Sec. 4. Inclusion of diapers and diapering supplies as qualified medical expenses

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Section 223(d)(2) of the Internal Revenue Code of 1986 is amended— by inserting , medically necessary diapers, and diapering supplies after menstrual care products in the last sentence of subparagraph (A); and by adding at the end the following new subparagraph: For purposes of this paragraph— The term medically necessary diaper means an absorbent garment which is washable or disposable and which is worn by an individual who has attained 3 years of age because of medical necessity, such as someone who has been diagnosed with bowel or bladder incontinence, a bowel or bladder condition that causes excess urine or stool (such as short gut syndrome or diabetes insipidus), or a severe skin condition that causes skin erosions (such as epidermolysis bullosa) and needs such garment to correct or ameliorate such condition, to serve a preventative medical purpose, or to correct or ameliorate defects or physical or mental illnesses or conditions diagnosed by a licensed health care provider, and, if disposable— does not use any latex or common allergens; and meets or exceeds the quality standards for diapers commercially available through retail sale in the following categories:

Absorbency (with acceptable rates for first and second wetting). Waterproof outer cover. Flexible leg openings. Refastening closures. The term diapering supplies means items, including diaper wipes and diaper creams, necessary to ensure that an individual wearing medically necessary diapers is properly cleaned and protected from diaper rash. . The last sentence of section 220(d)(2)(A) of such Code is amended by inserting , medically necessary diapers (as defined in section 223(d)(2)(E)), and diapering supplies (as defined in section 223(d)(2)(E)) after menstrual care products (as defined in section 223(d)(2)(D)) .

Section 106(f) of such Code is amended— by inserting , medically necessary diapers (as defined in section 223(d)(2)(E)), and diapering supplies (as defined in section 223(d)(2)(E)) after menstrual care products (as defined in section 223(d)(2)(D)) ; and in the heading, by inserting after , medically necessary diapers, and diapering supplies . menstrual care products The amendments made by subsections

(a)and

(b)shall apply to amounts paid after December 31, 2022. The amendment made by subsection

(c)shall apply to expenses incurred after December 31, 2022.