[House Hearing, 117 Congress] [From the U.S. Government Publishing Office] KIDS ONLINE DURING COVID: CHILD SAFETY IN AN INCREASINGLY DIGITAL AGE ======================================================================= VIRTUAL HEARING BEFORE THE SUBCOMMITTEE ON CONSUMER PROTECTION AND COMMERCE OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED SEVENTEENTH CONGRESS FIRST SESSION __________ MARCH 11, 2021 __________ Serial No. 117-11 [GRAPHIC NOT AVAILABLE IN TIFF FORMAT] Published for the use of the Committee on Energy and Commerce govinfo.gov/committee/house-energy energycommerce.house.gov __________ U.S. GOVERNMENT PUBLISHING OFFICE 46-074 PDF WASHINGTON : 2022 ----------------------------------------------------------------------------------- COMMITTEE ON ENERGY AND COMMERCE FRANK PALLONE, Jr., New Jersey Chairman BOBBY L. RUSH, Illinois CATHY McMORRIS RODGERS, Washington ANNA G. ESHOO, California Ranking Member DIANA DeGETTE, Colorado FRED UPTON, Michigan MIKE DOYLE, Pennsylvania MICHAEL C. BURGESS, Texas JAN SCHAKOWSKY, Illinois STEVE SCALISE, Louisiana G. K. BUTTERFIELD, North Carolina ROBERT E. LATTA, Ohio DORIS O. MATSUI, California BRETT GUTHRIE, Kentucky KATHY CASTOR, Florida DAVID B. McKINLEY, West Virginia JOHN P. SARBANES, Maryland ADAM KINZINGER, Illinois JERRY McNERNEY, California H. MORGAN GRIFFITH, Virginia PETER WELCH, Vermont GUS M. BILIRAKIS, Florida PAUL TONKO, New York BILL JOHNSON, Ohio YVETTE D. CLARKE, New York BILLY LONG, Missouri KURT SCHRADER, Oregon LARRY BUCSHON, Indiana TONY CARDENAS, California MARKWAYNE MULLIN, Oklahoma RAUL RUIZ, California RICHARD HUDSON, North Carolina SCOTT H. PETERS, California TIM WALBERG, Michigan DEBBIE DINGELL, Michigan EARL L. ``BUDDY'' CARTER, Georgia MARC A. VEASEY, Texas JEFF DUNCAN, South Carolina ANN M. KUSTER, New Hampshire GARY J. PALMER, Alabama ROBIN L. KELLY, Illinois, Vice NEAL P. DUNN, Florida Chair JOHN R. CURTIS, Utah NANETTE DIAZ BARRAGAN, California DEBBBIE LESKO, Arizona A. DONALD McEACHIN, Virginia GREG PENCE, Indiana LISA BLUNT ROCHESTER, Delaware DAN CRENSHAW, Texas DARREN SOTO, Florida JOHN JOYCE, Pennsylvania TOM O'HALLERAN, Arizona KELLY ARMSTRONG, North Dakota KATHLEEN M. RICE, New York ANGIE CRAIG, Minnesota KIM SCHRIER, Washington LORI TRAHAN, Massachusetts LIZZIE FLETCHER, Texas ------ Professional Staff JEFFREY C. CARROLL, Staff Director TIFFANY GUARASCIO, Deputy Staff Director NATE HODSON, Minority Staff Director Subcommittee on Consumer Protection and Commerce JAN SCHAKOWSKY, Illinois Chair BOBBY L. RUSH, Illinois GUS M. BILIRAKIS, Florida KATHY CASTOR, Florida Ranking Member LORI TRAHAN, Massachusetts FRED UPTON, Michigan JERRY McNERNEY, California ROBERT E. LATTA, Ohio YVETTE D. CLARKE, New York BRETT GUTHRIE, Kentucky TONY CARDENAS, California, Vice LARRY BUCSHON, Indiana Chair NEAL P. DUNN, Florida DEBBIE DINGELL, Michigan GREG PENCE, Indiana ROBIN L. KELLY, Illinois DEBBIE LESKO, Arizona DARREN SOTO, Florida KELLY ARMSTRONG, North Dakota KATHLEEN M. RICE, New York CATHY McMORRIS RODGERS, Washington ANGIE CRAIG, Minnesota (ex officio) LIZZIE FLETCHER, Texas FRANK PALLONE, Jr., New Jersey (ex officio) C O N T E N T S ---------- Page Hon. Jan Schakowsky, a Representative in Congress from the State of Illinois, opening statement................................. 2 Prepared statement........................................... 3 Hon. Gus Bilirakis, a Representative in Congress from the State of Florida, opening statement.................................. 4 Prepared statement........................................... 5 Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey, opening statement......................... 6 Prepared statement........................................... 8 Hon. Cathy McMorris Rodgers, a Representative in Congress from the State of Washington, opening statement..................... 9 Prepared statement........................................... 11 Witnesses Nusheen Ameenuddin, M.D., Chair, Council on Communications and Media, American Academy of Pediatrics.......................... 12 Prepared statement........................................... 15 Answers to submitted questions............................... 164 Corey A. DeAngelis, Ph.D., Director of School Choice, Reason Foundation..................................................... 27 Prepared statement........................................... 29 Ariel Fox Johnson, Senior Counsel, Global Policy, Common Sense Media.......................................................... 45 Prepared statement........................................... 47 Answers to submitted questions............................... 166 Submitted Material Statement of the National Center for Missing and Exploited Children, submitted by Ms. Schakowsky.......................... 106 Letter of March 10, 2021, from Jeff Todd, President and Chief Executive Officer, Prevent Blindness, to Ms. Schakowsky and Mr. Bilirakis, submitted by Ms. Schakowsky......................... 110 Article of February 15, 2021, ``I'm an epidemiologist and a father. Here's why I'm losing patience with our teachers' unions.,'' by Benjamin P. Linas, Vox, submitted by Mrs. Rodgers 113 Article of December 29, 2020, ``As medical doctors, we believe reopening Chicago's schools is essential and safe,'' by Michael Angarone, et al., Chicago Sun-Times, submitted by Mrs. Rodgers. 123 Article of February 3, 2021, ``Canadian doctors call for schools to return to in-classroom learning,'' by Caroline Alphonso, the Globe and Mail, submitted by Mrs. Rodgers...................... 128 Article of June 29, 2020, ``U.S. Pediatricians Call For In-Person School This Fall,'' by Anya Kamenetz, NPR, submitted by Mrs. Rodgers........................................................ 130 Article of February 9, 2021, ``Hundreds of physicians, psychologists call for Ann Arbor Public Schools to reopen,'' by Meredith Bruckner, All About Ann Arbor, submitted by Mrs. Rodgers........................................................ 134 News release of December 11, 2020, ``New checklist supports schools to reopen and prepare for COVID-19 resurgences,'' World Health Organization, submitted by Mrs. Rodgers................. 138 Article of March 2, 2021, ``In Their Own Words: Why Health Experts Say Elementary Schools Should Open,'' by Margot Sanger- Katz and Claire Cain Miller, New York Times, submitted by Mrs. Rodgers........................................................ 141 Article of January 26, 2021, ``As parents and doctors, we call on CPS to open schools with safety measures,'' by Anna Volerman Beaser, et al., Chicago Tribune, submitted by Mrs. Rodgers..... 148 Article of February 6, 2021, ``Kids are suffering. Follow the science and reopen schools now,'' by Alice Kuo, Los Angeles Times, submitted by Mrs. Rodgers............................... 152 Article of March 9, 2021, ``School Isn't Closed for Lack of Money,'' by Corey A. DeAngelis and Christos A. Makridis, Wall Street Journal, submitted by Mrs. Rodgers...................... 156 Article of March 9, 2021, ``CDC misinterpreted our research on opening schools It should loosen the rules now.,'' by Dr. Tara O. Henderson, et al., USA Today, submitted by Mrs. Rodgers..... 160 Article of November 17, 2020, ``No way to check on hundreds of kids missing from schools across Tucson,'' by Patty Machelor and Danyelle Khmara, Arizona Daily Star, submitted by Mrs. Lesko\1\ ---------- \1\ The article has been retained in committee files and is available at https://docs.house.gov/meetings/IF/IF17/20210311/111298/HHRG-117- IF17-20210311-SD006.pdf. KIDS ONLINE DURING COVID: CHILD SAFETY IN AN INCREASINGLY DIGITAL AGE ---------- THURSDAY, MARCH 11, 2021 House of Representatives, Subcommittee on Consumer Protection and Commerce, Committee on Energy and Commerce, Washington, DC. The subcommittee met, pursuant to notice, at 10:30 a.m., via Cisco Webex online video conferencing, Hon. Jan Schakowsky (chair of the subcommittee) presiding. Members present: Representatives Schakowsky, Rush, Castor, Trahan, McNerney, Clarke, Cardenas, Dingell, Soto, Rice, Craig, Fletcher, Pallone, Bilirakis (subcommittee ranking member), Latta, Guthrie, Bucshon, Dunn, Pence, Lesko, Armstrong, and Rodgers. Also present: Representatives Blunt Rochester and Walberg. Staff present: Jeffrey C. Carroll, Staff Director; Lisa Goldman, Senior Counsel; Waverly Gordon, General Counsel; Daniel Greene, Professional Staff Member; Tiffany Guarascio, Deputy Staff Director; Perry Hamilton, Clerk; Alex Hoehn-Saric, Chief Counsel, Communications and Consumer Protection; Ed Kaczmarski, Policy Analyst; Zach Kahan, Deputy Director, Outreach and Member Services; Mackenzie Kuhl, Digital Assistant; David Miller, Counsel; Elysa Montfort, Press Secretary; Kaitlyn Peel, Digital Director; Caroline Rinker, Press Assistant; Tim Robinson, Chief Counsel; Chloe Rodriguez, Clerk; Andrew Souvall, Director of Communications, Outreach and Member Services; Sydney Terry, Policy Coordinator; C.J. Young, Deputy Communications Director; Anna Yu, Professional Staff Member; Sarah Burke, Minority Deputy Staff Director; Michael Cameron, Minority Policy Analyst, Consumer Protection and Commerce, Energy, Environment; Nate Hodson, Minority Staff Director; Bijan Koohmaraie, Minority Chief Counsel; Tim Kurth, Minority Chief Counsel, Consumer Protection and Commerce; and Brannon Rains, Minority Professional Staff Member, Consumer Protection and Commerce. Ms. Schakowsky. The Subcommittee on Consumer Protection and Commerce will now come to order. That is the gavel. Today we will be holding a hearing entitled ``Kids Online During COVID: Child Safety in an Increasingly Digital Age.'' Due to the COVID-19 public health emergency, today's hearing is being held remotely. All Members and witnesses will be participating via video conference. As part of our hearing, microphones will be set on mute for the purpose of eliminating inadvertent background noise. Members and witnesses, you will need to unmute yourselves each time that you wish to speak. Additionally, Members will need to visibly be on screen in order to be recognized. Documents for the record can be sent to Ed Kaczmarski, the staffer--sorry, Ed, for messing up your name--at the email address that we have provided to all staff. All documents will be entered into the record at the end of the hearing. I also wanted to mention that we do have votes that are being called right now, and people will have to go in and out. I will call on Tony Cardenas, the vice chair of this committee, when I have to leave, but we can do it in segments. We are not going to recess for votes. The Chair will now recognize herself for 5 minutes. STATEMENT OF HON. JAN SCHAKOWSKY, A REPRESENTATIVE IN CONGRESS FROM THE STATE OF ILLINOIS Ms. Schakowsky. So, again, good morning, and welcome to our hearing on child safety online during the COVID-19 pandemic. Children are spending twice as much time online as compared to before the pandemic. This time is increasingly spent on digital platforms not designed with children in mind. Although we all hope--and in some cases, it is already happening--the kids will be able to safely return to schools, we should not be naive, however, and believe that in-person schooling will mean that companies stop targeting our children online. Techniques honed by companies during the pandemic, and online habits developed by kids, will continue long after they are back in school. Many online platforms are addictive by design, grabbing attention and, of course, maximizing profits. Children are especially vulnerable to addictive or manipulative techniques and technologies. They are more susceptible to coercive advertising and have trouble resisting attention-grabbing features. The more time children spend online, the more likely they are to be subjected to harmful or age-inappropriate content. There are few effective barriers that protect our children and teens, as well, from the harmful content and hate speech that plague our online discourse right now. Nor are they shielded from the loss of privacy that has become a feature of online platforms. Platforms that are intended for general audiences are not required to protect the privacy of children, and many of the most popular platforms say they do not allow children that are under the age of 13 but do almost nothing to enforce their minimum age requirement. The harms that children and teens experience online have very real and lasting side effects offline. More screen time has been associated with higher levels of anxiety, depression, sleep deprivation, obesity, and even suicide. Children need tailored protections from privacy infringements and manipulative marketing practices. Children's privacy must be protected by updating COPPA, the current law, for our increasingly complex and connected digital word. And thank you. [The prepared statement of Ms. Schakowsky follows:] Prepared Statement of Hon. Jan Schakowsky Good morning, and welcome to our hearing on child safety online during the COVID-19 pandemic. Children are spending twice as much time online compared to before the pandemic. This time is increasingly spent on digital platforms not designed with children in mind. Although we all hope that kids will be able to safely return to school soon, we should not be naive and believe that in-person schooling will mean that companies stop targeting our children online. Techniques honed by companies during the pandemic, and online habits developed by kids, will continue long after they are back in school. Many online platforms are addictive by design, grabbing attention, and maximizing profits. Children are especially vulnerable to addictive or manipulative technologies. They are more susceptible to coercive advertising and have trouble resisting attention-grabbing features. The more time children spend online, the more likely they are to be subjected to harmful or age-inappropriate content. There are few effective barriers protecting children and teens from the harmful content and hateful speech that plague our online discourse. Nor are they shielded from the loss of privacy that has become a feature of online platforms. Platforms that are intended for general audiences aren't required to protect children's privacy. Many of the most popular platforms say they do not allow children under the age of 13 but do almost nothing to enforce their minimum age requirement. The harms that children and teens experience online have very real and lasting side effects offline. More screen time has been associated with higher levels of anxiety, depression, sleep deprivation, obesity and even suicide. Children need tailored protections from privacy infringements and manipulative marketing practices. Children's privacy must be protected by updating COPPA, the current law, for our increasingly complex and connected digital word. Thanks, and thank you to the witnesses for joining us today. I yield the remainder of my time to my colleague Ms. Castor. Ms. Schakowsky. And at this time I want to yield to the author of this bill that we are going to be discussing today, Congresswoman Kathy Castor. Ms. Castor. Well, thank you, Chair Schakowsky. You are right. When Congress wrote the Children's Online Privacy Protection Act, COPPA, back in 1998, 23 years ago, the internet was in its infancy. The majority of households did not have a computer, and even less had the internet. There were no internet-connected cell phones or devices, and if a child wanted to get on the internet, they would have to go to the family desktop, usually in a shared space, and type in the Web address and wait for a dial-up internet. So, despite how antiquated this may seem to us in 2021, it was revolutionary in 1998, and at that time Congress acted to meet the moment, and they put in place safeguards to protect our children in this new online environment. But, boy, have things changed since then. We are at another critical moment where technological innovations in our children are at the forefront. Their every move is being tracked and monetized by their phone, tablets, apps, and more. Platforms are manipulating children to stay online longer and pushing them towards extreme content, infinite scrolling, and awards of badges for repeated interactions. Big business is profiting, and our children are paying the price. And, as our witnesses point out, that price is the real- world harmful impact on our kids' safety, their development, and their mental health. It has gotten worse during the pandemic. Children's screen time has gone up while parents' ability and time to monitor screen time has gone down. So parents are looking to Congress to make sure their kids are safe and that educational experiences work. So we need to meet this moment. I intend to reintroduce my Kids PRIVCY Act and the KIDS Act to safeguard our kids, and I would like to invite Members from both sides of the aisle to work with me to update COPPA. Thanks, and I yield back. Ms. Schakowsky. The Chair now recognizes Mr. Bilirakis, the ranking member of the subcommittee, for his 5 minutes. You are recognized, Mr. Bilirakis. STATEMENT OF HON. GUS BILIRAKIS, A REPRESENTATIVE IN CONGRESS FROM THE STATE OF FLORIDA Mr. Bilirakis. Thank you, Madam Chair, and I want to thank you for holding this very important hearing. I know we share a similar view that, while technology can be amazing in keeping us all connected, when it comes to substitution for interpersonal communications, we are all at a loss. My father served on this committee, and back when he did serve, we could talk amongst the dais, write each other notes, communicate more directly on what is happening in our lives, both personally and professionally. Unfortunately, here we are all in a virtual hearing. While we have gotten a bit better from the early days of virtual hearings, we are all human. I expect there will still be miscues today, like when someone is ready to talk or providing the kind of attention our witnesses deserve for their statements. And I appreciate them being here. Now, think about what it is like for our kids. This is the new reality, and it is a sad one, in my opinion. The COVID-19 pandemic has caused so many Americans to become isolated in their homes, especially our kids. Without the opportunity for children to interact in person with their friends directly, many turn to social media to fill the void. Sadly, this has led to a cascade of negative effects for me. I believe this hearing can serve as an important alarm bell for safely reopening our schools and getting students and teachers back in the classroom and reverse this trend. To be fair, at the beginning of the pandemic there was much unknown about the virus, and virtual school was seemingly viable. It is a viable bridge to educating students, and it is better than not having anything. Distance learning can certainly be a positive tool for some students. But the facts now make clear that, as a primary means of instruction, it just does not work for advancing our kids' education, especially those children with disabilities. There is good news, however. A number of schools have shown they can safely open up, including my great State of Florida, and so I hope we can find avenues for all students to have the same accessibility to educational opportunities. The alternative is catastrophic, unfortunately. This was on full display in Clark County, Nevada, last year. In that case more than 3,000 alerts about students with suicidal thoughts flooded the inbox of district officials. The school district since reopened to in-person schooling, but tragically too late. By December of last year, 18 students took their own lives. Eighteen families lost their children. We all believe, like Clark County, history can repeat itself. That is why I was pleased that, earlier this year, President Biden pledged to reopen the schools by his 100th day in office, and the CDC Director Walinsky relayed that data indicated schools can begin to safely reopen--and more than one day a week, I'll add. Still we are all alarmed by recent contradictory statements to the science behind these commitments. So it will be interesting to find out what changed. Hopefully, the panel will have some insight there. I also want to know as privacy protection is on the agenda today that I want to be part of the real solution. Committee Republicans have been and remain committed to this. And to speak more on this topic, I would like to yield to my good friend Congressman Tim Walberg for his efforts to reach a bipartisan deal on a bill to improve upon the Child Online Privacy Protection Act. [The prepared statement of Mr. Bilirakis follows:] Prepared Statement of Hon. Gus Bilirakis Thank you Madame Chair for holding this important hearing. I know we share a similar view that while technology can be amazing in keeping us all connected, when it becomes a substitution for interpersonal communications, we are all at a loss. My dad served on this committee back when we could talk amongst the dais, write each other notes, communicate more directly on what's happening in our lives, both personally and professionally. Unfortunately, here we all are, in a virtual hearing. While we have gotten a bit better from the early days of virtual hearings, I expect there will still be missed cues today like when someone is ready to talk, or providing the kind of attention our witnesses deserve for their statements. Now think about what it is like to be our kids. This is their new reality, and it is a sad one. The COVID-19 pandemic has caused so many Americans to become isolated in their homes, especially our kids. Without opportunities for children to interact in person with their friends directly, many turn to social media to fill the void. Sadly, this has led to a cascade of negative effects for them. I believe this hearing can serve as an important alarm bell for safely reopening our schools and getting students and teachers back in the classroom and reverse this trend. To be fair, at the beginning of the pandemic there was much unknown about the virus, and virtual school was a seemingly viable bridge to educating students. Distance learning can certainly be a positive tool for some students--but the facts now make clear that as a primary means of instruction, it just doesn't work for advancing our kids' education, especially those with disabilities. There is good news. A number of schools have shown they can safely open up including in Florida, and so I hope we can find avenues for all students to have the same accessibility to educational opportunities. The alternative is catastrophic. This was on full display in Clark County, Nevada last year. In that case, more than 3,000 alerts about students with suicidal thoughts flooded the inbox of district officials. The school district since re-opened to in person schooling, but tragically, too late. By December of last year, 18 students took their own life. 18 families lost their children. We all have a Clark County where history can repeat itself. That's why I was pleased that earlier this year President Biden pledged to reopen schools by his 100th day in office and CDC Director Walensky relayed that data indicated schools can begin to safely reopen. Still, we are all alarmed by recent contradictory statements to the science behind these commitments, so it will be interesting to find out what changed. Hopefully the panel will have some insight there. I also want to note as privacy protections are on the agenda today that I want to be part of a real solution. Committee Republicans have been and remain committed to this, and to speak more on this topic, I would like to yield to my good friend, Congressman Tim Walberg, for his efforts to reach a bipartisan deal on a bill to improve upon the Child Online Privacy Protection Act. Thank you. Mr. Bilirakis. I yield the rest of my time to Representative Walberg. Thank you. Mr. Walberg. I thank my good friend. When I first introduced the PROTECT Kids Act, there was a pressing need to modernize the Children's Online Privacy Protection Act to reflect the digital era. In the midst of this global pandemic, with children and their parents challenged, there is an even more pressing need than ever. While the FTC made improvement to COPPA in 2013, they did not go far enough to protect children against new threats in the evolving digital ecosystem. The internet has drastically changed since 2013, and while increased internet usage presents many complicated risks, children's online privacy is one area Congress established clear law. But the law is outdated. It needs to be updated to ensure children are protected from troubling conduct of Big Tech. The PROTECT Kids Act represents a commonsense, bipartisan solution, and I appreciate my good friend Congressman Rush for joining me in this effort to put children's wellbeing at the top of Congress' priority list. Together we are continuing to work with stakeholders to strengthen this bill. We welcome input from members of this subcommittee and look forward to working together to pass these much-needed reforms. I thank you, and I yield back. Ms. Schakowsky. The gentleman yields back. And the Chair now recognizes Mr. Pallone, chair of the full committee, for 5 minutes for his opening statement. OPENING STATEMENT OF HON. FRANK PALLONE, Jr., A REPRESENTATIVE IN CONGRESS FROM THE STATE OF NEW JERSEY Mr. Pallone. Thank you, Chairwoman Schakowsky. The COVID-19 pandemic is an unprecedented public health and economic crisis which has greatly disrupted our lives. The children, in particular, have had their world turned upside down. Visits with friends and extended family have been replaced by video conferencing and in-person activities replaced with video games, social media, video services, and other digital activities. And as a result, kids' screen time has doubled during the pandemic, and you just told me that, Madam Chair, on the elevator and I did not realize it was that much, twice. As this subcommittee has heard time and time again, consumers online face manipulative advertising, disinformation, harassment, dark pattern manipulation, and privacy intrusions. For adults, these dangers are extremely hard to manage, but for children, such practices are downright predatory. Children do not possess the same levels of cognitive development to defend themselves and are often uniquely vulnerable to any negative effects. The online world can affect children's mental and physical health. Growing bodies of research confirm the link between increased digital media use and depression and higher instances of addiction, anxiety, sleep deprivation, and obesity. And we also have seen harmful behaviors such as cyber bullying increase during the pandemic. Unfortunately, many companies are well aware that children are spending more time online, and they are taking advantage of that by proactively targeting, manipulating, and monetizing our children. For example, some internet platforms, app developers, and content creators propagate addiction by design through sophisticated, thoroughly tested means to keep kids on their sites and extract money. Common elements include pressuring in-app purchases without parental consent, so-called freemium apps that tease paid versions, and gamification marketing where gameplay elements themselves are used to promote purchases or products. And then there is influencer advertising, Madam Chair. People on social media with lots of followers post photos and videos of themselves using a product, but kids, and sometimes adults, do not understand that those people are often paid for those posts. And young children frequently have no idea that the video they are watching of someone opening a new toy is actually meant to sell the toy. So online advertising spending is now the largest of any medium, and spending on digital ads specifically targeting children is expected to reach $1.7 billion this year. Most apps directed to or used by children contain ads, including 95 percent of the apps aimed at kids under 5. Ads for toys or junk food are commonplace, but far too often kids are exposed to ads for tobacco products, alcohol, violent movies or video games, or other age-inappropriate content. And it is deeply concerning that business models online continually seek to maximize engagement to increase revenue at the expense of children's health. Many parents try to balance the benefits of internet use, such as social connections and educational apps, while trying to limit the possible negative effects. But many parents are overwhelmed, and even their best efforts are not enough to protect their kids against sophisticated predatory practices. And the pandemic has made it painfully clear this problem is not going to fix itself, nor will the harmful activities targeting our kids stop when the pandemic is behind us. Despite laws to protect children's privacy, data collection and tracking of children is disturbingly prevalent. Many apps for kids on mobile devices are notorious for collecting personal information, and their personal information is then bought and sold, resulting in targeted advertising designed to influence and manipulate children even more. So Congress granted the FTC rulemaking authority under the Children's Online Privacy Protection Act, or COPPA, precisely so it could update the safeguards for children online as technology advanced, and the internet has experienced a sea change since the last updates to the COPPA rule. I know that Ms. Castor mentioned this with her legislation, and it is clear those rules are out of date and no longer provide the intended protections for our kids. So, while the FTC has started the process of updating its rules under COPPA, we also must examine whether the statute should be updated and whether other practices targeting children should be regulated. We cannot leave it all to parents. The challenges children face online existed before the pandemic, but they have only gotten worse. And it is going to continue to increase after the pandemic is behind us, unless we do something about it. So I just wanted to thank you, Madam Chair, and also Kathy Castor because of the fact that you are having this hearing drawing attention to this with the legislation. I look forward to this expert panel on what is a very important topic. Thank you. [The prepared statement of Mr. Pallone follows:] Prepared Statement of Hon. Frank Pallone, Jr. The COVID-19 pandemic is an unprecedented public health and economic crisis, which has greatly disrupted our daily lives. Children, in particular, have had their worlds turned upside down. Visits with friends and extended family have been replaced by video conferencing. And in-person activities replaced with video games, social media, video services, and other digital activities. As a result, kids' screen time has doubled during the pandemic. As this subcommittee has heard time and time again, consumers online face manipulative advertising, disinformation, harassment, dark pattern manipulation, and privacy intrusions. For adults, these dangers are extremely hard to manage, but for children such practices are downright predatory. Children do not possess the same levels of cognitive development to defend themselves and are often uniquely vulnerable to any negative effects. The online world can affect children's mental and physical health. Growing bodies of research confirm the link between increased digital media use and depression and higher instances of addiction, anxiety, sleep deprivation, and obesity. We also have seen harmful behaviors such as cyber bullying increase during the pandemic. Unfortunately, many companies are well aware that children are spending more time online and they are taking advantage of that by proactively targeting, manipulating, and monetizing our children. For example, some internet platforms, app developers, and content creators propagate ``addiction by design'' through sophisticated, thoroughly tested means to keep kids on their sites and extract money. Common elements include pressuring in- app purchases without parental consent, so-called freemium apps that tease paid versions, and ``gamification'' marketing where gameplay elements themselves are used to promote purchases or products. Influencer advertising to kids is also prominent. People on social media with lots of followers post photos and videos of themselves using a product, but kids, and sometimes adults, don't understand that those people are often paid for those posts. Young children frequently have no idea that the video they're watching of someone opening a new toy is actually meant to sell the toy. Online advertising spending is now the largest of any medium, and spending on digital ads specifically targeting children is expected to reach $1.7 billion this year. Most apps directed to or used by children contain ads, including 95 percent of the apps aimed at kids under five. Ads for toys or junk food are commonplace but far too often kids are exposed to ads for tobacco products, alcohol, violent movies or video games, or other age inappropriate content. It is deeply concerning that business models online continually seek to maximize engagement to increase revenue at the expense of children's health. Many parents try to balance the benefits of internet use-- such as social connections and educational apps--while trying to limit the possible negative effects. But many parents are overwhelmed and even their best efforts are not enough to protect their kids against sophisticated predatory practices. The pandemic has made it painfully clear this problem will not fix itself. Nor will the harmful activities targeting our kids stop when the pandemic is behind us. Despite laws to protect children's privacy, data collection and tracking of children is disturbingly prevalent. Many apps for kids on mobile devices are notorious for collecting personal information from children. Their personal information is then bought and sold, resulting in targeted advertising designed to influence and manipulate children. Congress granted the Federal Trade Commission (FTC) rulemaking authority under the Children's Online Privacy Protection Act, or COPPA, precisely so it could update the safeguards for children online as technology advanced. The internet has experienced a sea change since the last updates to the COPPA Rule in 2013, and it's clear those rules are out of date and no longer provide the intended protections for our kids. While the FTC has started the process of updating its rules under COPPA, we also must examine whether the statute should be updated and whether other practices targeting children should be regulated. We can't leave it all to parents. The challenges children face online existed before the pandemic, but it's only gotten worse. And it will continue to increase after the pandemic is behind us, unless we do something about it. I look forward to hearing our expert panel on the challenges our children are facing online and how we can best protect them. Ms. Schakowsky. The gentleman yields back. And the Chair now recognizes Mrs. Rodgers, ranking member of the full committee, for 5 minutes for her opening statement. OPENING STATEMENT OF HON. CATHY McMORRIS RODGERS, A REPRESENTATIVE IN CONGRESS FROM THE STATE OF WASHINGTON Mrs. Rodgers. Good morning, Madam Chair. And, everyone, welcome. Our discussion today is especially important to me not just as a Member of Congress but as a mom. We absolutely need to have a serious discussion about what is happening to our kids online, their mental health and safety, and what needs to happen to reopen schools immediately. Yesterday we heard from four doctors who wrote in USA Today, quote, ``Keeping schools closed, even partially closed, based on what we know now, is harming our children.'' They said the Biden administration misinterpreted their research and science when creating the CDC guidance, and it ultimately led to harmful policies that hamstrung States to reopen schools quickly. The science is clear. Viral transmission is minimal in schools. Children are not at significant risk of poor outcomes from COVID-19. It is time to reopen immediately and listen to the experts who are saying loud and clear ``follow the science.'' School closures are harming children. It is more than just a homework gap. There are serious health and mental health risks associated with children spending more time online. And as we have heard today, it has doubled. These are stories I am hearing from parents who are pleading for schools to reopen. I hear it every day. Our kids are not active. They are not engaged. They are falling asleep during remote school. They are isolated. Suicide and overdose risks are going up. As our children spend more time online, they are more at risk to online predators. This has all happened in my community, and I know we are not alone. The science tells us all these risks of despair far outweigh COVID-19 in schools. In addition to the USA Today, I encourage everyone also to read a piece from the New York Times. It documents scientific insights from health professionals. Here is what one pediatrician from San Francisco said, quote, ``We are witnessing a significant public health crisis in our children who are experiencing unprecedented mental and physical illness during this time. This would be mitigated, if not completely alleviated, by in-person schooling,'' end quote. I understand that our focus today is on child safety in an increasingly digital age. For the safety of our children, surely, we can all agree science, not fear, should dictate how we protect them and build a better future, a future with hope. We can mitigate a lot of the harms and risks we are talking about today by not letting another day go by of school closures. That is what is going to give our children the best chance to succeed and thrive in life. Now, specifically regarding the protection online, I am committed and convinced as to the importance of updating and modernizing our laws. I look forward to joining bipartisan work for data and privacy protections, especially children's privacy. I sincerely hope these efforts resume soon and that this committee plows the hard ground necessary to legislate in a bipartisan way again. As we look to the future of building a better world for the next generation, I want to be clear: America can lead a new era of technological innovation. We must lead with our values for freedom, human rights, and human dignity. But we are failing with closed schools, and this yearlong experiment of remote learning, more screen time, and more isolation is failing our kids. Our kids are in crisis. Technology should add to education. It is not a substitute for everyday learning. It is not a substitute, period. Reopening for in-person learning does not mean 2 days a week. It means 5 days, both with the teacher and the children in the classroom together. Before the President's address tonight, we should all be asking why more is not being done to reopen. Just as the doctors wrote in USA Today, this is a human rights issue. Let's open the doors of our schools and let our kids learn and thrive again. Thank you. And, Ms. Chairman, I ask unanimous consent to include both articles I mentioned in the record. [The prepared statement of Mrs. Rodgers follows:] Prepared Statement of Hon. Cathy McMorris Rodgers Good morning and welcome. Our discussion today is one especially important to me, not just as a Member of Congress, but as a mom. We need to leave politics at the door and have a serious discussion about what is happening to our kids online. ... their mental health and safety. ... and what needs to happen to reopen schools immediately. SCHOOLS Yesterday, we heard from four doctors who wrote in USA TODAY. Quote: ``keeping schools closed or even partially closed, based on what we know now, is harming our children.'' They said the Biden administration misinterpreted their research and science when creating the CDC guidance. ... and it ultimately led to harmful policy that hamstrung States to reopen schools quickly. SCIENCE The science is clear. Viral transmission is minimal in schools. Children are not a significant risk either of poor outcomes from COVID-19. It's time to reopen immediately and listen to the experts who are saying loud and clear, follow the science.. school closures are harming children. It's more than just a homework gap. There are serious health and mental risks associated with our children spending more time online. These are stories, I'm hearing from parents who are pleading for schools to reopen. I hear this every day. Our kids aren't active. They are not engaged and falling asleep during remote school. They are isolated. suicide and overdose risks are going up. And as children spend more time online, they are more at risk to online predators. This has all happened in my community and I know we aren't alone. The science tells us all these risks of despair far outweigh COVID-19 in schools. MORE HEALTH EXPERTS In addition to USA Today, I encourage everyone to also read a piece from the New York Times. It documents scientific insight from health professionals. Here's what one pediatrician from San Francisco said: ``We are witnessing a significant public health crisis in our children, who are experiencing unprecedented mental illness and physical ailments during this time. ``This would be mitigated, if not completely alleviated, by in-person schooling.'' End quote. I understand that our focus today is child safety in an increasingly digital age. For the safety of our children, surely we can all agree science--not fear--should dictate how we protect them and build a better future.... ... A future with hope. We can mitigate a lot of the harms and risks we are talking about today by not letting another day go by of school closures. That's what will give our children the best chance to succeed and thrive in life. PROTECTING ONLINE Now, specifically regarding their protection online... I am always open to updating and modernizing our laws. I'm committed to bipartisan work for data and privacy protections, especially children's privacy. I sincerely hope those efforts resume soon.... ... and this committee does the hard work of legislating in a bipartisan way again. WIN THE FUTURE As we look to the future of building a better world for the next generation, I want to be clear. America can lead a new era of technological innovation. We must lead with our values for freedom, human rights, and human dignity. But we are failing with closed schools and this year long experiment of remote learning, more screen time, and more isolation. Technology should add to education. It's not a substitute for everyday learning. It's not a substitute period. Reopening for in-person learning doesn't mean two days a week. It means five days--with both the teacher and children in the classroom together. Before the President's address tonight, we should all be asking why isn't more being done to reopen. Just as the doctors wrote in USA Today, this is a human rights issue. Let's open the doors of our schools and let our kids learn and thrive again. Thank you. Ms. Chairman, I ask unanimous consent to include both articles I mentioned in the record. Ms. Schakowsky. All of those will be added at the end of the hearing, and she yields back. Mrs. Rodgers. I yield back. Sorry, Madam Chair. Ms. Schakowsky. Thank you. And the Chair would like to remind Members that, pursuant to committee rules, all Members' written opening statements shall be made part of the record. And now I will introduce the witnesses that we have and thank them so much for their participation today. Dr. Nusheen Ameenuddin--did I get that?--Ameenuddin, chair of the Council on Communications and Media at the American Academy of Pediatrics. We have Corey A. DeAngelis, Ph.D., Director of School Choice at the Reason Foundation, adjunct scholar at the Cato Institute, and executive director of the Educational Foundation Institute. And Ariel Fox Johnson, who is the senior counsel of global policy at Common Sense Media. And we want to thank all of you for joining us for this very important hearing today, which I am getting the feeling has a good deal of bipartisan support, and we look forward to your testimony. So, Dr. Ameenuddin, you are recognized. STATEMENTS OF NUSHEEN AMEENUDDIN, M.D., CHAIR, COUNCIL ON COMMUNICATIONS AND MEDIA, AMERICAN ACADEMY OF PEDIATRICS; COREY A. DeANGELIS, Ph.D., DIRECTOR OF SCHOOL CHOICE, REASON FOUNDATION; AND ARIEL FOX JOHNSON, SENIOR COUNSEL, GLOBAL POLICY, COMMON SENSE MEDIA STATEMENT OF NUSHEEN AMEENUDDIN, M.D. Dr. Ameenuddin. OK. Thank you. Good morning, Chair Schakowsky, Ranking Member Bilirakis, Chair Pallone, and Ranking Member Rodgers, along with members of the subcommittee. Thank you so much for inviting me to discuss young people's digital media use during the pandemic. I am Dr. Nusheen Ameenuddin, and I am a pediatrician at the Mayo Clinic in Rochester, Minnesota. I am here today representing the American Academy of Pediatrics, a nonprofit, professional medical organization of more than 67,000 pediatricians, where I serve as chair of the Council on Communications and Media. Today's youths are growing up immersed in digital media. In 1970, kids began watching TV around 4 years of age, but today babies start interacting with digital media within the first few months of their lives. Media's impact on children has been an issue for years, well before a global pandemic forced us all to move our lives online. The pandemic has laid bare this longstanding issue, creating an opportunity to address structural issues within the digital ecosystem. As a pediatrician who has been caring for patients this entire pandemic, I have to acknowledge the unprecedented challenges that families are up against. It is no surprise that screen time has increased significantly under these circumstances. As pediatricians, we also have to acknowledge the reality of the ubiquity of digital devices. We do not simply preach device abstinence. We encourage moderate, balanced, pro social use of devices as part of the media diet. Technology can have important benefits for children and teens, like broadening horizons and as a learning tool. The internet provides space for community building among youth who are marginalized, including children with serious diseases. Children of color who face racism can build resilience by sharing those experiences and finding support online. With these benefits in mind, we also need to focus on the real threats posed by technology. The bottom line is that parents need help, and technology companies must be held accountable for the products that they create. Data collection and compromised privacy are among the most pervasive threats facing young people. Companies can contact, track, and influence users through digital trails that they leave behind. Users can unknowingly disclose location, activities, likes and dislikes, along with in-app behavior. This intentionally opaque process is then used to make ads more effective and platforms more successful and profitable. Children using these products do not fully understand the ramifications of this data collection, which can also influence the information that reaches them. Ad content is tailored to their interests and creates false norms that undermine healthy behaviors. Algorithms can accurately predict what a child will want to watch next. These elements make it so hard for young brains to resist. Many products feature manipulative design that nudges users into specific behaviors. An example is the autoplay feature on platforms like Netflix and YouTube, which places the onus entirely on young people to opt out of watching the next video, making increased screen time an almost foregone conclusion. But that is not all. Gamified ads and in-app purchases that reward users for watching ads and buying products are very appealing to children. During the pandemic, users of a supposedly free math game were shown 16 different ads and only four math problems over 19 minutes of game play. Social media allows companies to reach young people with paid influence they are marketing through platforms like YouTube and TikTok. Young people are led to believe that posts reflect the genuine preferences of the poster when, in fact, they are actually being targeted by marketing campaigns. Algorithms also drive young people to inaccurate, inappropriate, and even harmful content like misinformation about COVID-19 and vaccines, another issue that pediatricians experience firsthand and have for a while. Youth of color face challenges accessing positive aspects of technology due to a longstanding digital divide, which includes disproportionate targeting for unhealthy ads that worsen health disparities and increase screen time stemming from structural issues. In order to make real progress for children and families, we must preserve the positive aspects of technology while removing the pervasive threats it can pose. The AAP recommends that Congress strengthen the Children's Online Privacy Protection Act. An enhanced COPPA should protect all children under the age of 18 and cover the wide array of devices that collect data from children. If data collection is even allowed for young people, it should be an opt in. Congress must also ban targeted advertising to those under age 18. And, finally, Congress should fund efforts to improve digital literacy, address digital equity, and expand research on how digital media impacts children. The issues that young people and their families face in the digital world are not insurmountable. Through effective public policy, it is possible to build a better digital world for our children during and after this pandemic. Thank you. [The prepared statement of Dr. Ameenuddin follows:] [GRAPHICS NOT AVAILABLE IN TIFF FORMAT] Ms. Schakowsky. Thank you. Now, I will recognize Dr. DeAngelis. You are recognized for 5 minutes. STATEMENT OF COREY A. DeANGELIS, Ph.D. Dr. DeAngelis. Thank you, Chair Schakowsky, Ranking Member Bilirakis, and distinguished Members of Congress. Thank you so much for the opportunity. There have been substantial costs associated with keeping schools closed in terms of students losing ground academically, mentally, and physically, and many of these negative effects have disproportionately impacted less advantaged groups, leading to inequities. Meanwhile, the evidence has generally indicated that schools can reopen safely for in-person instruction and that school reopenings are generally not associated with major increases in overall COVID-19 transmission or hospitalizations. In addition to the science, actions by several teachers' unions and the stark contrast in the response to the pandemic from the private versus the public sectors suggest that reopening decisions have had more to do with political partisanship and power dynamics than safety and the needs of families. Private schools have been open for the most part of the past year or have been fighting to reopen in that time. In fact, private schools in Kentucky took the fight to the Supreme Court in an attempt to provide in-person services, and private schools in States such as Ohio and Michigan took similar legal actions. A private school in Sacramento even rebranded itself as a day care to try to get around the government's arbitrary school closure rules. But many teachers' unions have been fighting to remain closed by shifting the reopening goalpost every step of the way. It is not because of a difference in intentions or benevolence on the part of the employees between the two sectors. The difference is one of incentives. One of these sectors gets children's education dollars regardless of whether they open their doors for business. Several actions by teachers' unions also raise some eyebrows. Just as school closures hit in March 2020, union groups in States such as Oregon and Pennsylvania lobbied the governments to make it illegal for families to switch to virtual charter schools that have already been successfully providing students with remote instruction for years. These actions aimed to protect a system at the expense of families at the worst time possible. Then came the political demands. In their report on safely reopening schools, the Los Angeles Teachers' Union called for things unrelated to school reopening, such as defunding the police, Medicare for All, a wealth tax, and a ban on charter schools. At least 10 teachers' unions similarly joined the Democratic Socialists of America to hold a National Day of Resistance to demand safe schools, including political demands on two occasions in less than a year. Other things just did not add up. Why was it safe enough for public school buildings to reopen for in-person child-care services but not for in-person learning? Why was it safe enough for teachers' union officials to travel to Puerto Rico to vacation in person and to send their own children to in-person private schools but not safe enough for their members to return to work in person? Why have four studies each found that school reopenings are more strongly related to political partisanship and teachers' union influence than COVID risk? Why did the Congressional Budget Office estimate that only 5 percent of the $128 billion in relief funding would be spent this year, while up to 95 percent of the funding would be paid out after the pandemic if the goal is to reopen schools now? Why did half of the Senate block an amendment that would have made a Federal funding conditional upon reopening schools in person if all teachers were vaccinated? Why has Florida, a State that only spends about $10,700 per student, far below the national average, been able to essentially fully reopen its schools while California, a State that has much stronger teachers' unions and spends about 38 percent more per student, has kept its doors shut? It might be because the school reopening debate has always been more about politics and power than safety and the needs of families. The past year has put a spotlight on the main problem with K to 12 education in the U.S., a long existing, massive power imbalance between public school teachers' unions and individual families. And the only way that we are ever going to fix that messed-up set of incentives that is baked into the public school system is to empower families by funding students directly. Think about it this way. If a grocery store does not reopen, families can take their money elsewhere. If a school does not reopen, families should similarly be able to take their children's education dollars elsewhere. After all, education funding is supposed to be meant for educating children, not for protecting a particular institution. Families have been getting a bad deal, and they are realizing that there is not any good reason to fund closed institutions when we can fund students directly instead. The latest nationwide survey conducted by RealClear Opinion Research found that support for funding students directly surged by 10 percentage points between April and August of 2020. And we already fund students directly in higher education with Pell Grants and the GI Bill and in pre-K with programs such as Head Start. The funding goes to individual students and families as opposed to buildings. With all of these programs, in addition to food stamps, Section 8 housing vouchers, and Medicaid, we fund individuals instead of institutions. We should apply the same logic to K to 12 education and fund students, not systems. Thank you so much. [The prepared statement of Dr. DeAngelis follows:] [GRAPHICS NOT AVAILABLE IN TIFF FORMAT] Ms. Schakowsky. Ms. Johnson, you are recognized for 5 minutes. STATEMENT OF ARIEL FOX JOHNSON Ms. Fox Johnson. Thank you. Ms. Schakowsky. OK. Go ahead. Ms. Fox Johnson. Good morning. Good morning, Chair Pallone, Chair Schakowsky, Ranking Member McMorris Rodgers, Ranking Member Bilirakis, and members of the subcommittee. Thank you for the invitation to appear before you and for recognizing that the digital world, for all of its opportunities, poses unique risks and harms to children and teens. The pandemic has certainly exacerbated these risks and harms, but they existed before, and unless Congress acts, they will persist after. I am Ariel Fox Johnson, Senior Counsel for Global Policy at Common Sense Media. Common Sense is the leading organization dedicated to helping kids and families thrive in a rapidly changing digital world. My testimony emphasizes three main points. First, children and teens are on the front lines of our online world, and they are uniquely vulnerable to digital harm. Second, the status quo is failing young people. And, third, solutions to these challenges are the responsibility of Congress and tech leaders themselves. We need a healthy internet, especially now. In my house, with limited to no childcare, our screen time rules have gone out the window. Just this weekend I told my children to go watch a movie or play on their tablet so that I could prepare this testimony. While it was once debatable whether you could choose to be online, it is now clear that there is no choice. It is necessary to connect with family, to learn, and to play. Our research shows that device ownership was already the norm for young children and that screen time had multiplied in recent years, with children in lower-income houses spending nearly 2 hours more daily with screens. The pandemic has turbocharged this. Distance learning is a big driver for older kids, yes, but screen time is up for all kids. As of this fall, children ages 2 to 15 watch television, including streaming, a full day each week. YouTube and gaming consoles have seen spikes in usage, some with 82 percent more daily users. Social media and mobile use is up, and one study found that kids were sending and receiving three times more messages than the year before. Parents are worried. Parents' top child health concerns in 2020 were overuse of social media, bullying and cyber bullying, and internet safety. Young people are impulsive, and they are prone to overshare. They do not understand that data shared on an app does not remain on their device, let alone grasp complex online data and advertising ecosystems. They are more susceptible to ads and other forms of online persuasion. Kids are no match for tech companies who have grown unchecked and remain unaccountable. Too many are manipulating children, misusing their personal information, and exposing kids to harm. And this is not something that will magically stop when the pandemic ends. Kids are surveilled everywhere. We talk about a digital footprint, but at this point it is more accurately a full body scan. Manipulative design pressures teens to click and scroll constantly and to tie their self-worth to numbers of likes. Elementary students can drain their parents' credit cards with in-app purchases and get shamed by beloved characters to spend more money. More than 9 in 10 teens report seeing violent content online. Our own forthcoming research details how the number of teens who have seen racist content online has nearly doubled in the past 2 years. Meanwhile, kids' mental health is taking a hit. So what should Congress do? Madam Chair, you and others on this committee have been leaders here, and as we have seen from the statements in the committee and the witnesses today, there is clear agreement that there is a problem. The challenge is ensuring that when Congress does act, it makes a real difference. There is a risk that Congress may act but not do enough. We believe, as do many of you, that COPPA is outdated. It must be updated in a meaningful way. Congress should pass a strong, comprehensive privacy law with special protections for vulnerable children and teens. The PRIVCY Act, introduced by Representative Castor along with Representative Dingell and other Members, would address many of COPPA's shortcomings, would force States to acknowledge kids, protect and empower teens, and prohibit behavioral marketing to kids. Congress should also pass Representatives Castor, Clarke, and Wexton's KIDS Act, which would create rules around online marketing to kids and encourage kid-healthy content and design, banning autoplay and amplification of harmful content. We support other steps to hold tech companies accountable as well, but we believe that there is much that industry can do right now. They do not need to wait for Congress to minimize information collection and design healthier products for kids. And their reluctance to act is inexcusable. Technology and media offer enormous benefits, but kids deserve better online. They needed it before, and they will need it after the pandemic. Thank you, and I look forward to questions. [The prepared statement of Ms. Fox Johnson follows:] [GRAPHICS NOT AVAILABLE IN TIFF FORMAT] Ms. Schakowsky. Thank you. And the gentlelady yields back. We have concluded witness' opening statements at this time. So we are going to move to Member questions. Each Member will have 5 minutes to ask questions of our witnesses, and I will start by recognizing myself for 5 minutes. So the line between people's online and offline lives has rapidly disappeared. This is particularly true for kids, and as one of our witnesses said, even infants. I have seen babies just holding devices in the airport and other places. The ability to track children for behavioral advertising, coupled with persuasion design tactics, has been a real problem and a threat to our kids. And I wanted to ask Dr. Ameenuddin. Can you speak to how children and even teens struggle to identify and resist these manipulative techniques in today's complex online ecosystem? Dr. Ameenuddin. Certainly. Thank you, Chair Schakowsky. I think your question really gets to the heart of the problem. The fact is that children at different developmental ages have different levels of ability to understand and to resist persuasive programming. For young children, I do not think that exists, period. They just do not have the sophistication and are uniquely vulnerable to persuasive design. Even when you look at older kids, teenagers, who may even have some training in digital literacy, media literacy, have a lot of difficulty resisting these very, very persuasive, well- targeted ads. Frankly, it is hard for adults to resist too, and so that is why the American Academy of Pediatrics feels that it is so important to create structural layers that hold tech responsible. And we think this is a wonderful opportunity for Congress to help pass laws that protect kids from that kind of predatory targeting and data collection. Ms. Schakowsky. Thank you so much. Let me ask Ms. Fox Johnson. Given that these marketing and design techniques are so sophisticated, thoroughly tested and intentionally directed at children and teens, do you believe that the Federal Trade Commission, FTC, should regulate such practice, predatory behavior, under the unfair and deceptive practices authority? Ms. Fox Johnson. I certainly believe that the Federal Trade Commission could regulate these things as unfair and deceptive, particularly to children under 13 who may not even know they are interacting with an advertisement in lots of scenarios. I think that a less litigious and perhaps quicker path forward would be Congress making it clear that these practices are not allowed. Ms. Schakowsky. And let me ask you this about the platforms' accountability. Dr. Ameenuddin, do you think that we need to have platforms accountable for exposing children to harmful and inappropriate content? Dr. Ameenuddin. I always think that accountability is important, especially when you are creating products that are not necessarily developmentally appropriate but are still exposing children to sometimes highly inappropriate content. We absolutely believe at the American Academy of Pediatrics that tech companies need to take responsibility for that because we all believe that we have a same general goal of wanting to protect children. Ms. Schakowsky. Thank you. And I wondered if you wanted to comment on that, Ms. Fox Johnson, the accountability of the platforms. Ms. Fox Johnson. Yes. These platforms are incredibly powerful and have an incredible amount of resources at their disposal, unlike many parents. They are not just making content available to kids that is inappropriate, but in many cases actively pushing it on them and taking them into outrageous or concerning scenarios. So they can do a better job at what they push and also a better job at identifying healthy, positive, education content. Ms. Schakowsky. Thank you. And, Dr. Ameenuddin--oh, I did it again--Ameenuddin, I want to ask you. How might this repeated, regular exposure to inappropriate content, often viewed together with appropriate content, harm or affect our children? And if you could tell us long term, as well, how it could affect our children. Dr. Ameenuddin. So that is a very important question. Thank you so much for addressing that. Repeated exposure to harmful content, whether it is violent content or, frankly, you know, racist content that kids are encountering online, really can be harmful. We know from past research that bio space harassment and being exposed to these negative images can really undermine the child's self-esteem. It can cause significant mental distress for them. And being exposed to that repeatedly, unfortunately, only multiplies that effect, which is all the more reason to be careful and hold tech companies accountable for what they are putting out there. Ms. Schakowsky. Thank you so much. I realize I have gone over my time, and I yield back. And now I would welcome Congressman Bilirakis to ask his questions for 5 minutes. Mr. Bilirakis. Thank you, Madam Chair. I appreciate very much. Dr. Ameenuddin, thank you not just for your testimony but your important work on kids' mental health. That is so very important. They are our future. I believe your contributions here today really serve multiple areas we are working on. So, again, I really appreciate all of the witnesses. I am concerned about how children being, again, depressed, anxious, and even suicidal this generation has become. You know, you see it on a regular basis when you are in our district. Can you speak to the isolation that kids have felt since the pandemic began? And can you provide perspective on what are the most common issues you are seeing that might be driving the sadness of these kids? And then as a follow-up, would you agree that one of the best ways that we deal with these issues is to curb access to these negative impacts? Dr. Ameenuddin. Thank you, Ranking Member Bilirakis. Such a critical question. There is no doubt that pediatricians have anecdotally been reporting increased visits for depression and anxiety. I find that those are two of the most common mental health issues that I have personally been seeing during the pandemic. I do want to make it clear we have been seeing increasing levels of this even before the pandemic hit, but certainly exacerbated by a combination of factors. The pandemic has been very stressful for everyone. I have had children whose parents have lost jobs. I have had patients who have lost family members to the COVID-19 disease. And so really I think it is multifactorial. Isolation certainly plays into it. And that is where in some ways we also have to look at the positive benefits of technology where that has allowed them to stay connected to grandparents, to elderly neighbors, to friends, but obviously, you know, we want to maximum the positive benefits without leaving them vulnerable to the negative benefits. And I apologize. You had a follow-up question. Mr. Bilirakis. Yes. Addressing it, would you agree that one of the best ways that we deal with these issues is to curb access to these negative impacts? Dr. Ameenuddin. So I would agree that the best way to help curb negative impacts is to look at the structural system and to try to minimize those harms through accountability for tech platforms and also legislation to help regulate what children are able to access and what data is collected on them. Thank you. Mr. Bilirakis. Thank you. Again, Doctor, for you again, there have been many data and scientifically backed pediatricians, including those at the American Academy of Pediatricians, who argue that schools are safe enough to open. Do you agree with your colleagues that we need to begin opening schools back up for students and teachers? Dr. Ameenuddin. So I appreciate that question. I know that that is a related issue, even if it is not the specific issue of this particular hearing. I think that the American Academy of Pediatrics has put together a very thoughtful and evidence-based recommendation for school reopening. We also know that not all schools are equally resourced, and in order to make sure that schools are safe to return, we need to be able to ensure universal masking, hand washing, social distancing. Ideally it would be great to have teachers vaccinated as well. That is an additional layer of protection. It is never just one thing when we talk about public health or health benefits, but we certainly all can agree that we want to move towards the goal of making it safe for all kids to return to school and to make sure that schools are appropriately funded so that they ensure those safety measures for everybody. Mr. Bilirakis. Thank you, Doctor. Dr. DeAngelis, would you like to comment on any of the data from Public Health Masters supporting the reopening of schools? We would appreciate that. Thank you. Dr. DeAngelis. Yes. In fact, there was a systematic review of the evidence published just today. So if you want to add it to the record, you can find it at The 74 Million. A reporter named Linda Jacobson actually summarized the study and said, and I quote, ``Mounting evidence shows it is safe for reopening schools and that the risk of in-person learning contributing to the spread of COVID-19 is low,'' according to a new review of research released Thursday. That covered 130 different studies. So it is a huge amount of evidence, and then also researchers at the CDC published in a top journal, JAMA, saying that, quote, ``The preponderance of available evidence from the fall school semester has been reassuring insofar as the type of rapid spread that was frequently observed in congregate living facilities or high- density work sites has not been reported in education settings in schools.'' And quote, ``There has been little evidence that schools have contributed meaningfully to increased community transmission.'' You can also look at places like New York City, where the school positivity rate is less than a tenth of what the positivity rate in the overall community is. You can look at quotes from people like Anthony Fauci as well saying to close the bars and open the schools and that schools are generally not major contributors of community transmission. I know I am over time, but there's tons of evidence suggesting that schools can reopen safely, particularly if you have the procedures in place. And then my latest study in Social Science Research Network suggests there is no relationship between funding and schools reopening. Ms. Schakowsky. We are going to have to call on the next speaker. I am looking for Frank Pallone. Yes, the chair of the full committee is recognized for questions for 5 minutes. Mr. Pallone. Thank you, Madam Chair. I wanted to start out with Dr. Ameenuddin. My concern is that, you know, you have many of our constituents who work two jobs and have to take care of their family and, you know, just putting food on the table is a challenge. And there was a recent Common Sense Media survey that showed that children from lower-income households spend nearly two additional hours on screens than those from higher-income households. You know, so while parents can supervise--or, at least, that is the goal--it is really impractical or not possible for many if they are working two jobs and have all of these other things. So, Dr. Ameenuddin, are children able to self-monitor their own digital consumption? And do they know when to disconnect? I know parental controls are viewed as an alternative when direct supervision is not possible, but 71 percent of parents say they are not satisfied that the tools they have to use to keep kids safe. That is my question, to what extent the kids can self- monitor, know when to disconnect or what to do, if you would. Dr. Ameenuddin. Thank you, Chair Pallone. So, again, I think that is a critical question, whether or not children can self-monitor, and when we look at the circumstances that this pandemic has really brought to the fore, these are not new. For a long time, for decades, the American Academy of Pediatrics has recognized the unique vulnerability of young children, in particular, but even teenagers to be able to really self-monitor and resist manipulative designs. And, you know, 20, 30 years ago, as I think one of your members mentioned, it was easy to sort of turn off the TV and for parents to monitor, but these days with the ubiquity of digital devices and the ability to take these devices into bedrooms, it really makes it so much harder for kids to self- regulate and self-monitor. Young children are not capable. I want to make that very clear. It is just not going to happen without some structural supports and parental supervision, which of course has become even more difficult when you have got a parent in one room working one job, a parent in another room working one job. So really, again, we have to look at this as a structural issue, as the American Academy of Pediatrics has done for years, to recognize that we need more protections for our kids. Even media-savvy teens have difficulty self-regulating, although it is OK to give them a little bit of flexibility to try to do that. Mr. Pallone. Well, thank you. Then let me ask Ms. Fox Johnson. Can you discuss briefly the different parental control options that are currently available, including how easy they are to use, how much they cost, what that means for low-income families, and any privacy concerns? And then a second question: Given the limitations that you are probably going to say about these devices, how do you explain why baseline default protections from children are important, if you could? Ms. Fox Johnson. Sure. Thank you, Chairman Pallone. So there are a variety of parental controls, and just researching all of them it takes a lot of time, time that parents do not have. You can have browserable controls. You can have controls at the device level. Some apps and gaming systems offer controls within them. Like I said, it takes time to research these, and it takes additional time and effort to try to implement them in effective ways. They also--especially the better ones that do more than just allow you to block sites but allow you to, say, filter content or see what your kids are doing--cost money, $10 a month, $100 a year, more money if you have more kids. This plus the time involved make it very difficult for lower-income families, in particular, or families with less digital literacy to use these tools effectively. And then also, as you mentioned, concerns about kids growing up with surveillance and feeling normalized, and it is normal that someone can constantly follow them. Traditionally a kid could go into a bedroom, shut their door, and have a moment of privacy, but that may not be possible if their parent or someone else is constantly monitoring them. The U.K. has advised that, with parental controls, companies should make that clear to kids so that they know what's going on and have not sort of secret surveillance given out. Mr. Pallone. Baseline default protection, is that important? Ms. Fox Johnson. Yes. Mr. Pallone. Did you mention that? Go ahead. Ms. Fox Johnson. Baseline protections are super important because we know that defaults are super important. Lots of people do not take the time to change defaults, and companies make it very difficult to change defaults. If companies had to put kids' best interests at the front from designing their products from the get-go, it would be less critical for parents to go to the trouble and time and money of putting in extra parental controls. Mr. Pallone. All right. Thank you so much. Thank you, Madam Chair. I yield back, Ms. Schakowsky. Ms. Schakowsky. Thank you. And I recognize Mrs. Rodgers, the ranking member on the full committee, for her 5 minutes. Mrs. Rodgers. Thank you, Madam Chair. Thank you, Mr. Chairman, for this hearing today. I think it is very important. I appreciate all of the witnesses being here and sharing your insights with us. You know, during my opening statement, I highlighted the importance for schools to reopen fully for 5 days a week, for students and teachers both to return to the classroom. Dr. DeAngelis, you raise some startling statistics in your testimony, especially regarding the disproportionate impact on less-advantaged children in our country, like those with disabilities. Your testimony states that, in 2020, failing grades in Arlington Public Schools increased 91 percent since the previous year for middle school students with disabilities, and 81 percent for high school students with disabilities. Can you explain what this means for these families and these students and what it would mean for them to have school in person again? Dr. DeAngelis. Well, thank you so much for the question. It can lead to a ton of long-term negative impacts, in addition to the student achievement negative impacts that we are seeing. And I want to say there is a nationwide analysis done by McKinsey & Company on two different occasions finding that students have already lost months and months of learning, and Eric Hanushek, an economist affiliated with Stanford University, did a report published by the OECD, estimating that this could have a net present value of a negative impact around $17 trillion in the U.S. alone associated with reductions in lifetime earnings and other negative impacts to GDP. But then there are other problems that are not associated with learning losses, like mental health problems increasing. I know I think Ranking Member Bilirakis had pointed out that suicides had doubled for students in Clark County Public Schools, Nevada, since the same time last year. So there are a ton of costs associated with keeping the schools closed. One more district in my area, Fairfax County Public Schools, their failure rate increased by 83 percent relative to last year for students failing two or more classes, and that number was even larger, 111 percent, over a doubling in failure for two or more classes for students with special needs. So, obviously, reopening the schools would lead to more options for individual families to make that choice of whether they want to do in-person or remote learning going forward and to be able to take the best learning environment for their individual children, which would lead to better incomes later in life and could lead to lower likelihood of criminal activity and better lifetime earnings in the long run. So these are important things that we need to consider. There are a lot of costs in keeping schools closed, and at first a lot of people were only looking at the cost associated with reopening schools. We have got to look at both sides of the equation. Mrs. Rodgers. Thank you. And as a follow-up, the Republican leader on this subcommittee, Gus Bilirakis, mentioned that some of the schools are beginning to open. Washington State, where I come from, is still largely locked down. Some schools, a small percentage, have opened, but I wanted to ask you about the private and parochial schools, because some of them have opened. More of them have opened, and I wanted to ask if you had any data on the trends of transmission rates in private and parochial schools. Dr. DeAngelis. Yes. First, I think it is common knowledge at this point that private schools have been substantially more likely to reopen than traditional public schools in the U.S., if you look nationwide or in particular counties across the country, as well. And there are data on COVID case rates in private schools collected by Brown University. I think Dr. Emily Oster, an economist over at Brown University, has been compiling this for months, finding that, one, the case rates in the schools are substantially lower than the case rates in the community over time. But then also you can break it down by public versus private schools and how many people are in the schools. So even with the private schools, with a majority and a vast majority of children returning to in-person learning, the COVID case positivity rates in those schools had been substantially lower than in the overall community, sometimes as much as a tenth or a twentieth below the overall community positivity rate, hovering around .5 percent or less pretty consistently over time. So the private schools have been able to do it, and some public schools have done a good job at being able to reopen in person as well. So it can be done, and you can see that with the comparison that I pointed out earlier between California and Florida. Florida spends a lot less, yet they are way more likely to be open than California as far as their schools are concerned, and Florida tends to have a lot less powerful teachers' unions as well. Mrs. Rodgers. You mentioned in your testimony that, after private and parochial schools open, nearby public schools often follow suit. It seems to me that these schools were safe enough to reopen from the beginning. Even the Director of CDC believes schools could reopen. So why do you think this is happening? Dr. DeAngelis. It could be another reason why Florida is more likely to reopen. They have a lot of school choice and competition through even open enrollment with their public schools and then private school choice programs. It is leading the way on those fronts, which could lead to more competition, as that Brown University study found, where places with low- cost private schools, the public schools were more likely to reopen as well. So I think this has a lot to do with incentives. Mrs. Rodgers. OK. Thank you, Madam Chair. I yield back. Ms. Schakowsky. Thank you. I am going to go vote. Before I do that, I want to yield now for 5 minutes to Bobby Rush, my colleague from Illinois, for 5 minutes of questioning, and thank Tony Cardenas, the vice chair of this committee, for taking over while I am gone. So thank you to both of you, and you are recognized, Bobby. Mr. Rush. Well, thank you, Madam Chair. And I want to thank all of the witnesses for this superb hearing. Ms. Fox Johnson, in your testimony you discuss how children in lower-income households and those from racial and ethnic minority groups are spending more time in front of a screen. My question to you is, given the very positive and inspirational request from the Biden administration in that the vaccinations will be available to all Americans by the end of May, and then it makes us more optimistic about schools being able to open no later than the fall--but in the interim, how do we use online opportunities to help abrogate or help address the missed condition that a lot of our students have fallen so far behind because of the closure of schools? Is there any way that we can pivot from what the current situation has been to what the current situation could possibly be, given the fact that we will be opening soon? Ms. Fox Johnson. Sure, and thank you, Representative Rush. I mean, the numbers about more students of color and more typical and more kids from low-income families spending more time on devices comes from before the pandemic, and children in lower-income households are more likely to also use apps that have ad tracking and other sort of COPPA-violating information collection practices. I think, as everyone seems to be saying here, it will be great when schools reopen. Screen time was a problem before the pandemic. It will be a problem after. I think we need to create a healthy environment for kids online. I think Congress can help with this. Companies can help with this. They can move away from business models that prioritize engagement and sensationalist content, and they can move away from behavioral ad targeting that preys on kids' particular vulnerabilities. They can try to promote high-quality and educational content. I mean, Sesame Street is a media product. That is a good product for kids. So the internet companies can change their business models and work to push high-quality content that respects kids and empowers them to grow and learn. Mr. Rush. Dr. Ameenuddin, in your testimony you stated that youth of color can cause additional challenges for digital media and face various assessments of beneficial estimates of technology. And this is something that is becoming more evident over the past year and something I have witnessed here in my own district in Chicago. Can you please talk about the challenges the youth of color face and what, if anything, can Congress do to help alleviate these obstacles? Dr. Ameenuddin. Yes. Thank you so much, Representative Rush, for that question. Digital inequity and the digital divide have been a concern of ours for a very long time. Those of us who are pediatricians were interested in this issue and really are seeing why it has become such a problem. Part of the reason why youth of color are so vulnerable to this is that there is targeted advertising towards them for unhealthy products, and you know, as we are still learning during the pandemic and I anticipate a whole slew of research that will come out as a result of this, I can also look historically back at how, in lower-income neighborhoods or neighborhoods with large minority populations, alcohol and tobacco billboards were often much more prevalent there. Like a child walking to school in the neighborhood would pass several of these billboards, and again, that is historical. But we have also seen that in terms of digital marketing, whether it is for unhealthy foods or for tobacco, alcohol, or even marijuana advertising, all of which the American Academy of Pediatrics opposes being targeted towards children, which I am happy to recommend our previous policy statements on that. In addition to that, we have to look at the built environment around children and what is safe. It is not safe to play outside if there are not green spaces. Children are by circumstance, you know, going to spend more time indoors on a screen. Thank you. Mr. Rush. Thank you. I yield back. Mr. Cardenas [presiding]. The gentleman yields back. The Chair now recognizes Member Bob Latta for 5 minutes. Mr. Latta. I thank my friend for recognizing me and also for the chair for holding today's hearing examining how to protect children in the digital age. That issue has become amplified by the COVID-19 pandemic. In my home State of Ohio, the Department of Education is reporting significant areas of learning lag. Its reporting shows the decrease in third-grade proficiency was clear among students learning in districts that used a fully remote education model as their primary education model in the fall of 2020. In fully remote districts, third-grade proficient rates decreased by approximately 12 percentage points compared to decreases of approximately 8 percentage points in districts primarily using a 5-day in-person model and 9 percentage points in districts primarily using a hybrid model. Students are clearly suffering across our country without in-person learning. Where schools are open, children are proving to be very resilient. However, they are much less resilient to the impacts of remote or distance learning. And, Dr. DeAngelis, thank you for your testimony and the wealth of data explaining schools are safe to reopen. As you also know, many children are struggling with distance learning for a variety of reasons, including lack of social engagement, difficulty concentrating, and Zoom fatigue. My colleagues in the majority recently provided over $7 billion to fund remote learning, which makes us more reliant on these small screens. Now, if we are serious about connecting those without broadband, we should have devoted that money toward improvement of broadband infrastructure and reform our permitting laws to deliver connectivity to these unserved Americans. Even before COVID, we knew students without connectivity do not have the same chance of success and can be left behind. Dr. DeAngelis, have you seen distinctions on how broadband can be an important bridge for learning? Dr. DeAngelis. Yes, absolutely, and thank you so much for the question. And one thing I might add is that additional funding for remote learning could disincentivize schools from reopening for in-person instruction if they get more funding with remote services. But one way to access more broadband within communities is to reallocate the funding from institutions to individual students. There are at least 28 State legislators that have introduced legislation to fund students as opposed to systems in the form mostly of something called an education savings or education scholarship account, which would take a portion of the money that would have gone to the traditional public school that students are residentially assigned to, and if they like the remote learning that is going on in the public school, they can still do that and keep that option on the table. But they would be able to take some of that funding to go to an in-person private school or a pandemic pod or a micro school or other types of learning scenarios. And with education savings accounts, it is possible to have State legislatures or even the Federal Government approve the funding to be used to access connectivity and broadband as well. It could be used for any approved, government-approved, education-related expenditure. I think this could, in theory, fall into that bucket. Mr. Latta. Let me ask. Let me follow up. How can schools become responsible stewards of making education more accessible via broadband without that becoming a crutch then? Dr. DeAngelis. One way to do it is to incentivize the schools to reallocate the existing resources, particularly because my latest study at Social Science Research Network with MIT's Dr. McCredie finds that resources have not been statistically related to reopening in person even after you control for things like household income, the age and race distributions, and COVID risk in the area. Meanwhile we did not find significant relationships between COVID risk and reopening schools in person. We also tended to find that political partisanship was a strong predictor, along with a few other studies have found this as well, of reopening in person. Mr. Latta. If I can just follow up again with another question. You know, in my district the majority of our schools are open for a 5-day learning week, and I know that that is not the norm nationally. In your paper are school reopening decisions related to funding. You examine the impact of per student expenditures on if schools are open for in-person learning or not. Does the level of funding per student have an impact on the reopening decisions during the COVID pandemic? Dr. DeAngelis. We do not find any evidence, and this is the only existing study on this topic that is done nationwide. We do not find any evidence that is statistically significant between the funding, whether it is measured by revenues per people or expenditures per pupil, even after controlling for a ton of different characteristics in the area. No relationships between funding and being more likely to reopen. If anything, we find that in some cases the remote districts actually were financially better off than their in- person counterparts, and a Georgetown University study similarly found recently that remote districts were more likely to have surpluses. In Los Angeles, they had about a half-a-billion-dollar surplus estimated for this school year. Mr. Latta. Well, thank you very much. My time has expired, and I yield back. Mr. Cardenas. The gentleman yields back. The gentlewoman from Florida, Kathy Castor, is now recognized for 5 minutes. Ms. Castor. Well, I thank my friend, the vice chair, for recognizing me. And another big thank you to Chair Schakowsky for calling this very important hearing on protecting kids online. Ms. Fox Johnson and Dr. Ameenuddin, your testimony really lays out the harmful effect on children caused by predatory data collection and exposure to inappropriate commercial content. Last Congress I introduced two bills, the Kids' PRIVCY Act and the KIDS Act. The KIDS Act--thank you to my colleague Yvette Clarke and to Congresswoman Wexton from Virginia for joining me in that effort. They both address the harms caused by these kinds of activities online by the big tech platforms. And our bill proposed to update COPPA and put new safeguards in place to protect kids when they are online. So just to go over a few of the things that are contained in the bills: expanding protections to young consumers age 13 to 17; requiring opt-in consent for all individuals under 18; banning companies from providing targeted advertising to kids; increasing the FTC penalty authority; repealing provisions that allow industry self-regulation; and changing the knowledge standard from actual to constructive, among a variety of other provisions that really help empower parents and protect kids. So, Ms. Fox Johnson, do you agree with those updates to COPPA to protect kids online? And focus in. Are there any that are more important than others, or are they important as a package? Ms. Fox Johnson. I thank you for the question and thank you for your leadership on this issue. We wholeheartedly agree that these updates are critical to COPPA and think that they are critical as a package. For us, some of the most important ones are extending protections to teenagers, who, as you have heard, have their own set of risks and vulnerabilities. Ensuring that sites cannot pretend like they do not have kids. TikTok and YouTube pretending like they did not have children on their site for years, even though they had nursery rhyme videos in the case of YouTube or clearly had small tweens and preteens in the case of TikTok. We also think it is critically important that enforcement gets enhanced. COPPA has been around for over 20 years, and the FTC has brought about 30 cases. So we do not think that enforcement is sufficient right now. We also think it is critical that certain practices just be flat-out off limits. Behavioral targeting to young kids is unfair, and it should not be allowed no matter what kind of, you know, consent is allegedly given. Thank you. Ms. Castor. Dr. Ameenuddin, what do you think? Dr. Ameenuddin. Well, thank you, Representative Castor, for being a champion for this issue. Some of the elements that you mentioned are actually laid out in our most recent digital advertising policy statement, which came out in June of last year from the American Academy of Pediatrics. I would love to look over some more legislation to see where else we are on the same page. So thank you so much for that. Ms. Castor. And then, Ms. Fox Johnson, the KIDS Act prohibits companies from using design features like autoplay and push alerts or any feature that unfairly encourages a child to spend more time engaging with the platform. The bill also prohibits platforms from amplifying harmful content to children. Are we on the right track here? Ms. Fox Johnson. Once again, a wholehearted yes. Kids get hooked onto autoplay until spending too much time and watching inappropriate content that is pushed on them. They get addicted to the dings and badges that they receive. I mean, there is a reason that we give stickers to children when we want to train them to learn to use the bathroom. This is how they respond to awards, and this is what tech companies are doing to them now. Ms. Castor. You know, one way I have thought about it and shared it with parents is that if there was a person outside your child's window at home or following them to school, you would call the police. You would not put up with this. So it should not be any different for our online platforms that just have enormous amounts of influence, and they are profiting off it. So I am really hopeful. And, again, I want to give a big thank you to Chair Schakowsky for directing the committee's attention to this very important issue. And then I just add at the end everyone wants kids back in school, and thank goodness President Biden has said all teachers, everyone that works in the school, should be vaccinated, and we passed the American Rescue Plan yesterday to provide the resources for schools and students across the country to operate safely and improve student achievement. So I think we are all on the same page there too. Thanks, and I yield back. Mr. Cardenas. The gentlewoman yields back. It is my understanding that Chair Schakowsky is back. OK. The gentlewoman yields back, and the next person who will be recognized for 5 minutes is Member Guthrie. Mr. Guthrie. Thank you, thank you, Mr. Cardenas. I appreciate that very much. Thanks for having this hearing today. Thanks, Chair Schakowsky and Ranking Member Bilirakis. You know, since the COVID-19 pandemic began nearly a year ago--or a year ago--kids have been experiencing extended periods of virtual schooling away from their teachers and their friends. As a result of this increased time, longstanding concerns around digital technology have been brought to the forefront. We continually hear about the need for students to be physically in the classroom learning and the positive, cognitive health benefits it brings to a student. I just want to point out the schools in my hometown. There are two school systems in my home county. One country school is in Bolling Green. Independent schools have been meeting in person to some degree, not everybody at the same time, since August 24th, the first day of school that was on the books. Most schools in Kentucky spent the summer preparing to allow kids to come safely. When it came time to start schools, the Governor recommended schools not start, and my two superintendents said, ``We prepared. We have been working at it. We have got things in place.'' So they went forward, much to a lot of criticism from the Governor and a lot of people. But I can tell you, if anybody wants to see an example of schools meeting and kids in session, right--not every kid every day, I am not saying that--but some form of in-person learning since August 24th, prior to there being a vaccine, without any evidence of any student-to-student spread, then they can come to Bolling Green and see how it can be done because they have been successful with it. And we still have districts in Kentucky that have not met one day in a public setting, when one just a few miles down the road has met since August 24. So it is kind of without incident. It is not like, well, we are not going to meet because they have had incidents. They are certainly a great example of schools being open. But I would start out with some questions for Dr. Ameenuddin. You mentioned in your testimony how digital media can negatively impact a child's health and development. In your practice, how do you help parents or legal guardians find the balance for their children between screen time and physical activity, especially since so many kids are learning online? Dr. Ameenuddin. Thank you, Representative Guthrie, for that question. I have to admit, you know, it is an ongoing challenge. Every family is a little bit different. I advise them. I try to be a coach for them about finding balance, finding moderation. You know, I also tell parents to give themselves a break. It is just there is unprecedented stress on everyone right now. Parents are being pulled in multiple different directions, and the last thing that we want to do is create more difficulty, more stress and tension in the home. So what I have been advising families to do is really not that different from before the pandemic, but maybe with a few caveats, is to really prioritize mental health and physical health. And you know, way back when, when we just had TVs to worry about, we would recommend no more than 2 hours of entertainment or recreational screen time a day. That is not a hard and fast rule, but it does help to have some rules. It does help to have some guidelines and guardrails up. But I also tell parents not to be so hard on themselves or their kids, because some days might just be very digital- and screen-time-heavy days, but that is OK. You can work on making the next day a little bit more balanced towards physical activity, towards, you know, in-person interaction with other family members to keep things safe. So really, I am telling parents to give themselves a break, but to just practice moderation on a wider scale long term. Mr. Guthrie. Well, thanks. And, Dr. Ameenuddin, have you come across research or data that show reopening schools directly correlates to substantial increases in overall COVID-19 transmissions or hospitalizations from child to child or child to adults spread? Dr. Ameenuddin. So that is an important question. It is not my area of expertise, but I would recommend reading the AAP guidance on school reopening because I think that lays it out very nicely. Mr. Guthrie. OK. So the schools could reopen safely if you follow the guidance, correct? That is what we did in Bolling Green, and we did it until last August. So I just want to point that out. Can I also ask questions to Mr. DeAngelis? In your testimony, you state that a Gallup poll found 86 percent of parents said that students being separated from classmates and teachers was a challenge for their children. From your research, have any studies that indicate that virtual learning is more suited for kids than in-person learning? And you have about 30 seconds to answer. Dr. DeAngelis. In general, the research suggests that in- person learning is better, on average, than virtual learning. So I don't want to say that virtual learning can never work. It can work in certain situations. And it is most likely to work in the best way possible when families voluntarily select into that situation, and they can make those cost-benefit decisions themselves. But on average we are seeing that there is a lot of harm going on as a result of the forced version of remote learning that we are seeing across the country. Mr. Guthrie. Thank you. Thank you for that time, Madam Chair. I yield back. Ms. Schakowsky [presiding]. I thank the gentleman for yielding back. And I now want to call on Congresswoman Trajan for her 5 minutes of questioning. Mrs. Trahan. Thank you, Madam Chair. So children's time spent with screens has increased dramatically during the pandemic. I know this because I have five kids. My two young girls are 6 and 10 years old, and they have essentially grown up with electronic devices, but nothing like we have been this past year. Can I be clear? It is not because they are home from school as much as it is the go-to during the down time, in the absence of play dates and indoor extracurricular activities. And we do know that the more time children spend on screens, the more they are pulled away from engagement with me, parents, siblings, and critical activity. Ms. Fox Johnson, big techs employ mental health experts to use persuasive design techniques aimed to increase engagement. We know this, particularly in apps funded by advertising revenue. Can you explain the way companies leverage their understanding of our children's cognitive developments to keep children on their platform or in their app or network of apps and why that is so harmful? Ms. Fox Johnson. Sure, and thank you. I would be happy to answer that question. So, as you said, companies employ all kinds of experts who know how to get to kids and to keep them hooked. They use a variety of different features. One of them is the sort of never-ending scroll feature. Instagram found that, when they short of put in a natural pause or an end spot, people were spending less time on their product, and so they then decided to move that decision back and put in more content so kids just get a constant stream of new information. Another feature that is really problematic for kids is seeing how many likes their own photos get or how much engagement from their friends. Teenagers particularly are social creatures. They are looking for validation, and this is a way to have how many people like them and how many people like their friends numerically listed publicly for everyone. Another way that social media companies keep the kids engaged is through autoplay. They cannot step away because the next video is already starting, and as has been mentioned here, that video is tailor made often to appeal to them. So there are a variety of ways that social media companies right now are using their design tactics to keep kids hooked. Mrs. Trahan. Thank you. And I have seen it up close in my own home. I have seen my assistants. Dr. Ameenuddin, in your testimony, you highlight that increasingly exposure, especially ad-based, is correlated with poor eating habits and loss of sleep, and the American Academy of Pediatrics recommends that parents of children ages 6 and older place consistent limits on the time spent using media, specifically lower-quality media. I have that right, is that correct? Dr. Ameenuddin. Yes. Yes, absolutely. Of course--sorry. Go ahead. Mrs. Trahan. Just what I am hearing today is that even parents who are trying to do the right thing, trying to keep their children healthy by limiting certain types of digital media, using every tactic they have to deploy, they are coming face to face with products that have been designed to keep our children on their apps longer, an end goal that is counter to the recommendations of our pediatricians. Ms. Fox Johnson, if products can be engineered to keep users endlessly engaged, I imagine that these same products could be designed to encourage healthy behaviors as well. What policy changes would incentivize, would lead to that shift? Ms. Fox Johnson. Definitely products can be engaged right now to be healthier, but since we do not see companies doing that on their own, we would really like Congress to act and help them along. In the United Kingdom, the age-appropriate design code requires that companies build the best interest of children into their products from the ground up with their design. You are not supposed to use nudges in ways that harm children. You are not supposed to use their information in targeted ads or in other detrimental ways. Help kids. Give ways so they can set their own limits. Give them visual cues to stop. Do not use their information to keep them hooked. These are things companies can do. Mrs. Trahan. Well, I appreciate that. You know, I am not going to have time for my next set of questions, which is not introduce them to Facebook Messenger Kids, which is going to get them hooked and using Facebook at an age earlier than they need to be. So look. Parenting is hard. Parenting during a pandemic is immensely hard. I can only hope that this last year and this hearing today highlights the need for Congress to address urgently the ad-based business incentives that are pervasive in our economy. I thank you all for your testimony and your deep knowledge. And I yield back. Ms. Schakowsky. I thank the gentlewoman. I had no idea when you talk about parenting that you have five children. So I learned something, something new today. Congressman Bucshon, you have 5 minutes for your questions. Mr. Bucshon. Thank you, Madam Chairwoman. And I am a parent of four children. Three of them are grown, but I still have a high school junior, and so I can tell you that, even with strong parenting, which I think my wife and I have done over the years to help our children deal with the online onslaught of information, that even with that it is a challenge, and I do think Congress needs to address some of these issues as have been outlined today. You know, but after a year's shutdown and remote learning and the hardships that have arisen from COVID pandemic, we have learned that there are some real costs to being in distance learning all year, physical and mental health costs. And as I mentioned, I am the father of a high school junior. She is a great student. It is not affecting her much. We do not have to prod her to make her classes, but I can tell you that across my district when I talk to educators, some students, you know, when they do enroll, never get online or only sporadically do and are not really technologically present during the instruction. In addition, there is access to broadband issues, particularly I can tell you in my area, affecting rural America in the same way that it affects urban America. If you look at a map of the United States and look at the percentage of students that do not have access to consistent internet, it is shocking, honestly. So we need to open our schools in person with the best available data, protecting our students and our teachers and employees. But we need to do this, again, based on the science that is out there and the guidance that is there rather than relying on politics. So, Mr. DeAngelis, in-school learning afforded children access to physical fitness activities that are often not available for millions of students at home. This is something we forget about because my daughter is on a crew team, and they have not been on the water now in almost a year. They are at home on rowing machines, if they have one. So that could be gym class, extracurricular clubs, activities in sports. What are some of the barriers that you expect in getting these programs and activities back up and running once in-person learning resumes? And what can Congress do to make sure those efforts go as smoothly as possible? Dr. DeAngelis. Yes, this is just another unintended consequence of keeping schools closed. We all kind of anticipated the learning loss, but then we started to see job market impacts, disproportionately impacting women. We have seen mental health issues on the rise, and then now we are seeing also physical problems and increases in obesity probably related to the decrease in sports activity. So one way to incentivize the schools reopen in person is to not pass stimulus bills that are not contingent upon reopening schools in person and given that all teachers are vaccinated, which I think that water is already under the bridge. But another way to incentivize the reopening of schools, and there are a couple of bills in Congress floating around right now. I think one was introduced yesterday that would reallocate nearly all Federal education dollars from institutions to individuals, which would provide strong incentives for the public schools to reopen their doors in person, as has been found in the Brown University study finding that competition was generally related to a higher likelihood of reopening the schools in person. I just want to point out something that you pointed out, which was a great point, that there are a lot of inequities that are a result of this because a lot of the families that are the most advantaged do have choices at the moment. They can afford to pay for private school tuition and fees out of pocket. They can afford to move to a school district that is offering in-person instruction. They can afford to pay for a tutor at home. They can afford to pay for the best remote learning services. So we are really having a conversation about what kind of access will the least advantaged have when it comes to educational services, because this whole debate has really not affected the most advantaged in society. So it is leading to inequities, and I am glad you pointed that out. Mr. Bucshon. Yes. I mean, you know, as we are having a hearing on the dangers of and the online activities our children are exposed to, you know, we are still having a tremendous number of students who had no choice. They have to be online. And I can tell you, even with my daughter, like I said, who is a good student, we still have to set 10 minutes an hour no social media because, while she is on her computer, she also has her phone. And so we need to get kinds back into a better environment, and you know, I think that can be done. The American Academy of Pediatrics has put out some guidelines, as has been mentioned. In my district in southwest Indiana and west central Indiana, schools have mostly been open since last fall with proper guidelines in place. And have there been some COVID cases? A few, but overall consistent with what is happening around the country, and not that many. So, Madam Chairwoman, I cannot see the time clock. So please remind me if my time is up because I am on my phone. Ms. Schakowsky. Your time is up. Mr. Bucshon. OK. Then I yield back. Ms. Schakowsky. OK. Mr. Bucshon. Thank you very much. Ms. Schakowsky. Thank you. Mr. McNerney, you are next. You are recognized now for 5 minutes for your questions. Mr. McNerney. Well, I thank the chairwoman for holding this hearing. It is an important issue that tech companies have this hold on our children, and we need to explore that whether there is pandemic or not. I am very concerned about the techniques being used by some tech companies that result in addictive behaviors in children. Some of this seems like the addictive techniques used in gambling. For example, many video games and apps have children use real money to purchase in-game rewards on so-called loot boxes, and the tech companies often do this in manipulative ways. So, according to a recent survey in the U.K., one in six children in Britain have stolen money from their parents to play for video game loot boxes. I would not be surprised to see similar statistics like that in the United States. This is a worrisome sign of what effects these features are having on children. Dr. Ameenuddin, can you explain how gambling-like games are harmful for children? Dr. Ameenuddin. Sure. Thank you very much, Representative McNerney. Anything that would encourage kids to stay engaged and, you know, could lead to addictive tendencies is a concern for children's health and mental health. These in-app purchases are another thing that we as pediatricians believe should be banned, particularly since it is something that is really outside a child's level of ability to resist, and it is very concerning that children in the U.K. were actually stealing their parents' money or using things without permission. That sort of persuasive design is really dangerous. It is bad for mental health. It is bad for physical health, and we strongly stand against that, but because that really is targeting a very vulnerable section of our society. Mr. McNerney. Well, do you believe that these loot boxes will set up children for addiction to gambling later in life? Dr. Ameenuddin. So addiction is a very complex issue. It is multifactorial, and it is difficult to say with certainty and with a good evidence base that this would set them up for an addiction. But it is certainly not good for them. I think we would prefer to call it problematic internet use, and you know, as we look at the DSM-5 manual, the manual of psychiatric issues, they have mentioned, you know, the concern of internet gaming disorder, but have not officially laid a diagnosis to it. So, just to be clear and precise, I would hesitate to use the actual word ``addiction.'' Mr. McNerney. Well, thank you. Moving on, the industry's response to concerns about these loot boxes require disclosure in app stores around video games, that a particular game contains an in-app purchase. Ms. Fox Johnson, how effective is disclosure in these cases, especially with regard to apps and games intended for children? Ms. Fox Johnson. Thank you for that question, Representative McNerney. In general, we think disclosures are not that effective. I mean, it is important to put them at the point of purchase, but often these kids cannot read. So they do not know what in-app purchase means, and then within the game, there can often not be disclosures. The purchases themselves, sometimes it is not clear to kids that they are even using real money because things are referred to as, you know, buy gems or sparkle wands. So we do not think that kids and their parents know that they are spending money. And I think that is clear from the fact that, you know, millions of dollars of money have had to be refunded to consumers when the Federal Trade Commission brought cases against some of these platforms like Apple and Google and Amazon for sort of bilking kids and their parents out of money. Mr. McNerney. Well, I am going to talk a little about artificial intelligence at this point. AI and machine learning are used in targeting behavioral advertising and persuasive design tactics that we are seeing today and discussing today. This practice is everywhere. Compared to adults, children and teens are more trusting of privacy-invasive technology like GPS tracking, and I think that poses a major risk for children divulging sensitive information. Ms. Fox Johnson, how do platform developers use AI and machine learning in their user interfaces to better target children and monetize their data? Ms. Fox Johnson. As you said, Representative McNerney, they are tracking them everywhere. The kids do not realize that their location is being shared because they think they have not actively put it in. They do not realize that the conversation they had with their smart toy is not staying in their toy, but it is going into a data ecosystem. And companies use all of this information to figure out precisely what that kid might want to buy or might want to do next and use it to create commercial profiles of kids at very young ages. Mr. McNerney. Yes. Well, I agree. Thank you. I am going to run out of time. So I yield back, Madam Chair. Ms. Schakowsky. Thank you. And now, Mr. Pence, it is your turn for 5 minutes. Mr. Pence. Thank you, Chair Schakowsky and Ranking Member Bilirakis, for holding this hearing. And thank you to the witnesses for appearing before us today. This pandemic has impacted us all. It has been particularly troublesome for our youth, as the witnesses talked about today. Students learning remotely are missing out on higher- quality instruction from the in-person attention during formative years of their development. I am concerned that those lost opportunities will lead to damaging learning gaps setting back an entire generation. Instead of having exposure to social connections with their peers at school, students in virtual settings across the country are often isolated, spending more time on the internet and away from their friends. Comparatively, in my State, Indiana, Hoosiers underwent local community-led efforts last summer to keep our kids in school. Together with parents, administrators, and local health officials, schools in my district developed comprehensive strategies to ensure students and teachers could safely return to the classroom, which they did. And that is exactly what they did. Every one of the counties in my district have schools that have returned to the classroom with notable success. Having students in person provides structure and stability that is so important for the mental and emotional well-being of children. Beyond the attention received in the classroom, clubs, sports teams and other student organizations provide an invaluable collected learning environment that cannot be replicated from a Zoom connection, like leadership skills and social skills. Recently I had the opportunity to meet with bright young students at St. Nicholas Catholic School and Batesville High School, a public school. Both schools are prime examples of how local stakeholders are best positioned to develop school safety strategies that fit the unique educational needs of their community. From my discussions with these students, their teachers, and administrators, one thing remained clear: Students feel more purpose when they are in school and involved in person. I share the concerns of my colleagues that the increased online presence of children can be detrimental to their health and safety. Shifting children away from in-person learning and towards a digital life has surely sentenced them to more time for predators to prowl, which is another argument for in-school learning. Dr. DeAngelis, I am afraid of a scenario of dueling outcomes for students that participate virtually versus students that participate in person. In your testimony you mention substantial achievement gaps between these two groups, specifically leading to increased dropout rates and impacts on their future earnings. Can you please expand on what this will mean for our future generation of, in particular, community leaders that are losing this sports and social interaction? Dr. DeAngelis. Yes. I would first like to point out that, look, this is leading to inequities. So this is hitting the least advantaged in the community the hardest, particularly because the most advantaged have access to in-person alternatives or good versions of remote virtual learning at home or even have more ability to cover the cost associated with home-based education. But to your point, McKenzie & Company in a nationwide analysis in 2020 on two separate occasions found that they estimated that achievement gaps would increase, and achievement gaps are already a horrible thing in the United States that we need to remedy. But the gaps by race they estimate to increase by 15 to 20 percent, and they estimate dropout rates to increase by 2 to 9 percentage points, translating to about 232,000 to 1.1 million additional ninth-to-eleventh-graders dropping out of high school, which could translate to about 60 to $80,000 reduction in lifetime earnings, which is a huge problem, obviously. And there is a lot of evidence, this is just one source from McKenzie & Company finding these exacerbated inequities from keeping the schools closed. So the best option is to give families options, allow them to choose the in-person or hybrid learning setting of their choice or, even better, allocate the money to the families so that more families can access other in-person alternatives. Mr. Pence. Which in Indiana we have school choice. Thank you. Madam Chair, I yield back. Ms. Schakowsky. The gentleman yields back. And now I call on Mr. Cardenas for 5 minutes for questions. Mr. Cardenas. Thank you very much, Madam Chairwoman. I appreciate the honor of being the sit-in chair for just a little bit. It is a bit addicting, but I relinquished it. OK. Thank you so much. Appreciate your bringing this committee together on this issue, Madam Chairwoman Schakowsky and also Ranking Member Bilirakis. I appreciate this opportunity for us to hear from many different perspectives about what our families and children are going through, but more importantly, being able to dialogue and discuss maybe what some of the solutions are so we can have a better environment, better world so that our children are less negatively affected by all of this. I am a father and, more importantly, a proud grandfather, two grandchildren, ages 2 and 4, and, yes, they are on devices already, and we need to protect every child as much as possible. And, of course, the responsibility of the individual family raising those children is paramount, but at the same time I think it is important that government understands that we do have a responsibility of making sure that the guidelines and the lanes in which these incredibly prolific and lucrative businesses are in our homes and in the eyeballs and the minds and hearts of our families and our children. And also, I would say that it is unfortunate that we speak of who is negatively affected the most or who in America might not be as prepared as others to protect themselves and protect their children from the potential negative effects and harmful effects of what could be going on, but let me tell you this. I think it is important that everybody understand that these negative effects, they do not see color. They do not see race. They do not see gender. A child is a child is a child. And I believe that because about 60 percent of all children in America are White, it is disproportionately affecting White children, and I just want to point that out because I think that some people get the misinterpretation that all we care about is Black and Brown children. We care about all children, and I do not want anybody to think that because we mentioned minority children or poor children in general that we are leaving out the 60 percent of the children in America who are White. We are looking to protect every child, regardless of their background. Let me just go to my first question because time is fleeting. Dr. Ameenuddin, in your testimony you mentioned that for infants and toddlers still developing cognitive language, sensory motor, and social-emotional skills, screen time of any kind is typically discouraged. What do you know about the long- term effects early exposure to technology like tablets and smartphones can have on a child's development in this area? Dr. Ameenuddin. Well, thank you for that question, Vice Chair Cardenas. I will share what we know and what we do not know. Frankly, there are still a lot of unknowns, and research is evolving. But what we do know from early studies on tablets and devices and apps is that there is very little benefit and there is a strong potential for harm for children under 18 months of age. For children between the ages of 18 months and 2 years, if it is a high-quality, educational app that involves parental engagement with the app and the child and then the parent teaches back after they have finished using the app, there can potentially be some benefit there. But we do know, again, from decades of research that early introduction to screen time, even if it is purported to be educational, can actually have the opposite effect. For example, we had the Baby Einstein videos from several years ago. One of my colleagues in pediatrics actually did a study on that and found that children whose families used the Baby Einstein videos versus those who did not use any kind of screen time were actually having developmental delays in terms of expressive language skills. So we do know that there can be harms, but that we really recommend, again, mindful, mindful use for older kids because there can certainly be benefits with certain good, educational programming. Mr. Cardenas. Thank you, Ms. Ameenuddin, for that important information and those facts. I hope that after today's hearing we will keep these issues in focus, and that is why today, along with my colleague, Representative Trahan, I introduced the Youth Mental Health- Suicide Prevention Act, a bill authorizing the Substance Abuse and Mental Health Services Administration, SAMHSA, to provide funding to school districts for a variety of positive mental health promotion and suicide prevention purposes. Like I said, we all have the interest of every child at heart, and I think that it is important that Congress play its current--excuse me--its appropriate role and right-sized role in making sure that we create and make sure that the lanes are being followed and the lanes are created so that our children can remain protected. Thank you. I yield back. Ms. Schakowsky. The gentleman yields back. And now, Congresswoman Lesko, it is yours for 5 minutes for questions. Mrs. Lesko. Thank you, Madam Chairman, and thank you, colleagues. It is good to see you. You know, this subject is very important, protecting our children. I have four grandchildren. Two of them are elementary school age, and so protecting them, they are hours on their phones, they are hours on their tablets. This is a very important issue. I totally agree with the subject, and I have asked my staff during this hearing--actually I left--asked them to write me up decision memos on some of these bills that both the Democrats and Republicans in this subcommittee have said that they have introduced, and so I will do that and get back with you on my decision on those. I also totally agree with Mr. DeAngelis. I am from Arizona. We have lots of school choice in Arizona. It started in 1994, I think, when we opened up. Not only parents could go to different school districts that were not in their neighborhood with their kids, but also charter schools were legalized in Arizona. And so we have many, many, many charter schools. I also introduced legislation when I was in the State legislature on empowerment scholarship accounts, which are a way for now special needs children to go to private schools using public funds. And so, Mr. DeAngelis, I worked with Reason Foundation before on pension reform, bipartisan pension reform, when I was in Arizona, and you guys do great work. I totally agree with the concept of more competition, more choices for parents and students. I do want to show everybody an article from a Tucson, Arizona newspaper, but it is titled ``No Way to Check on Hundreds of Kids Missing from Schools Across Tucson.'' And I would like to submit, unanimous consent, to include it in the record, Madam Chairman, but I am going to read some-- -- Ms. Schakowsky. All of these will be added at the end of the hearing. Mrs. Lesko. Thank you. Thank you, Madam Chair. Some of the things in the article were very disturbing. It says it is unclear what is happening in the lives of over 1,100 young people who never show up for online school or only attend sporadically. The combined total of students unaccounted for in Tucson and seven other major school districts is at least 1,160, with some students missing since last spring. On average, calls to an abuse hotline run by Arizona's Department of Child Services are down 25 to 30 percent. The agency's director attributes the decrease largely to schools not being held in person. This lack of oversight by teachers and administrators is happening at a time when families and parents are under tremendous stress due to layoffs, social isolation, and sometimes illness. The largest school district, Tucson Unified School District, is still working to identify how many kids have fallen off the radar. That means the number of unaccounted-for children is likely much higher than the 1,160 number coming out of the other school districts across the county. Tucson Unified School Districts have had an enrollment decline of 2,600 students since this time last year. And the reason I bring this up is because what we have talked about, and others, is we need to get kids back in school, and in Arizona my grandkids go to a charter school, and guess what? Their charter school has been open almost the entire time, and they have not had a COVID outbreak. Also, because some of the district schools would not reopen, parents have been very creative and they are doing these micro schools. So even though they are paying all of the taxes, the property taxes, everything to the schools, they are hiring their own teacher. Like, groups of parents get together and hire their own teacher. And that is why what Mr. DeAngelis says is so important. You know, I guess I want to give my last 15 seconds to you, Mr. DeAngelis. I took up most of the time, but tell me why that is important. Dr. DeAngelis. Yes. I mean, the Wall Street Journal wrote an article about the teachers' union's tiny little enemy, which was tons of micro schools over there in Arizona, and they have been very successful. You can socially distance better with small settings in a micro school. And the reality is that most advantaged families without school choice already have those opportunities, and they are able to get that one-on-one attention with the kids and also have more social interaction. So we might as well fund the students directly like Arizona does through the education savings account and allow more families to have access to those alternatives. Mrs. Lesko. Thank you so much. And I yield back. Ms. Schakowsky. All right. And now I am happy to call on Congresswoman Clarke. Welcome back, and it is your turn for 5 minutes. Ms. Clarke. Thank you so much, Madam Chair, and I thank our Ranking Member Bilirakis for convening today's hearing. I thank our witnesses for your expert testimony here today. As we all know, the COVID-19 pandemic has exacerbated many issues that are plaguing our Nation. We have seen a dramatic increase in the adoption of digital devices due to individuals and families working and learning from home. However, along with the uptick in digital device usage, there has been an increase in screen time across our Nation during the transition to life online. This transition has had a tremendous impact on one of our Nation's most vulnerable and impressionable populations: children. With this increase, I am concerned about the exposure of advertisements that children are now bombarded with. These ads are concerningly harmful to a demographic that is unable to comprehend their persuasive impact. Ms. Fox Johnson, in your testimony, you mention a Pew Research Center report that stated 53 percent of children younger than 11 view YouTube daily, with 35 percent viewing multiple times per day. Additionally, you go on to support that we have discussed time and time again. Children from low-income communities and communities of color are more likely to utilize mobile devices and have limited connectivity, which limits the productivity of this uptick in screen time. This is all very concerning. However, as I stated, screen time is up for young kids, and they are being targeted with ads from companies, influencers, kid influencers on social media now more than ever before the pandemic even struck. So my question is to Ms. Fox Johnson, and I think our chairwoman may have posed something similar to you earlier. In your testimony you mention that children are uniquely vulnerable to digital harms for a variety of reasons, including increased screen time and the fact that their brains are still in development. What strategies can we use to protect our children from digital manipulation and ad targeting? And how do we hold big tech companies and advertisers accountable? Ms. Fox Johnson. Sure, and thank you, Representative Clarke, for your question and for your leadership in this area. There are lots of things that companies and advertisers could do to be more accountable to children. First, we need to make any disclosures of ads more meaningful. A surprising number of teenagers cannot even tell that an ad is an ad when it has an orange box that says ``Ad'' around it. We also should ban advertising techniques that take advantage of kids' feelings of special relationships with hosts and with cartoon characters and not allow for product endorsement. We should ban advertisements and endorsement ads for unhealthy food and drink, which primarily targets or disproportionately targets communities of color. We should stop companies from allowing kids to get more content or more rewards from viewing more advertisements. And we should stop companies from turning teenagers and kids into unwitting product promoters themselves by conscripting them into paid posts that feature their liking of a product to their friends. These are things that Congress can do, and they are also things that the Federal Trade Commission should be able to work on by updating its endorsement guidelines. And in the meantime, again, we think companies can take some steps themselves and do not need to wait. Ms. Clarke. Thank you very much, Ms. Fox Jackson. Dr. Ameenuddin, kids are not just learning in front of screens. They are spending their leisure time there too. Utilizing platforms like YouTube and TikTok with deceptive or hidden ads may be harder for children to detect. Due to the rise of social media influencers and kid influencers, should this influencer marketing be allowed to target kids? And what unintended consequences might this have on their development? Dr. Ameenuddin. Well, thank you so much for the question, Representative Clarke. And I wanted to say that I agree with everything that Ms. Fox Johnson said. I think those are excellent suggestions. In addition to that, specifically with regard to the question about kid influencers and unboxing videos, that really is a form of deceptive advertising. As Ms. Fox Johnson mentioned, kids feel like they are just watching a friend, yet it is really a targeted marketing technique. So the AAP supports banning that kind of advertising towards children, paid advertising, and I apologize. It looks like we ran out of time. Sorry. Ms. Clarke. Well, very well. If you would just submit your response to our committee, that would be great. We want to be aggressive in this space. And I thank all of our witnesses for testifying today. Madam Chair, I yield back. Ms. Schakowsky. Thank you. And now, Mr. Armstrong, it is yours for 5 minutes. Mr. Armstrong. Thank you, Madam Chair. And I have a 13-year-old daughter. I have an 11-year-old son. I was a high school baseball coach a long time ago, still the best job I ever had. And so I appreciate the conversation particularly about the--and my kids went to private school. They went for in- person--but I really do appreciate the fact that we are talking about--I mean, just in every single school across the country, there is a kid who that is the grade equalizer in his or her life, and without it we are leaving them behind. And sometimes it is poverty issues, sometimes it is family life issues, sometimes it is all kinds of different things. But one of the greatest things about COVID and maybe one of the only good things is that it happened now and we are capable of doing these things. The technology has allowed us to do these things. But there is no doubt in my mind that we have to get them back into sports, into clubs, into school as quickly as possible, or these gaps are going to continue to grow. But I want to talk a little bit about something that is going to continue to plague us as Members of Congress outside of schools reopening, and that is how we deal with digital information and particularly with more screen time going online. COPPA covers the collection, use, and disclosure of children's personal information, but FTC regulations pursuant to COPPA define personal information to include, in part, geolocation information sufficient to identify street name and name of city or town. This definition means that coarse geolocation data on a child, which may be a ZIP code, county, region, et cetera, can be collected without direct notice, verifiable parent [audio malfunction]. I am not convinced we should be collecting any of this data on kids without parental consent, and I understand that ZIP codes are widely used geographic boundaries, but some ZIP codes in densely populated areas narrow it down to a very specific location. And there might be a few legitimate reasons to collect this information on minors, but I just fear that potential harm may outweigh those reasons, and we cannot view nonconsensual coarse geolocation data collection as stand-alone data points that only show child-specific [audio malfunction] because a lot is covered in COPPA's definition of personal information. There are so many other data points when viewed in combination with coarse geolocation data--can further specify a child's location, their habits, and identity. This question is probably for Ms. Fox. Why are we collecting this from minors? Ms. Fox Johnson. Thank you, Representative Armstrong. I mean, that is an excellent question. Why are companies collecting this information if not to use it to target or profile a kid? There is no reason that they need to know one ZIP code over the other to, say, determine language or country or things like that. One of the things that we really like in the Kids PRIVCY Act from Representative Castor is that it would update what forms of information are covered in COPPA and ensure that in statute and not just in the FTC rule. They are taking a full look at the modern ways that companies track minor kids and monetize kids these days. Mr. Armstrong. And then this is another question, because I think we have to start having this conversation as well. Does this conversation change, particularly as you are involving minors, if we look at data through a property lens instead of a privacy lens? Ms. Fox Johnson. There are lots of discussions in the broader privacy landscape right now about if my privacy is my property or, in Europe, if my privacy is more of a fundamental right. However you look at it, I think for kids it is not something that we think that they should be giving up or be forced to give up. It is not really a choice. It is sort of a false way of looking at consent. And children should have the right to do what they wish and to learn and to grow without being surveilled and monitored at every step of the way. Mr. Armstrong. And then just lastly, there is a reason we have juvenile courts. There is a reason we treat juveniles in the court system significantly different than we do adults. There is a reason we seal records when they are 18. But we are continuing down this path of holding people accountable when their brains are still developing. We have professional athletes getting in trouble for tweets they have done when they were 13. Ms. Schakowsky. Mr. Armstrong, Mr. Armstrong, we are going to have to ask for a response in writing to this. You are well over time. Mr. Armstrong. Well, I am on. Ms. Schakowsky. I am sorry. I am looking now at 25, 24. I am sorry. Go ahead. I am sorry. Mr. Armstrong. In GDPR there are technical challenges with Right to Be Forgotten. California has got a law, and we really have to start having conversations about allowing minors and allowing parents and allowing guardians to be able to block information that children are putting online. I mean, they have to function. My daughter is 13. I wish she did not have a phone, but if she did not have a phone, she would not be able to communicate [audio malfunction]. So now I am over time, and I yield back. Ms. Schakowsky. No, no, no. Give her a couple of seconds to respond. A good time. Go ahead. Ms. Fox Johnson. Sure. Thank you. I would say that we fully agree what you do at 10 should not come back and haunt you when you are 40. So we support the rights for kids to be able to erase their information and take control of what they have inadvertently or intentionally shared at a young age. Mr. Armstrong. And I would just end with this: I think there are probably Members of Congress on both sides of the aisle that may not be here if we all had social media when we were 13 years old. Ms. Schakowsky. OK. And now Debbie Dingell. I know you have been waiting patiently, and thanks for sitting with us the whole time, and it is yours for 5 minutes. Mrs. Dingell. Thank you, Chairwoman Schakowsky. And thank you to all of the witnesses for being here today. I am not the only Member sitting here patiently, because this subject is so important. Many modern digital media platforms are designed to keep youth users engaged and incentivize the reengagement, leading to compulsive habits or what some refer to as addiction to their devices. A lot of adults too, I might add. But we have seen an increasing number of reports correlating time on digital media, social media, and electronics to mental health issues in children and adolescents, among a variety of other serious impacts, including obesity, anxiety, and what really deeply disturbs me, electronic bullying. In an increasingly digital age, we need to be vigilant in reevaluating how online content is consumed by children and ensure that they receive meaningful protection to their privacy and their mental and physical well-being. So I want to ask some questions focused on these protections. Influencers' marketing is now a billion-dollar industry and the fastest growing method for acquiring customers online. Many of today's top influencers are children themselves, so-called kid influencers, with massive followings on social media. Ms. Fox Johnson, has the FTC brought any enforcement actions against influencers or their sponsors that have a significant child audience? Ms. Fox Johnson. Thank you, Representative Dingell. That is a great question. The FTC has not, and in fact their current endorsement guidelines do not even talk about kids or teens or special issues that might pertain to them. Mrs. Dingell. Some influencers, including those targeting children, are just as well-known or even more well-known than the brands that they promote. Yet the FTC had tended to focus its enforcement actions against the brands and not the individual influencers, limiting action against individual influencers to just warning letters. Ms. Fox Johnson, have the FTC actions been effective? What more should FTC be doing? Ms. Fox Johnson. I would say the FTC actions have not been effective. There have been multiple complaints filed against the kids influencers. Sometimes the folks are making, you know, $20 million a year hawking products to children in ways that appear to not look like advertisements and what appear to be just sort of sharing a game with a friend. And so I think the FTC, as I mentioned, should update their endorsement guidelines. They should look at banning this endorsement for young kids certainly and ideally for teens, and for all endorsements in general because sometimes teens are watching particularly things that adults might be watching. They need to make sure that disclosures are effective, because right now the hashtag ad that comes at the end of some long piece of information is not sufficient. Mrs. Dingell. I agree. Social media platforms facilitate and make a lot of money from influencer marketing. Ms. Fox Johnson, what responsibility do social media companies have to protect kids from manipulative marketing? And what can the FTC do to hold them accountable? Ms. Fox Johnson. Social media companies can take more responsibility, particularly when they are dealing with individual influencers or other people. They can do a better job of being more transparent in ways that are proven to be understood by kids and teens about what is an ad and what is native content. The FTC--who has not done as much as we wish they could have done in all of these areas, in social media, in privacy-- they need more resources so they can do more enforcements and they can update and codify the regulations and guidelines. Mrs. Dingell. Dr. Ameenuddin, I want to ask you at least one question before my time is up. Is there concern that the media consumption habits developed by children and adolescents during the pandemic will continue post-pandemic? And should we be concerned by the potential impacts in terms of their health and privacy? Dr. Ameenuddin. Well, thank you, Representative Dingell. I think it is a huge concern, and I suspect that this will continue to be an issue long after the pandemic. As we have mentioned earlier, increased social media use, increased screen time was an issue well before the pandemic ever started. It obviously increased. But making little changes will not mean that everything goes back to normal. I think it will continue to be an issue. We have somewhat mixed data. I am grateful to you for bringing up the concerns about mental health and the connection to social media. We have conflicting information. For some kids, you know, it has led to sadness or I guess it is correlated with sadness, possibly depression, but for other kids, it has actually been a lifeline. You know, for marginalized kids sometimes finding community online can be a huge source of support. Mrs. Dingell. Thank you. Thank you, Madam Chair. I have to yield back, but I will say our children are 100 percent of our future, and it is our responsibility to ensure their safety and security online. Ms. Schakowsky. Thank you. And now I call on Mr. Dunn for 5 minutes for his questioning. Mr. Dunn. Thank you very much, Chairwoman Schakowsky. I am glad the committee has convened this important hearing. The long-term impacts on our children are one of the greatest travesties of the COVID-19 pandemic and lockdowns. As some of our witnesses have noted, the amount of time that kids spend in front of a screen has been a health concern for quite some time. The problem has been vastly exacerbated by the pandemic. And the science is clear, the evidence is abundant: The schools across the country have the ability to reopen safely today. I also appreciate Dr. DeAngelis rightly pointing out that the schools in America are largely closed purely due to politics. I am grateful to Florida Governor Ron DeSantis, who led the way in reopening, and due to that fact all schools in my district, Florida's 2nd District, are safely opened for in- person learning at this time. Parents across the country know the best thing for their kids is to be in school. This even includes the heads of powerful teachers' unions who drop their own children off at a private school at the same time they are fighting to keep public school kids out of school behind a computer screen at home. I have been an advocate for school choice for a long time. I think the best thing we can do for school-age children is to empower the parents to seek out the best educational opportunities available. So let me start with a question for Dr. DeAngelis. Families are especially vulnerable to the economic and educational impacts of COVID-19 and the lockdowns. Many parents have been forced to work longer hours, provide essential services, and work from remote locations. This obviously impacts their ability to provide adult supervision for their own children. So briefly, would you say school choice allows households of all socioeconomic groups the best chance for parents to place their students in an educational setting that fits the needs of their individual family? Dr. DeAngelis. Absolutely, and as I have noted before, the most advantaged families already have school choice. They can already afford to live in the neighborhoods that are residentially assigned to the best public schools in America. They are more likely to be able to afford to pay out of pocket for private school in-person learning. They are more likely to be able to afford the cost of home-based learning and micro schools and pandemic pods. Funding students directly through programs like the ones in Florida allow more families to access alternatives so that at least the more equity and more freedom at the same time, and I think that is a lot of the reason why Florida has done such a good job when it comes to reopening public schools. Mr. Dunn. You are very articulate on that. You shared a statistic, I believe, that is worth repeating. Florida, a State that spends about $10,700 per student per year, has been able to essentially fully reopen its schools, while California, which spends about 38 percent more per student, has kept their doors closed. With your research on this issue, what role should the Federal Government play to incentivize the State governments to minimize screen time and return to the classroom? Dr. DeAngelis. Well, it is not a good idea to pass stimulus bills that do not make the money contingent upon actually reopening the schools, because then the schools can just get more money and then fail to reopen the schools, especially in context of my new study with Christos Makridis from MIT finding no relationship whatsoever in any of our models or analytic techniques between resources and reopening the schools in person. And as you pointed out, just looking at places like Florida and California, California spends 38 percent more per pupil per year, according to the U.S. Census Bureau, and yet Florida is mostly---- Mr. Dunn. I am going to cut you off, Dr. DeAngelis, because I want to get to a couple more questions, but you have been very articulate, and I appreciate your presence here today. Dr. Ameenuddin, thank you for your testimony. You work as a pediatrician. As a doctor myself, I know the challenges you face. I appreciate the work you do for our children. COVID-19 and the lockdowns have drastically changed the lives of all Americans, especially our students who find themselves sitting in front of a computer more and playing outside less, along with a complete absence of formal physical education. I noticed that Kelly Armstrong had been a high school coach at one time. He knows this. In your testimony, you recommend specifying times where families turn off the screens and play. Can you speak to the long-term impacts of less outside play and physical education that students have experienced over the last year? Dr. Ameenuddin. Sure. Thank you, Representative Dunn. Well, I have an opportunity to refer you to another AAP policy on the importance of play and the importance of making sure that children have a safe environment to play in outside. You specifically asked about the long-term impacts of essentially sedentary activity and lack of physical activity. You know, we have known for years, as we have seen screen time increase, device use increase, that nonactive time is not a good thing for kids. I have been working with---- Mr. Dunn. I am going to ask you to put that in the written responses, because my time is elapsed. Dr. Ameenuddin. OK. Mr. Dunn. I am also going to ask you to conjecture in response to that question. You know, we know that a lot of screen time is bad for kids. Is it also bad for Members of Congress? So I would like to, you know, consider that option, because I think it is. [Laughter.] I yield back, Madam Chair. Ms. Schakowsky. OK. Congresswoman Rice, it is your 5 minutes for questions right now. Miss Rice. Thank you, Chairwoman Schakowsky. Ms. Johnson, I would like to ask you a question. In 2019, the New York State Attorney General and the FTC secured a settlement from Google and YouTube for $170 million for violating the COPPA. The settlement required Google and YouTube to pay $136 million to the FTC and $34 million to New York for violating COPPA. The $136 million penalty is still, I believe, the largest amount the FTC has ever obtained in a COPPA case since Congress enacted the law in 1998. Despite that enormous amount of money, two Commissioners voted against it, citing that the penalty did not go far enough, and one of the reasons was because of the cost of doing business. A hundred and seventy million dollars is nothing compared to the billions of dollars that these companies make from ad revenue. So, in your opinion, Ms. Johnson, have these penalties been an effective deterrent for companies who violate the laws that are meant to protect children's privacy? And if not, what steps can the FTC take to deter violations? I hope we really are going to be able to consider Congresswoman Castor's bill because I think it moves to fix just one aspect, but just in your opinion, you know, is it effective? And if not, how can we make it effective? Ms. Fox Johnson. Thank you, Representative Rice. We agree with the dissenting Commissioners that, in my opinion, it is not effective. Google is still able to profit off of its activity, and for them $170 million was so small that they did not even have to report that to investors. They also got the sort of first mover advantage of taking a bunch of children's personal information, collecting that in violation of law, and being able to design better targeting and more addictive and attractive products for kids, and that is not something that they are going to give up, you know, even if they delete, which sometimes companies do not always delete, as they are supposed to, the data later on. I think that we have seen with this settlement and with other settlements in the privacy space--you know, we objected to the Facebook settlement--these are not meaningful deterrents for companies. And so things that the FTC could do, luckily with COPPA it has several penalty authorities, but those fines could be increased. It could get civil penalty authority from Congress in other privacy situations. It could get rulemaking authority. Right now, in general privacy cases it does not even have the ability to fine for the first time of a violation. In addition, we think the FTC needs more resources itself so it can bring cases. Attorneys General get more civil penalty authority and the ability to obtain penalties under COPPA. And then also, if you let parents sue on behalf of their kids, that is another way to increase enforcement and to improve the landscape. Miss Rice. So I am glad you brought up the States' Attorneys General. You know, New York has a very big office with enormous resources, but that is not true of every State in the country. And we want, I believe, State Attorneys General to play their crucial role in working with the FTC on these types of cases. So what tools do State Attorneys General need to continue to bring these cases like New York was able to do? Ms. Fox Johnson. Yes, thank you. And New York is one of the sort of more technologically savvy Attorney General's Office, and that is something that the Attorney General's Office and the FTC, again, need more of too. They need more technologists to understand what is going on sort of beneath the very opaque veneer of these tech companies, and we hear from Attorney General's Offices all the time because we work in a variety of different States that they do not have resources. You might get a great new privacy law, but they will only be able to bring, you know, one case a year maybe because they are up against tech companies and they are understaffed and underresourced. Miss Rice. Well, that is always a big issue not just in this field but in others when you are dealing with cybersecurity issues or the issues that we are talking about today, that these private companies are able to attract all of the talent because of the enormous salaries that they can pay the government agencies like State AGs just simply cannot. Dr. Ameenuddin, just very quickly: Expanding this protection to children between the ages of 13 and 17, what is the impact going to be? I mean, I have a 15-year-old niece, and I worry about, you know, the impact that these, you know, living their lives on social media, especially with all of this information coming up, and the impact, how this is going to help 13-to-17-year-old vulnerable kids. Dr. Ameenuddin. Yes, thank you, Representative Rice. I think the effect will be huge. I mean, so many teens are online. As you mentioned, they are living their lives online, even before the pandemic, but including children under 18 under these protections I think will have a huge impact on mental health, on multiple other issues too. So thank you for asking that. Miss Rice. Thank you all for being here. And I yield back, Madam Chairwoman. Ms. Schakowsky. The gentlewoman yields back. And now I call on Representative Soto for 5 minutes of questions. Mr. Soto. Thank you so much, Madam Chair. This hearing is about our children being increasingly brainwashed by sophisticated targeting popup ads, autoplays, and algorithms, among other techniques, and the result is they are spending more and more time online. Add in video game addiction, and we see a generation of kids becoming couch potatoes, racking up hours of screen time and barely going outside. This puts our Nation's children, our Nation's future at risk. Parents are outreached and increasingly asking for Congress to act. Considering the critical subject, I was a little surprised to see an attempt to shoehorn fake GOP talking points about school reopenings into this very important hearing. So it is important to at least go over the facts briefly. Forty-one States, both Democrats and Republicans, do not have school opening or closing orders in place. They leave it to school districts. Five States have orders to reopen. Four States have orders to be partially open. So saying it is a Democratic or Republican trend is an absolute and total lie. The vast majority of States leave this to local school districts to make a decision, as they should because urban districts have different challenges than suburban and rural districts, all in my district. Affluent families have more resources for their children to learn from home. Many American families have to go to work and need their children to attend in-person schools. Add in health complexities of students and other difficulties, and local school districts and families need this flexibility. In Central Florida, I supported schools reopening, like many Democrats in our State. So what are you really talking about? My wife taught in the public schools at the peak of the pandemic in July and August of last year in Central Florida in the classroom with a mask on, socially distanced, with kids having plastic barriers. She is a member of the teachers' union. She cares about her students and taught them in school without a vaccine, risking her life for the students. So I find it shocking that no one here today has even mentioned the hundreds of teachers who have died of COVID-19. The students who have died. In Florida, we have already had 45,000-plus cases of students, nearly 5,000 teacher cases of COVID-19, 3,000 COVID staff cases, and 7,000 other COVID- related public and private K-through-12 school cases. Bashing teachers' unions is so predictable for some of you. Actually fixing the problem takes work. When we passed the bipartisan Coronavirus Stimulus Relief Act in December, some of our colleagues across the aisle joined us. Thank you. Fifty-three of you, including some on this committee, voted against school coronavirus relief funds. Then just yesterday all of you voted against the American Rescue Act. So what are you talking about? You are complaining about opening schools, then voting against funding for them to do so safely. That is absolutely absurd, and the American people know it. Turning back to the subject at hand, many parties have opted for distance learning, and this has exacerbated these online addictions. So I want to go to the KIDS Act briefly that Kathy Castor had put together, and I want to talk to Ms. Johnson first. What are, you think, the most important parts of the KIDS Act that we need to pass right away, like auto banning and banning push alerts and banning badges? Ms. Fox Johnson. Thank you, Representative Soto. I think that we need to pass all aspects of the KIDS Act, but the manipulative design that keeps kids hooked and the protections that would prevent against the commercialization of our children and marketing are really important. I also think it is important to note I would be remiss in not mentioning that schools use a lot of technology, too, and we need to update our student privacy laws and other privacy laws because wherever kids are learning, whether they are in the classroom or not, a lot of these schools have bought computers and new technology, and they are going to keep using it no matter where kids are, and we need to keep kids protected and safe. Mr. Soto. Thanks so much, Ms. Johnson. Dr. Ameenuddin, what do you think are the most critical parts of the KIDS Act that we need to pass right away? Dr. Ameenuddin. Well, thank you for that question, Representative Soto. Again, I am going to go back to our AAP recommendations, which are nicely outlined in our digital ad policy. I think number-one thing is to expand COPPA to ban targeted advertising to children under 18 and also to make sure that they have the highest privacy levels possible and to really stop online tracking and data collection of kids. Those are the two most important things. Mr. Soto. Thanks so much. This is a really important subject. I am glad we are handling it today, Madam Chair. We know with kids being at home, distance learning, some of them by parents' own choice, that we have to step up our ways to protect our kids online. And I yield back. Ms. Schakowsky. Thank you. I really want to thank you for your testimony and your remarks, Mr. Soto. And now Angie Craig, Congresswoman Craig, it is your 5 minutes. Take it away. Ms. Craig. Thank you so much, Madam Chairwoman, and thank you for holding this incredibly important hearing today. Dr. Ameenuddin, I also want to thank you for representing the Mayo Clinic so well in the great State of Minnesota and for helping to keep our kids and our families safe and healthy. I am just thrilled that you are on our panel and I get to ask you a few questions. So I would like to start with kids online during COVID and just share that, as the mother of four boys, I know it can be a challenge to consistently and diligently enforce limits on screen time for our kids and particularly during a public health crisis when so many of our children, our students have been learning remotely or partially hybrid. This, in fact, was the case for our youngest son, who is a senior in high school this year, and I guess our own experience in our family is that it becomes harder as kids get older and they become more independent, which is why I think that trying to instill good habits and stricter limits on younger kids is so important. But parents trying to do the best thing and start these habits early really do face an uneven playing field as they try to compete in a digital ecosystem that, as you know, is replete with features intended to influence user behavior while maximizing product use and engagement. So, Doctor, in terms of the policy recommendations to Congress that you have made in your testimony today, would you consider any of them being particularly critical as you sort of segment it to younger children, those age 2 to 10, for example? Dr. Ameenuddin. Well, hello, Representative Craig. I am thrilled to be reaching you from Southeast Minnesota. Thank you for that question. Number one, I just want to say, you know, I hear you. The concerns you expressed about children and parents having a hard time is absolutely what I have been hearing from pretty much all of my patients here today. And so in looking at, you know, how to protect kids, you know, around ages 2 to 10, what are the most important things? Again, I think that we should make sure that there are not any loopholes in COPPA. Even though technically they are not supposed to target advertising or gather information on children under 13, there are just huge loopholes. So I think the more we can do to tighten up those loopholes, to ensure that there is appropriate enforcement, if there is any sort of breaking of those rules, would be absolutely critical. Ms. Craig. Well, thank you so much. You also mentioned in your testimony the need for more research on the effects of advertising and digital media in children, and I certainly could not agree more with that recommendation as well. I have a followup question, and I want to direct this to Ms. Fox Johnson. I appreciate that you have provided us with a number of policy recommendations as well from your perspective at Common Sense. Are there any of these recommendations, again, that you feel would be particularly helpful for parents with younger children who could be thinking about limiting their screen time and what they are exposed to online? Ms. Fox Johnson. Thank you, Representative Craig. That is a great question. I think the KIDS Act would be particularly beneficial for young children, and another thing that would be particularly beneficial for young children would be the CAMERA Act, the Children and Media Research Advancement Act. In passing that, it would give funding so we could better study the long-term longitudinal effects of all kinds of technology on kids, including really young kids. As you have heard today, there is discussion about how social media affects teens, which way, and that would be really incredible to have studies funded, you know, not by the industry. Ms. Craig. Well, I appreciate so much the two of you being here. And with that, Madam Chair, I will yield back a minute of everyone's life. Ms. Schakowsky. Next, let me call on Mrs. Fletcher. Are you still here? Mrs. Fletcher. Yes. Thank you so much, Ms. Schakowsky. Ms. Schakowsky. Thank you for waiting. Five minutes for questioning. Mrs. Fletcher. Thank you. I am here, and I really appreciate you organizing today's hearing. I have appreciated the testimony of our witnesses. Both the written testimony that has been submitted and hearing from you all today has been really very helpful in working through these issues that communities across the country, including mine, are facing throughout this pandemic, and more broadly these concerns about keeping kids online safely, increasing use of digital media, and how we move forward is really important. So I have a few questions, and I want to follow up on some of the things some of my colleagues have asked. Ms. Fox Johnson, I want to start with you. In your testimony, you shared that 75 percent of children between the ages of 8 and 11 cannot distinguish ads from other content, and I think this is really important to kind of throw down on this. You also mentioned that students or children who see only apps are significantly more likely to use those products, and you touched on this briefly in response to Representative Dingell's questions. One of the things you mention is that kind of the hashtag- ad-sponsored media post just is not sufficient. So can you talk a little bit more about what research has been done to indicated change in consumer habits, especially in children, about when an ad is properly identified or when it is not, and maybe even more broadly kind of research efforts that you would recommend to be able to determine what we can do that will be sufficient? Ms. Fox Johnson. Thank you, Representative Fletcher. So research shows that really young kids, 4, 5, you know, they do not even know that an ad is an ad, and as kids get older, they do not know that an ad's purpose is to sell them something. A lot of these studies were done with traditional media. So now it is even more confusing with native content on the internet. You might think you are reading a Teen Vogue article and then not realize that Facebook has, in fact, sponsored it. You might be playing a game and not realize that Coca-Cola has paid for the game. You may be watching a boxing video and not realize that that is product placement. So the research shows that kids do not understand this stuff, and the internet has made it much more confusing, and also these ads can be more problematic for kids because they are personally targeted to them, designed specifically to appeal to that individual based on what they have done in the past. We need more research. As I mentioned, we need things like the CAMERA Act. We need research that is funded by NIH and by independent entities so that it is not all the companies knowing what is most effective based on their own research. Mrs. Fletcher. Thank you. And kind of on a related note, I agree. I think a lot of this legislation is really important for us to be looking at and moving, and especially when it comes to the research and making sure that we're looking at research at NIH. But, you know, one of the challenges we face in Congress is that it does take a while to respond, and so, yes, technology continues to adapt and change. You know, how do we make sure that the tools that are in place stay up to date? How do we make sure that COPPA, for example, is inclusive of new developments and can respond to the quickness of technology that moves a whole lot faster than Congress and that is for the [audio malfunction]? You mentioned better resources for the FTC earlier. What do you think we can and should do? Ms. Fox Johnson. If you give the FTC more funding, they will be able to hire more technologists. They will be able to hire more attorneys and other experts. We and others have proposed having a division specifically focused on kids or specifically focused on privacy and technology at the FTC. Another really important tool for the FTC that we have seen with COPPA is the rulemaking authority. You know, COPPA was passed over 20 years ago, but happily it was at least updated in 2013 by the FTC. So any future laws should give them the ability to be a little more nimble even though they are, you know, not as nimble as tech companies. Mrs. Fletcher. Thank you very much. And I just have a few more seconds, but I would like to direct my last question to Dr. Ameenuddin. What do you wish had been in place, both in terms of digital infrastructure and safeguards, prior to the pandemic in order to help families manage this difficult time? Dr. Ameenuddin. So thank you, Representative Fletcher. Essentially what I wish for is what we have outlined and recommended from the American Academy of Pediatrics for years, which would be stronger protections, no targeting for kids under 18, and really kind of closing those loopholes that unfortunately tech companies can exploit. So, yes, ideally, everything that has been on our wish list for years, but thank you. Mrs. Fletcher. Well, thank you for that, and it coincides with the end of my 5 minutes. So, Madam Chairwoman, thank you so much. I yield back. Ms. Schakowsky. Thank you. The gentlelady yields back. So welcome people who are not on the subcommittee to come and ask questions, and in this case, we have two people, and I am going to call first on Congressman Walberg. Five minutes of questioning for you. Mr. Walberg. I thank the gentlelady, and I appreciate the opportunity to join this subcommittee today on a very, very important hearing that I think that we hear a lot of bipartisanship about as well. So I appreciate that. Families in my district tell me day after day that their children are frustrated. They are lonely and sad. Kids who once were good students and athletes are now struggling with depression and anxiety. One parent who wrote me recently described the feeling as simply being trapped, totally trapped, and I have been advocating to safely open schools since last summer. I think it is time, frankly, to do it. It is unacceptable for leaders in charge to be dragging their feet for political purposes at the expense of our children. Again, my opinion. I would though like to give Dr. DeAngelis a moment to respond to some of my colleague's statements regarding his testimony. Dr. DeAngelis is an expert witness on how our kids are being impacted by constantly being online. He has important evidence from medical and academia professionals about this having the impact it is having on them. He deserves to be heard. So, Dr. DeAngelis, would you like to speak briefly, and please briefly, about the political dynamics regarding school reopening decisions? Dr. DeAngelis. Yes, absolutely. We cannot just sit here and cover our ears acting like the teachers' unions have had nothing to do with fighting against the reopening of schools for in-person instruction every step of the way in so many places. In every single study that has been done on the topic--and there have been about a handful, and I have done one or two of them--have found that the strongest indicators of reopening in person, all else equal after throwing in a ton of controls into the models, is political partisanship and strength of the teachers' unions in the local area. There has been a Brown University paper on this. There is a full upcoming publication in Social Science Quarterly that has looked at this. Brookings University Scholar has also. Jon Valant has also found, using the national data, that COVID risk did not predict the reopening of schools, but that the political partisanship in the air [audio malfunction]. Mr. Walberg. Did we lose him? Am I still on? Ms. Schakowsky. Yes, Mr. Walberg, you are still on. Mr. Walberg. But we lost Corey. But I think he made some strong points there, and I am not going to suggest that there was any untoward action to cut him off at all. Ms. Schakowsky. Thank you for that. Mr. Walberg. That is the challenge we face with this, you know. So I get it. I get it. Madam Chair, as I mentioned at the beginning of this hearing, I am proud to introduce, reintroduce, the Protect Kids Act with my good friend and colleague Congressman Rush. The bill represents, I believe, a reasonable, commonsense, and bipartisan agreement that better reflects the realities of today's online world and strengthens children's digital safety. Currently the Children's Online Privacy Protection Act, or COPPA, imposes requirements on website operators that specifically deal with information, personal information, of children 13 years of age and younger. I would like to turn to Ms. Fox Johnson, and thank you for being here. I understand that my time is limited. So, if you could answer me just yes or no--and I hate that request, but I have to ask you this time. Do you agree that the COPPA law has by and large succeeded in Congress' intent to protect children's digital footprint and remains to a great degree relevant today? Yes or no. Ms. Fox Johnson. No. Mr. Walberg. Thank you. I understand you have also authored a piece called ``Thirteen Going on 30.'' One of your conclusions is to extend COPPA beyond 13 years of age, to include adults as well. Is it fair to say that you would support a strong national standard without a private right of action, as COPPA has succeeded in doing? Again, be brief if you can. Ms. Fox Johnson. I can't speak to whether the private right of action without knowing what is in the bill, but one of COPPA's shortcomings is that it does not cover anyone over 13 and sites can pretend like it does not apply to them, and so if it applied to everyone, they could no longer pretend that. Mr. Walberg. Well, thank you. Madam Chair, I would just like to point out that, while there are much-needed reforms, COPPA has been a fairly effective law for 23 years without any private right of action. It needs to be amended. It needs to be updated. I agree. But I certainly would ask my Democratic colleagues to work in a bipartisan manner as Congressman Rush and I have done to modernize this law. Reforming the law with a provision aimed at helping trial lawyers certainly does not help kids. And with that, I appreciate being involved and I yield back. Ms. Schakowsky. The gentleman yields back. And now I call on last but certainly not least, Congresswoman Blunt Rochester. Ms. Blunt Rochester. Thank you so much, Madam Chairwoman. Thank you for this important hearing, to Ms. Castor for your leadership on updating COPPA, and to the witnesses for attending this hearing, and also for your patience waiting for me to go last. When I chose to lead the House version of Senator Warren's DETOUR Act, it was because I was worried that everyone, especially children, would increasingly be exploited by manipulative digital practices known as ``dark patterns.'' Sadly, the testimony today confirms these concerns and these fears, and as a few of our witnesses testified, these trends are worse for lower-wealth households, as children in them may spend significantly more time with screens than those of households with greater wealth. Worse still, this gap grows when considering race and ethnicity. And, as many have noted, we all should have serious concerns for ethical and public health reasons. We may soon have a tech-pessimistic generation that only sees the exploitive potential for the innovative technologies of the future. And so my question, and I will start with you, Ms. Fox Johnson, and it really follows up on the previous question that we just heard, some of the line of questioning. I believe Congress needs to act and address ``dark patterns,'' such as design choices that are intended to manipulate individuals into using products or services without their consent or for a little personal gain, especially when applied to children. And we often see tech designs subverting parental choice, but you mentioned a troubling though natural parent-child relationship. As children grow older, their parents naturally supervise their behaviors less. So my first question is: For older kids and teens, do you believe that the subversion of their choice is a unique problem, and why? Ms. Fox Johnson. Thank you for that question, Representative Rochester. So we think that children and teens need to be recognized for their evolving capacities. So you should not treat a teenager exactly the same way that you would treat a young child. Teens still need special protections and safeguards, and we can think of them like training wheels or like your temporary driver's permit, right? They still need help, but they should be empowered and learning how to make more choices for themselves. The U.K. age-appropriate design code is an excellent example of this. It breaks kids into five different age groups and talks about meeting kids and teens where they are and doing things appropriate to their mental capacity. Ms. Blunt Rochester. Excellent. And do we need more research to better understand how dark patterns affect teens? Ms. Fox Johnson. One hundred percent. We need more research to understand how dark patterns affect teens, affect kids, affect adults, and that is one thing, especially with kids and teens, that the CAMERA Act would support. Ms. Blunt Rochester. Do we know anything about how tech companies today are designing their products in relation to teens, such as making specific design choices or products that are targeted to this age group? Ms. Fox Johnson. Yes. I mean, teens are like the canary in the coal mine, and they are also a very attractive commercial target for these tech companies, and they are designing their products to hook kids early and to keep them for life. Ms. Blunt Rochester. I think my last question kind of goes to the issue of transparency with many of these tech companies. As you and my colleagues have identified, often personal information of minors is mined by these apps for commercial purposes, but it seems to go deeper than this in ways that we do not know. A few years ago Facebook gained infamy for conducting psychological experiments and behavioral studies on its users without their consent. Do these experiments and studies pull in children? And do we know if these studies have stopped, or has the lack of transparency continued to be a significant problem? Ms. Fox Johnson. These studies have definitely involved teenagers, and they have probably involved, for all we know, everyone on Facebook and social media company sites. One of the biggest problems with these studies is we are just finding out about them because there will be a leaked new report or a rogue employee. There is so much data that these companies have. You know, a researcher would have to get consent and go through processes. These companies can largely do whatever they want with all of the massive stores of data they have and conduct behavioral research on all of us without our knowledge. Ms. Blunt Rochester. Thank you so much for answering that question. I will just say that I think one of my colleagues mentioned that there are opportunities for bipartisanship here. This is a vital area. I am so glad that Ms. Castor is, again, taking up the mantle on this. Thank you so much, Madam Chairwoman, for your leadership as we look at these issues that affect everyone, but particularly affect our children. Thank you, and I yield back the balance of my time. Ms. Schakowsky. I thank you. And now I would like to give a hearty thank you to our witnesses for their participation in today's hearing. Before we conclude, I request unanimous consent to enter the following documents into the record, and there is quite a list: A written statement from the National Center for Missing and Exploited Children; a letter from Prevent Blindness; an article from Vox; an article from the Chicago Sun-Times; an article from the Globe and Mail, Inc.; an article from NPR; an article from All About Ann Arbor; an article from the World Health Organization; an article from the New York Times; an op- ed in the Chicago Tribune; an op-ed in the Los Angeles Times; an article from the Wall Street Journal; an article from USA Today; an article from the Arizona Daily Star. If there are no objections--and I hear none--so ordered. [The information appears at the conclusion of the hearing.\1\] --------------------------------------------------------------------------- \1\ The Arizona Daily Star article has been retained in committee files and is available at https://docs.house.gov/meetings/IF/IF17/ 20210311/111298/HHRG-117-IF17-20210311-SD006.pdf. --------------------------------------------------------------------------- Ms. Schakowsky. I remind Members that, pursuant to committee rules, they have 10 days to submit additional questions for the record to be answered by the witnesses who have appeared. I ask each witness to respond promptly to any questions--and I know there were some because people were running out of time--that you may receive. And at this time, with a lot of gratitude for the participation by the Members and by the witnesses, the subcommittee is adjourned. [Whereupon, at 1:25 p.m., the subcommittee was adjourned.] [Material submitted for inclusion in the record follows:] [GRAPHICS NOT AVAILABLE IN TIFF FORMAT] [all]