I 
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 Representa-
tives 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: 
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‘‘(iii) in the case of a gender-neutral 
restroom, where— 
‘‘(I) another gender-neutral rest-
room with a baby changing table is lo-
cated on the same floor of such facil-
ity; or 
‘‘(II) a men’s restroom and wom-
en’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 re-
ceived under this section may be used to cover costs 
associated with acquiring and installing baby chang-
ing 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 re-
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quirements of this subsection, or may waive the ap-
plicability of such requirements, as the Secretary de-
termines appropriate to account for extenuating cir-
cumstances. 
‘‘(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
CONSTRUC-
TION.—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 chang-
ing tables; or 
‘‘(B) the standards applicable to such baby 
changing tables. 
‘‘(8) AUTHORIZATION OF APPROPRIATIONS.—In 
addition to other amounts authorized to be appro-
priated to carry out this section, there is authorized 
to be appropriated a total of $5,000,000 to supple-
ment grant amounts received under this section for 
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the sole purpose of assisting health centers in com-
plying with the requirement of subsection (a).’’. 
(b) APPLICABILITY.—Section 330(s) of the Public 
Health Service Act (as added by subsection (a) of this sec-
tion) shall apply— 
(1) beginning on the date of enactment of this 
Act, in the case of a facility that is acquired, con-
structed, or substantially renovated beginning on or 
after such date of enactment; and 
(2) beginning 5 years after such date of enact-
ment, in the case of all other facilities. 
Æ 
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