Trump Withdraws Casey Means as Surgeon General Nominee, Makes New Selection

The president blamed Sen. Bill Cassidy for the change.

President Donald Trump walks to Air Force One at Joint Base Andrews, Md., on April 11, 2026. Tasos Katopodis/Getty Images

President Donald Trump on April 30 withdrew the nomination of Dr. Casey Means to be surgeon general, after the panel overseeing health agencies declined to vote on the nominee.

Trump also announced that he is selecting Dr. Nicole Saphier to be surgeon general.