[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.
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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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