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US President Barack Obama, surrounded by members of the US Congress, signs the State Children's Health Insurance Program (SCHIP) bill in the East Room of the White House. The bill expands the program to an additional four million children over the next four and a half years while continuing coverage for about seven million children already covered, with funding from a 62-cent-per-pack increase in federal taxes on cigarettes. (SAUL LOEB/AFP/Getty Images)