Born Gayle Conelly Manchin, is an American educator who was the First Lady of West Virginia from 2005 to 2010. In 2007, when Mylan first got the rights to the EpiPen, a two pack cost less than $100; after Bresch cut the aforementioned deal with Pfizer, the price increased to more than $600, with catastrophic results, especially for those who had to pay full price due to lack of adequate insurance coverage. Senator Joe Manchin of West Virginia", "Does Your Member Of Congress Vote With Or Against Biden? [249] On July 26, 2017, he voiced opposition to Trump's proposed ban on transgender service in the United States military. Joseph IV Manchin; Daughter Name - Heather Bresch, Brooke Manchin; Joe Manchin Wife . [74][75], According to FiveThirtyEight, Manchin has voted with Biden's position 88.9% of the time as of September2022[update]. Filed by the state Department of Environmental Protection, the lawsuit "accuses U.S. EPA of overstepping its authority and asks the U.S. District Court for the Southern District of West Virginia to throw out the federal agency's new guidelines for issuing Clean Water Act permits for coal mines." report, her net worth in 2020 was more than $31.7 million. "With all respect," commented Ilya Shapiro of Cato, "due process is the essential basis of America. Her birth sign is Gemini. [185], In September 2019, Manchin was one of eight senators to sign a bipartisan letter to congressional leadership requesting full and lasting funding of the Land and Water Conservation Act in order to aid national parks and public lands, benefit the $887 billion American outdoor recreation economy, and "ensure much-needed investment in our public lands and continuity for the state, tribal, and non-federal partners who depend on them. Heather Manchin Bresch (ne Manchin; born June 27, 1969[2]) is an American business executive. Would you be able to forward me the information I should include for the rationale (and the way it should be worded)?. [242], In response to a leaked story that the Biden administration would pursue a $3 trillion infrastructure package,[243] Manchin appeared to support the spending, calling for an "enormous" infrastructure bill. [108] In January 2018, Manchin joined two other Democrats and most Republicans by voting for a bill to ban abortion after 20 weeks. "[217], In August 2019, following two more mass shootings in El Paso, Texas, and Dayton, Ohio, Manchin said that Trump had "a golden opportunity to start making America safe again by starting with this basic building block of background checks." . In that discussion, you indicated that you would be divesting your Adrenaclick product once the Pfizer/King deal closes. "[167], In 2011, Manchin was the only Democratic senator to support the Energy Tax Prevention Act, which sought to prohibit the EPA from regulating greenhouse gas. Kraft has a net worth of just over $8 billion, according to Forbes. I was in my mid-30s, and intrusive thoughts about my loans became my dark companion. His next disclosure showed $417,255 in Enersystems income. [292], Manchin lives on a houseboat in the Potomac River when in Washington.[293]. A subsequent investigation concluded that the initial answer had been right: Bresch had been far short of a degree, and university administrators fabricated grades to get her over the line, leading to multiple resignations from the universitys senior leadership. [65] As of February 2022, he had a lead in the polls. His net worth is composed of retirement plans, mutual funds, corporate securities, and residential property. They "also show Bresch approving a scheme to force customers, captured by the companys monopoly, to purchase two EpiPens at once, regardless of medical need. We all have disreputable relatives, but Manchin is implicated in his daughters career she got her first job at Mylan after her dad put in a good word for her. [77][78], In December 2021, Manchin signaled that he was not likely to vote for the Build Back Better Act, saying, "I cannot vote to continue with this piece of legislation. ", "Study finds 62% of Donnelly's votes support Trump's positions", "Pro-Life Democrats, Squeezed by a Partisan Issue", "Joe Manchin III's Ratings and Endorsements", "5 Senators Who Will Likely Decide The Next Supreme Court Justice", "Trump Gives States Power to Cut off Planned Parenthood Money", "Senate Passes Bill to Let States Strip Funding from Planned Parenthood", "Abortion Politics Hound Senators from Both Parties", "Joe Manchin's Tightrope on Planned Parenthood", "Senate blocks 20-week abortion ban bill GOP pushed to get Democrats on record", "Manchin warns Trump against picking court nominee who will overturn Roe v. Wade", "Senate Democrats Block Bill to Protect Infants Surviving Abortions", "Republicans and Joe Manchin block Senate bill to secure abortion rights", "Manchin joins with Senate GOP to block bill guaranteeing abortion access", "Manchin to oppose Democratic bill guaranteeing abortion access", "Manchin to vote against Democrats' abortion legislation, says he'd vote to codify Roe", "Senators Manchin and Capito announce more that $2.7 million for NCWV Airport", "Growing number of Republican lawmakers beckon Manchin to switch parties: 'We'd welcome him', "Republicans up effort to convince Joe Manchin to join GOP amid Build Back Better tensions", "Manchin, Capito push bipartisan broadband bill", "Manchin sends FCC chairman speed test results", "Sen. Manchin joins group aiming to reduce partisanship", "Biden, Huntsman praise bipartisanship at No Labels", "Manchin Will Seek Re-election but Sends Democrats a Stern Warning", "Today's Power Play: GOP Sweetens its Offer to Manchin", "GOP Suggests Manchin Source of Own Party-Switch Rumors", "McConnell expected to woo King, Manchin", "Joe Manchin on election results: 'This is a real ass-whuppin', "Democratic Sen. Joe Manchin reportedly hasn't ruled out switching parties in a tied Senate", "Sen. Joe Manchin rips 'disrespectful' Dem colleagues who refused to stand during SOTU", "Democrats block foreign policy bill over shutdown fight", "Joe Manchin endorses Susan Collins for reelection", "Crossing party lines, Manchin endorses Murkowski for re-election", "Manchin, Murkowski Lead Bipartisan Effort To Ban Russia Energy Imports", "Klobuchar, Franken among senators asking Trump to press China on steel", "Two Chinese bidders for Chicago Exchange are said to drop out", "U.S. lawmakers introduce bipartisan bills on foreign investment amid China worries", "West Virginia announces $83.7 billion gas development deal with China Energy", "Manchin echoes White House in blaming China for new Trump tariffs", "US Bill reintroduced to deter China in South China, East China seas", "Manchin says he does not support D.C. statehood bill", "WV Senator Manchin and TX Senator Cornyn introduce bipartisan disaster recovery bill", "Manchin announces $106 million in disaster aid to be release to West Virginia", "Why 17 Democrats voted with Republicans to ease bank rules", "Senators seek crackdown on Bitcoin currency", "Senators Charles Schumer, Joe Manchin discuss targetting bitcoin exchanges in convoluted scheme to disrupt Silk Road drug website", "Senators approve Manchin amendment to reclassify hydrocodone drugs", "Baldwin, Democratic Senators Call TrumpCare Disastrous for Battle Against Opioid Crisis", "Manchin, Morrisey offer insight into education reform failure", "Manchin urging Department of Education Secretary to address increase in child homelessness in W.Va", "Manchin 'Energy belongs to all of us - regardless of party labels', "Manchin touts EPA bill in maiden Senate speech", "Content Details - S. 272 (is) - EPA Fair Play Act", "Senator Manchin Introduces EPA Fair Play Act Of 2011", "W.Va. Sues Obama, EPA Over Mining Coal Regulations", "Sen. Manchin's coal ties under scrutiny", "Senator Manchin Leads Field Hearing On Marcellus Shale", "Manchin Speaks Out About 'Political Football' Pipeline Treatment", "Manchin Co-Sponsors Bill to Delay EPA Air Pollution Rules", "Manchin introduces alternative fuels bill", "House Panel Votes to Limit E.P.A. A key component of the bill would lower drug prices by allowing Medicare to negotiate directly with pharmaceutical companies. Joe Manchin is an American Politician who has a net worth of $10 million as of March 2023. McSally's office also said the bill would mandate nationwide resource assessments for every critical mineral. [31][3] Manchin was president of Enersystems until 2000, when he entered politics and gave control of the company's daily operations to his son, Joe Manchin IV. [91], In June 2021, ExxonMobil lobbyist Keith McCoy said that Manchin was one of its key targets for funding and that he participated in weekly meetings with the company. [252][253] On February 14, 2018, he cosponsored S.515, a bill that would amend the Internal Revenue Code of 1986 to clarify that all provisions shall apply to legally married same-sex couples in the same manner as other married couples. She works in partnership with a co-chairman from . Joining is simple and doesnt need to cost a lot: You can become a sustaining member for as little as $3 or $5 a month. When the Senator . He said that by the end of the year, the American troops in that country should be at Bagram Airfield alone. [145], In a November 10, 2020, interview, Manchin said that he did not "see the need for the D.C. statehood with the type of services that we're getting in D.C. right now" and that he was "not convinced that's the way to go." The bill would "lengthen timelines and establish benchmarks for utilities to comply with two major Environmental Protection Agency air pollution rules. You get your face on currency of some kind and then the government takes 90% of your net worth. Her sister is the primary lady to run a Fortune 500 pharmaceutical organization, she alsofilled in as the (CEO) of Mylan since 2012. You can still be filthy rich, but only to the tune of $100m. Last month, the Intercepts Ryan Grim reported that Bresch worked with the CEO of Pfizer to keep the prices of the EpiPen artificially high. [5] She is the daughter of Gayle Conelly Manchin and Joe Manchin, who was a prominent politician throughout her childhood and is currently the senior United States senator from West Virginia. Brooke Manchin is an American media personality and public figure famously recognized as the daughter of an American politician serving as the senior United States senator from West Virginia, Joe Manchin. [47] The new company was named Viatris. [14] The merger was completed in November 2020 and Bresch stepped down. [42] At that time, he supported the Republican candidate for governor, Cecil Underwood, who went on to win. Joe Manchin is best known for being a Politician. While we work diligently to ensure that our numbers are as accurate as possible, unless otherwise indicated they are only estimates. Senator Joe Manchin has a net worth of $5million, according to Ballotpedia. Joe Manchin is a Democrat who was elected to the US Senate representing West Virginia in 2010. [61] He was challenged in the Democratic primary by Paula Jean Swearengin. Brooke Manchin Net Worth. Manchin won a second term in 2018 with just under 50% of the vote. People should have dreams in the perfect world what they'd like to see. Get our print magazine for just $20 a year. Amid news of the King acquisition, Mylan, according to market analyst reports at the time, was worried that Pfizer would push ahead with its generic version and also cut Mylan out of the market. . "[229], In September 2019, amid discussions to prevent a government shutdown, Manchin was one of six Democratic senators to sign a letter to congressional leadership advocating for the passage of legislation that would permanently fund health care and pension benefits for retired coal miners as "families in Virginia, West Virginia, Wyoming, Alabama, Colorado, North Dakota and New Mexico" would start to receive notifications of health care termination by the end of the following month. He called the bill "a critical piece of the solution addressing the climate crisis. As a U. S. Senator of West Virginia, he is receiving an annual paycheck of $174,000. Her net worth will increase by another $2 million in the next two years. and his staff, according to leaked comments by a senior lobbyist for the oil giant. He is 73 years old as of 2020. The scope of the CFIUS would be expanded to allow it to review and possibly decline smaller investments, and add national security factors for CFIUS to consider, including whether information about Americans would be exposed as part of transactions or whether a deal would facilitate fraud. [31] She was named one of Fortune magazine's "50 Most Powerful Women In Business" in 2014. [31] Proxy filings show that from 2007 to 2015, Bresch's compensation rose from $2,453,456 to $18,931,068, a 671% increase in pay. Brookes annual earnings or net worth not available to the public. Most of the people we train turn against us," he said. The two schemes were separate but mutually reinforcing. [260] Along with seven other Democrats,[261] Manchin opposed a $15 minimum wage proposal by Bernie Sanders as part of the American Rescue Plan Act of 2021 and forced Democrats to limit extended unemployment benefits in the same bill. The act would declare a national emergency pursuant to existing law and ban most fossil fuel imports from Russia for the war's duration. [27], Manchin graduated from Farmington High School in 1965. He stated his support for home school and private school as well as his opposition to funding "them with public dollars. [98] In February 2018, a Congressional Quarterly study found that Manchin had voted with Trump's position 71% of the time in Trump's first year in office,[99] but by the end of Trump's presidency, Manchin had voted with the president only 50.4% of the time. Email seeking medical rationale for Project X2. Our new issue on nationalism is out now. "[97] The American Conservative Union gave him a 25% lifetime conservative rating and the progressive PAC Americans for Democratic Action gave him a 35% liberal quotient in 2016. The email was sent around by Joanne Van Deusen, director of business operations for Pfizer, according to correspondence unsealed as part of the suit. As one 2016 Bloomberg Business headline put it: Mylan CEO Regrets Patient Blowback, But Not Expanded EpiPen Use.. Joe Manchin launches Senate campaign; Capitol on deck", "Manchin & Raese Nominees for Byrd's Senate Seat", "Manchin leads Capito, Raese, McKinley for 2012 re-election", "Dem Senator Doesn't Know If He Will Vote For Obama", "Statewide Results: General Election - November 6, 2012", "Joe Manchin won't run for West Virginia governor", "Manchin says he 'doesn't give a sh-t' about Morrisey's demand", "Statewide Results: General Election - November 6, 2018", "Billionaire Peltz draws GOP megadonors to $5,000-a-plate fundraiser for Democrat Sen. Joe Manchin", "Joe Manchin leads 2024 polls as Kyrsten Sinema faces potential primary loss", "Manchin under water in new WMOV/Triton poll", "Obama Is Seen as Frustrating His Own Party", "Tracking Joe Manchin III In The Age Of Trump", "Source: Joe Manchin: 5 Fast Facts You Need to Know", "How Senators Voted on Steven Mnuchin for Treasury Secretary", "How Each Senator Voted on Trump's Cabinet and Administration Nominees", "Joe Manchin: Precedent demands Senate wait on Barrett confirmation vote", "Manchin Statement On Impeachment Decision | U.S. Joe Manchin is a senior US Senator from West Virginia. [241], On February 4, 2021, Manchin voted against providing COVID-19 pandemic financial support to undocumented immigrants. The Senate Energy and Natural Resources Committee approved the bill in March 2018. [46], In July 2019, Bresch announced that she would retire in 2020 after Mylan merged with Upjohn. The moderate Democrat from West Virginia finished the second quarter of 2021 with more than $3.9 million of cash on hand. He also expressed concern "that the challenges plaguing the Chinese marketlack of transparency, currency manipulation, etc.will bleed into the Chicago Stock Exchange and adversely impact financial markets across the country. [144], In May 2019, Manchin cosponsored the South China Sea and East China Sea Sanctions Act, a bipartisan bill reintroduced by Marco Rubio and Ben Cardin that was intended to disrupt China's consolidation or expansion of its claims of jurisdiction over both the sea and air space in disputed zones in the South China Sea. This amount is from his extensive career as a politician. Manchin was born in 1947 in Farmington, West Virginia, alittle coal mining town, the second of 5 children of Mary O. and John Manchin. [225][226] In January 2018, Manchin was one of six Democrats who broke with their party to vote to confirm Trump's nominee for Health Secretary, Alex Azar. By May, the emails indicate, Mylan had begun pitching Pfizer on the project, suggesting that it could become a billion-dollar brand if done right. Manchin said that West Virginia had been awaiting funding for rebuilding for three years since a series of floods in June 2016 and that he was proud to work with Cornyn on a bipartisan solution; the bill died in committee. [259] He received a score of 30% in the 115th Congress, 85% in the 114th Congress, and 65% in the 113th Congress. [9] He has the endorsement of Democrats for Life of America, a Democratic PAC that opposes abortion. [38][39] AA Property is reportedly 50% controlled by Manchin, and has, among other things, been an investor in Emerald Coast Realty, which owns a La Quinta hotel in Elkview, West Virginia.[40]. In 2018, Manchin ran for reelection. In 2016, Bresch testified before Congress about the price increases and expressed some limited regret that some customers had paid the full list price, while noting that many others paid less due to agreements with insurance companies and pharmacy benefit managers. Potential primary opponent Paula Jean Swearengin charged that because of Manchin's vote, weapons sold to the Saudis "could possibly end up in the hands of terrorists. In June, Judge Daniel Crabtree issued a summary judgment partially siding with Mylan and partially siding with the plaintiffs, meaning the case goes on. lobbied states to require schools to stock epinephrine, co-chair of the federal Appalachian Regional Commission. Manchin's "no" vote effectively killed the bill. 2023 Celebrity Net Worth / All Rights Reserved. The pipeline would span over 2,000 miles across the United States. Her mother Gayle is the former First Lady of West Virginia (2005 to 2010 and a member of the West Virginia Board of Education (from 2007 to 2015). Manchin said the bill went too far and that he would support a narrower measure that still included codifying Roe. Business Income. "[63], Manchin won the November 6 general election, defeating Morrisey 49.57%-46.26%. The lawsuit, which consolidated several consumer cases, was moved to federal court in Kansas City in 2017. In the op-ed, he also elaborated on his view of eliminating the filibuster: "I cannot explain strictly partisan election reform or blowing up the Senate rules to expedite one party's agenda. Joe Bresch, her husband, earned $25 million in 2014. Subscribe today and get a yearlong print and digital subscription. Joe Manchin's age is 75. Born Heather Rene Manchin, in Morgantown, West Virginia, Bresch grew up in Fairmont and Farmington, West Virginia, in a Roman Catholic family of partial Italian and Czech descent. Bresch stepped down from Mylan last year amid criticism over the unconscionable price increases. ", "Is there room for Joe Manchin among Democrats in 2016? [34][35] In 2020, he received over $500,000 in dividends. Cosponsor Shelley Moore Capito stated that the bill also prevented medical providers from unintentionally providing opioids to individuals in recovery. Manchin lifted his hold the following week, after the FCC promised that rolling out funding for wireless broadband in rural areas would be a priority. [247] He also indicated he wanted more time to "hear the full range of viewpoints from the citizens of West Virginia. Since we dont, his constituents should have the good sense to vote him out. [6] He is known for working with Republicans on issues such as abortion, immigration, energy policy, and gun control. "[251] In March 2021, Manchin was the only Democrat to vote for a failed amendment to rescind funding from public schools that allow transgender youth to participate in the sporting teams of their gender identity. "The growing congressional scrutiny of pharmaceutical giant Mylan over the high cost of EpiPens could prove awkward for Sen. Joe Manchin. He referred to plans calling for ground troops in Syria, which had been proposed by some Republican senators, including Lindsey Graham of South Carolina, as "insanity,"[13] but supported the 2017 Shayrat missile strike launched by order of President Trump in response to a chemical weapons attack allegedly perpetrated by the Syrian Government. Sen. Joe Manchin (D-W.Va.) . The bill would remove restrictions on development of alternative fuels, repeal part of the 2007 energy bill restricting the federal government from buying alternative fuels and encourage the development of algae-based fuels and synthetic natural gas. There is no information on where she went to school or any history of work. Marketing material disclosed as part of the lawsuit includes a number of quotes from caregivers, physicians, and others making that point. Aug 21, 2016, West Virginia University M.B.A. controversy, Medicare Prescription Drug, Improvement, and Modernization Act, "Why Wall Street Loves to Hate Mylan's Female CEO", The Intelligencer & Wheeling News Register, "29 People With 'Soft' College Majors Who Became Extremely Successful", "University Investigates Whether Governor's Daughter Earned Degree", "Provost Quits Over Degree to Governors Child", "University revokes degree after scathing report on M.B.A. awarded to Bresch", "College president to quit over degree scandal", "Bresch to leave CEO job after Mylan merger with Upjohn", "Mylan CEO Continues To Expand International Medicine Efforts", "Deal in Place for Inspecting Foreign Drugs", "What it really takes to change Washington", "Esquire's Americans of the year:Patriots", "The generic drug user fee amendments: an economic perspective", Mylan Nv (MYL:NASDAQ GS) Executive Profile: Heather Bresch, "Personalities of Pittsburgh: Heather Bresch", "Reluctantly, Patriot Flees Homeland for Greener Tax Pastures", "EpiPen Price Rise Sparks Concern for Allergy Sufferers", "Mylan Execs Gave Themselves Raises As They Hiked EpiPen Prices", How Marketing Turned the EpiPen Into a Billion-Dollar Business, "Mylan CEO Heather Bresch on why she admires Bill Gates", "Why Did Mylan Hike EpiPen Prices 400%? "[160] Manchin said the bill would prevent the EPA from "changing its rules on businesses after permits have already been granted. The protesters delivered a job offer letter to her, pointing out that 68 percent of West Virginia voters want the full legislation to pass, including the climate provisions, but Manchin does not listen to his constituents and is trying to cut the bill into nothing. [5], Manchin has called himself a "centrist, moderate, conservative Democrat" and is generally cited as the most conservative Democrat in the Senate. Whats more, Bresch is far more involved than most daughters in her fathers career. [49] On September 7, 2021, Ryan Grim of The Intercept reported that during an ongoing racketeering case involving Mylan and Bresch,[50] "newly released court documents show [Bresch] discussing a deal with Pfizer to eliminate a chief competitor to EpiPen, clearing the way for major price hikes. Manchin refused to comment on the subject until Byrd's death, except to say that he would not appoint himself to the Senate. In 2010, Joe was elected West Virginia secretary of state. [287] The show ended after its first season. July 10, 2021 The company hired the same lobbyists that Medtronic had used for its defibrillator legislation. [66] A September 2022 poll showed him trailing three potential Republican challengers by as much as 15%. [223] In July 2017, he said that he was one of about ten senators from both parties who had been "working together behind the scenes" to formulate a new health-care program, but that there was otherwise insufficient bipartisanship on the issue. Manchin's daughter Heather Bresch received a $30 million golden parachute after finishing her tenure as CEO of . The EpiPen is an auto-injectable device that injects epinephrine into the body and can be the difference between life or death for a person suffering a severe allergic reaction. Manchin last week urged Democrats to take a strategic pause in consideration of the partys $3.5 trillion reconciliation package, the centerpiece of the Biden agenda. After the EPA vetoed a previously approved permit for the Spruce Mine in Logan County, West Virginia, he offered the EPA Fair Play Act,[159] which would "clarify and confirm the authority of the Environment Protection Agency to deny or restrict the use of defined areas as disposal sites for the discharge of dredged or filled material. It's time to come out of there," he said. [47], During the Sago Mine disaster in early January 2006 in Upshur County, West Virginia, Manchin confirmed incorrect reports that 12 miners had survived; in actuality only one survived. There should have been a whole year of going out and speaking to the public." We need to work together to chart a path forward in a safe and responsible way that lets us produce energy right here in America. Shes not only the senators daughter, shes a major donor. You can read the article below to learn more about her net worth. And I choose America. [3], Manchin won the 2004 West Virginia gubernatorial election by a large margin and was reelected by an even larger margin in 2008. No problem, Democratic moderates say", "West Virginia's Conservative Democrat Gets a Primary Challenger", "Joe Manchin and Joe Donnelly vote to defund Planned Parenthood", "Manchin touts support for Trump border wall in new ad", "Joe Manchin digs in: 'Under no circumstances' would break tie to nuke filibuster and pack court", "Manchin on Afghanistan: "It's time to come out of there. I want to see the pros and cons. [138][139], In April 2017, Manchin was one of eight Democratic senators to sign a letter to President Trump noting government-subsidized Chinese steel had been placed into the American market in recent years below cost and had hurt the domestic steel industry and the iron ore industry that fed it, calling on Trump to raise the steel issue with President of the People's Republic of China Xi Jinping in his meeting with him. . Among the documents is an email sent on behalf of Bresch, who is the daughter of Sen. Joe Manchin, D-W.Va., to her counterpart at Pfizer, then-CEO Ian Read. The current U.S. senator has achieved his net worth of $12 million in several ways, including an annual base salary of $174,000 from his government office; he is the founder of a coal brokerage organization known as Enersystems which earned him $500,000 in dividends. He supported the idea of Trump "calling companies to keep them from moving factories overseas". "[156], In a September 2019 letter to United States Secretary of Education Betsy Devos, Manchin noted that the West Virginia Education Department had identified over 10,000 children as "homeless for the 2018-2019 school year" and argued that West Virginia was receiving insufficient resources through the McKinney-Vento program and a Title I program. I'd do COLAsI'd talk about COLA for 250 percent of poverty guidelines." [33] In a financial disclosure from 2020, Manchin reported that his non-public shares of Enersystems were worth between $1 million and $5 million and that between 2011 and 2020 he was paid $5,211,154 in dividend income from them. [111], In February 2022, Manchin was the only Democratic senator to vote against an abortion proposal, Women's Health Protection Act,[112] that would have included limiting the states' ability to restrict abortion access, among other expansions. Swearengin is an activist and coal miner's daughter who was supported by former members of Bernie Sanders's 2016 presidential campaign. Joe Manchin is one of several senators to publicly state opposition to Neera Tanden's nomination to be director of the Office of Management and Budget. "[275], In January 2019, Manchin was one of five senators to cosponsor the VA Provider Accountability Act, a bipartisan bill meant to amend Title 38 of the United States Code to authorize the under secretary of health to report "major adverse personnel actions" related to certain health care employees at the National Practitioner Data Bank along with applicable state licensing boards.