Democratic Kentucky Governor Andy Beshear sent a public letter to Republican Senator Mitch McConnell demanding direct communication with constituents and proof of capacity to serve or resignation after McConnell's hospitalization. The letter cited 43 days since the incident, zero Senate votes cast, and no official activities beyond two photographs and statements released by McConnell's office. McConnell, who suffered a fall leading to hospitalization, has not cast votes during this period according to the letter.