On May 12, 2011, the House Energy and Commerce Health Subcommittee passed by a vote of 14 to 9 the State Flexibility Act of 2011 (H.R. 1683). The bill, sponsored by Representatives Phil Gingrey, M.D. (R-GA) and Cathy McMorris Rodgers (R-WA), repeals the Medicaid Maintenance of Effort (MOE) requirements that were first included in the stimulus bill (ARRA) and also within the Affordable Care Act (ACA). H.R. 1683 repeals the stability provisions in Medicaid and CHIP – putting at risk our nation’s most vulnerable citizens.