H.R. 6370

[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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