On July 6, 1945, President Harry Truman signed an executive order establishing the Medal of Freedom. From the article:
"Medal of Freedom - National Foundation of Patriotism
The Presidential Medal of Freedom
The Presidential Medal of Freedom, the foremost U.S. civilian decoration, awarded to individuals who have made “an especially meritorious contribution to the security or national interests of the United States, world peace, cultural or other significant public or private endeavors.” On July 6, 1945, Pres. Harry S. Truman signed Executive Order 9586, establishing the Medal of Freedom to recognize notable service by civilians during World War II.
Pres. John F. Kennedy re-established the award as the Presidential Medal of Freedom in 1963 and expanded its scope to include cultural achievements. The first recipients, selected by Kennedy, received their medals from his successor, Lyndon B. Johnson, on Dec. 6, 1963, at the White House. Kennedy, who had been assassinated the previous month, was added to the list and granted the Presidential Medal of Freedom posthumously.
The medal is suspended on a blue ribbon, and it incorporates the color scheme found on the presidential seal. Its most visible design element is a white star, upon which is centered a collection of 13 smaller gold stars arranged on a field of blue. A red pentagon is set behind the white star, and gold eagles bridge the distance between the points of the star. The recipient’s name is engraved on the reverse side of the medal."