The bill amends Chapter 37-8 of the General Laws by introducing a new section that mandates 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 required to adopt regulations by January 1, 2026, which will specify the requirements for these changing stations. These requirements include:

1. Conspicuous signage indicating the location of each universal changing station.
2. If a public building has a central directory, it must indicate the location of the universal changing station.
3. Specifications for the stations, including:
- A weight capacity of up to 350 pounds.
- A height-adjustable changing table.
- Location within a private restroom or in a private stall, enclosed area, or privacy screen within a multi-stall restroom.
- Adequate space for assistance.
- Compliance with all requirements of the federal Americans with Disabilities Act.

The bill also allows for exemptions from these requirements if the Department of Administration 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 station does not exceed $10,000.
4. The installation would destroy the historic significance of a historic property.
5. The building is not frequented by the public.

The definition of a "universal changing station" is provided, stating that it is a changing station within an enclosed restroom facility for use by persons of any age who require assistance with diapering and is accessible by persons of any sex. The act will take effect upon passage.