The U.S. Senate confirmed Alex Azar to head the Department of Health andHuman Services, setting a permanent replacement for Tom Price four months after he was ousted amida scandal over his travel.

The vote was 55-43 backing the former Eli Lilly & Co. executive to takethe nation’s top health post. HHS, with a budget of more than $1trillion, is responsible for the U.S. Medicare and Medicaid healthprograms, as well as agencies like the Centers for Disease Controland Prevention and the Food and Drug Administration.

Azar, 50, is likely to oversee GOP efforts to reshape thedepartment’s priorities via executive action, ranging from scalingback the Medicaid health program for low-income and disabled peopleto pushing religious rights. He’ll also have to guide theadministration’s approach to the Affordable Care Act, after effortsto repeal former President Barack Obama’s signature domestic policyfailed in the Senate.

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