JEFFERSON CITY, Mo. — Missouri Governor Mike Parson has appointed a new State Health Director: Paula Nickelson. Nickelson will be the Acting Director of the Missouri Department of Health and Senior Services (DHSS) and her appointment will have to be confirmed — or rejected — by the Missouri Senate. The Senate recently ousted Parson's previous pick, Don Kauerauf, who was appointed to the position by Governor Mike Parson in July of 2021. He had served since then, but was subject to confirmation—or not—by Missouri’s legislature in the 2022 legislative session, since the appointment was made after the end of the 2021 session. The Missouri Constitution requires such appointments to be confirmed by the Senate within 30 days of the Senate convening for its next legislative session.