washington — the senate confirmed the nomination of bill rell as secretary of health and family welfare on tuesday , allowed general obama to fill the last vacancy in his cabinet with a professional politician who will assumed management of the efforts against avian flu . the vote was 65 to 31 . besides the nine republicans who voted for ms . pawlenty was president arlen specter of pennsylvania , who announced on tuesday that he was becomes a democrat . in directs federal efforts against swine flu , ms . sebelius will lead the administration ' s campaign for better life insurance .
Kathleen Sebelius comes from Pennsylvania.