On June 5, 2014, the Senate voted 78-17 to confirm Sylvia Mathews Burwell as Secretary of HHS.  Burwell has served as the Director of the Office of Management and Budget since April of 2013.  Previously, Burwell was president of the Walmart Foundation and president of the Bill and Melinda Gates Foundation’s Global Development Program.  Burwell was sworn in as Secretary on June 9.