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<dc:title>116 HR 1777 IH: Ruthie and Connie LGBT Elder Americans Act of 2019</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2019-03-14</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 1777</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20190314">March 14, 2019</action-date><action-desc><sponsor name-id="B001278">Ms. Bonamici</sponsor> (for herself, <cosponsor name-id="D000610">Mr. Deutch</cosponsor>, <cosponsor name-id="C001111">Mr. Crist</cosponsor>, <cosponsor name-id="G000551">Mr. Grijalva</cosponsor>, <cosponsor name-id="L000579">Mr. Lowenthal</cosponsor>, <cosponsor name-id="N000147">Ms. Norton</cosponsor>, <cosponsor name-id="W000797">Ms. Wasserman Schultz</cosponsor>, <cosponsor name-id="C001068">Mr. Cohen</cosponsor>, <cosponsor name-id="C001084">Mr. Cicilline</cosponsor>, <cosponsor name-id="S001145">Ms. Schakowsky</cosponsor>, <cosponsor name-id="J000298">Ms. Jayapal</cosponsor>, <cosponsor name-id="S001193">Mr. Swalwell of California</cosponsor>, <cosponsor name-id="R000602">Miss Rice of New York</cosponsor>, <cosponsor name-id="M001196">Mr. Moulton</cosponsor>, <cosponsor name-id="F000462">Ms. Frankel</cosponsor>, <cosponsor name-id="P000034">Mr. Pallone</cosponsor>, <cosponsor name-id="H001080">Ms. Haaland</cosponsor>, and <cosponsor name-id="J000288">Mr. Johnson of Georgia</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HED00">Committee on Education and Labor</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend the Older Americans Act of 1965 to provide equal treatment of LGBT older individuals, and
			 for other purposes.</official-title></form>
	<legis-body id="H08FEC45425724F058A8FB1847E5123AC" style="OLC">
 <section id="H0613C5B207204B76BE4BB4FDB3A831D5" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Ruthie and Connie LGBT Elder Americans Act of 2019</short-title></quote>.</text> </section><section id="H4D5CFD41830D4DD2AB9101CB57BA255E"><enum>2.</enum><header>Definitions</header> <subsection id="H05D461A352834AB8A49C6626CC4D5622"><enum>(a)</enum><header>In general</header><text>Section 102 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3002">42 U.S.C. 3002</external-xref>) is amended—</text>
 <paragraph id="H67A9BBE7F6524D4D9EB8464AAE233FFE"><enum>(1)</enum><text>in paragraph (24)—</text> <subparagraph id="H8B6F18D4FFC24C69B78B4BD6BE53FB96"><enum>(A)</enum><text>in subparagraph (B), by striking <quote>and</quote> at the end;</text>
 </subparagraph><subparagraph id="H6B3FEC1085074A73846EC7BF1C4959D3"><enum>(B)</enum><text>in subparagraph (C)(ii), by striking the period and inserting <quote>; and</quote>; and</text> </subparagraph><subparagraph id="HAD6F40BA00EE41D4AA4A93DDAD8B932B"><enum>(C)</enum><text>by adding at the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="H48B170FF8BE54887A8C07C8D3A7E1E48" style="OLC">
 <subparagraph id="H3477CFEAE1704397A3874D86E227430E"><enum>(D)</enum><text>status as an LGBT individual.</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block> </subparagraph></paragraph><paragraph id="HCAC2AD45AFAD41ECA18D5AD1B9BD7F35"><enum>(2)</enum><text>by redesignating—</text>
 <subparagraph id="H42BD0EF6B00842669A934FC5A9EC55B4"><enum>(A)</enum><text>paragraphs (36) through (54) as paragraphs (38) through (56), respectively; and</text> </subparagraph><subparagraph id="H601DE215FBC24BED92E3CCE3A88C41B4"><enum>(B)</enum><text>paragraphs (34) and (35) as paragraphs (35) and (36), respectively;</text>
 </subparagraph></paragraph><paragraph id="HDA628355066D44048478926D2123F80E"><enum>(3)</enum><text>by inserting after paragraph (33) the following:</text> <quoted-block display-inline="no-display-inline" id="H1B77CDFD15EE4F76932E496476D1958B" style="OLC"> <paragraph id="H290A1F4A0CEE42749F43D92BB263F7A8"><enum>(34)</enum><text>The term <term>LGBT</term>, used with respect to an individual, means a lesbian, gay, bisexual, or transgender individual.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
 </paragraph><paragraph id="HEDBAD87F827C4046B4830489E1212107"><enum>(4)</enum><text>by inserting after paragraph (36), as so redesignated, the following:</text> <quoted-block display-inline="no-display-inline" id="H620F5A26CF054B3CB112DE64D1FEFFD6" style="OLC"> <paragraph id="HAAFC7305A31146D88CC26B76FE7352D9"><enum>(37)</enum><text>The term <term>minority</term>, used with respect to an individual, includes a lesbian, gay, bisexual, or transgender individual.</text></paragraph><after-quoted-block>. </after-quoted-block></quoted-block>
 </paragraph></subsection><subsection id="H15B2FE4E15D041448217887C6E6EB8D5"><enum>(b)</enum><header>Conforming amendment</header><text>Section 215(e)(1)(J) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3020e-1">42 U.S.C. 3020e–1(e)(1)(J)</external-xref>) is amended by striking <quote>minorities</quote> and inserting <quote>minority individuals</quote>.</text>
			</subsection></section><section id="HFE4C751D521641D386336362BCE27FAF"><enum>3.</enum><header>Administration on aging</header>
 <subsection id="H6A2F44491AA34CD48E3A20998D5DB0C5"><enum>(a)</enum><header>Establishment of administration</header><text>Section 201 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3011">42 U.S.C. 3011</external-xref>) is amended—</text> <paragraph id="HA63883CF73614204970B0EFAA0F0C387"><enum>(1)</enum><text>in subsection (d)(3)(J), by inserting before the semicolon the following: <quote>, including the effectiveness of such services in meeting the needs of LGBT older individuals</quote>; and</text>
 </paragraph><paragraph id="H949816F5F04141F58450DA1CFCC0899A"><enum>(2)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="HA983C845D2C548869C016CEF3431D605" style="OLC"> <subsection id="H642FF99F2392481AB7E5AFCA53AD642E"><enum>(g)</enum><text>The Assistant Secretary is authorized to designate within the Administration a person to have responsibility for addressing issues affecting LGBT older individuals.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph></subsection><subsection id="H7D9D6D9A386D41E39BB669BED4E79D9C"><enum>(b)</enum><header>Functions of Assistant Secretary</header><text>Section 202 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3012">42 U.S.C. 3012</external-xref>) is amended—</text> <paragraph id="H605F03D9D6724B4AA58EC281DE60F1C6"><enum>(1)</enum><text>in subsection (a)—</text>
 <subparagraph id="HBE66C920DEB94A42B8D30C4C09527BD5"><enum>(A)</enum><text>in paragraph (16)(A)(ii), by inserting <quote>, and separately specifying the number of such individuals who are LGBT individuals</quote> before the semicolon;</text> </subparagraph><subparagraph id="HF2374897B08B43589F410D39CB14DF28"><enum>(B)</enum><text>in paragraph (30), by striking <quote>; and</quote> and inserting a semicolon;</text>
 </subparagraph><subparagraph id="HCC2BB9DAF09843E0BCACC41D9AD26AEA"><enum>(C)</enum><text>in paragraph (31), by striking the period at the end and inserting <quote>; and</quote>; and</text> </subparagraph><subparagraph id="H32AF3DEE86A44CB78CD753FCC3824F2B"><enum>(D)</enum><text>by adding at the end the following:</text>
						<quoted-block display-inline="no-display-inline" id="HC07590C5655340C6957D2ED484FA2063" style="OLC">
 <paragraph id="H9689C274B9E14B948E6EE812E1D6B296"><enum>(32)</enum><text>conduct studies and collect data to determine the services that are needed by LGBT older individuals.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block>
 </subparagraph></paragraph><paragraph id="H80919376EE4E4ADEB2D9B36667E5361C"><enum>(2)</enum><text>by adding at the end the following:</text> <quoted-block display-inline="no-display-inline" id="HF579A38046744F199D7C31EF5E8EA753" style="OLC"> <subsection id="H748B1CD108DE40BEA020B11ECEECA9A4"><enum>(g)</enum> <paragraph commented="no" display-inline="yes-display-inline" id="HB2B73CF100A540389FFDBAA5DD3AF018"><enum>(1)</enum><text>The Assistant Secretary shall, directly or by grant or contract, establish and operate the National Resource Center on Lesbian, Gay, Bisexual, and Transgender Aging (in this subsection referred to as the <term>Center</term>).</text>
 </paragraph><paragraph id="H6FE5810292A3405D9E7176FC24154D9F" indent="up1"><enum>(2)</enum><text>To address the unique challenges faced by LGBT older individuals, the Center shall provide national, State, and local organizations, including those with a primary mission of serving LGBT individuals and those with a primary mission of serving older individuals, with the information and technical assistance the organizations need to effectively serve LGBT older individuals.</text>
 </paragraph><paragraph id="H3EA7B17BBE26408CA30CAC14DB5D8D8C" indent="up1"><enum>(3)</enum><text>The Center shall have 3 primary objectives, consisting of—</text> <subparagraph id="HC7CF8DA1CEBC4AA8BA5F3E759EB022DE"><enum>(A)</enum><text>educating aging services organizations about the existence and special needs of LGBT older individuals;</text>
 </subparagraph><subparagraph id="H3D77F4149E504AB5A4C4577407584E87"><enum>(B)</enum><text>sensitizing LGBT organizations about the existence and special needs of older individuals; and</text> </subparagraph><subparagraph id="H464C00AE8FA34CEBBB13B42F981996F2"><enum>(C)</enum><text>providing educational resources to LGBT older individuals and their caregivers.</text>
								</subparagraph></paragraph><paragraph id="H7D68B82B05784316BD82BC4064BFBDD0" indent="up1"><enum>(4)</enum>
 <subparagraph commented="no" display-inline="yes-display-inline" id="H91F2D4B9536C49F39B5B5A9A1601BE0D"><enum>(A)</enum><text>To be eligible to receive funds under this subsection, an entity—</text> <clause id="H030BC2E9B88D4B18BA6EDBFF16488BA8" indent="up1"><enum>(i)</enum><text>shall have demonstrated expertise in working with organizations or individuals on issues affecting LGBT individuals;</text>
 </clause><clause id="H3D1B2C24435B4B81ABAE52E0D093C573" indent="up1"><enum>(ii)</enum><text>shall have documented experience in providing training and technical assistance on a national basis or a formal relationship with an organization that has that experience; and</text>
 </clause><clause id="HD9C4F7BAFD914B7C8B637F1BE9829BFB" indent="up1"><enum>(iii)</enum><text>shall meet such other criteria as the Assistant Secretary shall issue.</text> </clause></subparagraph><subparagraph id="H2E528C1BC92F40E8BE7B4B157F29C7AC" indent="up1"><enum>(B)</enum><text>To be eligible to receive funds under this subsection, an entity shall submit an application to the Assistant Secretary at such time, in such manner, and containing such information as the Assistant Secretary may require.</text>
 </subparagraph></paragraph><paragraph id="HC922E4E9EFFC4402A0FCA5EB4FA612D7" indent="up1"><enum>(5)</enum><text>The Assistant Secretary shall make available to the Center on an annual basis such resources as are necessary for the Center to carry out effectively the functions of the Center under this Act and not less than the amount of resources made available to the National Resource Center on LGBT Aging, existing on the day before the date of enactment of the <short-title>Ruthie and Connie LGBT Elder Americans Act of 2017</short-title>, for fiscal year 2018.</text>
 </paragraph><paragraph id="H1C46C4B938DD4704AEE145086B2C70E0" indent="up1"><enum>(6)</enum><text>The Assistant Secretary shall develop and issue operating standards and reporting requirements for the Center.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph></subsection><subsection id="HACA29164C9B2464E8D1ABA8A19093FE1"><enum>(c)</enum><header>Reports</header><text>Section 207 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3018">42 U.S.C. 3018</external-xref>) is amended—</text> <paragraph id="HAD7A2C8E49364C3A8B5DD4FFFAB1893F"><enum>(1)</enum><text>in subsection (a)(3), by inserting <quote>LGBT individuals,</quote> after <quote>low-income individuals,</quote>;</text>
 </paragraph><paragraph id="HEBB2774CD678433999172C4ACD18EEA5"><enum>(2)</enum><text>in subsection (c)—</text> <subparagraph id="HD4BC82CE02D94BA08653A9DF95BE052D"><enum>(A)</enum><text>in paragraph (1), by inserting <quote>, and separately specify the number of such individuals who are LGBT individuals</quote> before the semicolon;</text>
 </subparagraph><subparagraph id="H06E026E77D9C4F6790DB36DE38614947"><enum>(B)</enum><text>by redesignating paragraphs (4) and (5) as paragraphs (5) and (6), respectively; and</text> </subparagraph><subparagraph id="HE5CF2C713B0D4F6ABEAD55F4269E9D65"><enum>(C)</enum><text>by inserting after paragraph (3) the following:</text>
						<quoted-block display-inline="no-display-inline" id="HB9728D3E9A6B4CDCACDDA0678E272214" style="OLC">
 <paragraph id="HEF21CB860F1B42C5B1897F52BD6CA4D3"><enum>(4)</enum><text>the effectiveness of such activities in assisting LGBT individuals;</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block> </subparagraph></paragraph><paragraph id="H8D5A4B9FAA8C4895A85ADDB4A068781A"><enum>(3)</enum><text>by adding at the end the following:</text>
					<quoted-block display-inline="no-display-inline" id="HEB63C43D4C1E456C82E833F2C5FFDDD1" style="OLC">
 <subsection id="H61493E6E45504F27B374A5F2BC373C1D"><enum>(d)</enum><text>The Assistant Secretary shall ensure that—</text> <paragraph id="H9CCC7C4E97224D4F837D7AA7B4CAC08E"><enum>(1)</enum><text>no individual will be required to provide information regarding the sexual orientation or gender identity of the individual as a condition of participating in activities or receiving services under this Act; and</text>
 </paragraph><paragraph id="H72F20EBE592B442486C3D04733EBB165"><enum>(2)</enum><text>no agency or other entity providing activities or services under this Act that receives, for the purposes of this Act, information regarding the sexual orientation or gender identity of an individual will disclose the information in any form that would permit such individual to be identified.</text>
 </paragraph></subsection><subsection id="H75BF862F97384413957DDF8B2755088D"><enum>(e)</enum><text>The Assistant Secretary shall develop appropriate protocols, demonstrations, tools, or guidance for use by State agencies and area agencies on aging, to ensure successful implementation of data collection requirements under section 201(d)(3)(J), paragraphs (16)(A)(ii) and (29) of section 202(a), subsections (a)(3), (c)(1), and (c)(4), and section 307(a)(6), relating to LGBT individuals.</text>
 </subsection><subsection id="H102407933BC34FC3A4FE5DA4CA398385"><enum>(f)</enum><text>The Assistant Secretary shall determine when the data collection requirements described in subsection (e) shall apply, taking into consideration the complexity and importance of each requirement, but each requirement shall apply not later than 1 year after the date of enactment of the <short-title>Ruthie and Connie LGBT Elder Americans Act of 2017</short-title>.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
 </paragraph></subsection></section><section id="HD47AB2F3006249729E5C29CBFD024833"><enum>4.</enum><header>Grants for State and community programs on aging</header><text display-inline="no-display-inline">Section 301(a)(2) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3021">42 U.S.C. 3021(a)(2)</external-xref>) is amended—</text> <paragraph id="HA1D932765393431FBB2248D77F086A3F"><enum>(1)</enum><text>in subparagraph (E), by striking <quote>; and</quote> and inserting a semicolon;</text>
 </paragraph><paragraph id="H8B94C0E2D31440C8BE6CAB7829D52F43"><enum>(2)</enum><text>by redesignating subparagraph (F) as subparagraph (G); and</text> </paragraph><paragraph id="H3D5FBE29459A4823BBAEEB88F183A5C8"><enum>(3)</enum><text>by inserting after subparagraph (E) the following:</text>
				<quoted-block display-inline="no-display-inline" id="H9E97EF94D20243B6B51DCE8F8C54CF36" style="OLC">
 <subparagraph id="H7BB6E036EA904DB5AB82DA430DB0636C"><enum>(F)</enum><text>organizations that serve LGBT individuals; and</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block> </paragraph></section><section id="HC7E22BE49F874C56ABBF86112F91303E"><enum>5.</enum><header>Activities for health, independence, and longevity</header><text display-inline="no-display-inline">Section 411(a)(11) of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3032">42 U.S.C. 3032(a)(11)</external-xref>) is amended to read as follows:</text>
			<quoted-block display-inline="no-display-inline" id="HD1C559E1EF63432D865300DD0B67A23E" style="OLC">
 <paragraph id="HF645C881FFB14933BF5F8D9FB2954EAF"><enum>(11)</enum><text>conducting activities of national significance to promote quality and continuous improvement in the support and services provided to individuals with greatest social need, through activities that include needs assessment, program development and evaluation, training, technical assistance, and research, concerning—</text>
 <subparagraph id="HA884B87155AF4F2D846886F2BA9FE0E7"><enum>(A)</enum><text>addressing physical and mental health, disabilities, and health disparities;</text> </subparagraph><subparagraph id="H408CB8AC10424EB3BF2822F2C8DE6FAF"><enum>(B)</enum><text>providing long-term care, including in-home and community-based care;</text>
 </subparagraph><subparagraph id="H4F13F158D2C447708BB5AACB988D3CCA"><enum>(C)</enum><text>providing informal care, and formal care in a facility setting;</text> </subparagraph><subparagraph id="H0814C8B6AC584224B0C2C5A1F69E0531"><enum>(D)</enum><text>providing access to culturally responsive health and human services; and</text>
 </subparagraph><subparagraph id="HB0FE4786EE844F919B3573FE6C5FDC9C"><enum>(E)</enum><text>addressing other gaps in assistance and issues that the Assistant Secretary determines are of particular importance to older individuals with greatest social need.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
 </section><section id="H8D7E2B3E20A24A01A2FAAAAEAADA34A7"><enum>6.</enum><header>Data on discrimination</header><text display-inline="no-display-inline">Section 712 of the Older Americans Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/42/3058g">42 U.S.C. 3058g</external-xref>) is amended—</text> <paragraph id="H7D149795E2974E9AAF129BDDC1FC96B1"><enum>(1)</enum><text>in subsection (a)(3)—</text>
 <subparagraph id="H75D69D01803041DFBF877579F0D508D2"><enum>(A)</enum><text>by redesignating subparagraphs (F) through (J) as subparagraphs (G) through (K); and</text> </subparagraph><subparagraph id="HF1DD6242FFBA4E448C13447E0D9EBA94"><enum>(B)</enum><text>by inserting after subparagraph (E) the following:</text>
					<quoted-block display-inline="no-display-inline" id="H3D44D2280FD740DEB98CEE7E684AC6DE" style="OLC">
 <subparagraph id="H9AEA6D126A084D9E9A8881F8E4E1EF3A"><enum>(F)</enum><text>collect and analyze data, relating to discrimination against LGBT older individuals on the basis of actual or perceived sexual orientation or gender identity in the admission to, transfer or discharge from, or lack of adequate care provided in long-term care settings, and shall include the analyses in the reports described in subsection (h)(1);</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block>
 </subparagraph></paragraph><paragraph id="H0652513FA7DC4C848380599D32D716CB"><enum>(2)</enum><text>in subsection (h)(6), in the matter preceding subparagraph (A), by striking <quote>(A) through (G)</quote> and inserting <quote>(A) through (H)</quote>.</text> </paragraph></section></legis-body></bill> 

