,,ii  #aad? ,,congress  #b;d ,session   
,s4 #cjgj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #af1 #bjaf,mr4   
,frank5 7= himself & ,mr4 ,casey7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to address ! increas$ burd5
 t ma9ta9+ ! heal? & hygi5e ( infants & 
toddl]s places on families 9 ne$1 !     
resultant adv]se heal? effects on *ildr5
 & families1 & ! limit$ *ild c>e options
 available = infants & toddl]s :o lack  
suffici5t diap]s4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,hygi5e ,assi/ance 
= ,families ( ,infants & ,toddl]s ,act (
 #bjaf4  #b4 ,improv+ opportunity diap] 
di/ribution demon/ration project ,"p ,p 
( title ,,iii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is 
am5d$ by add+ at ! end ! foll[+3        
#cii,v-#f4 ,diap] di/ribution           
demon/ration project  7a7 ,9 g5]al ,!   
,secret>y %all make grants to eligible  

entities to conduct demon/ration        
projects t implem5t & evaluate /rategies
 to help families ) eligible *ildr5     
address ! diap]+ supply ne$s ( su*      
*ildr54  7b7 ,purpose ,! purpose ( !    
diap] di/ribution demon/ration project  
"u ?is section is to id5tify new        
approa*es to r$uce ! sub/antial co/ (   
diap]s & relat$ supplies = l[income     
families & mitigate ! heal? risks1      
includ+ increas$ rates ( depression &   
anxiety1 t c arise :5 l[income families 
d n h an adequate supply ( diap]s =     
infants & toddl]s4  7c7 ,application    
requirem5ts ,an entity desir+ a grant "u
 ?is section %all submit to ! ,secret>y 
an application t includes ! foll[+3     
7#a7 ,a description ( h[ ! entity w use 
! grant funds 9 a co/-effective mann] to
 develop a diap] di/ribution program t w
 provide suffici5t diap]s & diap]+      
supplies to ea* p>ticipat+ family1 & !  
me*anisms ! entity has 9 place to ensure
 ! safety & appropriat5ess ( ! diap]s & 
diap]+ supplies provid$ to families4    

7#b7 ,a description ( h[ ! entity w     
coord9ate ) o!r ,/ate1 ,f$]al1 &        
community-bas$ programs & ag5cies       
7p>ticul>ly o!r programs & ag5cies      
t>get$ at assi/+ infants1 toddl]s1 or ! 
p>5ts or gu>dians ( infants or toddl]s7 
t provide b5efits & s]vices to families 
p>ticipat+ 9 ! diap] di/ribution        
program1 to integrate ! di/ribution (   
diap]s & diap]+ supplies ) ! deliv]y (  
su* o!r b5efits & s]vices4  7#c7 ,a     
description ( h[ ! entity w provide = ! 
deliv]y ( b5efits "u ! diap] di/ribution
 program1 :i* may include--  7,a7 ca%   
assi/ance to be us$ to pur*ase diap]s & 
diap]+ supplies2  7,b7 v\*]s1 c\pons1   
electronic b5efit transf] sy/ems1 or any
 o!r non-ca% me?od to be us$ to pur*ase 
diap]s & diap]+ supplies1 except t !    
entity may n require a /ore to cov] !   
co/ ( any equipm5t1 sy/em1 or process+  
requir$ = any su* me?od z a condition ( 
p>ticipation 9 ! program2  7,c7         
assi/ance 9 di/ribut+ diap]s & diap]+   
supplies f any programs or ag5cies !    

entity consid]s appropriate2  7,d7 !    
di/ribution ( diap]s & diap]+ supplies  
at diap] banks or ?r\gh o!r nonpr(it    
organizations describ$ 9 section        
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf & exempt f taxation "u section  
#eja7;a7 ( su* ,code1 includ+ ?r\gh !   
assi/ance ( o!r ,/ate or ,f$]al ag5cies 
t p>tn] ) su* organizations to assi/ )  
diap] & diap]+ supply di/ribution2 &    
7,e7 ! di/ribution ( diap]s & diap]+    
supplies at any o!r location or ?r\gh   
any o!r means t w all[ ! entity to      
deliv] diap]s & diap]+ supplies to      
p>ticipat+ families )\t undue           
inconv5i5ce4  7d7 ,eligible entities ,to
 be eligible to receive a grant "u ?is  
section1 an entity %all be a ,/ate or   
local gov]nm5tal entity1 an ,indian     
tribe or tribal organization 7z def9$ 9 
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act71 or a nonpr(it         
organization4  7e7 ,use ( funds ,an     
entity to :i* a grant is made "u ?is    

section %all use ! grant funds to c>ry  
out a diap] di/ribution program 9       
accordance ) ! grant application        
submitt$ "u subsection 7c7 & approv$ by 
! ,secret>y4  7f7 ,no effect on o!r     
programs ,any assi/ance or b5efits      
provid$ to a family pursuant to a grant 
made to a ,/ate "u ?is section %all be  
disreg>d$ = purposes ( det]m9+ !        
family's eligibility =1 or am\nt (1     
b5efits "u any o!r ,f$]al ne$s-bas$     
program or ,/ate-fund$ ne$s bas$ program
 t is f9anc$ 9 :ole or 9 "p ) ,f$]al    
funds4  7g7 ,reports ,z a condition (   
receiv+ a grant "u ?is section = a      
fiscal ye>1 ! entity %all submit to !   
,secret>y1 n lat] ?an #f mon?s aft] !   
end ( ! fiscal ye>1 a report t          
specifies--  7#a7 ! numb] ( *ildr5 & !  
numb] ( families receiv+ assi/ance f !  
entity "u ! diap] assi/ance program =   
ea* mon? ( ! fiscal ye>1 & ! numb] ( su*
 *ildr5 & families :o also receive      
assi/ance dur+ ! fiscal ye> "u o!r      
relevant public assi/ance programs1 z   

det]m9$ by ! ,secret>y2  7#b7 ! numb] ( 
diap]s1 & ! numb] ( ea* type ( diap]+   
supply di/ribut$ "u ! diap] di/ribution 
program = ea* mon? ( ! fiscal ye>2 &    
7#c7 ! me?od or me?ods ! entity uses to 
di/ribute diap]s & diap]+ supplies4  7h7
 ,evaluation ,! ,secret>y1 9            
consultation ) ea* entity t receives a  
grant "u ?is section1 %all--  7#a7 n    
lat] ?an ,septemb] #cj1 #bjah-- 7,a7    
complete an evaluation ( ! effectiv5ess 
( ! diap] di/ribution programs c>ri$ out
 pursuant to ?is section & ( v>y+       
approa*es = di/ribut+ diap]s & diap]+   
supplies us$ 9 su* programs2  7,b7      
submit to ! relevant congressional      
committees a report on ! results ( su*  
evaluation2 &  7,c7 publi% ! results ( !
 evaluation on ! ,int]net website ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices2 & 
7#b7 7,a7 n lat] ?an ,septemb] #cj1     
#bjbb1 update ! evaluation describ$ 9   
p>agraph 7#a77;,a72 &  7,b7 n lat] ?an  
#ij days aft] completion ( ! updat$     
evaluation "u subp>agraph 7,b7--  7i7   

submit to ! relevant congressional      
committees a report describ+ ! results (
 su* evaluation2 &  7ii7 update !       
website describ$ 9 p>agraph 7#a77;,c7 to
 include ! results ( su* evaluation4    
7i7 ,def9itions ,9 ?is section3  7#a7 ,!
 t]m diap] means an absorb5t g>m5t t is 
wa%able or disposable t is worn by a    
*ild :o _c control bladd] or b[el       
movem5ts1 &1 9 ! case ( a wa%able diap]1
 provid$ toge!r ) ! support necess>y1   
su* z wa%+ in/ruction & tr\ble%oot+1 to 
ensure t su* diap]s w be prop]ly clean$ 
& available = reuse4  7#b7 ,! t]m diap]+
 supplies means items1 includ+ diap]    
wipes & diap] cream1 necess>y to ensure 
t a *ild us+ a diap] is prop]ly clean$ &
 protect$ f diap] ra%1 & t ! surr\nd+   
population is protect$ f h>mful bact]ia 
orig9at+ f dirty diap]s4  7#c7 ,! t]m   
eligible *ild means a *ild :o-- 7,a7 is 
n toilet-tra9$2  7,b7 has n atta9$ #d   
ye>s ( age1 unless ! entity det]m9es t !
 *ild has a sub/antial physical or m5tal
 impairm5t t requires ! *ild to we>     

diap]s2 &  7,c7 is a memb] ( a family ^:
 income is n m ?an #acj p]c5t ( ! pov]ty
 l9e 7z def9$ by ! ,(fice ( ,managem5t &
 ,budget1 & revis$ annually 9 accordance
 ) section #fgc7b7 ( ! ,omnibus ,budget 
,reconciliation ,act ( #aiha7 applicable
 to a family ( ! size involv$4  7#d7 ,! 
t]m p>ticipat+ family means a family t  
includes an eligible *ild p>ticipat+ 9 a
 diap] di/ribution program c>ri$ out    
pursuant to ?is section4  7#e7 ,! t]m   
toilet-tra9$ means able & will+ to use a
 toilet consi/5tly su* t diap]s are n   
necess>y on a daily basis4  7j7         
,au?orization ( appropriations  7#a7 ,9 
g5]al ,to c>ry out ?is section1 !re are 
au?oriz$ to be appropriat$ = ea* (      
fiscal ye>s #bjag ?r\gh #bjba           
#ge1jjj1jjj4  7#b7 ,availability ( funds
 ,funds provid$ to an entity "u ?is     
section = a fiscal ye> may be exp5d$    
only 9 ! fiscal ye> or ! succe$+ fiscal 
ye>4  4