The vote was 52 to 48. Sen. Mitch McConnell, the former Republican majority leader and a polio survivor, was the sole Republican joining Democrats to vote against Kennedy. Supreme Court Justice Neil Gorsuch swore Kennedy in Thursday afternoon at a ceremony in the Oval Office attended by President Trump and members of Kennedy's family, including his wife, the actress Cheryl Hines, and his children. Later on Thursday, Trump issued an executive order to establish a Make America Healthy Again Commission, with representation from the departments of Agriculture, Education, Housing and Urban Development, Veterans Affairs and the Environmental Protection Agency, among others.