,,ii  #aaith ,,congress  #ast ,session  
,s4 #ccjj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #b1  
#bjbe,mrs4 ,blackburn introduced the    
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,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 
disorder4  #a4 ,short title ,this ,act  
may be cited as the ,access to ,new     
,community ,health ,opportunities and   
,recovery ,act of #bjbe or the ,,anchor 
,act of #bjbe4  #b4 ,establishing a     
,state option to provide medical        
assistance to certain individuals with  
serious mental illness or substance use 
disorder ,section #aijb of the ,social  
,security ,act 7#db ,u4,s4,c4 #acif;a7  
is amended-- 7#a7 in subsection         
7a77#aj77;,a77ii7-- 7,a7 in subclause   
7,,xxii71 by striking or at the end2    
7,b7 in subclause 7,,xxiii71 by adding  

or at the end2 and  7,c7 by adding at   
the end the following new subclause3    
7,,xxiv7 specified individuals 7as      
defined in paragraph 7#a7 of subsection 
7yy771 subject to the provisions of such
 subsection2  2 and  7#b7 by adding at  
the end the following new subsection3   
7yy7 ,specified individuals  7#a7       
,definition ,for purposes of subsection 
7a77#aj77;,a77ii77,,xxiv71 the term     
specified individual means an           
individual-- 7,a7 who is an uninsured   
individual 7as defined in subsection    
7ss772  7,b7 whose income 7as determined
 under subsection 7e77#ad77 does not    
exceed #ajj percent of the poverty line 
7as defined in section #baaj7;c77#e77   
applicable to a family of the size      
involved2 and  7,c7 who has been        
determined to have a qualifying         
condition 7as defined in paragraph 7#b77
 by-- 7i7 a health care provider2 or    
7ii7 an entity determined appropriate by
 the ,state1 which may include-- 7,i7 an
 emergency department2  7,,ii7 a clinic 

certified by the ,state as a certified  
community behavioral health clinic in   
accordance with the criteria described  
in section #bbc7;a77#a7 of the          
,protecting ,access to ,medicare ,act of
 #bjad2  7,,iii7 an entity that receives
 funding from the ,state to provide     
mental health or substance use disorder 
services2  7,,iv7 an institution for    
mental diseases 7as defined in section  
#dce4ajaj of title #db1 ,code of        
,federal ,regulations 7or a successor   
regulation772 or  7,v7 a ,state         
judicial1 law enforcement1 or child     
welfare agency4  7#b7 ,qualifying       
condition defined ,for purposes of      
paragraph 7#a77;,c71 the term qualifying
 condition means any of the following3  
7,a7 ,serious mental illness4  7,b7     
,serious emotional disturbance4  7,c7   
,opioid use disorder4  7,d7 ,stimulant  
use disorder 7including with respect to 
cocaine or methamphetamine74  7#c7      
,conditions  7,a7 ,scope ,medical       
assistance shall be made available to a 

specified individual in the same scope  
and manner as such assistance is made   
available to individuals described in   
subsection 7a77#aj77;,a77i74  7,b7      
,duration ,medical assistance shall be  
made available to a specified individual
 for an initial continuous #a-year      
period4 ,at the option of the ,state1   
the ,state may extend the availability  
of such assistance to such individual   
for subsequent continuous #a-year       
periods1 provided that1 prior to each   
such extension1 the ,state redetermines 
that such individual continues to be a  
specified individual4  7#d7 ,ensuring   
quality of care ,a ,state shall1 as a   
condition of exercising the ,state's    
option to make medical assistance       
available to specified individuals--    
7,a7 ensure such individuals have a care
 plan developed within #fj days of      
enrolling for such assistance by a      
physician1 primary care provider1       
emergency department1 clinical practice 
or clinical group practice1 rural       

clinic1 community health center1        
certified community behavioral health   
clinic1 or other health care provider   
that is determined by the ,state to be  
qualified to develop such a plan2 and   
7,b7 agree to report the behavioral     
health measures of the ,core ,set of    
,adult ,health ,care ,quality ,measures 
for ,medicaid with respect to such      
individuals in accordance with section  
#aaci;,b4  4