The caption says.....U.S. President George W. Bush carries three-year-old Hanna Hendrix alongside her weeping mother Heidi during an event at the White House in Washington, December 2, 2003. As dozens of children and their adoptive parents looked on, Bush signed the Adoption Promotion Act of 2003, which is aimed at moving more older children out of foster care and into permanent homes.
It doesn't really say. However, from the look on Dubya's face, I would say she's just touched by something that's been said.