The ad and interpretation of the bill is misrepresenting the facts. He is a statement from Rand Paul:

"You know, I am not a fan of having the federal government or the FCC gain too much control of the internet. That's what this bill does. It doesn't mean I'm against privacy. I have fought my own party and the president on the issue of privacy when the NSA was revealed to be spying on us. There was no opt out of that, and we didn't know it was happening. While I'm sympathetic to the opponents of this bill, and, you know, I wouldn't want ISPs monitoring or selling our data, I think market forces are best for this outcome.

"Just look at Nielsen ratings that say how many people watch each TV show. Nielsen monitors everything a family watches, but they sign an agreement to allow this. They get paid a little. Now what if when you sign your ISP contract, they offer you a discount to allow them to sell your anonymous data, like Nielsen does with TV viewing. Some people would take it for the discount, and some people would choose not to take the discount. It's best for the market to determine these things.

"Those who argue that sometimes there is only one choice, they're right. But instead of starting the government in the job of regulating the internet, we should encourage competition. Many of the monopolies are a result of government regulation to begin with. So we can reduce the barriers for more ISPs to serve more people, and competition will give the people what they want, without the government making certain options illegal. Technology will likely solve a lot of these problems soon enough, so let's not start with giving the FCC more power." ok, it's not actually something he said, but it's how I'd imagine he'd answer based on his past statements.