US SB1815

Increases Social Services Block Grant funding to $1.9 billion annually for fiscal years 2026-2029, with $200 million per year appropriated specifically for diaper assistance programs targeting low-income families with infants, toddlers, medically complex children, and adults with disabilities who require incontinence supplies

States must distribute funds to eligible entities (government agencies, tribal organizations, diaper banks, and qualifying nonprofits) to provide free diapers, diapering supplies, medically necessary diapers, and adult incontinence materials to families with income at or below 200% of the federal poverty line

Reserves up to 2% of annual appropriations for a national technical assistance entity and up to $3 million for program evaluation, with reports to Congress required within 2-3 years of enactment

Adds medically necessary diapers and diapering supplies as qualified medical expenses for Health Savings Accounts (HSAs), Archer MSAs, health flexible spending arrangements, and health reimbursement arrangements, effective for expenses incurred after December 31, 2025

Exempts the diaper assistance program from budget sequestration and requires that funds supplement rather than replace existing state funding, with assistance not counted against eligibility for other federal needs-based programs