Sylvia Mary Mathews Burwell is an American politician who has been the 22nd United States Secretary of Health and Human Services since 2014. Previously she was the Director of the White House Office of Management and Budget from 2013 to 2014. She was president of the Walmart Foundation beginning in January 2012, and she was previously the president of the Global Development Program of the Bill and Melinda Gates Foundation. While at the Bill and Melinda Gates Foundation, her program focused on combating world poverty through agricultural development, financial services for the poor, and global libraries. She was Chief Operating Officer and Executive Director of the Foundation before its reorganization in 2006. She came to the Foundation in 2001, after serving as Deputy Director of the Office of Management and Budget in Washington, D.C., since 1998. She was nominated by President Barack Obama on April 11, 2014, to be the next Secretary of Health and Human Services after the resignation of Kathleen Sebelius. Mathews' nomination was confirmed by the Senate on June 5, 2014 by a vote of 78-17. [More at Wikipedia]