This article reports on Nevada's Reading First program and positions it as a source of reflection for future worldwide literacy reform efforts. Qualitative methodology was used for this analysis. Students' literacy achievement improved throughout the program until the last year of implementation. Students who remained at a Reading First school throughout their primary grades showed higher achievement than transient students. Revelations discovered through the analysis focus on: Positive but uneven student achievement; Variability in achievement across schools; Challenges of integrating coaches; Challenges of sustaining changes in teachers' practices; Failure to involve educators in policy design; and Policy changes through implementation; and, finally, Unintended consequences and questions.