; and (D) recommend policies and priorities beneficial to LGBT older individuals and promote the implementation and adoption of culturally competent care and services for such individuals. (5) Not later than 5 years after the date of enactment of this Act and every 5 years thereafter, the Director shall submit to Congress a report describing the activities carried out under this subsection during the preceding 5 years. . 4. Rural outreach grant program Part A of title IV of the Older Americans Act of 1965 ( 42 U.S.C. 3032 et seq.) is amended by adding at the end the following: 423. Rural outreach grant program (a) Definitions In this section: (1) Director The term Director means the Director of the Office of Inclusivity and Sexual Health established under section 201(g). (2) Eligible Entity The term eligible entity — (A) means an entity that submits an application to the Director in accordance with subsection (c), and is— (i) a State; (ii) an Indian tribe or tribal organization; or (iii) an agency, nonprofit organization, or institution that— (I) focuses on serving the needs of older individuals, LGBT individuals, or individuals of a protected class; or (II) focuses on providing sexual health services to all older individuals; and (B) may include an area agency on aging for a rural area or a multipurpose senior center. (3) 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 Director may make grants to eligible entities to carry out activities described in subsection (d) that are designed— (1) to create a cooperative and lasting partnership between LGBT 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 described in paragraph (1)