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 that construct new restrooms or completely renovate 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 assist public entities in installing these changing tables in preexisting facilities, prioritizing high-traffic locations and geographical diversity. The private sector is also encouraged to adopt similar practices during renovations or new constructions. The legislation 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 higher education institutions are exempt unless they have areas frequented by the public.