Researcher: SL Page 1 3/18/25
OLR Bill Analysis
HB 6937
AN ACT CONCERNING MEDICAID COVERAGE FOR MEDICALLY
NECESSARY CHILDREN'S DIAPERS.
SUMMARY
This bill requires the Department of Social Services commissioner to
amend the Medicaid state plan to provide Medicaid coverage for
medically necessary diapers for children ages three or younger.
Under the bill, a physician, physician assistant, or advanced practice
registered nurse must determine the diapers are medical necessary to
prevent or treat (1) severe and persistent diaper dermatitis, urinary tract
infection, or other skin disease related to inadequate diaper hygiene or
(2) other health conditions, including developmental, psychiatric, or
neurological conditions that cause an unusual need to void or delayed
developmentally appropriate toileting behavior.
The bill requires the commissioner to report, by September 1, 2026,
the following to the Human Services Committee:
1. the number of children ages three or younger determined to have
a medical necessity for diapers in the prior fiscal year,
2. the cost to the state to provide Medicaid coverage for diapers for
these children, and
3. estimated state Medicaid cost savings for treating potential
health care conditions avoided by providing Medicaid-covered
access to diapers.
EFFECTIVE DATE: July 1, 2025
2025HB-06937-R000114-BA.DOCX
Researcher: SL Page 2 3/18/25
COMMITTEE ACTION
Human Services Committee
Joint Favorable
Yea 19 Nay 3 (03/04/2025)