The Senate confirmed President Donald Trump's pick to lead the Centers for Medicare and Medicaid Services, the health care agency whose programs Republicans are targeting for overhaul. Seema Verma a health consultant from Indiana who helped design a Medicaid expansion program when Vice President Mike Pence was that state's governor, was confirmed in a 55-43 vote. As administrator of the Centers for Medicare and Medicaid Services, she will oversee a $1 trillion budget, 6,500 employees and government-run programs that cover 1 in 3 Americans. During her confirmation hearings, Verma said that she does not support turning Medicare, the government's program for adults over 65 and people with disabilities, into a voucher plan in which people would select coverage from private health insurance companies. The approach has been endorsed by members of the Republican leadership who say Medicare is not a sustainable program.