Launched by country music star Dolly Parton and The Dollywood Foundation, the Imagination Library provides pre-school aged children with a free hardcover book every month from birth to the age of five. Over 900,000 children under the age of five receive books from the Imagination Library each month in the United Sates. Over 40 million books have been delivered to children since the program began in 1996. Currently, the Imagination Library has programs in over 1,700 communities across Australia, Canada, the United Kingdom, and the United States. Cincinnati Children’s Hospital joined the Imagination Library in 2015 in a partnership with Cincinnati Public Schools and Every Child Capital and will enroll 8000 children in the book distribution program by the end of 2016. Tiana Henry who coordinates the Imagination Library program in Cincinnati, along with Greg Szumlas, MD, who also directs Reach Out and Read at Cincinnati Children’s, are members of the Reading & Literacy Discovery Center and regular participants in planning programs and activities of the Center. We are also exploring research opportunities with local Imagination Library participants to assess the impact that book availability is having long term on kindergarten readiness and 3rd grade reading proficiency.