Baby Changing in Health Centers Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6370 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 6370

   To amend the Public Health Service Act to require certain health 
  centers to equip restrooms with baby changing tables, and for other 
                               purposes.


_______________________________________________________________________


                    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.
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