application submitted under subsection  
7c7 and approved by the ,secretary4  7f7
 ,no effect on other programs ,any      
assistance or benefits provided to a    
family pursuant to a grant made to a    
,state under this section shall be      

disregarded for purposes of determining 
the family's eligibility for1 or amount 
of1 benefits under any other ,federal   
needs-based program or ,state-funded    
needs based program that is financed in 
whole or in part with ,federal funds4   
7g7 ,reports ,as a condition of         
receiving a grant under this section for
 a fiscal year1 the entity shall submit 
to the ,secretary1 not later than #f    
months after the end of the fiscal year1
 a report that specifies--  7#a7 the    
number of children and the number of    
families receiving assistance from the  
entity under the diaper assistance      
program for each month of the fiscal    
year1 and the number of such children   
and families who also receive assistance
 during the fiscal year under other     
relevant public assistance programs1 as 
determined by the ,secretary2  7#b7 the 
number of diapers1 and the number of    
each type of diapering supply           
distributed under the diaper            
distribution program for each month of  

the fiscal year2 and  7#c7 the method or
 methods the entity uses to distribute  
diapers and diapering supplies4  7h7    
,evaluation ,the ,secretary1 in         
consultation with each entity that      
receives a grant under this section1    
shall--  7#a7 not later than ,september 
#cj1 #bjah-- 7,a7 complete an evaluation
 of the effectiveness of the diaper     
distribution programs carried out       
pursuant to this section and of varying 
approaches for distributing diapers and 
diapering supplies used in such         
programs2  7,b7 submit to the relevant  
congressional committees a report on the
 results of such evaluation2 and  7,c7  
publish the results of the evaluation on
 the ,internet website of the           
,department of ,health and ,human       
,services2 and  7#b7 7,a7 not later than
 ,september #cj1 #bjbb1 update the      
evaluation described in paragraph       
7#a77;,a72 and  7,b7 not later than #ij 
days after completion of the updated    
evaluation under subparagraph 7,b7--    

7i7 submit to the relevant congressional
 committees a report describing the     
results of such evaluation2 and  7ii7   
update the website described in         
paragraph 7#a77;,c7 to include the      
results of such evaluation4  7i7        
,definitions ,in this section3  7#a7    
,the term diaper means an absorbent     
garment that is washable or disposable  
that is worn by a child who cannot      
control bladder or bowel movements1 and1
 in the case of a washable diaper1      
provided together with the support      
necessary1 such as washing instruction  
and troubleshooting1 to ensure that such
 diapers will be properly cleaned and   
available for reuse4  7#b7 ,the term    
diapering supplies means items1         
including diaper wipes and diaper cream1
 necessary to ensure that a child using 
a diaper is properly cleaned and        
protected from diaper rash1 and that the
 surrounding population is protected    
from harmful bacteria originating from  
dirty diapers4  7#c7 ,the term eligible 

child means a child who-- 7,a7 is not   
toilet-trained2  7,b7 has not attained  
#d years of age1 unless the entity      
determines that the child has a         
substantial physical or mental          
impairment that requires the child to   
wear diapers2 and  7,c7 is a member of a
 family whose income is not more than   
#acj percent of the poverty line 7as    
defined by the ,office of ,management   
and ,budget1 and revised annually in    
accordance with section #fgc7b7 of the  
,omnibus ,budget ,reconciliation ,act of
 #aiha7 applicable to a family of the   
size involved4  7#d7 ,the term          
participating family means a family that
 includes an eligible child             
participating in a diaper distribution  
program carried out pursuant to this    
section4  7#e7 ,the term toilet-trained 
means able and willing to use a toilet  
consistently such that diapers are not  
necessary on a daily basis4  7j7        
,authorization of appropriations  7#a7  
,in general ,to carry out this section1 

there are authorized to be appropriated 
for each of fiscal years #bjag through  
#bjba #ge1jjj1jjj4  7#b7 ,availability  
of funds ,funds provided to an entity   
under this section for a fiscal year may
 be expended only in the fiscal year or 
the succeeding fiscal year4  4