Over the past decade, health coverage for millions of low-income children and their families has been impacted by publicly funded programs such as the Children's Health Insurance Program and Medicaid. There are more than six million children currently eligible for coverage. The Obama administration increased funding for the program that allows coverage for additional enrollees. This comes at a critical time with economic downturn. Participation in professional organizations and attention to legislative reports by pediatric nurses are imperative to support legislation that continues to provide adequate funding for this program.