Universal Changing Table for Adults with Disabilities in Kentucky

May 19, 2026

Universal Changing Tables for Adults with Disabilities in Kentucky: Trayton’s Bill and Accessibility

Access to safe and dignified restroom facilities is an important 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 comfort, safety, and dignity. In Kentucky, proposed legislation known as Trayton’s Bill reflects growing recognition of the need for adult changing tables in public buildings.

This article explains Kentucky House Bill 332 and Senate Bill 69, outlines what the proposed legislation would require, discusses which facilities would be affected, and highlights how hygiene solutions such as SPC disposable underpads support clean and safe changing environments.

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Kentucky HB 332 and SB 69, and the purpose of Trayton’s Bill

Kentucky House Bill 332 and Senate Bill 69 are currently in committee and would create a new section within KRS 198B.010 to 198B.290. The proposed legislation may be cited as Trayton’s Bill, honoring advocacy efforts that brought attention to the need for adult changing stations.

The bills direct the Department of Housing, Buildings, and Construction to establish administrative regulations that require certain public buildings, structures, and facilities to include adult changing tables.

Requirements for adult changing tables in new construction

Under Trayton’s Bill, public buildings constructed on or after January 1, 2025, would be required to contain and provide access to at least one powered, height-adjustable, adult-size changing table.

This requirement acknowledges that accessibility must include equipment that supports safe personal care for individuals who cannot use traditional restroom facilities independently. Powered, adjustable tables help reduce physical strain on caregivers and support safer transfers.

Facilities covered by the proposed legislation

The bills apply to certain public buildings, structures, and facilities, with specific requirements to be defined through administrative regulations developed by the Department of Housing, Buildings, and Construction.

By using a regulatory framework, the legislation allows flexibility in defining which facilities must comply while maintaining clear expectations for accessibility in new construction.

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What the proposal means for accessibility in Kentucky

Trayton’s Bill represents an important step toward improving accessibility for adults with disabilities in Kentucky. By tying adult changing table requirements to new construction, the proposal aims to gradually increase access across public buildings over time.

Although the bills do not require retrofitting existing buildings, they establish a foundation for long-term accessibility improvements as new facilities are built.

Where adult changing tables may appear if enacted

If HB 332 and SB 69 are enacted, adult changing tables would be expected in newly constructed public buildings throughout Kentucky beginning in 2025. Government buildings, civic facilities, and other publicly accessible structures covered by the regulations would be among the first locations to see improved access.

Availability in existing buildings would remain dependent on voluntary adoption or future legislative action.

Hygiene considerations in shared adult changing spaces

With adult changing tables placed in public buildings, hygiene remains a critical concern. SPC disposable underpads offer caregivers 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 contain leaks, and include a waterproof backing that protects the table for the next user. Using SPC disposable underpads supports safer and more sanitary changing experiences in shared public environments.

Why Trayton’s Bill matters 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 attend appointments, visit public buildings, and participate in community life without unsafe workarounds.

Without access to adult changing tables, caregivers are often forced to improvise in restrooms or avoid public spaces altogether, limiting independence and inclusion.

Looking ahead to accessibility in Kentucky

Although Trayton’s Bill remains in committee, its introduction reflects growing awareness of accessibility gaps faced by adults with disabilities and their caregivers. Continued advocacy and legislative attention may lead to passage or future expansion of accessibility requirements.

If enacted, HB 332 and SB 69 would help lay the groundwork for more inclusive public spaces across Kentucky, supporting dignity, safety, and access for those who require assistance with personal care.

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