,,ii  #aafth ,,congress  #ast ,session  
,s4 #eeh  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #bf1      
#bjai,mr4 ,markey 7for himself1 ,mr4    
,sasse1 ,mr4 ,blunt1 ,mr4 ,schatz1 ,ms4 
,collins1 and ,mr4 ,bennet7 introduced  
the following bill2 which was read twice
 and referred to the ,committee on      
,health1 ,education1 ,labor1 and        
,pensions  ,a ,,bill  ,to amend the     
,public ,health ,service ,act to        
authorize a program on children and the 
media within the ,national ,institutes  
of ,health to study the health and      
developmental effects of technology on  
infants1 children1 and adolescents4  #a4
 ,short title ,this ,act may be cited as
 the ,children and ,media ,research     
,advancement ,act or the ,,camra ,act4  
#b4 ,research on the health and         
development effects of media on infants1
 children1 and adolescents ,subpart #g  
of part ,c of title ,,iv of the ,public 
,health ,service ,act 7#db ,u4,s4,c4    
#bhe;g et seq47 is amended by adding at 

the end the following3  #deb;,h4        
,research on the health and development 
effects of media on infants1 children1  
and adolescents  7a7 ,in general ,the   
,director of the ,national ,institutes  
of ,health1 in coordination with or     
acting through the ,director of the     
,institute1 shall conduct and support   
research and related activities         
concerning the health and developmental 
effects of media on infants1 children1  
and adolescents1 which may include the  
positive and negative effects of        
exposure to and use of media1 such as   
social media1 applications1 websites1   
television1 motion pictures1 artificial 
intelligence1 mobile devices1 computers1
 video games1 virtual and augmented     
reality1 and other media formats as they
 become available4 ,such research shall 
attempt to better understand the        
relationships between media and         
technology use and individual           
differences and characteristics of      
children and shall include              

longitudinally designed studies to      
assess the impact of media on youth over
 time4 ,such research shall include     
consideration of core areas of child and
 adolescent health and development      
including the following3  7#a7          
,cognitive ,the role and impact of media
 use and exposure in the development of 
children and adolescents within such    
cognitive areas as language development1
 executive functioning1 attention1      
creative problem solving skills1 visual 
and spatial skills1 literacy1 critical  
thinking1 and other learning abilities1 
and the impact of early technology use  
on developmental trajectories4  7#b7    
,physical ,the role and impact of media 
use and exposure on children's and      
adolescent's physical development and   
health behaviors1 including diet1       
exercise1 sleeping and eating routines1 
and other areas of physical development4
  7#c7 ,socio-emotional ,the role and   
impact of media use and exposure on     
children's and adolescents'             

social-emotional competencies1 including
 self-awareness1 self-regulation1 social
 awareness1 relationship skills1        
empathy1 distress tolerance1 perception 
of social cues1 awareness of one's      
relationship with the media1 and        
decision-making1 as well as outcomes    
such as privacy1 violence1 bullying1    
depression1 anxiety1 addiction1         
obsessive behavior1 and suicidal        
ideation4  7b7 ,developing research     
agenda ,the ,director of the ,national  
,institutes of ,health1 in coordination 
with the ,director of the ,institute1   
other appropriate national research     
institutes1 academies1 and centers1 the 
,trans-,,nih ,pediatric ,research       
,consortium1 and non-,federal experts as
 needed1 shall develop a research agenda
 on the health and developmental effects
 of media on infants1 children1 and     
adolescents to inform research          
activities under subsection 7a74 ,in    
developing such research agenda1 the    
,director may use whatever means        

necessary 7such as scientific workshops 
and literature reviews7 to assess       
current knowledge and research gaps in  
this area4  7c7 ,research program ,in   
coordination with the ,institute and    
other national research institutes and  
centers1 and utilizing the ,national    
,institutes of ,health's process of     
scientific peer review1 the ,director of
 the ,national ,institutes of ,health   
shall fund an expanded research program 
on the health and developmental effects 
of media on infants1 children1 and      
adolescents4  7d7 ,report to ,congress  
,not later than #a year after the date  
of enactment of this ,act1 the ,director
 of the ,national ,institutes of ,health
 shall submit a report to ,congress on  
the progress made in gathering data and 
expanding research on the health and    
developmental effects of media on       
infants1 children1 and adolescents in   
accordance with this section4 ,such     
report shall summarize the grants and   
research funded1 by year1 under this    

section4  7e7 ,authorization of         
appropriations ,there are authorized to 
be appropriated to carry out this       
section-- 7#a7 #ae1jjj1jjj for each of  
fiscal years #bjbj through #bjbb2 and   
7#b7 #be1jjj1jjj for each of fiscal     
years #bjbc and #bjbd4  4