‘‘potentially excessive, unjustified, or unfairly 
discriminatory rates, including premiums,’’; and 
(C) in paragraph (2)— 
(i) by striking ‘‘an unreasonable pre-
mium increase’’ and inserting ‘‘a poten-
tially excessive, unjustified, or unfairly dis-
criminatory rate’’; 
(ii) by striking ‘‘the increase’’ and in-
serting ‘‘the rate’’; and 
(iii) by striking ‘‘such increases’’ and 
inserting ‘‘such rates’’; 
(2) in subsection (b)— 
(A) in the subsection heading, by striking 
‘‘PREMIUM’’ and inserting ‘‘RATE’’; 
(B) by striking ‘‘premium increases’’ each 
place it appears and inserting ‘‘rates’’; 
(C) in paragraph (1), in the paragraph 
heading, by striking ‘‘PREMIUM INCREASE’’ and 
inserting ‘‘RATE’’; and 
(D) in paragraph (2)— 
(i) in the paragraph heading, by strik-
ing ‘‘PREMIUM INCREASES’’ and inserting 
‘‘RATES’’; and 
(ii) in subparagraph (B), by striking 
‘‘premium’’ and inserting ‘‘rate’’; and 
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(3) in subsection (c)(1)— 
(A) in the heading, by striking ‘‘PRE-
MIUM’’ and inserting ‘‘RATE’’; 
(B) by inserting ‘‘that satisfy the condition 
under subsection (e)(3)(A)’’ after ‘‘award 
grants to States’’; and 
(C) in subparagraph (A), by striking ‘‘pre-
mium increases’’ and inserting ‘‘rates’’. 
(c) CONFORMING AMENDMENTS.— 
(1) PUBLIC
HEALTH
SERVICE
ACT.—Title 
XXVII of the Public Health Service Act (42 U.S.C. 
300gg et seq.) is amended— 
(A) in section 2723 (42 U.S.C. 300gg– 
22)— 
(i) in subsection (a)— 
(I) in paragraph (1), by inserting 
‘‘and section 2794 (relating to the 
reasonableness of rates with respect to 
health 
insurance 
coverage)’’ 
after 
‘‘this part’’; and 
(II) in paragraph (2), by insert-
ing ‘‘or such section 2794’’ after ‘‘this 
part’’; and 
(ii) in subsection (b)— 
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(I) in paragraph (1), by inserting 
‘‘and section 2794 (relating to the 
reasonableness of rates with respect to 
health 
insurance 
coverage)’’ 
after 
‘‘this part’’; and 
(II) in paragraph (2)— 
(aa) in subparagraph (A), 
by inserting ‘‘or such section 
2794 that is’’ after ‘‘this part’’; 
and 
(bb) in subparagraph (C)(ii), 
by inserting ‘‘or such section 
2794’’ after ‘‘this part’’; and 
(B) in section 2761 (42 U.S.C. 300gg– 
61)— 
(i) in subsection (a)— 
(I) in paragraph (1), by inserting 
‘‘and section 2794 (relating to the 
reasonableness of rates with respect to 
health 
insurance 
coverage)’’ 
after 
‘‘this part’’; and 
(II) in paragraph (2)— 
(aa) by inserting ‘‘or such 
section 2794’’ after ‘‘set forth in 
this part’’; and 
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kjohnson on DSK79L0C42 with BILLS
(bb) by inserting ‘‘and such 
section 2794’’ after ‘‘the require-
ments of this part’’; and 
(ii) in subsection (b), by inserting 
‘‘and such section 2794’’ after ‘‘this part’’. 
(2) PATIENT
PROTECTION
AND
AFFORDABLE 
CARE ACT.—Section 1311(e)(2) of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 
18031(e)(2)) is amended by striking ‘‘unjustified 
premium increases’’ and inserting ‘‘unjustified 
rates’’. 
(d) APPLICABILITY TO GRANDFATHERED PLANS.— 
Section 1251(a)(4)(A) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 18011(a)(4)(A)) is amended 
by adding at the end the following: 
‘‘(v) Section 2794 (relating to reason-
ableness of rates with respect to health in-
surance coverage).’’. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of enactment of 
this Act and shall be implemented with respect to health 
plans beginning not later than January 1, 2020. 
SEC. 11. SENSE OF CONGRESS. 
It is the sense of the Congress that— 
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(1) the Federal Government, acting in its ca-
pacity as an insurer, employer, or health care pro-
vider, should serve as a model for the Nation to en-
sure coverage of all reproductive services; and 
(2) all restrictions on coverage of reproductive 
services in the private insurance market should end. 
Æ 
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