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)1 over a four and a half year period (April 1, 2009 to September 30, 2013). Created in 1997, CHIP builds on its larger companion program, Medicaid, to offer coverage options to uninsured children in families without access to affordable employer-sponsored insurance. This report gives an overview of key elements of the new law, as well as a more detailed summary of each of its provisions.