,,ii #aahth ,,congress #b;d ,session ,s4 #dfac ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #bj1 #bjbd,mr4 ,markey 7for himself1 ,mr4 ,casey1 ,mr4 ,wyden1 ,mr4 ,padilla1 and ,ms4 ,baldwin7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,older ,americans ,act of #aife to establish the ,office of ,,lgbtqi ,inclusion and a rural outreach grant program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,elder ,pride ,act4 #b4 ,definitions 7a7 ,in general ,section #ajb of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjjb7 is amended-- 7#a7 in paragraph 7#bd7-- 7,a7 in subparagraph 7,b71 by striking and at the end2 7,b7 in subparagraph 7,c77ii71 by striking the period and inserting a semicolon2 and 7,c7 by adding at the end the following3 7,d7 status as an ,,lgbtqi individual2 and 7,e7 status as an individual with ,,hiv4 2 7#b7 by redesignating paragraphs 7#bf7 through 7#cc71 paragraphs 7#cd7 and 7#ce71 and paragraphs 7#cf7 through 7#ef7 as paragraphs 7#bg7 through 7#cd71 paragraphs 7#cf7 and 7#cg71 and paragraphs 7#ci7 through 7#ei71 respectively2 7#c7 by inserting after paragraph 7#be7 the following3 7#bf7 ,the term ,,hiv means human immunodeficiency virus4 2 7#d7 by inserting after paragraph 7#cd7 7as so redesignated7 the following3 7#ce7 ,the term ,,lgbtqi means lesbian1 gay1 bisexual1 transgender1 queer1 or intersex4 2 7#e7 by inserting after paragraph 7#cg7 7as so redesignated7 the following3 7#ch7 ,the term minority1 with respect to an individual1 includes a lesbian1 gay1 bisexual1 transgender1 queer1 or intersex individual4 4 7b7 ,conforming amendment ,section #bae7;e77#a77;,j7 of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjbj;e-#a7;e77#a77;,j77 is amended by striking minorities and inserting minority individuals4 #c4 ,administration on aging 7a7 ,establishment of administration2 ,office of ,,lgbtqi ,inclusion ,section #bja of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjaa7 is amended-- 7#a7 in subsection 7d77#c77;,j71 by inserting before the semicolon the following3 1 including the effectiveness of such services in meeting the needs of ,,lgbtqi older individuals2 and 7#b7 by adding at the end the following3 7h7 7#a7 ,there is established in the ,administration an ,office of ,,lgbtqi ,inclusion 7referred to in this subsection as the ,office74 7#b7 7,a7 ,the ,office shall be headed by a ,director of ,,lgbtqi ,inclusion 7referred to in this subsection as the ,director71 who shall be appointed by the ,secretary4 7,b7 ,the ,office shall include an ,assistant ,director of ,,lgbtqi ,policy 7referred to in this subsection as the ,assistant ,director7 who shall be appointed by the ,director to assist the ,director in carrying out this subsection1 including by carrying out the activities under paragraph 7#d74 7#c7 ,the ,director shall-- 7,a7 coordinate activities within the ,department of ,health and ,human ,services1 and between other ,federal departments and agencies1 to assure a continuum of improved services for ,,lgbtqi older individuals2 7,b7 promote access to aging services and supports for ,,lgbtqi older individuals2 7,c7 collect and disseminate information related to the challenges experienced by ,,lgbtqi older individuals2 and 7,d7 administer and evaluate grants that will expand access to aging services and supports for ,,lgbtqi older individuals4 7#d7 ,the ,assistant ,director shall-- 7,a7 serve as the effective and visible advocate on behalf of ,,lgbtqi older individuals-- 7i7 within the ,department of ,health and ,human ,services and with other departments and agencies of the ,federal ,government regarding all ,federal policies affecting such individuals2 and 7ii7 in the ,states to promote the enhanced delivery of services and implementation of programs1 under this ,act and other ,federal ,acts1 for the benefit of such individuals2 7,b7 support1 conduct1 and arrange for research in the field of ,,lgbtqi aging with a special emphasis on gathering statistics on ,,lgbtqi older individuals2 7,c7 collect and disseminate information related to challenges experienced by ,,lgbtqi older individuals2 and 7,d7 recommend policies and priorities beneficial to ,,lgbtqi older individuals and promote the implementation and adoption of culturally competent care and services for such individuals4 7#e7 ,not later than #e years after the date of enactment of the ,elder ,pride ,act1 and every #e years thereafter1 the ,director shall submit to ,congress a report describing the activities carried out under this subsection during the preceding #e years4 4 #d4 ,rural outreach grant program ,part ,a of title ,,iv of the ,older ,americans ,act of #aife 7#db ,u4,s4,c4 #cjcb et seq47 is amended by adding at the end the following3 #dbc4 ,rural outreach grant program 7a7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means-- 7,a7 a ,state2 7,b7 an ,indian tribe or tribal organization2 or 7,c7 an agency1 nonprofit organization1 or institution 7including an area agency on aging1 or a multipurpose senior center1 in a rural area7 that-- 7i7 focuses on serving the needs of older individuals1 ,,lgbtqi individuals1 ,,lgbtqi older individuals1 or individuals of another protected class2 or 7ii7 focuses on providing sexual health services to all older individuals1 including services for older individuals with ,,hiv4 7#b7 ,protected class ,the term protected class means a group of individuals sharing a common characteristic or identity who are legally protected against discrimination4 7#c7 ,rural area ,the term rural area means an area that is not designated by the ,united ,states ,census ,bureau as an urbanized area or urban cluster4 7b7 ,authority for grants ,the ,assistant ,secretary1 acting through the ,director of ,,lgbtqi ,inclusion1 may make grants to eligible entities to carry out activities described in subsection 7d7 that are designed-- 7#a7 to create a cooperative and lasting partnership between-- 7,a7 ,,lgbtqi older individuals1 or older individuals of a protected class1 residing in rural areas2 and 7,b7 the eligible entity receiving the grant2 7#b7 to meet the needs of the individuals described in paragraph 7#a77;,a72 and 7#c7 to provide comprehensive sexual health services to all older individuals residing in the rural areas served by the grant4 7c7 ,applications 7#a7 ,in general ,an eligible entity seeking a grant under this section shall submit an application to the ,assistant ,secretary at such time1 in such manner1 and containing such information as the ,assistant ,secretary may reasonably require1 including the contents described in paragraph 7#b74 7#b7 ,contents ,an application for a grant under this section shall contain-- 7,a7 a description of the proposed activities to be supported by the grant2 7,b7 a description of the size and characteristics of the population in the rural area to be served by such proposed activities2 7,c7 a description of the public and private resources expected to be made available in connection with such activities2 7,d7 a demonstrated intent to partner with local organizations in rural areas in carrying out such activities2 7,e7 evidence in a form acceptable to the ,assistant ,secretary that such activities will meet urgent needs that are not met by available public and private sources2 and 7,f7 such other information or certifications that the ,assistant ,secretary determines necessary to achieve the purposes described in paragraphs 7#a7 through 7#c7 of subsection 7b74 7d7 ,use of funds ,an eligible entity may use funds made available by a grant under this section to carry out activities that include initiatives that-- 7#a7 engage in education and training relating to community outreach to ,,lgbtqi older individuals1 or older individuals of a protected class1 residing in rural areas2 7#b7 reduce isolation and improve access to care for ,,lgbtqi older individuals1 or older individuals of a protected class1 residing in rural areas by building relationships between such individuals and the local community2 7#c7 foster relationships between local service providers and ,,lgbtqi older individuals1 or older individuals of a protected class1 residing in rural areas2 7#d7 improve cultural competency with respect to ,,lgbtqi individuals1 and older individuals of a protected class1 among organizations and personnel providing services to older individuals residing in rural areas2 7#e7 expand the use of nondiscrimination policies that-- 7,a7 prohibit discrimination on the basis of sexual orientation1 gender identity1 or sex characteristics 7including intersex traits72 and 7,b7 create community spaces that are inclusive to ,,lgbtqi older individuals and older individuals of a protected class2 and 7#f7 focus on providing sexual health services to older individuals residing in rural areas1 including services for older individuals with ,,hiv4 7e7 ,supplement not supplant ,as a condition of receiving funds under this section1 an eligible entity shall agree to use such funds only to supplement the level of ,state or local funds that would1 in the absence of the receipt of funds under this section1 be made available for related ,,lgbtqi services4 7f7 ,standards and guidelines ,the ,assistant ,secretary shall establish standards and guidelines for activities supported by grants under this section4 ,such standards and guidelines shall permit an eligible entity receiving such grant to refine or adapt the standards and guidelines for an individual project if the refinement or adaptation is made necessary by a local circumstance4 7g7 ,coordination with local entities 7#a7 ,cooperation ,an eligible entity that receives a grant under this section shall1 in carrying out activities supported by the grant1 agree to cooperate and coordinate with-- 7,a7 the agencies of the relevant ,state and local governments responsible for providing services to ,,lgbtqi older individuals1 or older individuals of a protected class1 in the area served by such activities2 and 7,b7 other public and private organizations and agencies providing services to ,,lgbtqi older individuals1 or older individuals of a protected class1 in such area4 7#b7 ,prioritization ,an eligible entity receiving a grant under this section shall prioritize cooperating and coordinating with public and private organizations and agencies that primarily serve populations of older individuals with the greatest social need4 7h7 ,reports ,not later than #a year after the date of enactment of the ,elder ,pride ,act1 and annually thereafter1 the ,assistant ,secretary shall submit to ,congress and make available to the public a report that describes the activities carried out under this section during the preceding #b-year period4 7i7 ,authorization of appropriations ,there is to be authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjbe through #bjbi4 4