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Means’ surgeon general nomination is stalled as senators question her experience and vaccine stance

Wellness influencer Dr. Casey Means’ nomination to be U.S. surgeon general is stalled a month after senators of both major political parties grilled her on vaccines and other health topics during a tense confirmation hearing, deepening doubts about her ability to secure the votes she needs for the role.

The nomination has languished despite ongoing efforts from the White House and Make America Healthy Again activists, revealing how intractable rifts over health policy can be even when Congress has shown deference to President Trump. It’s become the latest snag in Health Secretary Robert F. Kennedy Jr.’s agenda after two legal setbacks last week.

Means, a 38-year-old Stanford-educated physician who became disillusioned with traditional medicine and did not finish her surgical residency program, has faced scrutiny for her lack of experience and potential conflicts. Another sticking point has been her close alignment with Kennedy, whose efforts to dramatically pull back vaccine recommendations have been slammed by lawmakers and medical groups.

To advance to a full Senate vote, Means likely needs every Republican on the Senate Health, Education, Labor and Pensions Committee to support her nomination. But after last month’s hearing, two of them — Sens. Lisa Murkowski of Alaska and Susan Collins of Maine — told reporters they still had questions for her.

Murkowski told reporters Tuesday that “I’m just in the same spot” when it comes to those hesitations. Collins and Republican committee chairman Sen. Bill Cassidy, a physician from Louisiana who interrogated Means about vaccines during the hearing, didn’t respond to multiple inquiries about the delay.

White House spokesman Kush Desai said in a statement that the Trump administration has been having “productive conversations with the Senate” to advance Means. He added that her “elite academic credentials, research background and advocacy on America’s chronic disease epidemic will make her a critical asset for President Trump’s push to Make America Healthy Again.”

Kennedy spokesman Andrew Nixon reinforced the Republican administration’s support for Means and praised her message calling for healthier lifestyle choices rather than “sick care.”

Contentious hearing set the stage for a tough path to confirmation

Means promotes ideas popular with the MAHA movement, including that Americans are overmedicalized and that diet and lifestyle changes should be at the center of efforts to end widespread chronic disease.

But she’s been criticized for having an inactive medical license, for sometimes failing to disclose financial relationships with brands she promotes and for some of her past health-related comments.

Senators asked her during her hearing about how she would speak to the public about vaccines.

Murkowski and Cassidy pressed Means about her past doubts about the birth dose of the hepatitis B vaccine, which the U.S. Centers for Disease Control and Prevention stopped recommending for all children late last year in a move later temporarily blocked by a federal judge. Means called the hepatitis B vaccine important and lifesaving but said parents should make their own decisions with their doctors.

Cassidy also asked Means whether she would advise Americans to vaccinate against the flu and measles amid outbreaks across the country. She didn’t make that commitment, instead emphasizing the importance of informed consent.

Collins asked Means about her past advocacy for the therapeutic use of psychedelic mushrooms. Means, who has spoken positively of her own experience with the drugs, said she wouldn’t recommend psychedelics for the American public.

Kennedy’s supporters put pressure on hesitant senators

Once it appeared Murkowski and Collins were undecided, MAHA activists orchestrated a push to support Means’ bid by surging phone calls to the two senators.

“Please call both of them. Call them time after time. Get your friends to call them,” Tony Lyons, head of the Kennedy-aligned group MAHA Action, told supporters earlier this month.

Others have loudly opposed Means’ nomination. Dr. Jerome Adams, Trump’s first-term surgeon general, has repeatedly called her unqualified for her lack of an active medical license. He said in an interview that Republicans in Congress and in the Trump administration have told him they disapprove of the pick but see it as Kennedy’s choice.

“What I keep hearing from folks is, ‘This is what Bobby wants,’” he said.

While surgeons general aren’t mandated by law to have an active medical license, they are required to be part of the U.S. Public Health Service Commissioned Corps, a group of health professionals that says members should have up-to-date licenses.

Means said during her confirmation hearing that she had voluntarily made her Oregon medical license inactive, and that Adm. Brian Christine, who runs the Commissioned Corps, had testified that she was eligible to serve.

Even if Means advances out of committee, she might have difficulty securing confirmation by the full 100-member Senate. Republican Sen. Thom Tillis of North Carolina, who isn’t seeking another term, told the Associated Press that he’s leaning against voting for Means.

“Her resume already puts me on alert — and then I don’t think she did herself any favors in the hearing,” Tillis said.

Means’ confirmation delay is unusually long

At nearly 300 days since her nomination in May, Means’ confirmation process has taken almost twice as long as the average presidential pick in Trump’s second term, according to data from the nonprofit Partnership for Public Service. The group found that in the first 400 days, the average time between nomination and confirmation for Trump’s nominees was 157 days.

Sometimes the process has gone far more quickly. Markwayne Mullin, the new Department of Homeland Security secretary sworn in Tuesday, had his confirmation hearing, floor vote and swearing-in all within a weeklong period.

One reason for Means’ drawn-out nomination is the birth of her son, which happened last October on the day of her initially scheduled confirmation hearing.

But Chris Piper, manager of public policy and stakeholder engagement at the Partnership for Public Service, said the length of time that has passed since Means’ rescheduled confirmation hearing also is unusual. He said candidates are often voted out of committee within a week of their hearing.

“A monthlong delay following a hearing is atypical for most nominations, particularly at this level of position,” he said.

Swenson writes for the Associated Press. AP writers Joey Cappelletti and Stephen Groves in Washington contributed to this report.

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Senators consider deal to fund Homeland Security but not ICE enforcement

Senators raced Tuesday to clinch an emerging proposal to end the Homeland Security shutdown by funding much of the department, including the Transportation Security Administration airport workers going without pay, but excluding ICE enforcement operations that have been core to the dispute.

The sudden sense of urgency comes as U.S. airports are snarled by long security lines, with travelers being told to arrive hours before their flights in Houston, Atlanta and Baltimore Washington International. Routine Homeland Security funding was halted in mid-February ahead of the busy spring travel season. Nearly 11% of TSA workers — more than 3,200 — missed work Monday, and at least 458 have have quit altogether since the shutdown began, according to Homeland Security.

Democrats are refusing to fund the department without restraints on Trump’s immigration and deportation agenda after agents killed two citizens in Minneapolis.

A potential breakthrough came late Monday, after a group of Republican senators met at the White House with President Trump after his decision to deploy federal immigration officers at some airport security checkpoints — a move some lawmakers warned could lead to heightened tensions.

“All I can say is that the discussions have been very positive and productive, and hopefully headed in the right direction,” said Senate Majority Leader John Thune (R-S.D.) late Monday evening.

Senate Democratic Leader Chuck Schumer sounded a similarly hopeful tone: “Both sides are working in a serious way.”

Hopes high for a quick deal

Next steps in Congress could move quickly, if lawmakers can reach a deal, or sputter out just as fast.

The contours of the deal under consideration would fund most of Homeland Security, but not one main part of ICE — the enforcement and removal operations that are core to Trump’s deportation agenda.

Under the proposal being floated, ICE’s Homeland Security Investigations would be funded as well as Customs and Border Protection. But that would come with guardrails — keeping officers from those divisions in their traditional roles, rather than deploying them in urban immigration roundups.

The plan would also include a number of changes in immigration operations that Democrats have demanded, including mandating that officers wear body cameras and identification. The ICE officers manning airports are already going without face-covering masks, another key demand Democrats want as part of any deal.

Since so much of ICE is already funded through Trump’s big tax breaks bill, and immigration officers are still receiving paychecks despite the shutdown, senators said the new restraints would also be imposed on operations that rely on that funding source, as well.

Republican Sen. Katie Britt of Alabama, a chief negotiator, returned from the White House meeting hopeful they had a solution to “land this plane.”

Both chambers of Congress are controlled by the Republican president’s party, and any deal reached in the Senate would also have to be approved by the House.

Political standoff, long airport lines

Key to the standoff appears to have been the senators’ ability to shift the president’s attention off his plan to link any department funding to his push to pass the so-called SAVE America Act, a strict proof-of-citizenship and voter ID bill that has stalled in the Senate ahead of the midterm elections.

Over the weekend Trump injected his demand for the voting bill as a condition for ending the funding standoff. Some GOP senators have pitched the idea of tackling it in the months ahead as part of a broader legislative package the party could pass on its own, similar to last year’s big tax cuts bill.

Sen. Chris Coons (D-Del.) who was not part of the group at the White House, said his understanding was that there was a “sense of urgency” coming from the talks as the airport disruptions worsen.

Senators are expected to discuss the proposals during their private caucus lunches Tuesday afternoon. “First step is to get the proposal in writing,” said Sen. Angus King, an Independent from Maine. “I want to see exactly what that means.”

Changes at Homeland Security

The deal could provide a political exit from the standoff over the embattled Homeland Security department, which was stood up in the aftermath of the Sept. 11, 2001, attacks but has come to symbolize Trump’s aggressive mass deportation agenda, with its goal of removing 1 million immigrants this year.

Under mounting political pressure, Trump ousted Homeland Security Secretary Kristi Noem amid the public outcry over the immigration operations, and senators late Monday confirmed one of their own, Markwayne Mullin, as the president’s handpicked replacement.

Mullin, an Oklahoma senator who aligns with Trump’s agenda, provides a potentially new face for the department. During his confirmation hearing, Mullin touched on another key demand of Democrats — ensuring a judge has signed off on warrants that immigration officers use to search people’s homes, rather than simply relying on administrative warrants issued by the department.

“This is significant,” Sen. Peter Welch (D-Vt.) said about the progress toward changes. “Noem is gone. That’s a big deal.”

ICE’s budget nearly tripled under last year’s bill, to $75 billion, which has been untouched by the shutdown. Rather its routine annual funding, some $10 billion, would be cut almost in half under the proposal.

After weeks of missed paychecks, many TSA agents have called in sick or even quit their jobs as financial strains pile up. Union leaders representing the workers have pushed Congress to reach a deal.

Mascaro and Cappelletti write for the Associated Press. AP writers Rio Yamat, Wyatte Grantham-Philips, Kevin Freking and Seung Min Kim contributed to this report.

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‘Temperament matters’: Senators question Homeland Security nominee at confirmation hearing

At a Senate hearing Wednesday to consider the confirmation of Sen. Markwayne Mullin (R-Okla.) as Homeland Security secretary, Sen. Rand Paul (R-Ky.) opened by asking whether “a man with anger issues” can set the right example for federal immigration agents.

Mullin, President Trump’s pick to replace Secretary Kristi Noem, faced tough questions before the Senate Homeland Security Committee about how he would carry out the administration’s mass deportation effort and how he would steer the agency in the wake of controversies that led to Noem’s firing earlier this month.

For his part, Mullin said he will work to ensure a secure homeland as well as to “bring peace of mind and confidence to the agency.”

“My goal in six months is that we’re not in the lead story every single day,” he said.

Throughout the hearing, Democrats made digs at Noem while examining Mullin’s character and ability to lead the nation’s largest law enforcement agency. Most Republicans painted Mullin as a good man and a hard worker while chastising Democrats for punishing federal workers with the continued Homeland Security funding shutdown.

The leadership shake-up comes amid intense scrutiny over increasingly violent immigration enforcement tactics since last year that intensified after the shooting deaths of two protesters in Minneapolis by immigration agents, which Noem — without evidence — called domestic terrorism.

She was fired days after testifying before congressional oversight committees, during which she faced criticism from Republicans and Democrats alike.

“It’s not the role of the secretary to be a cable news commentator in the wake of a crisis” said Sen. Gary Peters (D-Mich.). “This is a role where temperament matters, where judgment matters and where experience matters.

“We have seen under Secretary Noem’s leadership how shortcomings in these traits can compound the challenges that already come with leading a large and complex department, and now more than ever, we need a DHS secretary who is a steady hand, who will provide thoughtful leadership, follow the facts, tell the truth, and hold agency officials accountable when they need to be.”

Paul brought up incidents to illustrate why Mullin is not fit for the job, including a time in 2023 when he nearly got into a fight in a Senate hearing room and more recently when Mullin called Paul “a freaking snake.”

Paul also confronted Mullin for saying he “completely understood” why Paul was assaulted by a neighbor in 2017, which left him with six broken ribs and a damaged lung.

Mullin did not apologize for his remarks and instead accused Paul of smearing his character.

“I’ve worked with many people in this room,” Mullin told Paul. “It seems like you fight Republicans more than you work with us.”

But Mullin added that their personal differences wouldn’t keep him from doing his job — “it’s bigger than partisan bickering” — and asked Paul to let him earn his respect.

Paul appeared unmoved. Referencing the 2023 near fight with Sean O’Brien, the head of the International Brotherhood of Teamsters, Paul asked Mullin to “explain to the American public how a man who has no regrets about brawling in a Senate committee can set a proper example.”

Mullin was prepared for the moment: O’Brien was sitting behind him. The union president, he said, has become a close friend.

“Both of us agreed we could have done things different,” Mullin said.

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Ducks fail to score in loss to the Sentators

Linus Ullmark made 23 saves for his second shutout of the season and the Ottawa Senators blanked the Ducks 2-0 on Saturday.

Michael Amadio and Thomas Chabot scored for Ottawa. Shane Pinto had two assists. It was the 14th shutout of Ullmark’s career. The Senators have won four of five.

Ville Husso stopped 27 shots for the Ducks.

Nick Cousins won a battle along the boards, which sprung Pinto down the ice. Pinto fed Amadio on a 2-on-1 and he made no mistake, beating Husso short-side 3:54 into the second period.

At the 9:21 mark of the second period, the Senators capitalized on a turnover. Pinto intercepted a pass and found Chabot in the high slot for his seventh goal of the season and second career short-handed score.

Anaheim challenged for goaltender interference but was unsuccessful.

Warren Foegele had a couple of chances from close range in the opening period, but just couldn’t settle a bouncing puck.

Husso then stopped Amadio on a short-handed 2-on-1 breakaway.

Amadio later drew a penalty, but Husso made a big glove save on Tim Stutzle on the Senators’ power play.

Up next: Ducks: at Montreal on Sunday; Senators: host San Jose Sharks on Sunday.

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Senators seek review of Trump administration handling of Epstein files

March 11 (UPI) — A bipartisan group of senators penned a letter to the Government Accountability Office on Wednesday calling for an investigation into the Justice Department over its handling of the Jeffrey Epstein files release.

The letter accuses the Justice Department of noncompliance with the Epstein Files Transparency Act, the bipartisan law overwhelmingly passed by both chambers of Congress last year. The lawmakers shared concern that the department has still not released all of the files it is required to by the law, despite a December deadline.

Sens. Dick Durbin, D-Ill., Ben Ray Lujan, D-N.M., Jeff Merkley, D-Ore., and Lisa Murkowski, R-Alaska, signed the letter. They also shared concerns about the files that have been released, including victims’ names not being redacted and alleged coconspirators’ names being redacted.

The Government Accountability Office is an independent and nonpartisan agency in the legislative branch. Its purpose is to operate as a watchdog over the federal government, with the authority to investigate and perform audits.

“Contrary to Congress’s explicit directive to protect victims, these records included email addresses and nude photos in which the names and faces of publicly-identified and non-public victims could be identified,” the letter said. “But when it came to information identifying powerful business and political figures who are alleged coconspirators or material witnesses, DOJ appears to have heavily redacted those.”

The senators are requesting that Comptroller General Orice Williams Brown reviews the department’s process it used to review, redact and release the files. They specify that they want the Government Accountability Office to investigate whether the release of the files “has serve to cover up child sexual abuse.”

The Epstein files have continued to be a source of contention between lawmakers and the Trump administration more than two months after the Justice Department was required by law to release the files.

Lawmakers have pushed for answers about the delayed and mistake-filled release from Attorney General Pam Bondi, leading to fiery exchanges in a House Judiciary Committee hearing last month.

The House Oversight Committee issued a subpoena for Bondi’s testimony last week. Five Republicans joined all of the Democrats in the committee in voting for the subpoena.

“This horrific scandal is one where powerful, wealthy men groomed, abused, and raped young women, men, and children,” the letter from the senators reads. “It is critical to understand what led to DOJ’s failure to redact the victims; information and re-victimize those individuals while violating the Epstein Files Transparency Act in its redactions of information related to their alleged abusers.”

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Senators demand return of deported California DACA recipient

Sens. Alex Padilla (D-Calif.) and Dick Durbin (D-Ill.) called for the Department of Homeland Security to return a California woman with DACA who was recently deported a day after her green card interview.

DACA, or Deferred Action for Childhood Arrivals, is the Obama-era program that since 2012 has shielded certain immigrants brought to the U.S. as children from deportation and allowed them to work legally.

Maria de Jesus Estrada Juarez lived in California for 27 years before being detained at her green card interview last month and deported within 24 hours, despite having active DACA protection and no criminal history. Her story was first reported by the Sacramento Bee.

On a call from Mexico on Thursday with reporters, Estrada Juarez, 42, said DACA was supposed to protect people like her who work hard and follow the rules.

“I did everything I could to build a stable life and give my daughter the opportunities that I never had,” she said. “But about two weeks ago, everything changed. I was wrongfully deported. In a single moment, nearly 30 years of my life were taken away from me — my home, my work, my community.”

Homeland Security did not respond to a request for comment about Estrada’s case.

The detention and deportation of DACA recipients is in stark contrast to previous administrations, including the first Trump administration, and years of bipartisan support for immigrants brought to the U.S. as children. For admission into the program, they must pass background checks and meet certain educational or work requirements.

Trump has given mixed signals on DACA recipients, known as “Dreamers.” In his first term, he tried unsuccessfully to shut down the program. In December 2024 on “Meet the Press” he said that “I want to be able to work something out” on their behalf, but offered no specifics and the administration has done nothing to offer them extra protection.

The program’s fate has since remained embroiled in litigation.

Rep. Sylvia Garcia (D-Texas) said Homeland Security provided conflicting data to members of Congress about how many DACA recipients have been detained and deported since Trump returned to the White House.

In a Jan. 12 letter to Garcia, then-Homeland Security Secretary Kristi Noem said that between Jan. 1 and Sept. 28 of 2025, Immigration and Customs Enforcement had arrested 270 DACA recipients. The letter did not say how many of those 270 were deported.

Of those, 130 had criminal convictions, 120 had pending criminal charges and 14 were in violation of immigration law, she wrote. That adds up to 264, not 270.

“Please note DACA is a form of prosecutorial discretion that does not confer lawful status,” wrote Noem, who was fired Thursday.

But in a letter to Durbin and other senators last month, Noem provided smaller numbers, though she addressed a longer time period, Jan. 1 to Nov. 19, 2025. She said the agency had arrested 261 DACA recipients and deported 86.

She said that of those arrested, 241 had criminal histories, though she did not specify if that meant convictions or pending charges.

On Wednesday, Garcia wrote back to Noem, saying, “The discrepancies between your two responses demonstrate gross incompetency or intentional misdirection.”

The conflicting data from Noem came after 95 members of Congress in September demanded answers about the targeting of DACA recipients. They wrote that letter after Tricia McLaughlin, the former Homeland Security public affairs secretary, said DACA recipients “are not automatically protected from deportation.”

The lawmakers cited the case of a deaf and non-verbal DACA recipient with no criminal history who was detained last year amid the immigration raids in Los Angeles. He was later released.

As of June 2025, there were more than 515,000 DACA recipients in the U.S., a decrease since the program’s peak of nearly 800,000. With 144,000, California has the most of any state, according to federal data.

Estrada Juarez did not take questions during the call Thurday with reporters, but Ivonne Rodriguez, press director for immigration reform at the advocacy group FWD.us, explained to The Times what happened.

Around 11 a.m. on Feb. 18, Estrada Juarez arrived with her daughter Damaris Bello, a 22-year-old U.S. citizen, at the John E. Moss Federal Building in Sacramento for an interview as part of the process to obtain legal permanent residency, or a green card.

At the courthouse, immigration agents took Estrada Juarez’s fingerprints and asked her to apply a fingerprint to a form saying she had agreed to be deported, Rodriguez said. She refused.

An officer told Estrada Juarez “If you don’t sign, I will make you sign.” The officer grabbed her hand and forced her to sign using her fingerprint, Rodriguez said.

Rodriguez said federal agents cited a deportation order from 1998 during Estrada Juarez’s detention last month at the courthouse. But being a DACA recipient should mean that such orders are not acted upon while the protected status is active, so long as the person stays out of criminal trouble.

“She kept stating she had active DACA throughout the entire time and they did not care,” Rodriguez said.

By 8 a.m. the next morning, Estrada Juarez had been dropped off by bus in Tijuana, Rodriguez said.

Estrada Juarez is among many immigrants arrested for deportation at courthouses since last year, a practice that breaks from longstanding former procedure.

During a Senate Judiciary Committee hearing Tuesday on oversight of Homeland Security, Durbin asked Noem about Estrada Juarez and the other deported DACA recipients.

“Madam secretary, why have you deported dozens of DACA holders who had to comply with a criminal background check to be eligible for DACA?” Durbin asked.

“Sir, we follow all laws as applicable to the Department of Homeland Security,” Noem replied before Durbin cut her off.

“Why did you deport them?” he repeated.

Noem said she wasn’t familiar with the details of Estrada Juarez’s case but would look into it.

On the call Thursday with Estrada Juarez, Sen. Padilla (D-Calif.) said he met her daughter this week. He and other Democrats called for Congress to pass legislation that would permanently protect DACA recipients from deportation.

“DACA recipients did everything right and followed all the instructions laid out in the program,” he said. “They took the United States government at its word, and they’ve kept their end of the deal. But now we know that Donald Trump and Kristi Noem are breaking the government’s promise.”

Estrada Juarez said justice in her case would mean being allowed to return to the U.S.

“I’m not asking for a special treatment,” she said. “I’m asking for what is right. My deportation was wrong, and my family should not have to be torn apart. I just want to change to go home and hold my daughter again.”

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