Universal Changing Table for Adults with Disabilities in Illinois
Universal Changing Tables for Adults with Disabilities in Illinois: Sami’s Law and Accessibility
Access to safe and dignified restroom facilities is a critical part of accessibility for adults with disabilities and the caregivers who support them. For individuals who require assistance with diapering or personal care, universal changing tables provide a secure, private space that supports safety, comfort, and dignity. In Illinois, this need has been formally recognized through enacted legislation known as Sami’s Law.
This article explains Illinois Senate Bill 3880, often referred to as Sami’s Law, outlines what the law requires, identifies where adult changing stations must be installed, and highlights how hygiene solutions such as SPC disposable underpads help maintain clean and safe changing environments in public spaces.
Illinois Senate Bill 3880 and Sami’s Law
Illinois Senate Bill 3880 was enacted and amended the Equitable Restrooms Act. The legislation may be referred to as Sami’s Law, named to honor advocacy efforts that brought attention to the need for adult changing stations in public buildings.
Sami’s Law establishes a clear requirement that adult changing stations be installed and maintained in certain state-owned buildings. The law recognizes that accessibility must include appropriate facilities for personal care, not just standard restroom features.

Which buildings are required to have adult changing stations
Under the law, the owner or operator of each state-owned building must install and maintain at least one adult changing station within the building. A state-owned building is specifically defined as the Illinois State Capitol Building or a rest stop located on an interstate highway.
By focusing on these locations, the law addresses accessibility in places where extended visits and travel are common, helping ensure that individuals with disabilities and caregivers have access to appropriate facilities during government visits and long-distance travel.
Requirements for location information and visibility
In addition to installation, Sami’s Law requires that information about the location of adult changing stations be provided within state-owned buildings. Owners or operators must ensure that visitors can easily identify where adult changing stations are located.
Clear location information reduces stress for caregivers and individuals with disabilities by eliminating the need to search for assistance or explain personal care needs to staff.

What Sami’s Law means for accessibility in Illinois
The enactment of SB 3880 marks an important step forward for accessibility in Illinois. By establishing mandatory adult changing stations in specific state-owned facilities, the law acknowledges that adults with disabilities have ongoing personal care needs that must be accommodated in public spaces.
Although the scope of the law is limited to the State Capitol and interstate rest stops, it sets a strong example for inclusive design and may influence future legislation or voluntary adoption in other public buildings.
Where adult changing stations may be found in Illinois
As required by law, adult changing stations are expected to be available in the Illinois State Capitol Building and interstate highway rest stops operated by the state. These locations are especially important for caregivers traveling long distances or attending government-related activities.
Outside of these state-owned facilities, adult changing tables may also be found voluntarily in hospitals, rehabilitation centers, airports, convention centers, and newer public buildings, though availability varies.
Hygiene considerations for shared adult changing stations
Hygiene plays an important role in the use of shared adult changing stations. SPC disposable underpads provide caregivers with a practical way to maintain cleanliness during diaper changes and personal care tasks.
These underpads create a clean, absorbent barrier between the individual and the changing surface, help manage leaks, and include a waterproof backing that protects the station for the next user. Using SPC disposable underpads supports safer and more sanitary changing experiences in high-traffic public locations such as rest stops.
Why adult changing tables matter for caregivers and families
Universal changing tables allow adults with disabilities to receive personal care in a safe and dignified manner while reducing physical strain on caregivers. They make it possible for families to travel, attend appointments, and participate in public life without fear of unsafe or undignified situations.
Without access to adult changing stations, caregivers are often forced to use restroom floors, vehicle spaces, or to leave public areas entirely, limiting independence and participation.
Looking ahead for accessibility in Illinois
Sami’s Law represents meaningful progress in recognizing the needs of adults with disabilities in Illinois. While the law currently applies to a limited set of state-owned buildings, it establishes a clear precedent for inclusive restroom design.
As awareness continues to grow, Illinois may see expanded requirements or increased voluntary adoption of adult changing stations in additional public facilities, further supporting dignity, safety, and access for caregivers and individuals with disabilities.

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