; and (ii) meets or exceeds the quality standards for diapers commercially available through retail sale in the following categories: (I) Absorbency (with acceptable rates for first and second wetting). (II) Waterproof outer cover. (III) Flexible leg openings. (IV) Refastening closures. (11) State The term State means the 50 States, the District of Columbia, the Commonwealth of Puerto Rico the United States Virgin Islands, Guam, the Commonwealth of the Northern Mariana Islands, American Samoa, the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau. (i) Limitations on authorization of appropriations To carry out this section, there is authorized to be appropriated $200,000,000 for each of fiscal years 2024 through 2027. (j) Exemption of program from sequestration (1) In general Section 255(h) of the Balanced Budget and Emergency Deficit Control Act of 1985 ( 2 U.S.C. 905(h) ) is amended by inserting after Supplemental Security Income Program (28–0406–0–1–609). the following: Targeted funding for States for diaper assistance, including diapering supplies and adult incontinence materials and supplies. . (2) Applicability The amendment made by this subsection shall apply to any sequestration order issued under the Balanced Budget and Emergency Deficit Control Act of 1985 ( 2 U.S.C. 900 et seq. ) on or after the date of enactment of this Act. 3. Improving access to diapers for medically complex children Section 1915(c) of the Social Security Act ( 42 U.S.C. 1396n(c) ) is amended by adding at the end the following new paragraph: (11) (A) In the case of any waiver under this subsection that provides medical assistance to a medically complex child 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), such medical assistance shall include, for the duration of the waiver, the