ANCHOR Act of 2025

The ANCHOR Act of 2025 (S 3300) creates a new state option to provide medical assistance to uninsured individuals with serious mental illness or substance use disorders who have incomes at or below 100% of the federal poverty line. It defines "specified individuals" as those meeting income limits, being uninsured, and having a qualifying condition (like opioid use disorder or serious mental illness), as determined by healthcare providers or designated state entities. States choosing to adopt this program must ensure enrollees receive a care plan within 60 days and report on behavioral health quality measures. The assistance covers the same scope as standard Medicaid for this group, initially for one year with potential annual renewals after redetermination. This bill directly affects uninsured adults with specific health conditions in states that implement the new option.