,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ahae  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bj1 #bjbe ,ms4   
,duckwor? 7= h]self1 ,mr4 ,cram]1 & ,mr4
 ,kelly7 introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to provide t>get$  
fund+ = ,/ates & o!r eligible entities  
?r\gh ! ,social ,s]vices ,block ,grant  
program to address ! increas$ burd5 t   
ma9ta9+ ! heal? & hygi5e ( infants &    
toddl]s1 m$ically complex *ildr51 &     
l[-income adults or adults )            
disabilities :o rely on adult incont95ce
 mat]ials & supplies place 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]s &      
diap]+ supplies1 & = o!r purposes4  #a4 
,%ort title  ,?is ,act may be cit$ z !  
,end ,diap] ,ne$ ,act ( #bjbe4  #b4     
,t>get$ fund+ = diap] assi/ance 7includ+
 diap]+ supplies & adult incont95ce     
mat]ials & supplies7 ?r\gh ! ,social    

,s]vices ,block ,grant ,program  7a7    
,increase 9 fund+ = ,social ,s]vices    
,block ,grant ,program  7#a7  ,9 g5]al  
,! am\nt specifi$ 9 subsection 7c7 (    
section #bjjc ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;b7 = purposes (   
subsections 7a7 & 7b7 ( su* section is  
deem$ to be #a1ijj1jjj1jjj = ea* (      
fiscal ye>s #bjbf ?r\gh #bjbi4 ,ea*     
,/ate %all use ! increase 9 fund+ !     
,/ate receives z a result ( ?is section 
9 accordance ) subsection 7b7 ( ?is     
section4  7#b7  ,appropriation  7,a7  ,9
 g5]al  ,out ( any money 9 ! ,treasury (
 ! ,unit$ ,/ates n o!rwise appropriat$1 
!re is appropriat$ #bjj1jjj1jjj = ea* ( 
fiscal ye>s #bjbf ?r\gh #bjbi1 to c>ry  
out ?is section4  7,b7  ,res]vations    
7i7  ,purposes  ,! ,secret>y %all       
res]ve1 f ! am\nt appropriat$ "u        
subp>agraph 7,a7 to c>ry out ?is        
section--  7,i7 = ea* ( fiscal ye>s     
#bjbf ?r\gh #bjbi1 n m ?an #b p]c5t ( ! 
am\nt appropriat$ = ! fiscal ye> =      
purposes ( ent]+ into an agreem5t ) a   

national entity describ$ 9 subp>agraph  
7,c7 to assi/ 9 provid+ te*nical        
assi/ance & tra9+1 to support effective 
policy1 practice1 rese>*1 & cross-sy/em 
collaboration among grantees &          
subgrantees1 & to assi/ 9 ! adm9i/ration
 ( ! program describ$ 9 ?is section2 &  
7,,ii7 = fiscal ye> #bjbf1 an am\nt1 n  
to exce$ #c1jjj1jjj1 = purposes (       
conduct+ an evaluation "u subsection    
7d74  7ii7  ,no ,/ate entitlem5t to     
res]v$ funds  ,! ,/ate entitlem5t "u    
section #bjjb7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acig;a7a77 %all n  
apply to ! am\nts res]v$ "u clause 7i74 
7,c7  ,national entity describ$  ,a     
national entity describ$ 9 ?is          
subp>agraph is a nonpr(it organization  
describ$ 9 section #eja7;c77#c7 ( !     
,int]nal ,rev5ue ,code ( #aihf & exempt 
f taxation "u section #eja7;a7 ( su*    
,code1 t--  7i7 has exp]i5ce 9 m ?an #a 
,/ate 9 ! area (-- 7,i7 community       
di/ributions ( basic ne$ s]vices1       
includ+ exp]i5ce collect+1 w>eh\s+1 &   

di/ribut+ basic necessities su* z       
diap]s1 food1 or m5/rual products2      
7,,ii7 *ild c>e2  7,,iii7 *ild          
developm5t activities 9 l[-income       
communities2 or  7,,iv7 mo!rhood1       
fa!rhood1 or p>5t education ef=ts s]v+  
l[-income p>5ts ( "y *ildr52  7ii7      
demon/rates compet5cy to implem5t a     
project1 provide fiscal acc\ntability1  
collect data1 & prep>e reports & o!r    
necess>y docum5tation2 &  7iii7         
demon/rates a will+ness to %>e in=mation
 ) rese>*]s1 practition]s1 & o!r int]e/$
 p>ties4  7b7  ,rules gov]n+ use (      
additional funds  7#a7  ,9 g5]al  ,funds
 are us$ 9 accordance ) ?is subsection  
if-- 7,a7 ! ,/ate1 9 consultation )     
relevant /akehold]s1 includ+ ag5cies1   
pr(essional associations1 & nonpr(it    
organizations1 di/ributes ! funds to    
eligible entities to--  7i7 decrease !  
ne$ = diap]s & diap]+ supplies & adult  
incont95ce mat]ials & supplies 9        
l[-income families & meet su* unmet ne$s
 ( infants & toddl]s1 m$ically complex  

*ildr51 & l[-income adults & adults )   
disabilities 9 su* families ?r\gh--     
7,i7 ! di/ribution ( free diap]s &      
diap]+ supplies1 m$ically necess>y      
diap]s1 & adult incont95ce mat]ials &   
supplies2 &  7,,ii7 improv+ access to   
diap]s & diap]+ supplies1 m$ically      
necess>y diap]s1 & adult incont95ce     
mat]ials & supplies2  7ii7 c>ry out     
community outrea* to assi/ 9            
p>ticipation 9 diap] di/ribution        
programs or programs t di/ribute        
m$ically necess>y diap]s or adult       
incont95ce mat]ials & supplies2 &  7iii7
 increase ! ability ( communities &     
l[-income families 9 su* communities to 
provide = ! ne$ = diap]s & diap]+       
supplies1 m$ically necess>y diap]s1 &   
adult cont95ce mat]ials & supplies1 (   
infants & toddl]s1 m$ically complex     
*ildr51 & l[-income adults & adults )   
disabilities2  7,b7 ! funds are us$     
subject to ! limitations 9 section #bjje
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acig;d72 &  7,c7 ! funds are 

us$ to supplem5t1 n supplant1 ,/ate     
g5]al rev5ue funds provid$ = ! purposes 
describ$ 9 subp>agraph 7,a74  7#b7      
,adm9i/rative co/s  ,a ,/ate receiv+    
funds made available "u subsection 7a7  
may use n m ?an #e p]c5t ( ! funds =    
,/ate adm9i/rative co/s1 :i* may include
 co/s ( contract+1 monitor+1 & report+4 
7#c7  ,all[able uses by eligible        
entities  ,an eligible entity receiv+   
funds made available "u subsection 7a7  
%all use ! funds = any ( ! foll[+3  7,a7
 ,to pay = ! pur*ase & di/ribution (    
diap]s & diap]+ supplies1 m$ically      
necess>y diap]s1 & fund+ diap] 7includ+ 
m$ically necess>y diap]s7 di/ribution t 
s]ves l[-income families )--  7i7 #a or 
m *ildr5 #c ye>s ( age or y\ng]2 or     
7ii7 #a or m m$ically complex *ildr54   
7,b7 ,to pay = ! pur*ase & di/ribution (
 adult incont95ce mat]ials & supplies & 
fund+ di/ribution ( ! mat]ials &        
supplies = l[-income families ) #a or m 
l[-income adults1 adults ) disabilities1
 or *ildr5 ) a disability :o h atta9$ #c

 ye>s ( age & h n atta9$ #ai ye>s ( age1
 :o rely on adult incont95ce mat]ials & 
supplies4  7,c7 ,to integrate activities
 c>ri$ out "u subp>agraph 7,a7 ) o!r    
basic ne$s assi/ance programs s]v+      
eligible *ildr5 & _! families1 includ+ !
 foll[+3  7i7 ,programs fund$ by !      
tempor>y assi/ance = ne$y families      
program "u "p ,a ( title ,,iv ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#fja et seq471 includ+ ! ,/ate ma9t5ance
 ( ef=t provisions ( su* program4  7ii7 
,programs design$ to support ! heal? (  
eligible *ildr51 su* z ! ,*ildr5's      
,heal? ,insurance ,program "u title     
,,xxi ( ! ,social ,security ,act1 !     
,m$icaid program "u title ,,xix ( su*   
,act1 or ,/ate fund$ heal? c>e programs4
  7iii7 ,programs fund$ ?r\gh ! special 
supplem5tal nutrition program = wom51   
infants1 & *ildr5 "u section #ag ( !    
,*ild ,nutrition ,act ( #aiff4  7iv7    
,programs t (f] e>ly home visit+        
s]vices1 includ+ ! mat]nal1 infant1 &   
e>ly *ildhood home visit+ program       

7includ+ ! ,tribal home visit+ program7 
"u section #eaa ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #gaa74  7v7         
,programs to provide improv$ & af=dable 
access to *ild c>e1 includ+ programs    
fund$ ?r\gh ! ,*ild ,c>e & ,developm5t  
,fund1 ! tempor>y assi/ance = ne$y      
families program "u "p ,a ( title ,,iv (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #fja et seq471 or a ,/ate-fund$        
program4  7vi7 ,programs fund$ "u "p ,c 
( ! ,individuals ) ,disabilities        
,education ,act 7#bj ,u4,s4,c4 #adca et 
seq474  7#d7  ,availability ( funds     
7,a7  ,funds di/ribut$ to eligible      
entities  ,funds made available "u      
subsection 7a7 t are di/ribut$ to an    
eligible entity by a ,/ate = a fiscal   
ye> may be exp5d$ by ! eligible entity  
only 9 su* fiscal ye> or ! succe$+      
fiscal ye>4  7,b7  ,evaluation  ,funds  
res]v$ "u subsection                    
7a77#b77;,b77i77,,ii7 to c>ry out !     
evaluation "u subsection 7d7 %all be    
available = exp5diture dur+ ! #c-ye>    

p]iod t beg9s on ! date ( enactm5t ( ?is
 ,act4  7#e7  ,no effect on o!r programs
  ,any assi/ance or b5efits receiv$ by a
 family ?r\gh funds made available "u   
subsection 7a7 %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$ programs4  7c7 
,annual reports  ,a ,/ate %all include 9
 ! annual report requir$ "u section     
#bjjf ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acig;e7 cov]+ ea* ( fiscal   
ye>s #bjbf ?r\gh #bjbi1 in=mation       
detail+ h[ eligible entities1 includ+   
subgrantees1 us$ funds made available "u
 subsection 7a7 to di/ribute diap]s &   
diap]+ supplies & adult incont95ce      
mat]ials & supplies to families 9 ne$4  
,ea* su* report %all include ! foll[+3  
7#a7 ,! numb] & age ( infants1 toddl]s1 
m$ically complex *ildr51 & l[-income    
adults & adults ) disabilities :o       
receiv$ assi/ance or b5efits ?r\gh su*  
funds4  7#b7 ,! numb] ( families t h    
receiv$ assi/ance or b5efits ?r\gh su*  

funds4  7#c7 ,! numb] ( diap]s1 m$ically
 necess>y diap]s1 or adult incont95ce   
mat]ials & supplies 7su* z adult diap]s1
 briefs1 protective und]we>1 pull-ons1  
pull-ups1 l9]s1 %ields1 gu>ds1 pads1    
und]g>m5ts71 & ! numb] ( ea* type (     
diap]+ or adult incont95ce supply1      
di/ribut$ ?r\gh ! use ( su* funds4  7#d7
 ,! ,,zip ,code or ,,zip ,codes :]e !   
eligible entity 7or subgrantee7         
di/ribut$ diap]s & diap]+ supplies &    
adult incont95ce mat]ials & supplies4   
7#e7 ,! me?od or me?ods ! eligible      
entity 7or subgrantee7 uses to di/ribute
 diap]s & diap]+ supplies &1 adult      
incont95ce mat]ials & supplies4  7#f7   
,su* o!r in=mation z ! ,secret>y may    
specify4  7d7 ,evaluation ,! ,secret>y1 
9 consultation ) ,/ates1 ! national     
entity describ$ 9 subsection            
7a77#b77;,c71 & eligible entities       
receiv+ funds made available "u ?is     
section1 %all--  7#a7 n lat] ?an #b ye>s
 aft] ! date ( enactm5t ( ?is ,act--    
7,a7 complete an evaluation ( !         

effectiv5ess ( ! assi/ance program c>ri$
 out pursuant to ?is section1 su* z !   
effect ( activities c>ri$ out "u ?is    
,act on mitigat+ ! heal? & developm5tal 
risks ( unmet diap] ne$ among infants1  
toddl]s1 m$ically complex *ildr51 & o!r 
family memb]s 9 l[-income families1     
includ+ ! risks ( diap] d]matitis1 ur9>y
 tract infections1 & p>5tal & *ild      
depression & anxiety2  7,b7 submit to ! 
relevant congressional committees a     
report on ! results ( su* evaluation2 & 
7,c7 publi% ! results ( ! evaluation on 
! int]net website ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices2  7#b7 n lat] ?an #c 
ye>s aft] ! date ( enactm5t ( ?is ,act1 
update ! evaluation requir$ by p>agraph 
7#a77;,a72 &  7#c7 n lat] ?an #abj days 
aft] completion ( ! updat$ evaluation "u
 p>agraph 7#b7--  7,a7 submit to !      
relevant congressional committees a     
report describ+ ! results ( su* updat$  
evaluation2 &  7,b7 publi% ! results (  
su* evaluation on ! int]net website ( ! 
,dep>tm5t ( ,heal? & ,human ,s]vices4   

7e7  ,guidance  ,n lat] ?an #ahj days   
aft] enactm5t ( ?is ,act1 ! ,secret>y   
%all issue guidance reg>d+ h[ !         
provisions ( ?is section %\ld be c>ri$  
out1 includ+ in=mation reg>d+ eligible  
entities1 all[able use ( funds1 &       
report+ requirem5ts4  7f7  ,def9itions  
,9 ?is section3 7#a7 ,adult incont95ce  
mat]ials & supplies ,! t]m adult        
incont95ce mat]ials & supplies means ^? 
supplies t are us$ to assi/ adults or   
adults ) disabilities & includes adult  
diap]s1 briefs1 protective und]we>1     
pull-ons1 pull-ups1 l9]s1 %ields1 gu>ds1
 pads1 und]g>m5ts1 disposable wipes1    
ov]-!-c\nt] adult diap] ra% cream       
products1 int]mitt5t ca!t]ization1      
indwell+ ca!t]s1 condom ca!t]s1 ur9>y   
dra9age bags1 ext]nal collection        
devices1 we>able ur9als1 & p5ile clamps4
  7#b7  ,adults ) disabilities  ,! t]m  
adults ) disabilities means individuals 
:o--  7,a7 h atta9$ #ah ye>s ( age2 &   
7,b7 h a disability 7z su* t]m is def9$1
 ) respect to an individual1 9 section  

#c ( ! ,am]icans ) ,disabilities ,act ( 
#aiij 7#db ,u4,s4,c4 #abajb774  7#c7    
,diap]  ,! t]m diap] means an absorb5t  
g>m5t t-- 7,a7 is wa%able or disposable 
t may be worn by an infant or toddl] :o 
is n toilet-tra9$2 &  7,b7 if           
disposable-- 7i7 does n use any latex or
 common all]g5s2 &  7ii7 meets or exce$s
 ! quality /&>ds = diap]s comm]cially   
available ?r\gh retail sale 9 ! foll[+  
categories3  7,i7 ,absorb5cy 7)         
acceptable rates = fir/ & second wett+74
  7,,ii7 ,wat]pro( out] cov]4  7,,iii7  
,flexible leg op5+s4  7,,iv7 ,refa/5+   
closures4  7#d7 ,diap] bank - ,! t]m    
diap] bank means a nonpr(it organization
 t--  7,a7 is describ$ 9 section        
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf & exempt f taxation "u section  
#eja7;a7 ( su* ,code2  7,b7 is e/abli%$ 
& op]at+ prim>ily = ! purpose ( collect+
 or pur*as+ diap]s & diap]+ supplies2 & 
7,c7 di/ributes diap]s & diap]+ supplies
 ei!r directly or ?r\gh p>tn]%ips =     
ev5tual di/ribution to individuals free 

( *>ge4  7#e7  ,diap]+ supplies  ,! t]m 
diap]+ supplies means items1 includ+    
diap] wipes & diap] cream1 necess>y to  
ensure t--  7,a7 an eligible *ild us+ a 
diap] is prop]ly clean$ & protect$ f    
diap] ra%2 or  7,b7 a m$ically complex  
*ild :o uses a m$ically necess>y diap]  
is prop]ly clean$ & protect$ f diap]    
ra%4  7#f7  ,eligible *ild  ,! t]m      
eligible *ild means a *ild :o-- 7,a7 has
 n atta9$ #d ye>s ( age2 &  7,b7 is a   
memb] ( a l[-income family4  7#g7       
,eligible entities ,! t]m eligible      
entity means 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 diap] bank or o!r
 nonpr(it organization describ$ 9       
section #eja7;c77#c7 ( ! ,int]nal       
,rev5ue ,code ( #aihf & exempt f        
taxation "u section #eja7;a7 ( su* ,code
 t--  7,a7 has at lea/ #a ye> (         
demon/rat$ exp]i5ce 9 ! area (-- 7i7    
community di/ributions ( diap]s & diap]+

 supplies & o!r basic ne$ s]vices1 su* z
 food or m5/rual products2  7ii7 *ild   
c>e2  7iii7 *ild developm5t activities 9
 l[-income communities2 or  7iv7        
mo!rhood1 fa!rhood1 or p>5t education   
ef=ts s]v+ l[-income p>5ts ( "y *ildr52 
7,b7 demon/rates compet5cy to implem5t a
 project1 provide fiscal acc\ntability1 
collect data1 & prep>e reports & o!r    
necess>y docum5tation2 &  7,c7          
demon/rates a will+ness to %>e in=mation
 ) rese>*]s1 practition]s1 & o!r int]e/$
 p>ties4  7#h7  ,f$]al pov]ty l9e  ,!   
t]m ,f$]al pov]ty l9e means ! ,f$]al    
pov]ty l9e z def9$ by ! ,(fice (        
,managem5t & ,budget & revis$ annually 9
 accordance ) section #fgc7b7 ( !       
,omnibus ,budget ,reconciliation ,act ( 
#aiha 7#db ,u4,s4,c4 #iijb7b77          
applicable to a family ( ! size involv$4
  7#i7  ,l[-income  ,! t]m l[-income1 ) 
respect to a family1 means a family ^:  
self-c]tifi$ income is n m ?an #bjj     
p]c5t ( ! ,f$]al pov]ty l9e4  7#aj7     
,m$ically complex *ild  ,! t]m m$ically 

complex *ild means an individual :o has 
atta9$ #c ye>s ( age & = :om a lic5s$   
heal? c>e provid] has provid$ a         
diagnosis ( #a or m significant *ronic  
conditions4  7#aa7  ,m$ically necess>y  
diap]  ,! t]m m$ically necess>y diap]   
means an absorb5t g>m5t t is--  7,a7    
wa%able or disposable2  7,b7 worn by a  
m$ically complex *ild :o has be5        
diagnos$ ) b[el or bladd] incont95ce1 a 
b[el or bladd] condition t causes excess
 ur9e or /ool 7su* z %ort gut syndrome  
or diabetes insipidus71 or a sev]e sk9  
condition t causes sk9 erosions 7su* z  
epid]molysis bullosa7 & ne$s su* g>m5t  
to correct or ameliorate su* condition2 
&  7,c7 if disposable-- 7i7 does n use  
any latex or common all]g5s2 &  7ii7    
meets or exce$s ! quality /&>ds = diap]s
 comm]cially available ?r\gh retail sale
 9 ! foll[+ categories3  7,i7 ,absorb5cy
 7) acceptable rates = fir/ & second    
wett+74  7,,ii7 ,wat]pro( out] cov]4    
7,,iii7 ,flexible leg op5+s4  7,,iv7    
,refa/5+ closures4  7#ab7 ,/ate ,! t]m  

,/ate means ! #ej ,/ates1 ! ,di/rict (  
,columbia1 ! ,commonweal? ( ,pu]to ,rico
 ! ,unit$ ,/ates ,virg9 ,isl&s1 ,guam1 !
 ,commonweal? ( ! ,nor!rn ,m>iana       
,isl&s1 ,am]ican ,samoa1 ! ,republic ( !
 ,m>%all ,isl&s1 ! ,f$]at$ ,/ates (     
,micronesia1 & ! ,republic ( ,palau4    
7g7  ,exemption ( program f seque/ration
  7#a7  ,9 g5]al  ,section #bee7;h7 ( ! 
,balanc$ ,budget & ,em]g5cy ,deficit    
,control ,act ( #aihe 7#b ,u4,s4,c4     
#ije7;h77 is am5d$ by ins]t+ aft]       
,supplem5tal ,security ,income ,program 
7#bh-jdjf-j-a-fji74 ! foll[+3  ,t>get$  
fund+ = ,/ates = diap] assi/ance        
7includ+ diap]+ supplies & adult        
incont95ce mat]ials & supplies7 ?r\gh ! 
,social ,s]vices ,block ,grant ,program4
  4  7#b7  ,applicability  ,! am5dm5t   
made by ?is subsection %all apply to any
 seque/ration ord] issu$ "u ! ,balanc$  
,budget & ,em]g5cy ,deficit ,control    
,act ( #aihe 7#b ,u4,s4,c4 #ijj et seq47
 on or aft] ! date ( enactm5t ( ?is     
,act4  #c4  ,inclusion ( diap]s & diap]+

 supplies z qualifi$ m$ical exp5ses  7a7
  ,heal? sav+s acc\nts  ,section        
#bbc7;d77#b7 ( ! ,int]nal ,rev5ue ,code 
( #aihf is am5d$-- 7#a7 by ins]t+ 1     
m$ically necess>y diap]s1 & diap]+      
supplies aft] m5/rual c>e products 9 !  
la/ s5t5ce ( subp>agraph 7,a72 &  7#b7  
by add+ at ! end ! foll[+ new           
subp>agraph3  7,e7 ,m$ically necess>y   
diap]s & diap]+ supplies ,= purposes (  
?is p>agraph--  7i7  ,m$ically necess>y 
diap]s  ,! t]m m$ically necess>y diap]  
means an absorb5t g>m5t :i* is wa%able  
or disposable & :i* is worn by an       
individual :o has atta9$ #c ye>s ( age  
because ( m$ical necessity1 su* z       
someone :o has be5 diagnos$ ) b[el or   
bladd] incont95ce1 a b[el or bladd]     
condition t causes excess ur9e or /ool  
7su* z %ort gut syndrome or diabetes    
insipidus71 or a sev]e sk9 condition t  
causes sk9 erosions 7su* z epid]molysis 
bullosa7 & ne$s su* g>m5t to correct or 
ameliorate su* condition1 to s]ve a     
prev5tative m$ical purpose1 or to       

correct or ameliorate defects or        
physical or m5tal illnesses or          
conditions diagnos$ by a lic5s$ heal?   
c>e provid]1 &1 if disposable--  7,i7   
does n use any latex or common all]g5s2 
&  7,,ii7 meets or exce$s ! quality     
/&>ds = diap]s comm]cially available    
?r\gh retail sale 9 ! foll[+ categories3
  7aa7 ,absorb5cy 7) acceptable rates = 
fir/ & second wett+74  7bb7 ,wat]pro(   
out] cov]4  7cc7 ,flexible leg op5+s4   
7dd7 ,refa/5+ closures4  7ii7 ,diap]+   
supplies ,! t]m diap]+ supplies means   
items1 includ+ diap] wipes & diap]      
creams1 necess>y to ensure t an         
individual we>+ m$ically necess>y diap]s
 is prop]ly clean$ & protect$ f diap]   
ra%4  4  7b7  ,ar*] ,m,s,as  ,! la/     
s5t5ce ( section #bbj7;d77#b77;,a7 ( su*
 ,code is am5d$ by ins]t+ 1 m$ically    
necess>y diap]s 7z def9$ 9 section      
#bbc7;d77#b77;,e771 & diap]+ supplies 7z
 def9$ 9 section #bbc7;d77#b77;,e77 aft]
 m5/rual c>e products 7z def9$ 9 section
 #bbc7;d77#b77;,d774  7c7  ,heal?       

flexible sp5d+ arrangem5ts & heal?      
reimbursem5t arrangem5ts  ,section      
#ajf7;f7 ( su* ,code is am5d$-- 7#a7 by 
ins]t+ 1 m$ically necess>y diap]s 7z    
def9$ 9 section #bbc7;d77#b77;,e771 &   
diap]+ supplies 7z def9$ 9 section      
#bbc7;d77#b77;,e77 aft] m5/rual c>e     
products 7z def9$ 9 section             
#bbc7;d77#b77;,d772 &  7#b7 9 ! head+1  
by ins]t+ 1 m$ically necess>y diap]s1 & 
diap]+ supplies aft] m5/rual c>e        
products4  7d7  ,effective dates  7#a7  
,di/ributions f c]ta9 acc\nts  ,!       
am5dm5ts made by subsections 7a7 & 7b7  
%all apply to am\nts paid aft] ,decemb] 
#ca1 #bjbe4  7#b7  ,reimbursem5ts  ,!   
am5dm5t made by subsection 7c7 %all     
apply to exp5ses incurr$ aft] ,decemb]  
#ca1 #bjbe4