The bill mandates the installation and maintenance of powered, height-adjustable, adult-size changing tables in public restrooms within public buildings, effective January 1, 2028. Public entities constructing new restrooms or renovating existing ones must ensure that at least one restroom is equipped with such a changing table, along with appropriate signage and maintenance protocols. The bill specifies that this requirement applies only to renovations costing at least $500,000 that involve significant structural changes. Exemptions can be granted by the responsible authority under certain conditions, such as feasibility or compliance with the Americans with Disabilities Act.

Additionally, the bill provides for grant funding to eligible public entities for the installation of these changing tables in preexisting public restrooms, prioritizing high-traffic facilities and geographical diversity. The private sector is also encouraged to install these changing tables during renovations or new constructions. The act will take effect on October 1, 2025, and includes provisions for periodic cost adjustments based on the Consumer Price Index. Notably, public K-12 schools and institutions of higher education are exempt unless they have areas frequented by the public.