ANCHOR Act of 2025

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 6408 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 6408 To amend title XIX of the Social Security Act to establish a State option to provide medical assistance to certain individuals with serious mental illness or substance use disorder. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES December 3, 2025 Mr. Pfluger introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to establish a State option to provide medical assistance to certain individuals with serious mental illness or substance use disorder. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Access to New Community Health Opportunities and Recovery Act of 2025'' or the ``ANCHOR Act of 2025''. SEC. 2. ESTABLISHING A STATE OPTION TO PROVIDE MEDICAL ASSISTANCE TO CERTAIN INDIVIDUALS WITH SERIOUS MENTAL ILLNESS OR SUBSTANCE USE DISORDER. Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended-- (1) in subsection (a)(10)(A)(ii)-- (A) in subclause (XXII), by striking ``or'' at the end; (B) in subclause (XXIII), by adding ``or'' at the end; and (C) by adding at the end the following new subclause: ``(XXIV) specified individuals (as defined in paragraph (1) of subsection (uu)), subject to the provisions of such subsection;''; and (2) by adding at the end the following new subsection: ``(uu) Specified Individuals.-- ``(1) Definition.--For purposes of subsection (a)(10)(A)(ii), the term `specified individual' means an individual who-- ``(A) is an uninsured individual (as defined in subsection (ss)); ``(B) whose income (as determined under subsection (e)(14)) does not exceed