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Baby Changing in Health Centers Act
To amend the Public Health Service Act to require certain health centers to equip restrooms with baby changing tables, and for other purposes.
Summary
This bill amends the Public Health Service Act to require health centers receiving federal grants to equip their restrooms with baby changing tables that are safe and sanitary. Exceptions apply to restrooms not open to the public, restrooms with signage directing to other restrooms with changing tables on the same floor, and facilities where new construction would be required at unfeasible cost. Health centers may use grant funds to cover the costs of acquiring and installing baby changing tables and signage. The requirement applies immediately to newly acquired, constructed, or substantially renovated facilities, and to all other facilities within 5 years of enactment. The bill authorizes $5 million in additional funding to help health centers comply with the requirement.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
1 cosponsor
Money behind the sponsor
Top reported contributors to Lauren Underwood’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- UNIVERSITY OF CHICAGO $33,465
- NORTHWESTERN UNIVERSITY $26,150
- BLUE SHIELD OF CALIFORNIA $18,100
- CORNERSTONE GOVERNMENT AFFAIRS $16,800
- CLIFFORD LAW OFFICES $13,200
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Lauren Underwood → · Outside spending →
Actions (2)
- Dec 3, 2025 Referred to the House Committee on Energy and Commerce. · house
- Dec 3, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
December 3, 2025
Ms. Underwood (for herself and Mr. Van Drew) introduced the following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to require certain health centers to equip restrooms with baby changing tables, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Baby Changing in Health Centers Act”.
SEC. 2. EQUIPPING CERTAIN HEALTH CENTERS WITH BABY CHANGING TABLES.
(a) In General.—Section 330 of the Public Health Service Act (42 U.S.C. 254b) is amended by adding at the end the following:
“(s) Baby Changing Tables.—
“(1) In general.—As a condition for the receipt of a grant under this section, the Secretary shall require a health center receiving assistance under the grant to provide assurances that restrooms in the facilities of the health center are equipped with baby changing tables that are physically safe, sanitary, and appropriate.
“(2) Exceptions.—The requirement under subsection (a) shall not apply—
“(A) to a restroom in a facility that is not available or accessible for public use;
“(B) to a restroom in a facility that contains clear and conspicuous signs indicating—
“(i) in the case of a men’s restroom, where another men’s restroom, or a gender- neutral restroom, with a baby changing table is located on the same floor of such facility;
“(ii) in the case of a women’s restroom, where another women’s restroom, or a gender- neutral restroom, with a baby changing table is located on the same floor of such facility; or
“(iii) in the case of a gender-neutral restroom, where—
“(I) another gender-neutral restroom with a baby changing table is located on the same floor of such facility; or
“(II) a men’s restroom and women’s restroom with a baby changing table are located on the same floor of such facility; or
“(C) if new construction would be required to install a baby changing table in the facility and the cost of such construction is unfeasible.
“(3) ADA requirements.—The requirement of subsection (a) shall be subject to any reasonable accommodations that may be made for individuals in accordance with the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.).
“(4) Use of grant funds.—Grant funds received under this section may be used to cover costs associated with acquiring and installing baby changing tables and signs as necessary to comply with the requirements of this subsection.
“(5) Extensions; waivers.—The Secretary may extend a deadline for compliance with the requirements of this subsection, or may waive the applicability of such requirements, as the Secretary determines appropriate to account for extenuating circumstances.
“(6) Baby changing table defined.—In this subsection, the term ‘baby changing table’ means an elevated, freestanding structure generally designed to support and retain a child with a body weight of up to 30 pounds in a horizontal position for the purpose of allowing an individual to change the child’s diaper, including pull-out or drop-down changing surfaces.
“(7) Limitation on statutory construction.—Nothing in this section may be construed to supercede a more stringent requirement in a State or local law relating to—
“(A) equipping restrooms with baby changing tables; or
“(B) the standards applicable to such baby changing tables.
“(8) Authorization of appropriations.—In addition to other amounts authorized to be appropriated to carry out this section, there is authorized to be appropriated a total of $5,000,000 to supplement grant amounts received under this section for the sole purpose of assisting health centers in complying with the requirement of subsection (a).”.
(b) Applicability.—Section 330(s) of the Public Health Service Act (as added by subsection (a) of this section) shall apply—
(1) beginning on the date of enactment of this Act, in the case of a facility that is acquired, constructed, or substantially renovated beginning on or after such date of enactment; and
(2) beginning 5 years after such date of enactment, in the case of all other facilities. <all>
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