,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bcab  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #ab1 #bjai,ms4 
,haal& 7= h]self1 ,ms4 ,bonamici1 ,ms4  
,m5g1 ,mr4 ,l[5?al1 ,ms4 ,norton1 ,mr4  
,pappas1 & ,ms4 ,wass]man ,s*ultz7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,education & ,labor  ,a
 ,,bill  ,to am5d ! ,old] ,am]icans ,act
 ( #aife to e/abli% ! ,(fice (          
,inclusivity & ,sexual ,heal? & a rural 
outrea* grant program c>ri$ out by t    
,(fice1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,eld]   
,pride ,act4  #b4 ,def9itions ,section  
#ajb ( ! ,old] ,am]icans ,act ( #aife   
7#db ,u4,s4,c4 #cjjb7 is am5d$--  7#a7 9
 p>agraph 7#bd7-- 7,a7 9 subp>agraph    
7,b7 by /rik+ & at ! end1  7,b7 9       
subp>agraph 7,c77ii7 by /rik+ ! p]iod at
 ! end & ins]t+ 2 &1 &  7,c7 by add+ at 
! end ! foll[+3  7,d7 /atus z an ,,lgbt 
individual & ,,hiv /atus04  1  7#b7 by  
r$esignat+ p>agraphs 7#cd7 ?r\gh 7#ed7 z
 p>agraphs 7#ce7 ?r\gh 7#ee71           

respectively1 &  7#c7 by ins]t+ aft]    
p>agraph 7#cc7 ! foll[+3  7#cd7 ,! t]m  
,,lgbt means lesbian1 gay1 bisexual1 or 
transg5d]4  4  #c4 ,(fice ( ,inclusivity
 & ,sexual ,heal? ,section #bja ( !     
,old] ,am]icans ,act ( #aife 7#db       
,u4,s4,c4 #cjaa7 is am5d$ by add+ at !  
end ! foll[+3  7g7  7#a7 ,!re is        
e/abli%$ 9 ! ,adm9i/ration an ,(fice (  
,inclusivity & ,sexual ,heal? 7ref]r$ to
 9 ?is subsection z ! ,(fice74  7#b7    
7,a7 ,! ,(fice %all be head$ by a       
,director ( ,inclusivity & ,sexual      
,heal? 7ref]r$ to 9 ?is subsection z !  
,director7 :o %all be appo9t$ by !      
,secret>y4  7,b7 ,! ,(fice %all include 
an ,assi/ant ,director ( ,,lgbt ,policy 
7ref]r$ to 9 ?is subsection z !         
,assi/ant ,director7 :o %all be appo9t$ 
by ! ,director to assi/ ! ,director 9   
c>ry+ out ?is subsection1 includ+ by    
c>ry+ out ! activities "u p>agraph 7#d74
  7#c7 ,! ,director %all-- 7,a7         
coord9ate activities )9 ! ,dep>tm5t (   
,heal? & ,human ,s]vices1 & betwe5 o!r  

,f$]al dep>tm5ts & ag5cies1 to assure a 
cont9uum ( improv$ s]vices = ,,lgbt old]
 individuals & old] individuals ( a     
protect$ class2  7,b7 promote a cont9uum
 ( improv$ sexual heal? s]vices = old]  
individuals1 includ+ by ensur+ access to
 s]vices = ,,lgbt old] individuals &    
old] individuals ( a protect$ class2    
7,c7 collect & dissem9ate in=mation     
relat$ to ! *all5ges exp]i5c$ by old]   
individuals ( a protect$ class & all    
old] individuals try+ to seek sexual    
heal? s]vices1 includ+ in=mation on !   
rise ( sexually transmitt$ diseases     
among ! population ( old] individuals2 &
  7,d7 adm9i/] & evaluate grants t w    
help ,,lgbt old] individuals1 old]      
individuals ( a protect$ class1 & all   
old] individuals seek+ sexual heal?     
s]vices1 includ+ grants "u section #dbc4
  7#d7 ,! ,assi/ant ,director %all--    
7,a7 s]ve z ! effective & visible       
advocate on behalf ( ,,lgbt old]        
individuals--  7i7 )9 ! ,dep>tm5t (     
,heal? & ,human ,s]vices & ) o!r        

dep>tm5ts & ag5cies ( ! ,f$]al ,gov]nm5t
 reg>d+ all ,f$]al policies affect+ su* 
individuals2 &  7ii7 9 ! ,/ates to      
promote ! enhanc$ deliv]y ( s]vices &   
implem5tation ( programs1 "u ?is ,act & 
o!r ,f$]al ,acts1 = ! b5efit ( su*      
individuals2  7,b7 support1 conduct1 &  
arrange = rese>* 9 ! field ( ,,lgbt ag+ 
) a special emphasis on ga!r+ /ati/ics  
on ,,lgbt old] individuals2  7,c7       
collect & dissem9ate in=mation relat$ to
 *all5ges exp]i5c$ by ,,lgbt old]       
individuals ) an emphasis on ! *all5ges 
exp]i5c$ by ,,lgbt old] individuals     
resid+ 9 rural areas & ,,lgbt old]      
individuals liv+ ) human immunodefici5cy
 virus & acquir$ immune defici5cy       
syndrome 7,,hiv_/,,aids72 &  7,d7       
recomm5d policies & priorities b5eficial
 to ,,lgbt old] individuals & promote ! 
implem5tation & adoption ( culturally   
compet5t c>e & s]vices = su*            
individuals4  7#e7 ,n lat] ?an #e ye>s  
aft] ! date ( enactm5t ( ?is ,act & e #e
 ye>s !reaft]1 ! ,director %all submit  

to ,congress a report describ+ !        
activities c>ri$ out "u ?is subsection  
dur+ ! prec$+ #e ye>s4  4  #d4 ,rural   
outrea* grant program ,"p ,a ( title    
,,iv ( ! ,old] ,am]icans ,act ( #aife   
7#db ,u4,s4,c4 #cjcb et seq47 is am5d$  
by add+ at ! end ! foll[+3  #dbc4 ,rural
 outrea* grant program  7a7 ,def9itions 
,9 ?is section3 7#a7 ,director ,! t]m   
,director means ! ,director ( ! ,(fice (
 ,inclusivity & ,sexual ,heal? e/abli%$ 
"u section #bja7;g74  7#b7 ,eligible    
,entity ,! t]m eligible entity-- 7,a7   
means an entity t submits an application
 to ! ,director 9 accordance )          
subsection 7c71 & is--  7i7 a ,/ate2    
7ii7 an ,indian tribe or tribal         
organization2 or  7iii7 an ag5cy1       
nonpr(it organization1 or in/itution t--
 7,i7 focuses on s]v+ ! ne$s ( old]     
individuals1 ,,lgbt individuals1 or     
individuals ( a protect$ class2 or      
7,,ii7 focuses on provid+ sexual heal?  
s]vices to all old] individuals2 &  7,b7
 may include an area ag5cy on ag+ = a   

rural area or a multipurpose s5ior c5t]4
  7#c7 ,rural area ,! t]m rural area    
means an area t is n designat$ by !     
,unit$ ,/ates ,c5sus ,bureau z an       
urbaniz$ area or urban clu/]4  7b7      
,au?ority = grants ,! ,director may make
 grants to eligible entities to c>ry out
 activities describ$ 9 subsection 7d7 t 
are design$--  7#a7 to create a         
coop]ative & la/+ p>tn]%ip betwe5 ,,lgbt
 old] individuals1 or old] individuals (
 a protect$ class1 resid+ 9 rural areas 
& ! eligible entity receiv+ ! grant2    
7#b7 to meet ! ne$s ( ! individuals     
describ$ 9 p>agraph 7#a72 &  7#c7 to    
provide compreh5sive sexual heal?       
s]vices to all old] individuals resid+ 9
 rural areas4  7c7 ,applications  7#a7  
,9 g5]al ,an eligible entity seek+ a    
grant "u ?is section %all submit an     
application to ! ,director at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,director may reasonably require1       
includ+ ! cont5ts describ$ 9 p>agraph   
7#b74  7#b7 ,cont5ts ,an application = a

 grant "u ?is section %all conta9-- 7,a7
 a description ( ! propos$ activities to
 be support$ by ! grant2  7,b7 a        
description ( ! size & *>act]i/ics ( !  
population 9 a rural area to be s]v$ by 
su* propos$ activities2  7,c7 a         
description ( ! public & private        
res\rces expect$ to be made available 9 
connection ) su* activities2  7,d7 a    
demon/rat$ int5t to p>tn] ) local       
organizations 9 rural areas 9 c>ry+ out 
su* activities2  7,e7 evid5ce 9 a =m    
acceptable to ! ,director t su*         
activities w meet urg5t ne$s t are n met
 by available public & private s\rces2 &
  7,f7 su* o!r in=mation or             
c]tifications t ! ,director det]m9es    
necess>y to a*ieve ! purposes describ$ 9
 p>agraphs 7#a7 ?r\gh 7#c7 ( subsection 
7b74  7d7 ,use ( funds ,an eligible     
entity may use funds made available by a
 grant "u ?is section to c>ry out       
activities t include initiates t--  7#a7
 engage 9 education & tra9+ relat+ to   
community outrea* to ,,lgbt old]        

individuals1 or old] individuals ( a    
protect$ class1 resid+ 9 rural areas2   
7#b7 r$uce isolation & improve access to
 c>e = ,,lgbt old] individuals1 or old] 
individuals ( a protect$ class1 resid+ 9
 rural areas by build+ relation%ips     
betwe5 su* individuals & ! local        
community2  7#c7 fo/] relation%ips      
betwe5 local s]vice provid]s & ,,lgbt   
old] individuals1 or old] individuals ( 
a protect$ class1 resid+ 9 rural areas2 
7#d7 improve cultural compet5cy )       
respect to ,,lgbt individuals1 & old]   
individuals ( a protect$ class1 among   
organizations & p]sonnel provid+ s]vices
 to old] individuals resid+ 9 rural     
areas2  7#e7 exp& ! use (               
non-discrim9ation policies t-- 7,a7     
protect sexual ori5tation & g5d]        
id5tity2 &  7,b7 create community spaces
 t are inclusive to ,,lgbt old]         
individuals & old] individuals ( a      
protect$ class2 &  7#f7 focus on provid+
 sexual heal? s]vices to old]           
individuals resid+ 9 rural areas4  7e7  

,/&>ds & guidel9es ,! ,director %all    
e/abli% /&>ds & guidel9es = activities  
support$ by a grant "u ?is section4 ,su*
 /&>ds & guidel9es %all p]mit an        
eligible entity receiv+ su* a grant to  
ref9e or adapt ! /&>ds & guidel9es = an 
individual project1 :]e su* a ref9em5t  
or adaptation is made necess>y by a     
local circum/ance4  7f7 ,coord9ation )  
local entities  7#a7 ,coop]ation ,an    
eligible entity receiv+ a grant "u ?is  
section %all1 9 c>ry+ out activities    
support$ by ! grant1 agree to coop]ate &
 coord9ate )--  7,a7 ! ag5cies ( !      
relevant ,/ate & local gov]nm5ts        
responsible = provid+ s]vices to ,,lgbt 
old] individuals1 or old] individuals ( 
a protect$ class1 9 ! area s]v$ by su*  
activities2 &  7,b7 o!r public & private
 organizations & ag5cies provid+ s]vices
 to ,,lgbt old] individuals1 or old]    
individuals ( a protect$ class1 9 su*   
area4  7#b7 ,prioritization ,an eligible
 entity receiv+ a grant "u ?is section  
%all prioritize coop]at+ & coord9at+ )  

public & private organizations & ag5cies
 t prim>ily s]ve populations ( old]     
individuals ) ! greate/ social ne$4  7g7
 ,reports ,n lat] ?an #b ye>s aft] !    
date ( enactm5t ( ! ,eld] ,pride ,act1 &
 e #b ye>s !reaft]1 ! ,director %all    
submit to ,congress a report describ+ ! 
activities c>ri$ out "u ?is section dur+
 ! prec$+ #b ye>s4  4