,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fcgj  ,,in ,,the ,,house ,,of  
,,representatives  ,december #c1        
#bjbe,ms4 ,underwood 7for herself and   
,mr4 ,van ,drew7 introduced the         
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend the ,public ,health
 ,service ,act to require certain health
 centers to equip restrooms with baby   
changing tables1 and for other purposes4
  #a4 ,short title ,this ,act may be    
cited as the ,baby ,changing in ,health 
,centers ,act4  #b4 ,equipping certain  
health centers with baby changing tables
  7a7 ,in general ,section #ccj of the  
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bed;b7 is amended by adding  
at the end the following3  7s7 ,baby    
changing tables  7#a7 ,in general ,as a 
condition for the receipt of a grant    
under this section1 the ,secretary shall
 require a health center receiving      
assistance under the grant to provide   
assurances that restrooms in the        

facilities of the health center are     
equipped with baby changing tables that 
are physically safe1 sanitary1 and      
appropriate4  7#b7 ,exceptions ,the     
requirement under subsection 7a7 shall  
not apply-- 7,a7 to a restroom in a     
facility that is not available or       
accessible for public use2  7,b7 to a   
restroom in a facility that contains    
clear and conspicuous signs indicating--
 7i7 in the case of a men's restroom1   
where another men's restroom1 or a      
gender-neutral restroom1 with a baby    
changing table is located on the same   
floor of such facility2  7ii7 in the    
case of a women's restroom1 where       
another women's restroom1 or a          
gender-neutral restroom1 with a baby    
changing table is located on the same   
floor of such facility2 or  7iii7 in the
 case of a gender-neutral restroom1     
where-- 7,i7 another gender-neutral     
restroom with a baby changing table is  
located on the same floor of such       
facility2 or  7,,ii7 a men's restroom   

and women's restroom with a baby        
changing table are located on the same  
floor of such facility2 or  7,c7 if new 
construction would be required to       
install a baby changing table in the    
facility and the cost of such           
construction is unfeasible4  7#c7 ,,ada 
requirements ,the requirement of        
subsection 7a7 shall be subject to any  
reasonable accommodations that may be   
made for individuals in accordance with 
the ,americans with ,disabilities ,act  
of #aiij 7#db ,u4,s4,c4 #abaja et seq474
  7#d7 ,use of grant funds ,grant funds 
received under this section may be used 
to cover costs associated with acquiring
 and installing baby changing tables and
 signs as necessary to comply with the  
requirements of this subsection4  7#e7  
,extensions2 waivers ,the ,secretary may
 extend a deadline for compliance with  
the requirements of this subsection1 or 
may waive the applicability of such     
requirements1 as the ,secretary         
determines appropriate to account for   

extenuating circumstances4  7#f7 ,baby  
changing table defined ,in this         
subsection1 the term baby changing table
 means an elevated1 freestanding        
structure generally designed to support 
and retain a child with a body weight of
 up to #cj pounds in a horizontal       
position for the purpose of allowing an 
individual to change the child's diaper1
 including pull-out or drop-down        
changing surfaces4  7#g7 ,limitation on 
statutory construction ,nothing in this 
section may be construed to supercede a 
more stringent requirement in a ,state  
or local law relating to-- 7,a7         
equipping restrooms with baby changing  
tables2 or  7,b7 the standards          
applicable to such baby changing tables4
  7#h7 ,authorization of appropriations 
,in addition to other amounts authorized
 to be appropriated to carry out this   
section1 there is authorized to be      
appropriated a total of #e1jjj1jjj to   
supplement grant amounts received under 
this section for the sole purpose of    

assisting health centers in complying   
with the requirement of subsection 7a74 
4  7b7 ,applicability ,section #ccj7s7  
of the ,public ,health ,service ,act 7as
 added by subsection 7a7 of this        
section7 shall apply-- 7#a7 beginning on
 the date of enactment of this ,act1 in 
the case of a facility that is acquired1
 constructed1 or substantially renovated
 beginning on or after such date of     
enactment2 and  7#b7 beginning #e years 
after such date of enactment1 in the    
case of all other facilities4