Between 2011 and 2013, the value of China's mergers and acquisitions (M&A) in the United States exceeded the value of U.S. M&A deals in China. While it is too early to call this a permanent turning point, Chinese companies are poised to deepen their presence in the United States. Despite a recent economic slowdown, China remains a dominant goods exporter and is growing at a faster clip than the rest of the world. China's central bank holds some $4 trillion in foreign exchange reserves, and Chinese companies and wealthy individuals are eager to diversify their assets overseas. This report examines recent trends in Chinese investment in the United States, drawing on interviews with state officials. It begins with a general review of Chinese outbound investment patterns, and then looks in more detail at U.S. real estate, industry, and investment promotion. The paper identifies important implications for the United States, including the potential to strengthen regulation of the EB-5 visa program and improve federal support of state efforts.