I 
118TH CONGRESS 
1ST SESSION H. R. 4525 
To provide an individual with an eligible medical condition access to employee 
restroom facilities of a retail establishment under certain conditions, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 10, 2023 
Ms. NORTON introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To provide an individual with an eligible medical condition 
access to employee restroom facilities of a retail estab-
lishment under certain conditions, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Restroom Access Act 
of 2023’’. 
SEC. 2. MEDICALLY NECESSARY RESTROOM ACCESS. 
(a) IN GENERAL.—Any retail establishment that has 
a restroom facility that is not usually accessible to the 
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public shall allow a customer to use that facility during 
business hours of such retail establishment if— 
(1) the customer suffers from an eligible med-
ical condition; 
(2) the customer presents an identification card 
as described by subsection (b); 
(3) two or more employees of the retail estab-
lishment are working at the time the customer re-
quests use of the restroom facility; 
(4) the restroom facility is not located in an 
area where providing access would create an obvious 
health or safety risk to the customer; and 
(5) a public restroom is not available to the 
customer at the time at which they seek to use such 
restroom. 
(b) IDENTIFICATION CARD.—Not later than 180 days 
after the date of the enactment of this Act, the Secretary 
of Labor shall establish a system to create and distribute 
an identification card to an individual for whom a medical 
professional has certified has an eligible medical condition. 
(c) DEFINITIONS.—In this section: 
(1) CUSTOMER.—The term ‘‘customer’’ means 
an individual who is lawfully on the premises of a 
retail establishment. 
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(2) ELIGIBLE MEDICAL CONDITION.—The term 
‘‘eligible medical condition’’ means— 
(A) any inflammatory bowel disease, in-
cluding Crohn’s disease, ulcerative colitis or ir-
ritable bowel syndrome; 
(B) the use of an ostomy device; or 
(C) any other diagnosed medical condition, 
including pregnancy, that would require imme-
diate access to a restroom facility. 
(3) MEDICAL PROFESSIONAL.—The term ‘‘med-
ical professional’’ means a physician, naturopathic 
physician, physician assistant, nurse, or nurse prac-
titioner qualified to diagnose an eligible medical con-
dition. 
(4) RETAIL ESTABLISHMENT.—The term ‘‘re-
tail establishment’’ means a place of business open 
to the public for the sale of goods or services moving 
in or affecting interstate commerce. 
Æ 
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