The bill mandates the installation and maintenance of powered, height-adjustable, adult-size changing tables in public restrooms within public buildings under specific conditions, effective January 1, 2028. Public entities constructing new restrooms or renovating existing ones must ensure at least one restroom is equipped with such a changing table, provide appropriate signage, maintain the table's safety and cleanliness, and comply with the Americans with Disabilities Act standards. Exemptions can be granted by the responsible authority if installation is deemed infeasible, non-compliant with accessibility standards, threatens historic properties, or if the building is not frequently accessed by the public. Additionally, public K-12 schools and higher education institutions are exempt unless they have areas frequented by the public. The bill also establishes a grant program for public entities to fund the installation of these changing tables in preexisting restrooms, prioritizing geographical diversity and high-traffic facilities. The Legislature encourages the private sector to adopt similar practices during renovations or new constructions. The bill will take effect on October 1, 2025, and includes provisions for adjusting the renovation cost threshold based on the Consumer Price Index every three years. The language Enrolled, is included at the beginning of the act, while no specific deletions from current law are noted in the provided text.