ANCHOR Act of 2025
Summary
What This Bill Does
Creates a State Medicaid option to cover certain uninsured people with serious mental illness, serious emotional disturbance, or substance use disorders and ties that option to care-planning and quality-reporting rules.
Who Benefits and How
Low-income uninsured people with qualifying behavioral health conditions can gain Medicaid coverage in States that adopt the option, and providers may see more reimbursable treatment.
Who Bears the Burden and How
State Medicaid agencies must determine eligibility, ensure care plans are developed, and report behavioral-health quality measures, which can increase administrative and coverage costs.
Key Provisions
- Adds a new optional Medicaid eligibility group for uninsured individuals below 100 percent of poverty with specified serious mental illness or substance use conditions.
- Provides one-year continuous coverage with optional annual renewals after redetermination.
- Requires participating States to ensure care plans and report behavioral health quality measures.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Creates a State Medicaid option to cover certain uninsured people with serious mental illness, serious emotional disturbance, or substance use disorders and ties that option to care-planning and quality-reporting rules.
Key Policy Areas
Healthcare, Social Welfare, Government Operations
Primary Purpose
Creates a State Medicaid option to cover certain uninsured people with serious mental illness, serious emotional disturbance, or substance use disorders and ties that option to care-planning and quality-reporting rules.
Policy Domains
Main Provisions
Identified Gains
Contextual inference, no direct clause citation- Low-income uninsured people with serious behavioral health conditions
- Behavioral health providers serving newly covered patients
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- State Medicaid agencies
- Federal and State Medicaid budgets
Contextual inference, no direct clause citation
Legislative Progress
In CommitteeMr. Pfluger introduced the following bill; which was referred to …
Referred to the House Committee on Energy and Commerce.
Introduced in House
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Behavioral health providers, Low-income uninsured individuals with serious mental illness or substance use disorders
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology