United States Legislation

Beginning January 1, 2028, a public entity that constructs a new public restroom accessible to both men and women in a public building, or that totally renovates an existing public restroom that is accessible to both men and women in a public building, shall do all of the following:
(1) Ensure that one or more of the public restrooms has a powered, height-adjustable, adult-size changing table that is capable of serving both a baby and an adult.
(2) Provide signage indicating the location of the public restroom with the changing table.
(3) Revise any existing central directory or map identifying the location of offices, restrooms, and other facilities to indicate the location of the public restroom with the changing table.
(4) Maintain, repair, and replace each changing table as necessary to ensure safety and ease of use.
(5) Clean each changing table with the same frequency as the public restrooms located within the facility.
(6) Provide sufficient clear floor space in the installation of adult-size changing tables to comply with the requirements of the 2010 Americans with Disabilities Act standards for accessible design prescribed in 28 C.F.R. § 35.151 and 36 C.F.R. Part 1191, appendices B and D.

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This bill requires public buildings in Alaska to include universal changing facilities when constructing new bathrooms or undergoing significant remodeling (estimated at $30,000 or more). Specifically, the building must either have at least one publicly available bathroom with a universal changing facility, or if bathrooms are gender-divided, include universal changing facilities in at least one men's and one women's bathroom. The bill defines a "universal changing facility" as a table or device suitable for changing a child's diaper or providing personal care for an adult. Buildings are exempt from this requirement if installing such a facility is impractical or would compromise disability access standards. The Department of Transportation and Public Facilities must maintain a public website listing the locations of these facilities and is tasked with establishing regulatory standards for them. Building owners or lessees must report the installation of such facilities to the department. The bill also allows for civil action with potential remedies including injunctive relief, actual damages, attorney fees, and costs. This legislation applies to state-owned or state-controlled buildings, public transportation facilities funded by public money, and aims to improve accessibility for parents, caregivers, and individuals requiring personal care assistance.

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Requires a public entity that constructs or renovates a restroom in a public building to include at least one diaper changing station (changing station) that is capable of serving babies and adults and that is accessible to both men and women.

Requires a public entity that constructs a new restroom that is accessible to the public in a public building, or that totally renovates an existing restroom that is accessible to men, women and the public in a public building to:

a) include at least one changing station in at least one restroom in each building that:

i. is accessible to both men and women;

ii. is capable of serving both babies and adults; and

iii. provides sufficient clear floor space to comply with the 2010 Americans with Disabilities Act (ADA) standards for accessible design;

b) provide signage that indicates the changing station's location near the entrance to the changing station; and

c) indicate the changing station's location in the building directory if such a directory exists.

2. Permits the responsible authority to grant an exemption from changing station requirements if any of the following applies to the construction of a changing station that serves both babies and adults:

a) the installation would not be feasible;

b) the installation would result in a failure to comply with ADA standards for access for persons with disabilities;

c) the installation would threaten or destroy the historic significance of a historic property; or

d) the building is not frequented by the public.

3. Applies changing station requirements to construction and renovation projects in which the design has been approved on and after January 1, 2020.

4. States that this legislation does not establish a private right of action.

5. Defines relevant terms.

6. Becomes effective on the general effective date.

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The people of the state of California do enact as follows:

SECTION 1. Section 19952.5 is added to the Health and Safety Code, to read:

19952.5. (a) A person, private firm, organization, or corporation that owns or manages a commercial place of public amusement shall install and maintain at least one adult changing station for persons with a physical disability that is accessible to both men and women when the facility is open to the public, if either of the following occur:

(1) The commercial place of public amusement is newly constructed on or after January 1, 2020.

(2) (A) When an existing commercial place of public amusement is renovated on or after January 1, 2025, and requires a permit or the estimated cost of the renovation is ten thousand dollars ($10,000) or more.

(B) A commercial place of public amusement with an enclosed restroom facility or other similar private facility with an adult changing table in use before January 1, 2025, shall be deemed to comply with this paragraph.

(b) A facility shall ensure that the entrance to each adult changing station has conspicuous signage indicating the location of the station, and, if the facility has a central directory, shall ensure that the central directory indicates the location of the adult changing station.

(c) For purposes of this section, all of the following definitions shall apply:

(1) “Commercial place of public amusement” means an auditorium, convention center, cultural complex, exhibition hall, permanent amusement park, sports arena, or theater or movie house for which the maximum occupancy is determined to be 2,500 or more people. “Commercial place of public amusement” does not include any public or private higher education facility or district agricultural association.

(2) “Adult changing station” means an adult changing table placed within an enclosed restroom facility or other similar private facility that is for use by persons with physical disabilities who need help with diapering.

(3) “Physical disability” means a mental or physical disability, as described in Section 12926 of the Government Code.

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AN ACT ESTABLISHING A TASK FORCE TO STUDY THE NEED FOR ADULT CHANGING STATIONS IN PUBLIC FACILITIES

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HB 669 did not pass during the 2024 legislative session. It was withdrawn from consideration on April 24, 2024.

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SB 125 did not pass during the 2024 legislative session. It was read and referred to the Senate Committee on Health and Human Services but ultimately did not advance to a vote.

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Specifies that the amendatory Act may be referred to as Sami's Law. Amends the Equitable Restrooms Act. Provides that the owner or operator of each State-owned building shall install and maintain in that building at least one adult changing station. Requires the owner or operator of a State-owned building to ensure that certain information about the location of adult changing stations in the buildings is provided. Defines "State-owned building" as the State Capitol Building or a rest stop located on an interstate highway.

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This bill requires the Indiana Department of Transportation (INDOT) to install powered, height-adjustable, adult-sized changing tables in each safety rest area by June 30, 2027. Specifically, these changing tables must be located in single-occupancy, gender-universal restrooms that are accessible to the public. The bill recognizes the need for accommodating adults with disabilities or caregivers who require changing facilities, which are typically only available for infants and young children. By mandating these installations, the legislation aims to improve accessibility and dignity for individuals who may need assistance with personal care while traveling. The effective date of this new requirement is July 1, 2025, giving INDOT approximately two years to implement the changes across the state's safety rest areas.

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For purposes of this section, “adult changing station” means a universally-accessible, height-adjustable adult changing table placed within an enclosed restroom facility or other similar facility that is for use by persons with disabilities who need assistance with diapering.

1) An adult changing station shall be installed and maintained at all of the following locations:

(a) Any building or facility to which the public is invited or in which the public is permitted, on which construction will commence on or after January 1,2022.

(b) Any building or facility to which the public is invited or in which the public is permitted, on which construction of renovations to the building or facility will commence on or after January 1,2025, and where such renovations will require a permit, certificate, authorization, or other required document or where the renovations will cost ten thousand dollars or more.

(c) Any building or facility to which the public is invited or in which the public is permitted, with the capacity to serve one thousand five hundred or more persons in any one day, including but not limited to state buildings and facilities.

(d) Shopping malls and retail stores with a floor space of forty thousand square feet or more.

(e) Entertainment venues with a floor space of forty thousand square feet or more, including but not limited to theaters, concert halls, auditoriums, and other facilities primarily used for exhibiting motion pictures, stage performances, lectures, musical recitals, and other similar performances, bingo facilities, gambling structures, and indoor arenas including sports arenas.

(f) Public transportation facilities under the authority of the state or its political subdivisions, including bus stations.

(g) Galleries, libraries, museums, and tourist information centers.

(h) Parks, playgrounds, recreational centers, zoos, and amusement or theme parks.

(i) General aviation airports as defined in section 328.1.

(j) Rest areas as defined in section 306C.10.

(k) Public or nonpublic educational facilities, including but not limited to schools, colleges, and universities.

(l) Hospitals as defined in section 135B.1.

(m) A facility as defined in section 125.2.

2) Each location required to install and maintain an adult changing station, as provided for in subsection 2, shall ensure that the entrance to each adult changing station has conspicuous signage indicating the location of the adult changing station.

3) A person who violates this section shall be assessed a civil penalty by the department of human rights which is not to exceed two hundred fifty dollars. Moneys collected under this subsection shall be remitted to the treasurer of state for deposit in the general fund of the state.

This bill takes effect January 1, 2021.

The bill shall be known as Adalynn’s law.

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Create a new section of KRS 198B.010 to 198B.290 to define terms and require the Department of Housing, Buildings and Construction to promulgate administrative regulations to require certain public buildings, structures, and facilities constructed on or after January 1, 2025, to contain and provide access to at least one powered, height-adjustable, adult-size changing table; provide that the Act may be cited as Trayton's Bill.

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This bill requires the Department of Administrative and Financial Services, Bureau of General Services to ensure that public restrooms in state-owned buildings have diaper changing stations that are physically safe, sanitary, and appropriate. Specifically, the bill mandates that any public restroom in a new state building or in a remodeled portion of a state building must include a diaper changing station. If the only restroom with a diaper changing station is gender-restricted, another restroom must also have a station, which can be satisfied by providing a gender-neutral or family restroom. The bill defines a diaper changing station as a table or device suitable for changing diapers of children under 4 years old. There are exceptions to this requirement, such as when installing a station would be too costly, would conflict with historic preservation rules, or would violate building codes. The bill also allocates $15,000 in each of the fiscal years 2025-26 and 2026-27 to help fund the installation of these stations, with the bureau required to complete installation by January 1, 2029, or when funding allows. The goal is to provide equitable access to diaper changing facilities for all caregivers in state buildings open to the public.

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Requiring, except under certain circumstances, that a changing facility suitable for changing the diaper of a child and providing personal care for an adult be installed in certain public restrooms in certain public buildings by October 1, 2022; requiring certain entities to report to 2-1-1 Maryland, Inc., the location of changing facilities when changing facilities are installed; requiring 2-1-1 Maryland, Inc., to maintain a list of changing facilities on its website; etc.

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This bill requires state-owned and maintained public buildings in Massachusetts to install universal changing stations in newly constructed, reconstructed, or remodeled public bathrooms starting January 1, 2025. A universal changing station is defined as an adult-sized changing table capable of supporting at least 350 pounds, located in an enclosed restroom facility, and accessible to people of any age and sex. The bill specifies detailed requirements for these changing stations, including a minimum changing surface of 70 inches long and 30 inches wide, with height adjustability between 17 and 38 inches. The legislation mandates that these stations must have safety features like sidebar rails and safety belts, be located in a private area, and comply with Americans with Disabilities Act standards. The state's building board will develop specific regulations for implementation, with provisions for potential exemptions if installation is not feasible due to historical preservation concerns or if renovation costs are under $10,000. The goal is to provide accessible diaper changing accommodations for all individuals, including adults with disabilities or caregivers who need assistance.

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HB 5409 did not advance in the legislative process. It was introduced on May 11, 2022, and referred to the Committee on Families, Children, and Seniors. As of now, it has not moved forward to a vote or further consideration, and it appears to have stalled in committee.

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On May 24, 2023, Minnesota Gov. Tim Walz signed into law a requirement that the Minnesota State Building Code include provisions for adult changing facilities in new building construction. The Department of Labor and Industry’s Construction Codes and Licensing Division will begin expedited rulemaking that adds new requirements into the Minnesota Accessibility Code, using the 2024 IBC model code scoping language and the proposed 2023 A117.1 Accessibility Standard (draft language was unanimously approved in 2023 by the ANSI A117.1 Committee for the next edition of the A117.1 Standard) as the basis for Minnesota’s language.

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HB 439 did not advance during the legislative session. It was referred to the House Public Health and Human Services Committee but did not receive a hearing or further consideration. As a result, the bill did not progress to a vote.

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155:80 Universal Changing Station Required. –

I. A person, private firm, organization, corporation, or state government that operates a public building or facility shall install and maintain at least one universal changing station in a family restroom facility for persons of either sex who have a physical disability.

II. (a) The universal changing station shall measure at least 8 feet by 10 feet and per Americans with Disabilities Act governance and rules, adequate space for an electronic/full adult-sized wheelchair to maneuver; be equipped with a powered, height adjustable adult changing table, a waste receptacle, a toilet, a lavatory, a soap dispenser, and a paper towel dispenser; and comply with current Americans with

Disabilities Act accessibility standards.

(b) The powered, height adjustable adult changing table in the universal changing station shall:

(1) Be able to lower to a height of no less than 8 inches and raise to height of no less than 34 inches.

(2) Be at least 25 inches wide by 72 inches in length.

(3) Support up to at least 350 pounds.

(c) The entrance to each universal changing station in the family restroom facility shall have accessible signage indicating the location of the changing station, and, if the building or venue has a central directory, the owner shall ensure that the central directory indicates the location of the universal changing station.

III. This subdivision shall apply to any public building or facility that is open to the public and is built on or after January 1, 2021

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New Mexico introduced House Bill 40 (HB 40), also known as the "Traveling with Dignity Act," which requires covered facilities that receive state funding to install universal adult changing stations. Covered facilities include public buildings and commercial places of public amusement that receive state funding and meet certain visitor or renovation thresholds. The legislation mandates installation in new construction, renovations over \(\$50,000\), and for all covered facilities by July 1, 2032. 

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AB 2425 did not advance during the legislative session. It was referred to the Assembly's Committee on Health but did not receive a hearing or move forward to a vote. As a result, the bill did not pass.

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1110.18 Adult changing stations.

Where provided, adult changing stations are to include a changing table that meets the requirements of Section 1110.18.5 and are to be accessible in accordance with ICC A117.1 and Section 1113. Where adult changing stations are required per Section 1110.18.1, compliance with Sections 1110.18.2 through 1110.18.5 is also required.

1110.18.1 Where required.

At least one adult changing station is to be provided in all the following locations:

1.In assembly and mercantile occupancies, where family or assisted-use toilet or bathing rooms are required by Section 1110.2.1.

Exception: Where the use is as a nightclub, bar, tavern, dance hall or similar purpose, the adult changing station is to be provided where a family or assisted-use toilet or bathing room is required by Section 1110.2.1 and the occupant load is 450 or greater.

2.In Group B occupancies providing educational facilities for students above the 12th grade, where an aggregate of 12 or more male and female water closets are required to serve the classrooms and lecture halls.

3.In Group E occupancies where a room or space used for assembly purposes requires an aggregate of six or more male and female water closets for that room or space.

4.In highway rest stops and highway service plazas.

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HB 3952 did not advance during the legislative session. It was introduced and referred to the House Committee on Public Health but did not receive a hearing or move forward to a vote. As a result, the bill did not pass.

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As of now, HB 117 is still in the legislative process. It has been referred to the House Committee on Health but has not yet received a hearing or moved forward to a vote.

The act of November 10, 1999 (P.L.491, No.45), known as the Pennsylvania Construction Code Act, is amended by adding a section to read:

1) Changing stations in places of public accommodation. Installation and maintenance.--An individual, corporation, partnership, company, organization, association or other business entity that owns or manages a place of public accommodation shall install and maintain at least one adult changing station for persons with disabilities or special health care issues or the elderly. Each changing station shall be accessible to both men and women when the place of public accommodation is open to the public and any of the following conditions are met:

(a) The place of public accommodation is constructed on or after the date which is two years after the effective date of this subsection.

(b) Except as provided in subsection (b), when an alteration or addition is made on or after the date which is four years after the effective date of this subsection to a place of public accommodation which existed before the effective date of this subsection and:

(i) The alteration or addition requires a permit; or

(ii) The estimated cost of the alteration or addition is $10,000 or more.

2) A place of public accommodation shall ensure that:

(a) the entrance to each adult changing station has conspicuous signage indicating the location of the adult changing station; and

(b) if the place of public accommodation has a central directory, the central directory indicates the location of the adult changing station.

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The department of administration shall, by January 1, 2026, adopt regulations requiring any public building that is newly constructed, reconstructed or remodeled on or after January 1, 2027 to install and maintain at least one universal changing station.

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As enacted, requires the department to issue grants, subject to appropriations, to support the installation of powered, height-adjustable, adult-sized changing tables in single occupancy family restrooms in privately and municipally owned buildings open to the public across this state; authorizes the commissioner to create and convene an ad hoc committee to advise and assist with grant applications. - Amends TCA Title 4, Chapter 3, Part 27 and Title 33, Chapter 5.

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This bill requires the State Preservation Board to install and maintain adult changing stations in the Texas State Capitol, ensuring accessibility for individuals who may need assistance with personal care. Specifically, the board must provide at least one adult changing station in a public restroom or changing facility within the Capitol, with each station featuring a private space and an adjustable height table. The board is also mandated to clearly post signs indicating the location of these changing stations, making them easy to find for those who need them. The legislation is set to take effect on September 1, 2025, and requires the board to establish these facilities as soon as practicable after the effective date. This bill addresses the need for inclusive facilities that can accommodate individuals with disabilities, medical conditions, or caregivers who require a clean, private space for changing.

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This bill requires public buildings and places of public accommodation in Vermont to have at least one restroom with an infant changing station that is accessible to individuals of any gender. The bill defines an "infant changing station" as a space within a restroom where a baby's diaper can be changed, and "available" means that any person, regardless of gender identity, can use the restroom with the changing station. The legislation provides clear guidelines for compliance, with the Commissioner of Public Safety authorized to check for adherence during routine inspections. The bill specifically adds these requirements to existing state law (18 V.S.A.), and includes definitions to clarify the scope of the requirement. The new regulations will go into effect on July 1, 2025, giving businesses and public facilities time to prepare and install appropriate changing stations. This bill aims to provide more convenient and inclusive facilities for parents and caregivers, ensuring that changing infants is easier and more accessible in public spaces across Vermont.

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HB 4684 did not advance during the legislative session.

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AB 759 did not advance during the legislative session. It was introduced and referred to the Assembly Committee on Health but did not receive a hearing or move forward to a vote. As a result, the bill did not pass.

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