Bills · HR 6408
IN COMMITTEE· 119TH CONGRESS
House BillHR 6408Health
ANCHOR Act of 2025
INTRO DEC 3· LAST ACTION DEC 3
READING
3MIN
COSPONSORS
0
READER REACTIONS0 TOTAL
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- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it addresses a significant gap in healthcare coverage for some of the most vulnerable people in the U.S.: low-income individuals who are uninsured and struggling with serious mental health or substance use issues. Currently, many uninsured individuals cannot afford the care they need, often leading to untreated conditions, emergency room visits, and negative impacts on their lives and communities.
If this bill becomes law and states adopt the option, more people could get consistent treatment, which might reduce homelessness, incarceration rates, and the strain on emergency services. If it doesn't become law, this specific group of uninsured, low-income individuals would continue to face significant barriers to accessing necessary mental health and substance use disorder treatment through Medicaid, relying instead on limited public health programs or charity care.
KEY PROVISIONS
4AI-extractedPROVISION 01
Establishes a new state option to provide Medicaid coverage to 'specified individuals' who are uninsured, have incomes at or below the poverty line, and are diagnosed with serious mental illness or substance use disorder.
This is the core change, allowing states to expand healthcare access to a vulnerable population not explicitly covered by existing Medicaid categories.
PROVISION 02
Defines 'specified individual' to include those with serious mental illness, serious emotional disturbance, opioid use disorder, or stimulant use disorder, whose condition has been determined by a health care provider or other state-approved entity.
This clearly outlines who is eligible for the expanded coverage, focusing on critical behavioral health needs.
PROVISION 03
Requires states that exercise this option to ensure a care plan is developed for each covered individual within 60 days of enrollment and to report specific behavioral health quality measures.
These requirements aim to ensure that individuals receive coordinated care and that the effectiveness of the program is monitored.
PROVISION 04
Specifies that medical assistance for these individuals will be provided for an initial continuous 1-year period, with states having the option to extend coverage for subsequent 1-year periods after redetermining eligibility.
This provision sets the duration of coverage and allows for flexibility in continuing care based on ongoing needs.
SPONSORSHIP
1 + 0
R· Texas
YRS IN OFFICE
5
BILLS LED
61
ACTION TIMELINE
2 EVENTSDEC 3
Introduced in House
DEC 3
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 6408
Congress119th
StatusIn Committee
IntroducedDec 3, 2025
Last actionDec 3, 2025
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IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED DEC 3, 2025
House BillHR 6408Health
ANCHOR Act of 2025
INTRODUCED DEC 3, 2025· LAST ACTION DEC 3, 2025
PASSAGE CHANCES
—%
READING
3 min
COSPONSORS
0
COMPLEXITY
Moderate
