House Republicans passed a bill that would dismantle the Affordable Care Act (ACA), the current health care insurance plan provided to low income families. The non-Partisan Congressional Budget Office reviewed the legislation, and has determined that if some portion of the legislation is also passed by the Senate, it would leave 14 million more people uninsured next year than under current law -- and 23 million more uninsured in 2026. In addition, some of the nation's sickest would pay much more for health care (Pear, 2017). In June, the Senate began releasing details of the Better Care Reconciliation Act. As the fight rages on over whether to discontinue the ACA and replace it, or to modify the ACA, as proposed by Democrats, some Republicans and numerous children's advocacy groups, it is important to understand the differences between the current legislation and the version currently being considered from a rural perspective. Given that Medicaid, the Children's Health Insurance Program, and Medicare are focal points in the health care debate and part of the ACA's comprehensive design, definitions of the programs are important to adequately understand what is at the heart of the ideological conflict.