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 of a health benefits plan (in this Act referred to as the public health insurance option ) that ensures choice, competition, and stability of affordable, high-quality coverage throughout the United States in accordance with this section. In designing the option, the Secretary’s primary responsibility is to create a low-cost plan without compromising quality or access to care. (2) Offering through Exchanges (A) Exclusive to Exchanges The public health insurance option shall only be made available through Exchanges established under this title. (B) Ensuring a level playing field Consistent with this section, the public health insurance option shall comply with requirements that are applicable under this title to health benefits plans offered through such Exchanges, including requirements related to benefits, benefit levels, provider networks, notices, consumer protections, and cost sharing. (C) Provision of benefit levels The public health insurance option— (i) shall offer bronze, silver, and gold plans