The confirmation of former University Hospital CEO Shereef Elnahal as under secretary for health at the U.S. Veterans Affairs Department hit a snag after a Republican senator blocked an effort to fast-track the vote. Elhanal, who was nominated by President Joe Biden in March, was unanimously approved by the Senate Veterans’ Affairs Committee in early May after a hearing. The position of under secretary for health has been vacant for five years, since the promotion of Dr. David Shulkin to VA secretary in 2017. In late May, Sen. Jon Tester, a Montana Democrat who chairs the Veterans’ Affairs Com…