transgender youth to participate in the sporting teams of their gender identity. In November 2022, Manchin reversed his prior position and voted to advance and pass legislation, the Respect for Marriage Act, which protects same-sex marriages under federal law. The Human Rights Campaign, the largest LGBT rights group in America, gave Manchin a score of 48% in the 116th Congress. He received a score of 30% in the 115th Congress, 85% in the 114th Congress, and 65% in the 113th Congress. Minimum wage On February 2, 2021, Manchin announced his opposition to an increase from $7.25 to $15 per hour in the federal minimum wage, but said he was open to a smaller increase, perhaps to $11. Along with seven other Democrats, 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. Opioids In December 2017, in a letter to then-Food and Drug Administration Commissioner Scott Gottlieb, Manchin called for changes in the FDA's response to the opioid crisis including mandatory and continuing education for healthcare providers, reviewing every opioid product on the market, and removing an older opioid from the market for every new opioid approved. Manchin cited the over 33,000 deaths in the United States from opioid overdoses in 2015 and over 700 deaths of West Virginians from opioid overdoses in 2016 as his reason for supporting the establishment of the Opioid Policy Steering Committee by the FDA. In 2018, Manchin secured a provision in the Opioid Crisis Response Act that ensured additional opioid funding for West Virginia after the bill had previously granted funding based on states' overall opioid overdose death counts as opposed to the overdose death rate. Manchin stated that the bill before his intervention was "basically using a blanket before when giving money" and added that the bill was incentivizing "companies to do the research to produce a product that gives the same relief as the opioid does, but is not (addictive)." The bill passed in the Senate in September. In April 2019, Manchin cosponsored the Protecting Jessica Grubb's Legacy Act, legislation that authorized medical records of patients being treated for substance use disorder being shared among healthcare providers in case the patient provided the information. Cosponsor Shelley Moore Capito stated that the bill also prevented medical providers from unintentionally providing opioids