President Barack Obama shakes hands with Rep. John Dingell, D-Mich., after signing into law the State Children’s Health Insurance Program (SCHIP) in the East Room of the White House in Washington, Wednesday, Feb. 4, 2009. Pictured from left: Senate Majority Leader Harry Reid, D-Nev., Rep. Henry Waxman, D-Calif. and House Speaker Nancy Pelosi. (AP)