Senate confirms Becerra in tight vote with just one GOP defection

The Senate on Thursday narrowly confirmed Xavier BecerraXavier BecerraBipartisan senators to hold hearing on 'toxic conservatorships' amid Britney Spears controversy Bottom line Overnight Health Care — FDA panel backs boosters for some, but not all MORE as secretary of the Department of Health and Human Services (HHS) by a 50-49 vote.

Republicans were nearly unanimous in their opposition to Becerra, the current attorney general of California. Sen. Susan CollinsSusan Margaret CollinsDo progressives prefer Trump to compromise? Looking to the past to secure America's clean energy future Collins to endorse LePage in Maine governor comeback bid MORE (Maine) was the only Republican to vote in favor of his confirmation. 

Collins previously cited Becerra's commitment to rural health care, and a shared goal of lowering drug prices, among her reasons for supporting him.

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Becerra was attacked for his views on abortion and past support for Medicare for All, with conservatives accusing him of being a liberal extremist with no experience in health care. 

Before becoming his state's attorney general, Becerra served 12 terms in Congress, including as a member of the powerful Ways and Means Committee, which has jurisdiction over Social Security and Medicare. 

Republicans also seized on a lawsuit Becerra filed against the Trump administration's HHS, challenging a policy that allowed employers to claim religious exemption from providing contraceptive coverage under ObamaCare.

"The most significant health-related experience on the nominee's record are his efforts to wield the legal system against religious sisters to make them violate their faith and conscience," Senate Minority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellFord to bolster electric vehicle production in multi-billion dollar push On The Money — GOP blocks spending bill to kick off chaotic week in congress Overnight Health Care — Presented by Alrtia — Booster shots get bipartisan rollout MORE (R-Ky.) said in floor remarks Wednesday.

Becerra will take the helm of the health agency nearly two months into President BidenJoe BidenFord to bolster electric vehicle production in multi-billion dollar push Protesters demonstrate outside Manchin's houseboat over opposition to reconciliation package Alabama eyes using pandemic relief funds on prison system MORE's administration, with the nation still in the middle of a deadly pandemic. Democrats have warned that the delay in confirming Becerra will hamper the country’s pandemic response.

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Becerra will play a major role in the government's COVID-19 response, but he will also need to guide the massive bureaucracy through a host of other challenges, including the influx of migrants at the border. HHS is responsible for housing and caring for the thousands of detained migrant children.

Democrats see Becerra as a key ally to help undo what they view as years of damage done by the Trump administration to undermine ObamaCare, the Medicaid program, reproductive health, LGBTQ anti-discrimination protections and more.

"After four years of attacks on families’ health care from President TrumpDonald TrumpJan. 6 committee chair says panel will issue a 'good number' of additional subpoenas Overnight Defense & National Security — Presented by AM General — Pentagon officials prepare for grilling Biden nominates head of Africa CDC to lead global AIDS response MORE — after a year of this pandemic ravaging our nation — the challenges that lie ahead of us, especially when it comes to health care, are numerous, enormous and absolutely urgent," Sen. Patty MurrayPatricia (Patty) Lynn MurrayBuilding strong public health capacity across the US Texas abortion law creates 2022 headache for GOP Top Democrat says he'll push to address fossil fuel tax breaks in spending bill MORE (Wash.), the top Democrat on the Senate Health Committee, said Wednesday from the Senate floor.

"We have our work cut out for us. But in Attorney General Becerra — we have a secretary of Health who is up to the job," Murray said.