Does this mean anyone can secure the services of this worthwhile misson?  If yes, I can see someone opting out of ACA and utilizing these services.  Let's see... said individual would still have to pay the IRS the penalties associated with not signing up with ACA.  The penalties would be far less than the annual premium while still getting treatment for medical, substance abuse and behavioral issues.  While I commend and support this initiative which seems to have some merit I find it rather difficult to embrace it when I see many others who have their health care premiums subsidized or fully paid while many others attempt to make ends meet via The Exchange to provide healthcare for their Family.