Dr. Rachel Levine’s confirmation to the Department of Health and Human Services by the Senate on Wednesday made her the first openly transgender federal official in the nation’s history.

Levine, who previously served as Pennsylvania’s secretary of health, was confirmed in a 52-48 vote as the assistant secretary to the federal agency. She will serve under Xavier Becerra, who is the first Latino to serve as health and human services secretary.

Senate Majority Leader Chuck Schumer called Levine’s confirmation part of many “historic firsts” achieved under President Joe Biden’s administration.

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