"This is one of the most outstanding ceremonies in honoring people whose work, determination and courage do leave a trace," Grybauskaitė said during the awards ceremony at the Presidential Palace.
"Thanks to you, Lithuania has travelled such a road of statehood. These achievements are the best expression of respect for everyone," she said.
The Grand Crosses of the Order for Merits to Lithuania were awarded to former US Vice-President Joe Biden, an active advocate of Lithuania's security, and US Senator John McCain, an active supporter of democracy and security in the Baltic states.
Those awarded on Friday also include pianist Muza Rubackytė-Golay and theater critic Irena Veisaitė, as well as number of medical doctors, psychologists, artists, historians, anti-Soviet resistance activists and soldiers.