State health director Donald Kauerauf adamantly spoke against mandating face masks and COVID-19 vaccines during a hearing Monday, as anti-vaccination demonstrators protested his confirmation in the halls outside.
While protesters chanted outside the Capitol hearing room, senators inside grilled Kauerauf for nearly two hours on his views on how best to mitigate the spread of COVID-19, his past comments about the vaccination and his position on abortion.
鈥淭here are people that disagree with vaccinations. I respect that. That is their choice to make that. And I don鈥檛 have any problems with that whatsoever,鈥� Kauerauf said. 鈥溾� just have to go to bed knowing that we did every attempt we could to provide them with factual information.鈥�
Kauerauf鈥檚 hearing was expected to be contentious, and over a 100 protesters gathered at the Capitol in opposition to his appointment 鈥淕od-given natural immunity鈥� and 鈥淲e鈥檙e not guinea pigs.鈥�
Meanwhile, Gov. Mike Parson came out in support of Kauerauf, issuing a statement staunchly defending his choice for state health director as someone who 鈥渉as respected Missourians鈥� constitutional rights every step of the way.鈥�
鈥淭o set the record straight, Don is strongly pro-life and anti-abortion and against government mandating mask wearing and COVID-19 vaccinations,鈥� Parson said in a statement. 鈥淭hose were his views and beliefs when I appointed him, and they remain today.鈥�
At the start of the hearing, Senate President Pro Tem Dave Schatz, R-Sullivan and chair of the Senate Gubernatorial Appointments Committee, said there would be no vote taken on appointees following Monday鈥檚 hearing.
The committee has a meeting in which it could vote on appointees scheduled for 1 p.m. Tuesday and a hearing on additional appointees scheduled Wednesday. Schatz said the committee schedule may depend on the snowstorm expected later this week.
Under , department directors that are appointed when the legislature isn鈥檛 in session must be confirmed within 30 days of the Senate convening. That sets a deadline for Kauerauf to be confirmed by the end of the week.
If he wins committee approval, Kauerauf would still face a vote before the full Senate in order to be confirmed.
If he fails to secure Senate confirmation, then the Constitution bars Kauerauf from being appointed to the DHSS director position again.
Kauerauf鈥檚 hearing has already faced delays. A hearing last week where Kauerauf was originally scheduled to be heard was canceled nearly four afters after it was scheduled to begin due to conservative senators holding the Senate floor to air their grievances .
鈥榃e鈥檙e against mandates鈥�
Kauerauf assumed office in September of last year, to replace former DHSS Director Randall Williams, .
Kauerauf, who came to Missouri following a career in emergency management and public health in Illinois, .鈥� In early November, his department, at the request of Parson鈥檚 office, in reducing case rates and COVID deaths.
The findings weren鈥檛 made public until an open records request by The Independent and the . Parson has never implemented a statewide mask mandate during the pandemic.
Kauerauf鈥檚 views on mandates were the first questions he fielded Monday from Sen. Tony Luetkemeyer, R-Parkville.
鈥淢y position鈥檚 clear,鈥� Kauerauf said, 鈥渋s that we鈥檙e against mandates.鈥�
Throughout the hearing, Kauerauf stressed a mantra of personal choice, whether it was on masks, vaccines or the use of the drug ivermectin to treat COVID.
鈥淚f that is something someone believes is needed for them, that鈥檚 a discussion they should have with their doctor to go through it,鈥� Kauerauf said of the use of ivermectin to treat COVID-19.
The U.S. Food and Drug Administration has not approved ivermectin to treat COVID-19, and it鈥檚 typically used to treat parasitic worms in animals. Before Kauerauf assumed his role, DHSS .
Sen. Mike Moon, R-Ash Grove, peppered Kauerauf with a majority of the questions Monday, even delving into Kauerauf鈥檚 wife鈥檚 work at the Illinois state health department and whether Kauerauf 鈥� topics that became testy at times, as Kauerauf reminded Moon is wife was not there at the hearing.
Senators also delved into Kauerauf鈥檚 views on abortion. The state health department oversees licensing and inspections of abortion providers.
When asked, Kauerauf said life begins at conception, but declined to answer what role the state should play in regulating abortion.
鈥淚鈥檓 pro-life,鈥� Kauerauf said, 鈥渂ut I鈥檓 also pro-public health in making sure that those kids when they grow up, they have the greatest chance of success and live the longest, most healthiest lives possible.鈥�
Kauerauf has also faced criticism from conservative state senators over his comments on a law passed last year that limited the authority of public health officials to issue mitigation orders. Asked , Kauerauf previously said 鈥渢his is one that haunts me.
Sen. Bob Onder, R-Lake St. Louis, raised that statement Monday, that, 鈥渨hen an appointee to an important department says that an important legislative achievement of the last session 鈥榟aunts him,鈥� I think he needs to answer what he means by that.鈥�
Kauerauf鈥檚 actions have also at times led to clashes with other state officials.
Last year, Kauerauf requested Schmitt appeal a consequential ruling issued by a Cole County judge that invalidated certain state rules that allowed for health officials to issue orders to mitigate the spread of COVID-19 and other infectious diseases.
Schmitt, who was representing DHSS in the lawsuit, and has waged a crusade to ensure its enforcement.
The ruling has led to widespread confusion for public health departments who said they鈥檙e received little guidance from the state, and has other than COVID-19.
Kauerauf said the initial request to appeal stemmed from the ambiguity of the ruling, and that after meeting with the attorney general鈥檚 office, 鈥渨e understand the extent of the ruling now much better than we did.鈥�
Based on the court鈥檚 ruling, Kauerauf said, 鈥渢he ability for local public health agencies to issue discretionary orders is no longer part of their ability.鈥� He added it would have to be a specific order that receives approval of the department鈥檚 governing body.
鈥淚t鈥檚 pretty clear now,鈥� he said.
Opposition to appointment
Kauerauf has faced opposition from GOP and anti-vaccine mandate corners of the state.
Jennifer Barker, with the advocacy group Informed Health Choice of Missouri, raised issues during a rally Monday with Kauerauf鈥檚 the Cole County ruling. Informed Health Choice Missouri has decried what it views as a 鈥渇orced vaccination policy鈥� that would be necessary to achieve a higher COVID vaccination rate.
Kauerauf acknowledged Monday that reaching a 100% vaccination rate of those who are eligible would be reaching 鈥渢he end zone,鈥� but that ultimately he hopes to see Missouri reach a COVID vaccination rate of 75%.
As of Monday, 57.8% of Missourians five years and older have been fully vaccinated, .
Members of the Conservative Caucus, like Republican Sens. Denny Hoskins of Warrensburg, Rick Brattin of Harrisonville and Moon Monday.
Moon, who is running for U.S. Congress, said a department director 鈥渟hould not have tyrannical powers,鈥� and Hoskins said amid the pandemic, some local health departments have acted like 鈥渁 dictatorship鈥� and don鈥檛 listen to residents鈥� voices.
In his statement, Parson directed any concerns to his office.
鈥淚t鈥檚 concerning to see certain Missouri officials grandstanding for purely political reasons and fueling fears without any regard for the truth,鈥� Parson said. 鈥淚 implore Missouri Senators to assess the qualities of the person, not let themselves fall victim to misinformation repeated on social media.鈥�
Senators on the committee said their emails and phones have 鈥渂lown up鈥� with calls and emails regarding Kauerauf. The Jackson County Republican Committee also opposes Kauerauf鈥檚 appointment, .
Senate Majority Leader Caleb Rowden, R-Columbia, told reporters last week that concerns he鈥檚 heard were less about the state having a higher COVID vaccination rate, and more about the means to achieve that.
鈥淚 would assume a desire for a health guy to get more folks vaccinated is probably not the most offensive part of what some folks have an issue with,鈥� Rowden said.
Senate Minority Leader John Rizzo, D-Independence, said he thinks Kauerauf has become a symbol for things he believes the Republican Party recoils from, like masks and vaccines.
鈥淚n my opinion, he believes in science,鈥� Rizzo said. 鈥淎nd I think he鈥檚 done a decent job so far. Quite honestly, it鈥檚 surprising that he鈥檚 there, but I鈥檓 glad he is. And I hope he sticks around.鈥�
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