Bills of Congress by U.S. Congress

Access to New Community Health Opportunities and Recovery Act of 2025; ANCHOR Act of 2025

Summary

The ANCHOR Act of 2025 proposes an amendment to Title XIX of the Social Security Act, allowing states the option to provide medical assistance to individuals with serious mental illness or substance use disorders. This assistance would be available to uninsured individuals with incomes below 100% of the poverty line who have been diagnosed with a qualifying condition by a healthcare provider or designated entity. The Act aims to improve access to healthcare for vulnerable populations.

Expected Effects

If enacted, the ANCHOR Act would expand Medicaid coverage to include specific individuals struggling with mental health and substance abuse issues. States would have the option to provide medical assistance, potentially leading to increased access to treatment and support services. This could result in improved health outcomes and reduced strain on emergency services.

Potential Benefits

  • Increased access to healthcare for individuals with serious mental illness and substance use disorders.
  • Potential for improved health outcomes and reduced reliance on emergency services.
  • State flexibility in determining appropriate entities for diagnosis and referral.
  • Mandated care plans to ensure quality of care and coordinated treatment.
  • Reporting requirements to monitor the effectiveness of the program.

Potential Disadvantages

  • Increased costs for states that choose to implement the option.
  • Potential administrative burden for states in establishing and managing the program.
  • Limited eligibility criteria may exclude some individuals in need of assistance.
  • Reliance on state discretion could lead to disparities in access across different states.
  • The act does not address the underlying causes of mental illness or substance abuse.

Constitutional Alignment

The ANCHOR Act aligns with the General Welfare Clause (Article I, Section 8) of the U.S. Constitution, which grants Congress the power to provide for the general welfare of the United States. By expanding access to healthcare for vulnerable populations, the Act aims to promote the well-being of citizens. The Tenth Amendment reserves powers not delegated to the federal government to the states, and this act provides an option for states, respecting state sovereignty.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).