Senate roll call 346 · 115th Congress · Jan 24, 2018
Alex Michael Azar II, of Indiana, to be Secretary of Health and Human Services
On Jan 24, 2018, the Senate voted 55–43 on “On the Nomination” (PN 1371). Result: Nomination Confirmed. By party: Republicans 48–1, Democrats 6–41, Independents 1–1. It was a split vote: the parties took opposite sides, with some members crossing over. 7 members voted against their own party.
During the 115th Congress (2017–2018), Donald Trump was president, and Republicans held majorities in both the House and Senate.
- Result
- Nomination Confirmed
- Yes
- 55
- No
- 43
- Did not vote
- 7
- Date
- Jan 24, 2018
By party
- Republicans48 yes · 1 no · 6 didn’t vote
- Democrats6 yes · 41 no · 1 didn’t vote
- Independents1 yes · 1 no
Who broke with their party
- Gordon Douglas (Doug) Jones D-AL voted yes
- Christopher A. Coons D-DE voted yes
- Thomas Richard Carper D-DE voted yes
- Joe Donnelly D-IN voted yes
- Rand Paul R-KY voted no
- Mary Kathryn (Heidi) Heitkamp D-ND voted yes
- Joe Manchin III D-WV voted yes
How each senator voted: Yes
- Daniel Scott Sullivan R-AK
- Lisa Murkowski R-AK
- Gordon Douglas (Doug) Jones D-AL
- Richard C. Shelby R-AL
- John Boozman R-AR
- Thomas Bryant (Tom) Cotton R-AR
- Jeff Flake R-AZ
- Cory Gardner R-CO
- Christopher A. Coons D-DE
- Thomas Richard Carper D-DE
- Marco Rubio R-FL
- David Alfred Perdue Jr. R-GA
- Johnny Isakson R-GA
- Charles Ernest Grassley R-IA
- Joni Ernst R-IA
- James Risch R-ID
- Michael Dean Crapo R-ID
- Joe Donnelly D-IN
- Todd Young R-IN
- Charles Patrick (Pat) Roberts R-KS
- Jerry Moran R-KS
- Addison Mitchell (Mitch) Mcconnell R-KY
- Bill Cassidy R-LA
- John Neely Kennedy R-LA
- Angus Stanley King Jr. I-ME
- Susan Margaret Collins R-ME
- Roy Blunt R-MO
- Roger F. Wicker R-MS
- William Thad Cochran R-MS
- Steve Daines R-MT
- Richard M. Burr R-NC
- Thomas Roland (Thom) Tillis R-NC
- John Hoeven R-ND
- Mary Kathryn (Heidi) Heitkamp D-ND
- Benjamin Eric Sasse R-NE
- Debra (Deb) Fischer R-NE
- Dean Heller R-NV
- Robert Jones (Rob) Portman R-OH
- James Lankford R-OK
- James Mountain Inhofe R-OK
- Patrick Joseph Toomey R-PA
- Lindsey O. Graham R-SC
- Tim Scott R-SC
- John Thune R-SD
- Marion Michael (Mike) Rounds R-SD
- Lamar Alexander R-TN
- John Cornyn R-TX
- Rafael Edward (Ted) Cruz R-TX
- Mike Lee R-UT
- Orrin Grant Hatch R-UT
- Ron Johnson R-WI
- Joe Manchin III D-WV
- Shelley Moore Capito R-WV
- John A. Barrasso R-WY
- Michael B. Enzi R-WY
How each senator voted: No
- Dianne Feinstein D-CA
- Kamala Devi Harris D-CA
- Michael F. Bennet D-CO
- Christopher Murphy D-CT
- Richard Blumenthal D-CT
- Clarence William (Bill) Nelson D-FL
- Brian Emanuel Schatz D-HI
- Mazie Hirono D-HI
- Richard Joseph Durbin D-IL
- Tammy Duckworth D-IL
- Rand Paul R-KY
- Edward John Markey D-MA
- Elizabeth Warren D-MA
- Benjamin Louis Cardin D-MD
- Christopher Van Hollen D-MD
- Deborah Ann Stabenow D-MI
- Gary C. Peters D-MI
- Amy Klobuchar D-MN
- Tina Smith D-MN
- Claire Mccaskill D-MO
- Jon Tester D-MT
- Jeanne Shaheen D-NH
- Margaret Wood (Maggie) Hassan D-NH
- Cory Anthony Booker D-NJ
- Robert Menendez D-NJ
- Martin Heinrich D-NM
- Thomas (Tom) Udall D-NM
- Catherine Marie Cortez Masto D-NV
- Charles Ellis (Chuck) Schumer D-NY
- Kirsten Gillibrand D-NY
- Sherrod Brown D-OH
- Jeff Merkley D-OR
- Ronald Lee Wyden D-OR
- Robert (Bob) Casey Jr. D-PA
- John F. (Jack) Reed D-RI
- Sheldon Whitehouse D-RI
- Mark R. Warner D-VA
- Timothy Michael (Tim) Kaine D-VA
- Bernard Sanders I-VT
- Patrick Joseph Leahy D-VT
- Maria E. Cantwell D-WA
- Patty Murray D-WA
- Tammy Baldwin D-WI
Did not vote
Other votes
From Voteview roll call records.
Cite or embed this page
Capitol Receipts, “Alex Michael Azar II, of Indiana, to be…: Senate Vote, Jan 24, 2018,” https://www.capitolreceipts.com/vote/115-S-346/alex-michael-azar-ii-of-indiana-to-be-secretary (accessed 2026-10-17).