This bill establishes a new federal trust fund, financed by oil and gas companies, to compensate workers and their families for medical expenses related to respiratory and cardiovascular diseases caused by occupational or residential exposure to oil and gas operations. Oil companies with annual revenue exceeding $50 million must annually deposit an amount equal to the total compensation paid to their ten highest-earning employees into the fund by March 31st, with 10 percent penalties for underpayments. Eligible workers include those who have worked at or lived within 20 miles of an oil and gas extraction site for at least one year, and they can seek reimbursement for medical costs related to asthma, heat-related illness, and other respiratory or cardiovascular diseases the Labor Secretary determines are associated with methane, smog, and chemical exposures. The bill also requires the Secretary of Labor to establish a commission within 90 days to study and recommend improvements to health outcomes for oil and gas workers, with the commission delivering its recommendations to Congress within 18 months and the Secretary responding within 90 days thereafter.