‘‘(2) LGBTQI.—The term ‘LGBTQI’, used 
with respect to an individual, means a lesbian, gay, 
bisexual, transgender, queer, or intersex individual. 
‘‘(3) PROTECTED CLASS.—The term ‘protected 
class’ means a group of individuals sharing a com-
mon characteristic or identity who are legally pro-
tected against discrimination. 
‘‘(4) 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 cluster. 
‘‘(b) AUTHORITY FOR GRANTS.—The Assistant Sec-
retary may make grants to eligible entities to carry out 
activities described in subsection (d) that are designed— 
‘‘(1) to create a cooperative and lasting part-
nership between LGBTQI older individuals, or older 
individuals of a protected class, residing in rural 
areas and the eligible entity receiving the grant; 
‘‘(2) to meet the needs of the individuals de-
scribed in paragraph (1); and 
‘‘(3) to provide comprehensive sexual health 
services to all older individuals residing in rural 
areas. 
‘‘(c) APPLICATIONS.— 
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‘‘(1) IN GENERAL.—An eligible entity seeking a 
grant under this section shall submit an application 
to the Assistant Secretary at such time, in such 
manner, and containing such information as the As-
sistant Secretary may reasonably require, including 
the contents described in paragraph (2). 
‘‘(2) CONTENTS.—An application for a grant 
under this section shall contain— 
‘‘(A) a description of the proposed activi-
ties to be supported by the grant; 
‘‘(B) a description of the size and charac-
teristics of the population in a rural area to be 
served by such proposed activities; 
‘‘(C) a description of the public and private 
resources expected to be made available in con-
nection with such activities; 
‘‘(D) a demonstrated intent to partner 
with local organizations in rural areas in car-
rying out such activities; 
‘‘(E) 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 sources; and 
‘‘(F) such other information or certifi-
cations that the Assistant Secretary determines 
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necessary to achieve the purposes described in 
paragraphs (1) through (3) of subsection (b). 
‘‘(d) 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— 
‘‘(1) engage in education and training relating 
to community outreach to LGBTQI older individ-
uals, or older individuals of a protected class, resid-
ing in rural areas; 
‘‘(2) reduce isolation and improve access to care 
for LGBTQI older individuals, or older individuals 
of a protected class, residing in rural areas by build-
ing relationships between such individuals and the 
local community; 
‘‘(3) foster relationships between local service 
providers and LGBTQI older individuals, or older 
individuals of a protected class, residing in rural 
areas; 
‘‘(4) improve cultural competency with respect 
to LGBTQI individuals, and older individuals of a 
protected class, among organizations and personnel 
providing services to older individuals residing in 
rural areas; 
‘‘(5) expand the use of nondiscrimination poli-
cies that— 
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‘‘(A) prohibit discrimination on the basis 
of sexual orientation, gender identity, and sex 
characteristics (including intersex traits); and 
‘‘(B) create community spaces that are in-
clusive to LGBTQI older individuals and older 
individuals of a protected class; and 
‘‘(6) focus on providing sexual health services to 
older individuals residing in rural areas, including 
services for individuals with HIV. 
‘‘(e) SUPPLEMENT NOT SUPPLANT.—As a condition 
of receiving funds under this section, an eligible entity 
shall use such funds received under this section only to 
supplement the level of state or local funds that would, 
in the absence of the receipt of funds under this section, 
be made available for related LGBTQI services. 
‘‘(f) STANDARDS AND GUIDELINES.—The Assistant 
Secretary shall establish standards and guidelines for ac-
tivities supported by grants under this section. Such 
standards and guidelines shall permit an eligible entity re-
ceiving 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 circumstance. 
‘‘(g) COORDINATION WITH LOCAL ENTITIES.— 
‘‘(1) COOPERATION.—An eligible entity that re-
ceives a grant under this section shall, in carrying 
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out activities supported by the grant, agree to co-
operate and coordinate with— 
‘‘(A) the agencies of the relevant State and 
local governments responsible for providing 
services to LGBTQI older individuals, or older 
individuals of a protected class, in the area 
served by such activities; and 
‘‘(B) other public and private organizations 
and agencies providing services to LGBTQI 
older individuals, or older individuals of a pro-
tected class, in such area. 
‘‘(2) PRIORITIZATION.—An eligible entity re-
ceiving a grant under this section shall prioritize co-
operating and coordinating with public and private 
organizations and agencies that primarily serve pop-
ulations of older individuals with the greatest social 
need. 
‘‘(h) REPORTS.—Not later than 1 year after the ef-
fective date of this section, and annually thereafter, the 
Assistant Secretary shall submit to the Congress and 
make available to the public a report describing the activi-
ties carried out under this section during the then pre-
ceding 2-year period. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
to be authorized for rural outreach grant activities under 
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section 423, $5,000,000 for each of fiscal years 2025 and 
2029.’’. 
Æ 
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