Amends the Equitable Restrooms Act. Provides that the owner or operator of each State-owned building and the owner or operator of each public building (rather than only the owner or operator of each State-owned building) shall (1) ensure that one or more of the public restrooms is designated as an adult changing station, with certain requirements, (2) maintain, repair, and replace each adult changing table as necessary, (3) clean each adult changing station with the same frequency as the other public restrooms, and (4) provide sufficient floor space to comply with the Americans with Disabilities Act. Provides that the owner or operator of each State-owned building and the owner or operator of each public building (rather than only the owner or operator of each State-owned building) shall ensure that the entrance to each restroom has conspicuous signage and that the central directory for the building, if it exists, indicates the location. Provides that any public building or State-owned building that is constructed on or after January 1, 2029, and any public building or State-owned building with an estimated renovation cost of at least $10,000 that requires the issuance of a building permit for the renovation and that is renovated on or after January 1, 2031, must contain and provide access to not less than one powered, height adjustable, adult changing table, installed per the manufacturer's recommendations, in a single occupancy restroom that is universal to gender and available to the public. Adds and changes definitions.