The proposed legislation, General Assembly Raised Bill No. 6937, aims to provide Medicaid coverage for medically necessary diapers for children from birth to age three. The bill defines "medical necessity" as a determination made by a licensed physician, physician assistant, or advanced practice registered nurse that the provision of diapers is essential to prevent or alleviate severe health issues such as diaper dermatitis, urinary tract infections, or other skin-related diseases due to inadequate hygiene. Additionally, it encompasses health conditions that may lead to an unusual need to void or delayed toilet training.

To implement this coverage, the Commissioner of Social Services is required to amend the Medicaid state plan accordingly. Furthermore, by September 1, 2026, the commissioner must report to the relevant legislative committee on the number of children eligible for this coverage, the associated costs to the state, and the estimated savings from preventing potential health care conditions through access to Medicaid-covered diapers. The act is set to take effect on July 1, 2025, and introduces new legal language while deleting outdated provisions related to the bill's formatting.