This Evaluation Highlight is the fourth in a series that presents descriptive and analytic findings from the national evaluation of the CHIPRA Quality Demonstration Grant Program. The CHIPRA quality demonstration grants have provided a unique opportunity not only to advance child health quality in the short term, but also to link child health quality issues to broader Federal and State health reforms. In this Highlight, we give examples of activities in five StatesMaine, Maryland, Massachusetts, Vermont, and Oregonand how they used their CHIPRA quality demonstration grants to elevate children's health care issues on their States' health policy agendas.