This bill proposes to create the Rural Health Commission to assess the current system of rural health care in Vermont and to explore ways to ensure that the system is sustainable and provides access to affordable, high-quality health care for all Vermont residents. It would establish a five percent tax on the gross charges to commercial payers assessed by retail health clinics and certain urgent care clinics in this State. The bill would appropriate $250,000.00 of the revenue from the health clinic tax to the Agency of Human Services in fiscal year 2020 for three awards to community-based organizations proposing pilot projects focused on new models and approaches to rural health care delivery in different parts of the State. It would direct the remainder of the revenue to increases in disproportionate share hospital payments.