On February 4, 2009, President Obama signed into law the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). The new law (Public Law No. 111-3) is designed to provide coverage to significant numbers of uninsured children and to improve the quality of care that all of America’s children receive. Most notably, it strengthens and extends the Children’s Health Insurance Program (CHIP) over a four and a half year period, covering 4.1 million children who would otherwise be uninsured.