President-elect Joe Biden announced that he will be appointing Pennsylvania Surgeon General Dr. Rachel Levine to the position of the assistant secretary for health at the Department of Health and Human Services (HHS) in his upcoming administration.

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Levine could be the first out transgender person appointed to a federal position and approved by the U.S. Senate.

“Dr. Rachel Levine will bring the steady leadership and essential expertise we need to get people through this pandemic — no matter their zip code, race, religion, sexual orientation, gender identity, or disability — and meet the public health needs of our country in this critical moment and beyond,” Biden said in a statement. “She is a historic and deeply qualified choice to help lead our administration’s health efforts.”

If both are confirmed, Levine will serve under California’s attorney general Xavier Becerra, who has been nominated to the position of secretary of HHS.

Nominating Levine signals the importance of fighting the COVID-19 pandemic for the Biden administration. As surgeon general of the state of Pennsylvania, she has led the state’s response to the pandemic, at times facing heavy criticism – and straight-up transphobia – from conservatives in her state.

“Dr. Rachel Levine is a remarkable public servant with the knowledge and experience to help us contain this pandemic, and protect and improve the health and well-being of the American people,” said Vice President-elect Kamala Harris in a statement. “President-elect Biden and I look forward to working with her to meet the unprecedented challenges facing Americans and rebuild our country in a way that lifts everyone up.”

Her appointment also signals the incoming Biden administration’s commitment to end attacks on LGBTQ health. HHS was at the center of numerous attacks on LGBTQ people during the Trump administration.

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