SB 2326 requires new construction or major renovations (costing $50,000+) in specific public places like schools, hospitals, malls, and public buildings to include gender-neutral "universal changing facilities" for people with disabilities and their caregivers. These facilities must feature height-adjustable changing tables with safety rails, sinks, toilets, and waste receptacles, meeting established accessibility standards. The law applies to facilities built or renovated on or after January 1, 2026, and mandates clear signage indicating their location. Exceptions for financial burden or space constraints may be granted through Texas Commission rules.