Late last week, a draft bill believed to be under consideration for the House Republican approach to restructuring Medicaid and repealing the Affordable Care Act was “leaked”. It is believed that the draft bill and perhaps other draft bills have been sent to the Congressional Budget Office (CBO) to obtain cost estimates (known as “scoring”) expected to assist the House Energy and Commerce Committee in preparing legislation for possible mark-up during the week of March 6. It is, of course, unknown until the Committee releases its own bill what the actual legislation will try to achieve. However, given the elements of the leaked version and the proposals that have been discussed to date, it is likely to involve repeal of key parts of the Affordable Care Act (ACA) and drastic cuts to Medicaid through permanent restructuring of the federal/state partnership relationship. Therefore, continued advocacy is more urgent than ever. See action alert: TAKE ACTION TO PREVENT GUTTING OF THE ACA AND MEDICAID.