in the public health insurance option unless such provider is appropriately licensed or certified under State law. (C) Clarification Notwithstanding subparagraph (A), a health care provider may not be prohibited from participating in the public health insurance option for reasons other than the ability of such provider to provide covered services. (2) Establishment of a provider network (A) Medicare and Medicaid participating providers A health care provider that is a participating provider of services or supplier under the Medicare program under title XVIII of the Social Security Act or under a State Medicaid plan under title XIX of such Act is a participating provider in the public health insurance option unless the health care provider opts out of participating in the public health insurance option through a process established by the Secretary. (B) Additional providers The Secretary shall establish a process to allow health care providers not described in subparagraph (A) to become participating providers in the public health insurance option. . (b) Conforming amendments (1) Treatment as a qualified health plan Section 1301(a)(2) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18021(a)(2) ) is amended— (A) in the paragraph heading, by inserting , the public health insurance option, before and