; and (B) contains a State-by-State comparison of the design of the programs carried out by States with funds provided under this section. (e) Definitions In this section: (1) Secretary The term Secretary means the Secretary of the Department of Health and Human Services. (2) Fund The term Fund means the Individual Market Reinsurance Fund established under subsection (a). (3) Grandfathered health plan The term grandfathered health plan has the meaning given that term in section 1251(e) of the Patient Protection and Affordable Care Act. (4) High-cost individual The term high-cost individual means an individual enrolled in a qualified health plan (other than a grandfathered health plan or a transitional health plan) who incurs claims in excess of $50,000 during a plan year. (5) State The term State means each of the 50 States and the District of Columbia. (6) Transitional health plan The term transitional health plan means a plan continued under the letter issued by the Centers for Medicare & Medicaid Services on November 14, 2013, to the State Insurance Commissioners outlining a transitional policy for coverage in the individual and small group markets to which section 1251 of the Patient Protection and Affordable Care Act does not apply, and under the extension of the transitional policy for such coverage set forth in the Insurance Standards Bulletin Series guidance issued by the Centers for Medicare & Medicaid Services on March 5, 2014, February 29, 2016, and February 13, 2017. 102. Public health insurance option (a) In general Part 3 of subtitle D of title I of the Patient Protection and Affordable Care Act ( Public Law 111–148 ) is amended by adding at the end the following new section: 1325. Public health insurance option (a) Establishment and administration of a public health insurance option (1) Establishment For years beginning with 2018, the Secretary of Health and Human Services (in this subtitle referred to as the Secretary ) shall provide for the offering through Exchanges established under this title