,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #aadc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #af1         
#bjag,mr4 ,ellison 7= himself1 ,ms4     
,de,lauro1 ,mr4 ,cony]s1 ,mr4 ,nadl]1   
,ms4 ,norton1 & ,ms4 ,mi*elle ,lujan    
,gri%am ( ,new ,mexico7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,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 (
 #bjag4  #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-#g4 ,diap] di/ribution           

demon/ration project  7a7 ,9 g5]al ,!   
,secret>y1 act+ ?r\gh ! ,adm9i/ration = 
,*ildr5 & ,families1 %all make grants to
 eligible entities to conduct           
demon/ration projects t implem5t &      
evaluate /rategies to help families )   
eligible *ildr5 to address ! diap]+ ne$s
 ( su* *ildr54  7b7 ,use ( ,funds       
,am\nts provid$ ?r\gh a grant "u ?is    
section %all be us$ to-- 7#a7 fund diap]
 di/ribution demon/ration projects t w  
r$uce ! sub/antial co/ ( diap]s & diap]+
 supplies by mak+ diap]s & diap]+       
supplies available to l[-income         
families2  7#b7 evaluate ! effects ( su*
 demon/ration projects on mitigat+ heal?
 risks1 includ+ diap] d]matitis1 ur9>y  
tract infections1 & increas$ rates (    
p>5tal & *ild depression & anxiety1 t c 
arise :5 l[-income families d n h an    
adequate supply ( diap]s = infants &    
toddl]s2 &  7#c7 integrate ! diap]      
di/ribution demon/ration projects ) o!r 
assi/ance programs s]v+ families )      
eligible *ildr54  7c7 ,application ,an  

entity desir+ a grant "u ?is section    
%all submit to ! ,secret>y an           
application t includes su* in=mation z !
 ,secret>y may require to ensure a      
likelihood ( success 9 a*iev+ ! purposes
 ( ! grant li/$ 9 subsection 7b74  7d7  
,eligible entities ,to be eligible to   
receive a grant "u ?is section1 an      
entity %all be-- 7#a7 a ,/ate or local  
gov]nm5tal entity2  7#b7 an ,indian     
tribe or tribal organization 7z def9$ 9 
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act72 or  7#c7 a nonpr(it   
organization z describ$ 9 section       
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf & exempt f taxation "u section  
#eja7;a7 ( su* ,code4  7e7 ,no effect on
 o!r programs ,any assi/ance or b5efits 
provid$ to a family pursuant to a grant 
"u ?is section %all be disreg>d$ =      
purposes ( det]m9+ ! family's           
eligibility =1 or am\nt (1 b5efits "u-- 
7#a7 any o!r ,f$]al ne$s-bas$ program2  
or  7#b7 9 ! case ( a grant "u ?is      

section to a ,/ate1 any ,/ate-fund$1    
ne$s-bas$ program t is f9anc$ 9 :ole or 
9 "p ) ,f$]al funds4  7f7 ,reports ,z a 
condition ( receiv+ a grant "u ?is      
section = a fiscal ye>1 an entity %all  
submit to ! ,secret>y1 n lat] ?an #f    
mon?s aft] ! end ( ! fiscal ye>1 a      
report t specifies--  7#a7 ! numb] (    
*ildr5 & ! numb] ( families receiv+     
assi/ance "u ! diap] di/ribution        
demon/ration projects fund$ ?r\gh su*   
grant = ea* mon? ( ! fiscal ye>2  7#b7 !
 numb] ( diap]s1 & ! numb] ( ea* type ( 
diap]+ supply di/ribut$ ?r\gh su*       
projects = ea* mon? ( ! fiscal ye>2     
7#c7 ! me?od or me?ods ! entity uses to 
di/ribute diap]s & diap]+ supplies ?r\gh
 su* projects2 &  7#d7 su* o!r in=mation
 z ! ,secret>y may require4  7g7        
,evaluation ,! ,secret>y1 9 consultation
 ) ea* entity t receives a grant "u ?is 
section1 %all--  7#a7 n lat] ?an        
,septemb] #cj1 #bjai-- 7,a7 complete an 
evaluation ( ! effectiv5ess ( ! diap]   
di/ribution demon/ration projects c>ri$ 

out pursuant to ?is section2  7,b7      
submit to ! relevant congressional      
committees a report on ! results ( su*  
evaluation2 &  7,c7 publi% ! results ( !
 evaluation on ! ,int]net ,web site ( ! 
,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 ! ,web  
site describ$ 9 p>agraph 7#a77;,c7 to   
include ! results ( su* evaluation4  7h7
 ,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 is n toilet-tra9$4  7#b7 ,! t]m 
diap]+ supplies means items1 includ+    
diap] wipes & diap] cream1 necess>y to  
ensure t a *ild us+ a diap] is prop]ly  
clean$ & protect$ f diap] ra%4  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$4  7#d7 ,! t]m toilet-tra9$ means
 able & will+ to use a toilet consi/5tly
 su* t diap]s are n necess>y on a daily 
basis4  7i7 ,au?orization (             
appropriations  7#a7 ,9 g5]al ,to c>ry  
out ?is section1 !re is au?oriz$ to be  
appropriat$ = ea* ( fiscal ye>s #bjah   
?r\gh #bjbb1 #be1jjj1jjj4  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