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. Manchin stated that efforts by the VA were not enough and called for strict guidelines to be implemented in order to ensure veterans "are receiving the highest quality of care, and I believe our legislation provides a fix that can be supported by my colleagues on both sides of the aisle."