In March 2018, Cicilline was among a handful of US legislators to receive the Presidential Medal of Gratitude from President Bako Sahakyan of the Republic of Artsakh. According to Public Radio of Armenia, "The Medal of Gratitude is awarded to individuals, organizations, and collectives for significant contributions in restoring and developing the economy, science, culture, and social spheres of the NKR, as well as for defending and promoting international recognition of the Republic." Cicilline was a part of the bi-partisan group of 37 US Representatives to call for a $70 million aid package to Armenia and Artsakh.