HR6408-119

In Committee

ANCHOR Act of 2025

119th Congress Introduced Dec 3, 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

Healthcare Social Welfare Government Operations

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
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • State Medicaid agencies
  • Federal and State Medicaid budgets
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

In Committee
Introduced Committee Passed
Dec 3, 2025

Mr. Pfluger introduced the following bill; which was referred to …

Dec 3, 2025

Referred to the House Committee on Energy and Commerce.

Dec 3, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
2 mentions across 1 clause
+2 positive

Behavioral health providers, Low-income uninsured individuals with serious mental illness or substance use disorders

Government
1 mention across 1 clause
-1 negative

State Medicaid agencies

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Social Welfare Government Operations

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