The bill amends Chapter 37-8 of the General Laws by adding a new section that requires the installation of universal changing stations in all public buildings that are newly constructed, reconstructed, or remodeled on or after January 1, 2027. The Department of Administration is responsible for adopting regulations by January 1, 2026, to specify the requirements for these changing stations. These stations must be accessible to individuals of all ages and genders who require assistance with diapering.

Key requirements outlined in the regulations include:
1. Conspicuous signage indicating the location of each universal changing station at its entrance.
2. If a public building has a central directory, it must indicate the location of the universal changing station.
3. All universal changing stations must:
- Support up to three hundred fifty pounds (350 lbs.);
- Be equipped with a height-adjustable changing table;
- Be located inside a private restroom or in a private stall, enclosed area, or privacy screen within a multi-stall restroom;
- Provide adequate space for assistance; and
- Comply with all requirements of the federal Americans with Disabilities Act.

The bill also allows the Department of Administration to grant exemptions from these requirements if it determines that:
1. The installation would not be feasible;
2. The installation would result in non-compliance with the Americans with Disabilities Act standards for access for persons with disabilities;
3. The cost of the proposed reconstruction or remodeling without the inclusion of the changing table does not exceed ten thousand dollars ($10,000);
4. The installation would destroy the historic significance of a historic property; or
5. The building is not frequented by the public.

Additionally, the bill defines a "universal changing station" as a changing station within an enclosed restroom facility that is for use by persons of any age who require assistance with diapering and is accessible by persons of any sex. The act is set to take effect upon passage.