The Congressional Gold Medal is the US Congress’ highest civilian commendation. From left to right, Rep. Ileana Ros-Lehtinen (seen partially), First Lady of the United States Laura Bush, the Dalai Lama, Speaker of the House Nancy Pelosi, Senate President pro tempore Robert Byrd, and US President George W. Bush. This was the first time a sitting US President appeared publically with the Dalai Lama. You can watch the full ceremony here and here.