Firearm injury in the United States has averaged 32,300 deaths annually between 1980 and 2006 (See Figure 1).2,3 It is the second leading cause of death from injury after motor vehicle crashes.4 An estimated two nonfatal injuries occur for every firearm death.5,6 The 2006 age adjusted death rate from firearm injury is 10.2/100,000 with an estimated nonfatal injury rate of 23.6.7 Firearms are involved in 68% of homicides, 52% of suicides, 43% of robberies, and 21% of aggravated assaults.8,7 Deaths peaked in 1993 at 40,000 in the early 1990s and fell below 30,000 in 1999. Yet even at these lower levels, firearm injury represents a significant public health impact, accounting for 6.6% of premature death in this country (Years of Potential Life Lost (YPLL) prior to age 65).9 The fatality rate of firearm violence is more than twice the U.S. Department of Health and Human Services’ “Healthy People” goal for the year 201