Kentucky Gov. Andy Beshear escalated pressure on Sen. Mitch McConnell this week, demanding that the longtime Republican lawmaker publicly demonstrate that he remains capable of serving—or resign from office.

In a letter dated Monday and reported Tuesday, the Democratic governor called on McConnell to “directly and verbally address the people of Kentucky” and prove his capacity to continue representing the state.

Beshear’s ultimatum came one day after McConnell’s office released a new photograph of the 84-year-old senator alongside his wife, Elaine Chao, and confirmed that he remains in a rehabilitation facility more than six weeks after being hospitalized.

“It has now been 43 days since news of your hospitalization,” Beshear wrote, according to Mediaite.

McConnell has missed 38 consecutive Senate votes since his hospitalization, according to the Daily Caller News Foundation.

“As Governor of the state you serve, I am calling on you to directly and verbally address the people of Kentucky and provide proof of your capacity to serve, or resign,” Beshear wrote.

The governor also sent the letter to Senate Majority Leader John Thune (R-S.D.) and urged him to investigate McConnell’s ability to remain in office if the senator declines to speak publicly.

Beshear said he would press Thune to report his findings to the American people and begin the process of removing McConnell if an investigation determined that such action was warranted.

“All of this speculation and even this letter could have been avoided with a minimal amount of transparency,” the governor added.

Beshear acknowledged McConnell’s right to medical privacy but argued that elected officials surrender a degree of that privacy when they accept responsibility for representing the public.

The Senate can expel one of its members only with a two-thirds vote. Such action is exceedingly rare: Only 15 senators have been expelled since 1789, with 14 of those removals occurring during the Civil War, according to the Senate Historical Office.

Beshear’s letter represents his second formal request for more information about McConnell’s condition. On July 8, the governor asked the senator to provide Kentuckians with a full health update and clarify whether he remained capable of fulfilling his duties.

McConnell was hospitalized June 14 after suffering a fall at his Washington, D.C., residence that left him briefly unconscious. In a July 12 written statement, the senator said doctors had ruled out a heart attack, stroke, concussion, broken bones, tumors and hemorrhaging. He also disclosed that he had developed a mild case of pneumonia while receiving treatment.

McConnell was eventually transferred from the hospital to a rehabilitation facility, where he has been undergoing multiple physical-therapy sessions each day.

His office released its latest update Monday, accompanied by a photograph that it said was taken July 26 and showed McConnell sitting beside Chao.

The Office of the Attending Physician said McConnell has not been medically cleared to leave the facility and return to his Senate office. Doctors said the lingering effects of the senator’s childhood battle with polio remain a significant factor affecting his mobility.

McConnell said he was still “working hard” to resume his schedule but announced that he would miss Kentucky’s Fancy Farm picnic Saturday. The annual political gathering is a major tradition in the state and one McConnell first attended 42 years ago.

“As always, I appreciate all of your continued well wishes, and I’m looking forward to getting back to the Senate and to Kentucky soon,” McConnell said in the official update.

A spokesman previously said McConnell continued meeting with staff and discussing defense appropriations, foreign policy, the farm bill, constituent services and federal grant requests during his recovery. Republican leaders, including Thune and Senate Majority Whip John Barrasso of Wyoming, have also said they spoke with McConnell by telephone.

The senator has not, however, participated in a live video interview or addressed Kentuckians directly since his hospitalization, leaving Beshear and other critics dissatisfied with the written statements and photographs released by his office.

McConnell has experienced several highly publicized health scares in recent years, including falls, two on-camera freezing episodes in 2023 and an intensive-care hospitalization earlier this year for flu-like symptoms.

The seven-term senator has already announced that he will not seek reelection and plans to leave office when his current term expires in January 2027. If the seat becomes vacant before then, Kentucky law calls for a special election to fill the remainder of the term.