HB 4754 mandates the installation of universal changing facilities in certain public accommodations and government buildings. The bill applies to new construction and major renovations costing at least $50,000 after January 1, 2026. A universal changing facility is defined as a non-gendered, enclosed hygiene space designed for persons with disabilities who require assistance. Required features include height-adjustable adult changing tables, safety rails, waste receptacles, sinks, and other hygiene amenities. The bill also requires prominent signage indicating the location of these facilities and grants the Texas Commission of Licensing and Regulation authority to issue exemptions for financial hardship or space constraints​.