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The Senate voted 52-48 Monday to confirm Amy Coney Barrett to the U.S. Supreme Court, giving the court a 6-3 conservative majority that could determine the future of the Affordable Care Act and abortion rights.

All Democrats in the chamber voted against Barrett’s confirmation, as did Republican Susan Collins of Maine, who agreed with Democratic objections to confirming a justice so close to the Nov. 3 election.

President Donald Trump and his GOP allies in the Senate pushed for a quick confirmation of Barrett, and it came just 38 days after the death of Justice Ruth Bader Ginsburg, who for 27 years anchored the court’s liberal wing. Trump had said he wanted his replacement for Ginsburg in place to avoid a deadlocked court should the outcome of the presidential election depend on a ruling, as was the case in 2000.

A White House swearing-in ceremony for Barrett is being planned for Monday evening with Justice Clarence Thomas set to administer the oath of office.

The highly partisan vote on the confirmation mirrors the divisions in the country leading up to the election and on some of the issues that will be before the high court in the near future. Those issues include the validity of the Affordable Care Act and the status of the 1973 Roe v. Wade ruling that legalized abortion rights nationwide, as well as voting and civil rights.

The court is scheduled to hear arguments on the ACA, the law known as Obamacare, a week after the election. The Trump administration is urging the court to declare the law invalid, including its protections for people with pre-existing conditions.

The Mississippi attorney general, meanwhile, has pitched the court to take up her state’s ban on abortions after 15 weeks in a case that could sharply limit Roe and for the first time let states outlaw the procedure before a fetus becomes viable.

Trump has said he wants the justices he’s selected for the court — there are now three of them — to invalidate Obamacare and overturn Roe v. Wade.

The court is already addressing pre-election skirmishes over the rules for casting and counting ballots in the contest between Trump and Democrat Joe Biden.

Just last week, the court deadlocked 4-4 on how many days Pennsylvania could wait after Election Day for mail-in votes to arrive, leaving in force a three-day extension for the receipt of absentee ballots in the pivotal state. Barrett could provide the fifth vote to overturn any state court ruling that expands voting, or otherwise favors Democrats.