What is the CPSIA?

Yes, any maker (small or large) of cloth diapers must comply with CPSIA. The required testing under the law, however, will depend both on the type of diapers you make as well as the CPSC’s final definition of a “child care article.”
Natural or synthetic textiles are now exempt from lead testing, therefore the parts of [...]

You have to comply. Period.

Products exported from the U.S. all have to comply with CPSIA before they will be allowed out of the country.  Some shippers are now requiring certificates of compliance, also known as general conformity certificates (GCCs), before accepting commercial shipments.
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Yes, with a couple of caveats.

In 2007, a string of recalls of children’s toys for lead in paint hit the news.  Lead paint had been illegal since 1978, so these toys violated existing laws.  Although no children were poisoned by the lead in these toys, many people thought that action was needed to prevent recalls like these from ever happening.
In [...]

In the absence of clear guidance from CPSC on many important issues, each business will have to decide for itself how to deal with CPSIA.