an individual who will have access to only qualified health plans issued by one health insurance issuer (as defined in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 )) or will have access to no qualified health plans with respect to a plan year. (2) Medicaid buy-in State The term Medicaid buy-in State means a State that has at least one political subdivision in which fewer than two health insurance issuers participate in the Federal, Federally facilitated, or State Exchange established under title I of the Patient Protection and Affordable Care Act ( Public Law 111–148 ) for such political subdivision. (3) Medicaid buy-in plan The term Medicaid buy-in plan means a health insurance plan that— (A) is administered by the State agency administering the State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) (or a waiver of such plan)