RFK Jr. faces first key vote in health secretary confirmation test

By AMANDA SEITZ and STEPHEN GROVES, Associated Press

WASHINGTON (AP) — Robert F. Kennedy Jr., the controversial environmental lawyer turned public health critic, is set to find out on Tuesday if he has cleared the first hurdle to become the nation’s top health official when the Senate Finance Committee votes on his nomination.

Democrats are still raising concerns about Kennedy’s potential to profit from anti-vaccine advocacy and lawsuits, but Republicans appear to be rallying behind President Donald Trump’s health secretary nominee. On Monday, North Carolina Sen. Thom Tillis, a Republican once viewed as a possible “no” vote, announced he would back Kennedy.

Kennedy needs support from all but three Republicans if Democrats uniformly oppose him.

What will doctor and Republican Bill Cassidy do?

One key vote remains in question: Republican Sen. Bill Cassidy, a Louisiana physician who sits on the finance committee that will vote on Kennedy’s confirmation. Last week, during Kennedy’s hearings, Cassidy repeatedly implored Kennedy to reject a disproven theory that vaccines cause autism, to no avail. He ended the hearing by saying he was “struggling” with the vote.

“Your past, undermining confidence in vaccines with unfounded or misleading arguments, concerns me,” Cassidy told Kennedy.

Sen. Bill Cassidy, R-La., questions Robert F. Kennedy Jr., President Donald Trump’s choice to be Secretary of Health and Human Services, as he appears before the Senate Finance Committee for his confirmation hearing, at the Capitol in Washington, Wednesday, Jan. 29, 2025. (AP Photo/Ben Curtis)

On Monday evening, Cassidy told reporters that he had “very cordial” conversations with Kennedy over the weekend but was “still working through” how to handle his vote.

Republican Sens. Susan Collins of Maine, Lisa Murkowski of Alaska and Mitch McConnell of Kentucky are all seen as potential no votes, too, because they voted against Trump’s defense secretary nominee and have expressed concerns about Kennedy’s anti-vaccine work.

In a CBS “60 Minutes” interview that aired Sunday, McConnell declined to say how he would vote on Kennedy’s nomination but reiterated “vaccines are critically important.”

Democrats still have questions for Kennedy

Democrats, meanwhile, continue to raise alarms about Kennedy’s potential to financially benefit from changing vaccine guidelines or weakening federal lawsuit protections against vaccine makers if confirmed as health secretary.

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