This bill mandates the Secretary of Health and Human Services to create a three-year Medically Necessary Infant Formula Pilot Program within one year of enactment. The program aims to provide financial assistance to eligible individuals for purchasing covered infant formula or donor milk , addressing critical nutritional needs for infants. Eligibility is specifically defined for parents or legal guardians of children under one year old (or older with medical issues) who are not eligible for WIC. These individuals must also meet specific medical criteria, such as a diagnosed inability to breastfeed due to physical, chronic, or mental health factors, or situations like adoption or maternal mortality. Additionally, children with specific medical conditions like feeding tubes, digestive issues, latching problems, or allergies would qualify their guardians for assistance. Financial assistance can be distributed through various methods, including establishing a voucher program , providing direct reimbursement for expenses, or issuing grants to local governmental or nonprofit entities serving eligible families. The Secretary is also required to ensure that information about the program is readily available to families in need, in consultation with healthcare providers. The bill authorizes $15,000,000 for each fiscal year from 2027 through 2031 to fund the program. Furthermore, it requires annual evaluations of the program's performance, assessing the number of beneficiaries and the amount of formula or milk provided. These findings must then be submitted to Congress in annual reports, ensuring oversight and accountability for the program's effectiveness.