diff --git a/apps/api/src/modules/ai/drafts.controller.ts b/apps/api/src/modules/ai/drafts.controller.ts
index 6960f08..f742185 100644
--- a/apps/api/src/modules/ai/drafts.controller.ts
+++ b/apps/api/src/modules/ai/drafts.controller.ts
@@ -21,6 +21,7 @@ type CreateDraftRequest = Request<Record<string, string>, unknown, CreateAiDraft
 type UpdateDraftRequest = Request<AiDraftIdParamsDto, unknown, UpdateAiDraftDto>;
 type ApproveDraftRequest = Request<AiDraftIdParamsDto, unknown, ApproveAiDraftDto>;
 type DraftByIdRequest = Request<AiDraftIdParamsDto>;
+type DraftListRequest = Request<Record<string, string>, unknown, unknown, { encounterId?: string }>;
 
 const toDraftPayload = (doc: {
   _id: unknown;
@@ -69,6 +70,34 @@ router.post(
   },
 );
 
+router.get(
+  "/drafts",
+  authorize(ALL_ROLES),
+  async (req: DraftListRequest, res: Response) => {
+    const clinicId = req.user?.clinicId;
+    if (!clinicId) {
+      return res.status(401).json({
+        error: "Unauthorized",
+        message: "Authentication required",
+      });
+    }
+
+    const drafts = await AiDraftModel.find({
+      clinicId,
+      ...(req.query.encounterId ? { encounterId: req.query.encounterId } : {}),
+      status: "DRAFT",
+    })
+      .sort({ updatedAt: -1 })
+      .limit(20)
+      .lean();
+
+    return res.json({
+      status: "success",
+      data: drafts.map((draft) => toDraftPayload(draft as Parameters<typeof toDraftPayload>[0])),
+    });
+  },
+);
+
 router.patch(
   "/drafts/:id",
   authorize(ALL_ROLES),
@@ -185,4 +214,3 @@ router.post(
 );
 
 export const aiDraftRoutes = router;
-
diff --git a/apps/web/components/ai/Summarizer.tsx b/apps/web/components/ai/Summarizer.tsx
index dac7311..637eb45 100644
--- a/apps/web/components/ai/Summarizer.tsx
+++ b/apps/web/components/ai/Summarizer.tsx
@@ -1,6 +1,6 @@
 "use client";
 
-import { useMemo, useState } from "react";
+import { useEffect, useMemo, useState } from "react";
 import { apiFetch } from "@/lib/api-client";
 
 type Props = {
@@ -54,6 +54,33 @@ export const Summarizer = ({ encounterId }: Props) => {
     [content, draftId, isGenerating, isSaving, mode],
   );
 
+  useEffect(() => {
+    const loadDraft = async () => {
+      try {
+        const response = await apiFetch(`/ai/drafts?encounterId=${encodeURIComponent(encounterId)}`);
+        if (!response.ok) {
+          return;
+        }
+
+        const payload = (await response.json()) as {
+          data?: Array<{ id: string; content: string }>;
+        };
+        const existingDraft = payload.data?.[0];
+        if (!existingDraft) {
+          return;
+        }
+
+        setDraftId(existingDraft.id);
+        setContent(existingDraft.content);
+        setMode("draft");
+      } catch {
+        // Ignore draft bootstrap failures.
+      }
+    };
+
+    void loadDraft();
+  }, [encounterId]);
+
   const startGeneration = async (useDummyStream = false) => {
     if (isGenerating || isSaving) {
       return;
@@ -173,6 +200,12 @@ export const Summarizer = ({ encounterId }: Props) => {
     setIsSaving(true);
 
     try {
+      await apiFetch(`/ai/drafts/${encodeURIComponent(draftId)}`, {
+        method: "PATCH",
+        headers: { "Content-Type": "application/json" },
+        body: JSON.stringify({ content: content.trim() }),
+      });
+
       const response = await apiFetch(`/ai/drafts/${encodeURIComponent(draftId)}/approve`, {
         method: "POST",
         headers: { "Content-Type": "application/json" },
@@ -288,4 +321,3 @@ export const Summarizer = ({ encounterId }: Props) => {
     </section>
   );
 };
-