As a result of this legislation, child fatality review panels are mandatory in all 115 counties and convened by the county prosecutors. All deaths of children to age 15 are reported to the county coroner for a decision regarding a child fatality review. Institutions or individuals who fail to report child fatalities to the coroner, and coroners who fail to report suspicious fatalities, are subject to misdemeanor penalties. The review panel must be activated with 24 hours of a suspicious death. The State has consistent data collection forms, which are sent to the Department of Health for linkage with birth and death certificates. An autopsy takes place for all children under age 1 with a potential diagnosis of Sudden Infant Death Syndrome. The success of this program depends on quality training of all professionals involved in this system. It is hoped that this approach will become a model not only for fatalities but also for injury control. Case examples, figures, and illustrations