ANCHOR Act of 2025

This bill would let states choose to cover certain people under Medicaid if they are uninsured, have income at or below the federal poverty line, and have been found to have a serious mental illness, serious emotional disturbance, opioid use disorder, or stimulant use disorder. A health care provider or another state-approved entity, such as an emergency department, behavioral health clinic, or court or law enforcement agency, could make that determination. Covered people would get the same benefits as other Medicaid enrollees for an initial one-year period, which a state could renew yearly after checking eligibility again. States choosing this option would have to make sure enrollees get a care plan within 60 days and would have to report certain behavioral health quality measures.

Full text and official record on Congress.gov

Sponsors

• August Pfluger Republican sponsor
• 0 cosponsors