S. 3300, the Access to New Community Health Opportunities and Recovery Act of 2025, allows states to voluntarily extend Medicaid coverage to uninsured individuals earning up to 100 percent of the federal poverty line who have serious mental illness, serious emotional disturbance, opioid use disorder, or stimulant use disorder. These "specified individuals" would receive the same scope of medical assistance as other Medicaid beneficiaries, with coverage lasting at least one year and renewable annually at the state's discretion. To participate, states must ensure that covered individuals receive a care plan within 60 days of enrollment developed by a qualified health care provider, and they must report on behavioral health quality measures to track the program's effectiveness. The legislation amends the Social Security Act to add this new optional eligibility category to Medicaid, giving states flexibility in implementing this mental health and substance use disorder coverage expansion without requiring federal funding details specified in the current bill text.
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