H.Res. 443House115th Congress (2017-2019)Passed Congress

Recognizing the importance and effectiveness of trauma-informed care.

Introduced July 13, 2017

AI-Generated Summary

Updated April 15, 2026 at 5:06 PM UTC

H.Res. 443 is a simple resolution that recognizes the widespread effects of trauma and the value of trauma‑informed care. It calls on the federal government and Congress to incorporate these approaches into their programs and operations, aiming to improve health, social, and economic outcomes for people affected by trauma.

Key Provisions

  • The House formally acknowledges that trauma‑informed care is important and effective for addressing the impacts of adverse childhood experiences and other trauma.
  • It urges all federal agencies, programs, and Congress itself to adopt and use trauma‑informed approaches in their work.

Legislative Activity

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8 earlier actions
HouseFloor Latest Action

Motion to reconsider laid on the table Agreed to without objection.

February 26, 2018 • 6:07 PM

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HouseIntro Referral

Introduced in House

July 13, 2017

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

July 13, 2017

HouseCommittee

Referred to the Subcommittee on Health.

July 14, 2017

HouseFloor

Mr. Burgess moved to suspend the rules and agree to the resolution, as amended.

February 26, 2018 • 5:56 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H1244-1246)

February 26, 2018 • 5:56 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H. Res. 443.

February 26, 2018 • 5:56 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and agree to the resolution, as amended Agreed to by voice vote.(text: CR H1244-1245)

February 26, 2018 • 6:07 PM

HouseFloor

On motion to suspend the rules and agree to the resolution, as amended Agreed to by voice vote. (text: CR H1244-1245)

February 26, 2018 • 6:07 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

February 26, 2018 • 6:07 PM

Floor Debate

4 members

What members said about H.Res. 443 on the floor

2 Republicans2 Democrats
Danny K. Davis
Rep. Danny K. DavisD-IL-7 · Feb 26, 2018

Mr. Speaker, I commend Dr. Burgess for his leadership, and Representative Gene Green. They have both demonstrated, I think, the kind of leadership that we are often seeking, searching for, and…

Mike Gallagher
Rep. Mike GallagherR-WI-8 · Feb 26, 2018

Mr. Speaker, this is a great day for children, for vulnerable populations, and caregivers in my home State of Wisconsin and across this country. H. Res. 443 recognizes the importance of…

Gene Green
Rep. Gene GreenD-TX-29 · Feb 26, 2018

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H. Res. 443, Recognizing the Importance and Effectiveness of Trauma-Informed Care, sponsored by Congressman…

Michael C. Burgess
Rep. Michael C. BurgessR-TX-26 · Feb 26, 2018

Mr. Speaker, I move to suspend the rules and agree to the resolution (H. Res. 443) recognizing the importance and effectiveness of trauma-informed care, as amended. Mr. Speaker, I ask unanimous…

Bill Text

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Engrossed in HouseIssued February 26, 2018

H. RES. 443

In the House of Representatives, U. S.,

February 26, 2018

RESOLUTION

Whereas traumatic experiences affect millions of people in the United States and can affect a person’s mental, emotional, physical, spiritual, economic, and social well-being;

Whereas adverse childhood experiences (ACEs) can be traumatizing and, if not recognized, can affect health across the lifespan and, in some cases, result in a shortened life span;

Whereas ACEs are recognized as a proxy for toxic stress, which can affect brain development and can cause a lifetime of physical, mental, and social challenges;

Whereas ACEs and trauma are determinants of public health problems in the United States such as obesity, addiction, and serious mental illness;

Whereas trauma-informed care is an approach that can bring greater understanding and more effective ways to support and serve children, adults, families, and communities affected by trauma;

Whereas trauma-informed care is not a therapy or an intervention, but a principle-based, culture-change process aimed at recognizing strengths and resiliency as well as helping people who have experienced trauma to overcome those issues in order to lead healthy and positive lives;

Whereas adopting trauma-informed approaches in workplaces, communities, and government programs can aid in preventing mental, emotional, physical, and/or social issues for people impacted by toxic stress and/or trauma;

Whereas trauma-informed care has been promoted and established in communities across the United States, including the following different uses of trauma-informed care being utilized by various types of entities:

(1)

The State of Wisconsin established Fostering Futures, a statewide initiative partnering the State with Tribes, State agencies, county governments, and nonprofit organizations to make Wisconsin the first trauma-informed State. The goal of Fostering Futures is to reduce toxic stress and improve lifelong health and well-being for all Wisconsinites.

(2)

The Menominee Tribe in Wisconsin improved educational and public health outcomes by increasing understanding of historical trauma and childhood adversity and by developing culturally relevant, trauma-informed practices.

(3)

In Chicago, Illinois, schools of medicine provide critical trauma-informed care, including the University of Illinois at Chicago Comprehensive Assessment and Response Training System, which improves the quality of psychiatric services provided to youth in foster care, and the University of Chicago Recovery & Empowerment After Community Trauma Initiative, which helps residents who are coping with community violence.

(4)

In Philadelphia, Pennsylvania, service providers, academics, and local artists use art to engage their community to educate and involve citizens in trauma-informed care activities.

(5)

In San Francisco, California, the city’s public health department aligned its workforce to create a trauma-informed system.

(6)

In Kansas City, Missouri, schools worked to become trauma-informed by encouraging teachers and children to create their own self-care plans to manage stress. They have implemented broad communitywide, trauma-informed culture change.

(7)

In Tarpon Springs, Florida, the city crafted a community effort to gather city officials, professionals, and residents to coordinate multiple trauma-informed activities, including a community education day.

(8)

In Worcester, Massachusetts, community members worked with the Massachusetts State Department of Mental Health to create a venue with peer-to-peer support to better engage individuals dealing with trauma or extreme emotional distress.

(9)

In Walla Walla, Washington, the city and community members launched the Children’s Resilience Initiative to mobilize neighborhoods and Washington State agencies to tackle ACEs.

(10)

The State of Oregon passed the first law to promote trauma-informed approaches to decrease rates of school absenteeism and understanding and promoting best practices to leverage community resources to support youth.

(11)

The State of Massachusetts passed a law to promote whole-school efforts to implement trauma-informed care approaches to support the social, emotional, and academic well-being of all students, including both preventive and intensive services and supports depending on students’ needs.

(12)

The State of Washington implemented the ACEs Public-Private Initiative, a collaboration among private, public, and community organizations to research and inform policies to prevent childhood trauma and reduce its negative emotional, social, and health effects;

Whereas the Substance Abuse and Mental Health Services Administration provides substantial resources to better engage individuals and communities across the United States to implement trauma-informed care; and

Whereas numerous Federal agencies have integrated trauma-informed approaches into their programs and grants and could benefit from closer collaboration: Now, therefore, be it

That the House of Representatives—

(1)

recognizes the importance, effectiveness, and need for trauma-informed care among existing programs and agencies at the Federal level; and

(2)

encourages the use and practice of trauma-informed care within the Federal Government, its agencies, and the United States Congress.

Clerk.