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Adds explicit recognition of LGBTQI and HIV status to the Older Americans Act, creates an Office of LGBTQI Inclusion in the Administration on Aging with new leadership positions, and requires expanded data collection, reporting, and program evaluation related to LGBTQI older adults. Establishes and funds a National Resource Center on LGBTQI Aging, expands lists of eligible organizations to include those that serve LGBTQI individuals, and requires data collection on discrimination in long-term care settings. Aimed at improving access to culturally responsive services and preventing discrimination, the bill directs the Assistant Secretary to coordinate federal efforts, collect and publish data, conduct studies, and make recurring reports to Congress, while specifying required activities for programs serving older adults with greatest social need.
The bill expands explicit protections, services, coordination, and data for LGBTQI and other vulnerable older adults—improving visibility and access—but creates new federal programs, reporting requirements, and administrative costs that could fall on providers, states, and taxpayers and raise privacy and implementation risks.
LGBTQI older adults (and older adults living with HIV) are explicitly recognized and included in the Older Americans Act, increasing their eligibility and access to OAA-funded services, outreach, and culturally competent care.
A new federal Office/Director and a National Resource Center will coordinate programs, provide training and technical assistance, and strengthen program delivery for organizations serving LGBTQI and other vulnerable older adults.
Improved data collection and reporting (including discrimination reporting in long-term care) will increase visibility of harms and service gaps for LGBTQI older adults and guide policy, enforcement, and targeted program improvements.
State and local agencies, long-term care providers, and nonprofits will face increased administrative, reporting, and compliance burdens (intake form updates, data collection, grant applications, training), raising operational costs and staff time.
Creating a new Office and Resource Center and expanding federally directed activities could increase federal spending and taxpayer costs—both through mandated minimums and potential new program funding or grant expectations.
Collecting new demographic and discrimination data raises privacy risks for LGBTQI older adults and could harm trust if sensitive identity information is mishandled or disclosed.
Introduced June 26, 2025 by Suzanne Bonamici · Last progress June 26, 2025