The state Senate voted unanimously on Friday to confirm Dr. Linda Rosen as director of the state Department of Health.
Rosen replaces Loretta Fuddy, who died after a plane crash off Molokai in December.
Rosen, a pediatrician, has worked at the department since 2000 and served most recently as the chief of the emergency medical services and injury prevention system branch.
Senators noted that Rosen received overwhelming support from her colleagues at the department.
Gov. Neil Abercrombie, who appointed Rosen, was in the Senate gallery with Rosen for the confirmation vote.