Among the first health care issues in the 111th Congress will be efforts to expand the State Children's Health Insurance Program (SCHIP). With the temporary extension of the federal health care program for lower-income children set to expire in April 2009, Congress is likely to tackle SCHIP early in 2009, possibly as part of the stimulus bill to be passed in January. Democrats hope to make the income threshold for eligibility 250 percent of poverty, an increase over the current 200 percent level. Notwithstanding the larger Democratic Congressional majorities, significant health insurance changes are rarely done quickly. HHS Secretary Designate Tom Daschle has suggested Congress enact broad principles for health care reform, with specifics filled in later by a regulatory board.