,,ii #aaf? ,,congress #a/ ,session ,s4 #aaei ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #aa1 #bjai ,mr4 ,b5net 7= himself1 ,ms4 ,murk[ski1 & ,mr4 ,casey7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,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 ! ,inclusive ,ag+ ,act4 #b4 ,def9itions ,section #ajb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjjb7 is am5d$-- 7#a7 9 p>agraph 7#bd7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,c77ii71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+3 7,d7 /atus z a ,,lgbt individual4 2 7#b7 by r$esignat+-- 7,a7 p>agraphs 7#dd7 ?r\gh 7#ed7 z p>agraphs 7#df7 ?r\gh 7#ef71 respectively2 & 7,b7 p>agraphs 7#cd7 ?r\gh 7#dc7 z p>agraphs 7#ce7 ?r\gh 7#dd71 respectively2 7#c7 by ins]t+ aft] p>agraph 7#cc7 ! foll[+3 7#cd7 ,! t]m ,,lgbt means lesbian1 gay1 bisexual1 or transg5d]4 2 & 7#d7 by ins]t+ aft] p>agraph 7#dd71 z s r$esignat$1 ! foll[+3 7#de7 ,! t]m protect$ class means a class describ$ 9 any ( subp>agraphs 7,a7 ?r\gh 7,e7 ( section #bcjb7;b77#a7 ( title #e1 ,unit$ ,/ates ,code4 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 ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,inclusive ,ag+ ,act1 ! ,assi/ant ,secret>y %all e/abli% 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 ! ,assi/ant ,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 #dbc2 & 7,e7 coord9ate ) ! ,adm9i/rator ( ! ,heal? ,res\rces & ,s]vices ,adm9i/ration on any sexual heal? recomm5dations = old] individuals4 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 #c ye>s aft] ! date ( enactm5t ( ! ,inclusive ,ag+ ,act1 & e #c ye>s !reaft]1 ! ,director %all submit to ,congress a report describ+ ! activities c>ri$ out "u ?is subsection dur+ ! prec$+ #c ye>s4 4 #d4 ,adm9i/ration on ag+ 7a7 ,e/abli%m5t ( adm9i/ration ,section #bja7;d77#c77;,j7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjaa7;d77#c77;,j77 is am5d$ by ins]t+ be=e ! semicolon ! foll[+3 1 includ+ ! effectiv5ess ( su* s]vices 9 meet+ ! ne$s ( ,,lgbt old] individuals4 7b7 ,functions ( ,assi/ant ,secret>y ,section #bjb ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjab7 is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 9 p>agraph 7#af77;,a77ii71 by ins]t+ 1 & sep>ately specify+ ! numb] ( su* individuals :o are ,,lgbt individuals be=e ! semicolon2 7,b7 9 p>agraph 7#cj71 by /rik+ 2 & at ! end & ins]t+ a semicolon2 7,c7 9 p>agraph 7#ca71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,d7 by add+ at ! end ! foll[+3 7#cb7 conduct /udies & collect data to det]m9e ! s]vices t are ne$$ by ,,lgbt old] individuals4 2 & 7#b7 by add+ at ! end ! foll[+3 7h7 7#a7 ,! ,assi/ant ,director ( ,,lgbt ,policy appo9t$ "u section #bja7;g77#b77;,b7 7ref]r$ to 9 ?is subsection z ! ,assi/ant ,director7 %all1 directly or by grant or contract1 e/abli% & op]ate ! ,national ,res\rce ,c5t] on ,lesbian1 ,gay1 ,bisexual1 & ,transg5d] ,ag+ 79 ?is subsection ref]r$ to z ! ,c5t]74 7#b7 ,to address ! unique *all5ges fac$ by ,,lgbt old] individuals1 ! ,c5t] %all provide national1 ,/ate1 & local organizations1 includ+ ^? ) a prim>y mission ( s]v+ ,,lgbt individuals & ^? ) a prim>y mission ( s]v+ old] individuals1 ) ! in=mation & te*nical assi/ance ! organizations ne$ to effectively s]ve ,,lgbt old] individuals4 7#c7 ,! ,c5t] %all h #c prim>y objectives1 consi/+ (-- 7,a7 educat+ ag+ s]vices organizations ab\t ! exi/5ce & special ne$s ( ,,lgbt old] individuals2 7,b7 s5sitiz+ ,,lgbt organizations ab\t ! exi/5ce & special ne$s ( old] individuals2 & 7,c7 provid+ educational res\rces to ,,lgbt old] individuals & _! c>egiv]s4 7#d7 7,a7 ,to be eligible to receive funds "u ?is subsection1 an entity-- 7i7 %all h demon/rat$ exp]tise 9 work+ ) organizations or individuals on issues affect+ ,,lgbt individuals2 7ii7 %all h docum5t$ exp]i5ce 9 provid+ tra9+ & te*nical assi/ance on a national basis or a =mal relation%ip ) an organization t has t exp]i5ce2 & 7iii7 %all meet su* o!r crit]ia z ! ,assi/ant ,director %all issue4 7,b7 ,to be eligible to receive funds "u ?is subsection1 an entity %all submit an application to ! ,assi/ant ,director at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,assi/ant ,director may reasonably require4 7#e7 ,! ,assi/ant ,director %all make available to ! ,c5t] on an annual basis su* res\rces z are necess>y = ! ,c5t] to c>ry out effectively ! functions ( ! ,c5t] "u ?is subsection & n less ?an ! am\nt ( res\rces made available to ! ,national ,res\rce ,c5t] on ,lesbian1 ,gay1 ,bisexual1 & ,transg5d] ,ag+1 exi/+ on ! day be=e ! date ( enactm5t ( ! ,inclusive ,ag+ ,act1 = fiscal ye> #bjai4 7#f7 ,! ,assi/ant ,director %all develop & issue op]at+ /&>ds & report+ requirem5ts = ! ,c5t]4 4 7c7 ,reports ,section #bjg ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjah7 is am5d$-- 7#a7 9 subsection 7a77#c71 by ins]t+ ,,lgbt individuals1 aft] l[-income individuals12 7#b7 9 subsection 7c7-- 7,a7 9 p>agraph 7#a71 by ins]t+ 1 includ+ ! numb] ( su* individuals t are ,,lgbt individuals be=e ! semicolon2 7,b7 by r$esignat+ p>agraphs 7#d7 & 7#e7 z p>agraphs 7#e7 & 7#f71 respectively2 & 7,c7 by ins]t+ aft] p>agraph 7#c7 ! foll[+3 7#d7 ! effectiv5ess ( su* activities 9 assi/+ ,,lgbt old] individuals2 2 & 7#c7 by add+ at ! end ! foll[+3 7d7 ,! ,assi/ant ,secret>y %all ensure t-- 7#a7 no individual w be requir$ to provide in=mation reg>d+ ! sexual ori5tation or g5d] id5tity ( ! individual z a condition ( p>ticipat+ 9 activities or receiv+ s]vices "u ?is ,act2 & 7#b7 no ag5cy or o!r entity provid+ activities or s]vices "u ?is ,act t receives1 = ! purposes ( ?is ,act1 in=mation reg>d+ ! sexual ori5tation or g5d] id5tity ( an individual w disclose ! in=mation 9 any =m t w\ld p]mit su* individual to be id5tifi$4 7e7 ,! ,assi/ant ,secret>y %all develop appropriate protocols1 demon/rations1 tools1 or guidance = use by ,/ate ag5cies & area ag5cies on ag+1 to ensure successful implem5tation ( data collection requirem5ts "u ?is ,act ) respect to ,,lgbt individuals4 7f7 ,! ,assi/ant ,secret>y %all det]m9e :5 ! data collection requirem5ts describ$ 9 subsection 7e7 %all apply1 tak+ into consid]ation ! complexity & importance ( ea* requirem5t1 b ea* requirem5t %all apply n lat] ?an #a ye> aft] ! date ( enactm5t ( ! ,inclusive ,ag+ ,act4 4 #e4 ,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 organization1 or in/itution1 :i* may be a nonpr(it ag5cy1 organization1 or in/itution1 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 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 initiatives 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 or old] individuals ( a protect$ class1 among organizations & p]sonnel provid+ s]vices to old] individuals resid+ 9 rural areas2 7#e7 exp& ! use ( nondiscrim9ation policies t-- 7,a7 protect sexual ori5tation & g5d] id5tity2 & 7,b7 create community spaces t are inclusive to ,,lgbt old] individuals or 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$4 7g7 ,reports ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ! ,inclusive ,ag+ ,act1 & e #b ye>s !reaft]1 ! ,director %all submit to ,congress a report describ+ ! activities c>ri$ out "u ?is section dur+ ! prec$+ #b ye>s4 4 #f4 ,grants = ,/ate & community programs on ag+ ,section #cja7;a77#b7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjba7;a77#b77 is am5d$-- 7#a7 9 subp>agraph 7,e71 by /rik+ 2 & & ins]t+ a semicolon2 7#b7 by r$esignat+ subp>agraph 7,f7 z subp>agraph 7,i72 & 7#c7 by ins]t+ aft] subp>agraph 7,e7 ! foll[+3 7,f7 organizations t s]ve ,,lgbt individuals2 7,g7 organizations t s]ve a protect$ class2 & 7,h7 organizations t provide sexual heal? s]vices to old] individuals2 & 4 #g4 ,activities = heal?1 indep5d5ce1 & longevity ,section #daa7;a77#aa7 ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjcb7;a77#aa77 is am5d$ to read z foll[s3 7#aa7 conduct+ activities ( national significance to promote quality & cont9u\s improvem5t 9 ! support & s]vices provid$ to individuals ) greate/ social ne$1 ?r\gh activities t include ne$s assessm5t1 program developm5t & evaluation1 tra9+1 te*nical assi/ance1 & rese>*1 conc]n+-- 7,a7 address+ physical & m5tal heal?1 disabilities1 & heal? disp>ities2 7,b7 provid+ long-t]m c>e1 includ+ 9-home & community-bas$ c>e2 7,c7 provid+ in=mal c>e1 & =mal c>e 9 a facility sett+2 7,d7 provid+ access to culturally responsive heal? & human s]vices2 & 7,e7 address+ o!r gaps 9 assi/ance & issues t ! ,assi/ant ,secret>y det]m9es are ( p>ticul> importance to old] individuals ) greate/ social ne$4 4 #h4 ,data collection ,section #gab ( ! ,old] ,am]icans ,act ( #aife 7#db ,u4,s4,c4 #cjeh;g7 is am5d$-- 7#a7 9 subsection 7a77#c7-- 7,a7 by r$esignat+ subp>agraphs 7,f7 ?r\gh 7,j7 z subp>agraphs 7,g7 ?r\gh 7,k72 & 7,b7 by ins]t+ aft] subp>agraph 7,e7 ! foll[+3 7,f7 7i7 collect & analyze data1 9 coord9ation ) ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 relat+ to-- 7,i7 discrim9ation1 9 ! admission to1 transf] or dis*>ge f1 or lack ( adequate c>e provid$ 9 long-t]m c>e sett+s1 aga9/ old] individuals on ! basis ( actual or p]ceiv$ sexual ori5tation or g5d] id5tity1 a protect$ class1 or inclusion 9 an ,indian tribe or tribal organization2 & 7,,ii7 ! ne$ ( sexual heal? s]vices = old] individuals1 ! availability ( su* s]vices1 & any outbreaks ( sexually transmitt$ diseases among old] individuals2 & 7ii7 include ! analyses "u clause 7i7 9 ! reports describ$ 9 subsection 7h77#a72 2 & 7#b7 9 subsection 7h77#f71 9 ! matt] prec$+ subp>agraph 7,a71 by /rik+ 7,a7 ?r\gh 7,g7 & ins]t+ 7,a7 ?r\gh 7,h74