An email released by the State Department on Thursday hints that Hillary Clinton had a secret, behind the scenes role in crafting Obamacare, with the help of former White House Chief of Staff Rahm Emanuel.

In the May 2010 email, Neera Tanden, who served as a policy adviser to Clinton’s 2008 campaign and heads the influencial liberal group Center for American Progress, wrote of what she termed “super secret” negotiations over the healthcare law.