1. Short title This Act may be cited as the Consumer Health Options and Insurance Competition Enhancement Act or the CHOICE Act . 2. Public health insurance option (a) In general Part C of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg–91 ) is amended by adding at the end the following: 2795. Public health insurance option (a) Establishment (1) In general For plan years beginning in 2019, the Secretary shall establish, and provide for the offering through the Exchanges, of a qualified health plan (in this Act referred to as the public health insurance option ) that provides value, choice, competition, and stability of affordable, high-quality coverage throughout the United States in accordance with this section. (2) Primary responsibility In designing the public health insurance option, the primary responsibility of the Secretary shall be to create an affordable health plan without compromising quality or access to care. (b) Administrating the public health insurance option (1) Offered through Exchanges (A) Exclusive to Exchanges The public health insurance option shall be made available through the Exchanges. (B) Ensuring a level playing field Consistent with this section, the public health insurance option shall comply with requirements under title I of the Patient Protection and Affordable Care Act, and the amendments made by that title, that are applicable to health plans offered through the 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 shall offer bronze, silver, and gold plans. (2) Administrative contracting (A) Authorities The Secretary may enter into contracts for the purpose of performing administrative functions (including functions described in subsection (a)(4) of section 1874A of the Social Security Act) with respect to the public health insurance option in the same manner as the Secretary may enter into contracts under