Is This For Real Or A Photoshop

I've seen this picture floating around on the net. Usually it is one of those dreaded forwards. I thought I read it was a photoshop(wishful thinking). The other day I say on a reputable site this same pic and thought, well, maybe it is true. If anyone out there has the truth please go to the comment section. Lord knows I would want to give inaccurate information about the Clinton's.