PITTSBURGH — Rivers Casino in Pittsburgh has been fined $100,000 by the Pennsylvania Gaming Control Board.

The gaming board said in a Wednesday news release that the fine involved three issues.

The first was a violation of internal controls in the count room. The second involved table games employees who ignored an automatic shuffler's red light which indicates an error with the cards. The third was for promotional items that were mailed to 93 people who had asked not to receive such material.

Rivers Casino spokesman Jack Horner says the casino respects the decisions of the gaming board and has introduced new internal procedures to help prevent reoccurrences.

WASHINGTON — In an unusual break in the partisan warring over health care, the Senate Wednesday confirmed President Barack Obama's choice to oversee the mammoth Medicare and Medicaid health programs.Marilyn Tavenner, a former hospital executive and Virginia health secretary, became the first head of the Centers for Medicare and Medicaid Services to win Senate confirmation since 2006. The vote was 91 to 7.Tavenner was nominated for the post in 2011 and has been acting head of the agency, a division of the Department of Health and Human Services.As CMS administrator, Tavenner oversees government health insurance programs that cover more than 100 million Americans every year. She also is a key player in the implementation of the 2010 Affordable Care Act.

NEW YORK — Wal-Mart Stores is reporting a slim 1.1 percent increase in first-quarter profit as the world's largest retailer struggled with a sales slump in its namesake business.The company also offered a profit outlook that came below analysts' expectations.Wal-Mart says it earned $3.78 billion, or $1.14 per share in the quarter ended April 30. That compared with $3.74 billion, or $1.09 per share, a year earlier.Sales rose 1 percent to $113.43 billion. That figure excludes Sam's Club membership fees.Wal-Mart reported a 1.4 percent drop in revenue at stores open at least a year at its namesake business, its first drop in a year and a half.

DETROIT — Chrysler is recalling 469,000 Jeep SUVs worldwide because they can shift into neutral without warning on startup.The recall affects 2005 to 2010 Grand Cherokees and 2006 to 2010 Commanders.U.S. safety regulators say cracks in a circuit board can cause a faulty signal as the SUVs are being started. If the vehicles shift into neutral they can roll away.Chrysler says the problem has caused 26 crashes and two injuries.Chrysler will notify owners and dealers will update software to take care of the problem at no cost.