Health alongside Traditional Health care services. My amendment provides Health Care Services administration with the resources that will allow them to study this. Id like to now yield one minute to the distinguished gentlelady from california, ms. Lee. The chair the gentlewoman from california is recognized for one minute. Mrs. Lee thank you very much. First, let me thank the gentleman from massachusetts for offering this extremely important amendment and i fully support it. Social factors such as poverty, substandard house, unsafe neighborhoods are critical drivers of health outcomes. I share the gentlemans concern and agree that we need to better understand how environmental conditions such as these play a role in human health and let me just say to the gentleman, we worked very closely with the black, hispanic, and Asian Pacific american caucus in terms of our Health Strategy with regard to communities of color, to close health disparities. This amendment is so important in those efforts. I would note also that the Committee Report accompanying the laborhhs appropriations bill encourages the center for medicare and medicaid to clarify and sis semi and disseminate strategies to distribute aid in medicaid and chip program. I thank him for offering this amendment and urge my colleagues to vote yes. I i yield back the balance of my time. Mr. Keating i thank the gentlelady. I urge my colleagues across the nation, if youre in a rural area, if youre in an underserved area, this is important for all of us. Urge support of this and i reserve the balance of my time. The chair the gentlemans time has expired. Does any member seek time in opposition . The question is on the amendment offered by the gentleman from massachusetts. Those in favor say aye. Those opposed, no. In the opinion of the chair, the ayes have it. Mr. Cloud mr. Speaker. The chair the gentleman from texas is recognized. Mr. Cloud i ask for a recorded vote. The chair pursuant to clause 6 of rule 18, further proceedings on the amendment offered by the gentleman from texas sorry, the gentleman from massachusetts will be postponed. It is now in order to consider amendment number 44 printed in part b of house report 116109. For what purpose does the gentlewoman from West Virginia seek recognition . Mrs. Miller mr. Chairman, i have an amendment at the desk. The chair the clerk will designate the amendment. The clerk amendment number 44 president clinton printed in part b of house report 116109 offered by mrs. Miller of West Virginia. Miller of West Virginia. The chair pursuant to House Resolution 431, the gentlewoman from West Virginia and a member opposed each will control five minutes. The chair recognizes the gentlewoman from West Virginia. Mrs. Miller thank you, mr. Chair much i rise today to offer my amendment mr. Chair. I rise today to offer my amendment. My amendment would increase the funding for neonatal abc nance Syndrome Research by 2ds million at the centers of Disease Control to ensure Adequate Funding for this terrible condition. The Opioid Epidemic plaguing our nation is heartbreaking and especially in my home state of West Virginia. Too many members of our communities know of its devastating effects far too well. Whether it be a family member, a friend, the person in line behind you at the grocery store, or even someone praying beside new church, we all have seen the pain that it causes. Sadly, many of our youngest citizens are suffering from the Second Generation impacts of this crisis as well. West virginia has one of the highest rates of neonatal abcity nance syndrome which is the t nance syndrome with abstinance syndrome. For every 1,000 babies born in my state, 50 enter this world exposed to drugs. In my hometown of huntington, we are blessed to have facilities that are dedicated to caring for n. A. S. Ffering from i visited the hospital to see these beautiful innocent babies who are battling insurmountable dds. I see the care in the eyes of the doctors and the nurses who tend to them 24 hours a day, and i can feel the love from the volunteers who cuddle these tiny children and soothe them through the worst moments of their early lives. There is still so much more to do. My colleagues, i stand before you to tell you that today we can do more. I ask you all to support my amendment, to double the funding of n. A. S. Research and to improve the lives of our most precious and struggling citizens. I reserve the balance of my time. The chair does anyone rise in opposition to the amendment . Not seeing anyone rising, the chair recognizes the gentlewoman from West Virginia. Mrs. Miller thank you. Im prepared to close. This is so very important to our little, tiny babies who are exposed to the terrible epidemic that we have going on across our country. And i urge you all and i thank you, please adopt my amendment. I yield back the balance of my time. The chair the question is on the amendment offered by the gentlewoman from West Virginia. Those in favor say aye. Those opposed, no. In the opinion of the chair, the ayes have it. Mr. Cloud mr. Speaker. Mr. Chairman. The chair for what purpose does the gentleman from West Virginia stand . I request a recorded vote on the excellent amendment from my friend from West Virginia. The chair pursuant to clause 6 of rule 18, further proceedings on the amendment offered by the gentleman from West Virginia the gentlewoman from west irginia will be postponed. It is now in order to consider amendment number 45 printed in part b of house report 116109. For what purpose does the gentleman from rhode island seek recognition . Mr. Cicilline i have an amendment the desk. The chair the clerk will designate the amendment. The clerk amendment number 45 printed in part b of house report 116109 offered by mr. Cicilline of rhode island. The chair pursuant to House Resolution 431, the gentleman from rhode island, mr. Cicilline, and a me observe and a member opposed each will control five minutes. The chair recognizes the gentlewoman from rhode island. Mr. Cicilline mr. Chairman, i yield myself as much time as i shall consume. Mr. Chairman, a recent study found that only about 36 of americans would be able to pass a multiple choice test with questions from the u. S. Citizenship test on it. While another study found that only 26 of americans are able to name all three branches of government. These numbers are not only startling on their own but they also correspondent with historically low opinions of the federal government and record low voter turnout rates. Currently only nine states in this country require students to complete one year of education in civics or government. While 10 states have no stisk Civics Education requirement at all. Across the Country School districts are expressing concern over the need for greater Civics Education. Last year 74 of superintendents expressed that preparing students to become engaged citizens was a challenge. Africanamerican and hispanic communities, students are twice as likely to score low on National Civics assessments tests as white students and a similar gap exists between wealthy and poor communities as well. These are signs that point to a growing crisis in political and Civic Engagement in younger americans. Unless actions are taken, disenchantment with the electoral process and disinterest in the issues that will increasingly shape their future and the future of our nation will continue it to grow. Congress needs to show a commitment to strengthening Civics Education programs throughout our country in order to reverse this trend. My amendment would provide an additional 500,000 for National Activities in six of and History Education under title 2 of the elementary and secondary education act. Effective Civics Education can have a Significant Impact on young people. Students who receive effective six of education develop strong Critical Thinking skills, are more likely to take an active role in their government and are more likely to volunteer or become more involved in their communities. According to the centers for information and research on civic learning and engagement, students who participate in Civics Education during high school are significantly more likely to graduate from college. Im hopeful that this modest increase will show that we are ready to move in the direction of appear preparing young people in this country to be more engaged with the world around them and ensure that they are invested in strengthening our democracy. I urge my colleagues to adopt the amendment. With that, i reserve the balance of my time. The chair does anyone rise np in opposition to the amendment . Not seeing anyone rising, the chair recognizes the gentleman from rhode island. Mr. Cicilline i yield the balance of my time to the gentlelady from california, ms. Lee. The chair the gentlewoman from california is recognized. Ms. Lee thank you, mr. Chairman. First let me thank my colleague for raising the importance of the American History and civics National Activities program and i support this amendment. These competitive grants reflect one of two dedicated funding streams for civic and American History in the laborhhs bill. Helping to spur innovation and assist underserved students. The underlying bill rejects the trump administrations harmful budget request to eliminate these programs. I appreciate the amendment draws attention to the importance of the American History and civics National Activities program, and i am happy to support it and i urge an aye vote and thank the gentleman again for the amendment. The chair thank you. The chair recognizes the gentleman from rhode island. Mr. Cicilline i yield back, mr. Chairman. The chair thank you. The question is on the amendment offered about offered by the gentleman from rhode island. Those in favor say aye. Those opposed, no. In the opinion of the chair, the ayes have it. The gentleman from West Virginia is recognized. On that i request the yeas and nays. The chair could you speak up, please . I request a recorded vote. The chair pursuant to clause 6 of rule 18, further proceedings on the amendment offered by the gentleman from rhode island will be postponed. It is now in order to consider amendment number 46 printed in art b of house report 116109. For what purpose does the gentleman from california seek recognition . Mr. Bera mr. Chairman, i have an amendment at the desk. The chair the clerk will designate the amendment. The clerk amendment number 46 printed in part b of house report 116109 offered by mr. Bera of california. The chair pursuant to House Resolution 431, the gentleman from california, mr. Bera, and a member opposed each will control five minutes. The chair recognizes the gentleman from california. Mr. Bera mr. Chair, i rise today to offer an amendment to h. R. 2740. My amendment is simple. It would direct the Substance AbuseMental HealthServices Administration to explore using its funds to explore peer to peer Mental Health programs for First Responders. Our First Responders, our police officers, our e. M. S. , our firefighters are at particular risk for suicide. Studies have found they have some of the highest rates of suicide. This is a difficult thing to discuss. But we need to address it. These are men and women that are exposed to trauma every day, things that a normal human being is not going see. Every day firefighters, police officers, e. M. S. Are responding to calls for help. Its time we heard their call. Thats why im glad the laborhhs appropriations report requires samhsa to examine ptsd among First Responders. I want to thank my colleagues for working to include this anguage in the bill. Peer to peer programs where First Responders can turn to a trusted friend and talk to them about what theyre struggling with. Ive introduced the helping Emergency Responders overcome the hero act to authorize h. H. S. To do that. We need to explore this tool so that we can help our police, our e. M. S. , our fight foors firefighters, just as they helped us. With that, i reserve the balance of my time. The chair does anybody rise in opposition to the amendment . Not seeing anyone, the chair recognizes the gentleman from california. Mr. Bera i urge my colleagues to support my amendment and i yield back the balance of my time to my colleague i yield the balance of my time to my colleague from california. The chair the chair recognizes the gentlelady from california. Ms. Lee thank you. First of all, let me thank the gentleman for this very important amendment. And i rise in strong support of it. Civilian First Responders in the disciplines of law enforcement, Fire Services and Emergency Medical Services routinely face highly stressful situations. They are the ones we call upon when were in need. This amendment raises attention to the importance of the Mental Health needs of our First Responders. Peer to peer Mental Health programs for our First Responders acknowledges that those who are committed to the same type of work may be the ones best suited to support their own colleagues Mental Health. For so long Mental Health issues were relegated to the shadows, approached with shame and misunderstanding that only exacerbates pain for people and their families. Now, as a clinical social worker myself, by profession, and the chair of the social work caucus here in the house, we know how widespread the these issues are these issues are. Its up to all of us to work to erase the stigma around Mental Health. I thank my colleague for offering this amendment and i urge its adoption. The chair the gentleman from california is recognized. Mr. Bera i yield back. The chair thank you. The question is on the amendment offered by the gentleman from california. Those in favor say aye. Those opposed, no. In the opinion of the chair, the ayes have it. For what purpose does the gentleman from West Virginia stand . I request a recorded vote. The chair pursuant to clause 6 of rule 18, further proceedings on the amendment offered by the gentleman from West Virginia will be postponed. Excuse me, the gentleman from alifornia will be postponed. It is now in order to consider amendment number 47 printed in art b of house report 116109. For what purpose does the gentleman from texas seek recognition . Mr. Castro i have an amendment at the desk. The chair the clerk will designate the amendment. The clerk amendment number 47 printed in part b of house report 116109 offered by mr. Castro of texas. The chair pursuant the chair pursuant to House Resolution 141, the gentleman from texas is recognized. Mr. Castro thank you, mr. Speaker. I this amendment requires the office of Refugee Resettlement to report all deaths of children in their custody. I reserve the balance of my time. The chair does anyone for what purpose does the gentleman from maryland i rise in opposition to the amendment and reserve the balance of my time. The chair the gentleman eserves. The gentleman from texas. Mr. Castro i give two minutes to rosa delauro of connecticut. The chair the gentlewoman is recognized. Ms. Delauro thank you. I want to thank the gentleman. I want to thank him for his commitment, his concern and his dedication. I rise in support of my colleagues amendment, the death of any child is devastating. The fact that children have died while in the custody of the federal government and we dont know the circumstances of why or sometimes even when they have died is almost beyond comprehension to me. We have an oversight role. It is our responsibility to make sure that children are safe and protected while they are in the custody of health and human ervices. If you take a look at the Mission Statement it says place the child in a safe environment and do it as expeditiously as ossible. It is our responsibility to assure h. H. S. Is fully transparent and they are, quote, appropriately respond to the death of an unaccompanied alien child in the care and custody of o. R. R. What my colleague, mr. Castro, wants to do is make sure that the department of health and Human Services follows its own written policy. It