The bill amends the Older Americans Act of 1965 to include LGBTQI and HIV status as protected classes for older individuals and establishes an Office of LGBTQI Inclusion within the Department of Health and Human Services. It also introduces a Rural Outreach Grant Program to foster partnerships, provide sexual health services, and address the unique needs of LGBTQI older individuals and individuals of other protected classes in rural areas. The bill emphasizes coordination with state and local entities, sets standards and guidelines, and requires reporting on activities. $5,000,000 is authorized for the Rural Outreach Grant Program annually from 2027 to 2031.