Ms. Greene, who was elected in 2020, had positioned herself as a die-hard Trump supporter until a series of recent ruptures with the president, who recently unendorsed her.
Before casting a crucial vote for the health secretary, the top Senate Republican laid out several specific commitments he had secured, some of which appear to have been breached.
As soon as the resolution passed, Democrats, among them Teresa Leger Fernandez of New Mexico, center, turned and applauded the House gallery where survivors of Jeffrey Epstein, the convicted sex offender, were seated.
The House approved a bill directing the Justice Department to release all files related to its investigation into Jeffrey Epstein, in a near-unanimous vote. Hours later, Senator Chuck Schumer won unanimous agreement for the Senate to pass the measure as soon as it arrived in the chamber.