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119-hr-6370119th CongressWALLET

Baby Changing in Health Centers Act

Sponsored By: Representative Underwood, Lauren [D-IL-14]

Introduced

Summary

Requires health centers that receive federal section 330 grants to equip restrooms with safe, sanitary baby changing tables. The condition ties grant eligibility to written assurances, includes ADA accommodations, lists narrow exceptions, and phases compliance by facility status.

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  • Families and caregivers: Parents and caregivers get dedicated, sanitary baby changing surfaces during visits. New or substantially renovated centers must meet the rule right away and other centers have up to five years to comply.
  • Health centers and operators: Grantees must provide assurances and may use grant funds to acquire and install baby changing tables and signage. The law allows exceptions for restrooms not open to the public, where an alternative on the same floor exists, or where new construction is infeasible, and the Secretary can grant waivers or extensions.
  • Grant program funding: Grant funds may be used for installation costs to meet the requirement.

*Authorizes up to $5.0 million in supplemental appropriations to assist health centers with compliance, subject to future appropriations.*

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More baby changing tables at health centers

If enacted, health centers that get Section 330 grants would need baby changing tables in public restrooms. Tables would have to be safe, sanitary, and fit kids up to 30 pounds. Signs could direct you to a same-floor restroom with a table, and restrooms closed to the public would be exempt. Centers could be excused if only major new construction would work and the cost is not feasible. The rule would start at enactment for facilities acquired, built, or substantially renovated on or after that date, and for other facilities five years later. Centers could use grant money for tables and signs, and the bill would authorize $5 million to help. ADA accommodations and stricter state or local rules would still apply, and the Secretary could extend deadlines or grant waivers for hardship.

Sponsors & CoSponsors

Sponsor

Underwood, Lauren [D-IL-14]

IL • D

Cosponsors

  • Rep. Van Drew, Jefferson [R-NJ-2]

    NJ • R

    Sponsored 12/3/2025

Roll Call Votes

No roll call votes available for this bill.

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