LOS ANGELES — U.S. Sen. Dianne Feinstein’s ongoing medical struggles have raised a sensitive political question with no easy answer: Who would California Gov. Gavin Newsom pick to replace her if the seat becomes vacant?
Despite calls from within her own party to resign, Feinstein, who turns 90 next month and is the oldest member of Congress, has given no indication that she is considering stepping down. Her frail appearance, confused interactions with reporters in Washington and the growing list of health challenges disclosed by her office continue to fan questions about her fitness for the job — now and into the future.
Sen. Dianne Feinstein, D-Calif., is assisted to a wheelchair by staff as she returns to the Senate on May 10 after a more than two-month absence.
Should a vacancy occur, a range of names, from obscure to famous — including Oprah Winfrey — have been floated in California circles as possible replacements. Newsom, who is mentioned as a possible future presidential contender, would also have to deal with political complexities, some of his own making: In 2021 he promised to appoint a Black woman should Feinstein's seat become open. Meanwhile, a 2024 Senate campaign is underway to fill the seat when the senator’s term ends in January 2025.
People are also reading…
The situation has created a sad, public coda for the groundbreaking career of a Democratic leader who shattered gender barriers in California and Washington.
Here’s a look at what could happen:
What is the status of Feinstein's health?
In short, much is unknown.
Feinstein returned to the Senate on May 10 — about 10 weeks after being diagnosed, then briefly hospitalized, with shingles in San Francisco. On her return to the Capitol, she was markedly thinner and one side of her face was drooping, apparently from Ramsay Hunt syndrome, which can occur when the shingles virus reaches a facial nerve near the ears. It also can cause hearing loss.
On the advice of doctors, Feinstein's staff say she is working a lighter schedule as she deals with side effects from the virus, including vision and balance problems. She has been using a wheelchair to get to her office and committee meetings.
Questions have been raised in recent years about Feinstein's memory and mental acuity, though she has defended her effectiveness. Since her return to Washington, she has at times appeared confused during brief discussions with reporters. Her office also disclosed she suffered a bout of encephalitis, or inflammation of the brain, which can also be caused by shingles.
Feinstein's biographer Jerry Roberts told the Los Angeles Times in an interview published Sunday that the senator has “a belief in herself to the point of stubbornness, where nobody is going to tell her what she can or cannot do. She has tremendous belief and confidence in her own strength and her own ability.”
Newsom's promise: Elevating a Black woman to Senate
When California Sen. Kamala Harris resigned to become vice president, Newsom faced pressure from both Black, Latino and other groups over a replacement pick. Some felt that he should replace Harris, the only Black woman in the U.S. Senate, with another Black woman. But others thought it was past time for California to have its first Latino senator, and Newsom chose then-Secretary of State Alex Padilla for the job.
But he later promised that if Feinstein's seat became vacant, he would choose a Black woman to replace her. Should Feinstein step aside, he'll be expected to make good on the promise.
From left, Kenneth C. Johnson of the National Cemetery Administration stands with San Francisco mayoral candidate and Board of Supervisors President London Breed, Sen. Dianne Feinstein, D-Calif., California Lt. Gov. Gavin Newsom and San Francisco Fire Chief Joanne Hayes-White at a Memorial Day Commemoration at San Francisco National Cemetery on May 28, 2018.
“He made the commitment and I do not believe there is any wiggle room for the governor not to honor his commitment,” said Kerman Maddox, a Los Angeles-based Democratic strategist and fundraiser who is Black.
“Newsom must honor his promise to appoint a Black woman" if Feinstein resigns, said Democratic Assemblymember Lori Wilson, who heads the Legislative Black Caucus in Sacramento. "I trust him at his word. We currently have zero Black women in the Senate, so if the opportunity becomes available the governor must act to help remedy this lack of representation.”
Which way to turn — caretaker or contender?
In filling a Senate vacancy, Newsom has the authority to name a successor. He could even pick himself, though that is unlikely. State rules dictate when an election would have to be held.
Newsom's choices all run risks.
He could get entangled in the ongoing Senate campaign and choose one of the declared candidates to fill a Feinstein vacancy.
Another option would be to select a caretaker, and then leave it to voters to decide in next year’s election — someone who would hold the seat but is not a Senate candidate.
If he picked one of the declared Senate candidates, Newsom would unsettle the growing field and elevate that person to frontrunner status. U.S. Rep. Barbara Lee, who is Black, is already running against fellow Democratic Reps. Katie Porter and Adam Schiff, who both are white.
Newsom said he was being swamped with recommendations for how to fill a possible Senate vacancy. He calls Feinstein a mentor and one of his closest friends, and said he was hoping he never had to make a decision to fill her seat.
“I get it. For those who say, ‘Enough of Newsom making these picks!’ I get it. I'm with you. I understand,” he said.
Photos: Sen. Dianne Feinstein through the years
Supervisor Dianne Feinstein holds a news conference at her San Francisco home, Sept. 17, 1971 to announce she is a candidate for mayor of San Francisco. Asked how she rated her chances against incumbent Joseph L. Alioto, she replied with one word: "Good." She told the news conference that leadership will be the campaign's key issue. (AP Photo/Richard Drew)
Dianne Feinstein, 38-year-old President of the City-County Board of Supervisors and candidate for mayor of San Francisco, prepares to cast her ballot in San Francisco on Nov. 2, 1971. The city’s registrar of voters has predicted a 75 percent turnout for the election in which Mayor Joseph L. Alioto seeks another term in office. (AP Photo/Sal Veder)
Acting Mayor Dianne Feinstein with Police Chief Charles Gain at left, addresses the more than 25,000 people jammed around San Francisco's City Hall, Nov. 28, 1978 as city residents staged a spontaneous memorial service for slain officials Mayor George Moscone and Supervisor Harvey Milk. Man at right is not identified. (AP Photo)
Dianne Feinstein elected to finish out the term of the late San Francisco Mayor George R. Moscone, addresses the Board of Supervisors following her election in San Francisco Monday, Dec. 5, 1978. (AP Photo/Sal Veder)
Mayor of San Francisco Dianne Feinstein is shown in her office, Dec. 11, 1978. (AP Photo)
Mayor of San Francisco Dianne Feinstein speaks in Washington, D.C., March 13, 1979. (AP Photo/John Duricka)
Rep. Abner J. Mikva (D-Ill.), and San Francisco Mayor Dianne Feinstein hold a Capitol Hill news conference in Washington, Jan. 25, 1979 to promote presidential and congressional action for strong handgun control. (AP Photo/John Duricka)
San Francisco Mayor Dianne Feinstein carries a candle as she lead an estimated 15,000 marchers also carrying candles during a march in memory of slain Mayor George Moscone and Supervisor Harvey Milk in San Francisco, Nov. 28, 1979. In the background is a sign that says "Gay Love is Gay Power." (AP Photo/Paul Sakuma)
Mayor Dianne Feinstein leaves the voting booth in San Francisco, Dec. 11, 1979, after casting her ballot in the run-off election for mayor. The mayor faces Supervisor Quentin Kopp in the runoff as she attempts to become the first woman elected to the city's highest office. (AP Photo/Jim Palmer)
Diane Feinstein with Pope John Paul II in Vatican City, Sept. 8, 1982. (AP Photo)
Chinese Premier Zhao Ziyang escorts San Francisco Mayor Dianne Feinstein in the Zeguangge, Pavilion of Purple Light, where they met in Peking, Saturday, Nov. 10, 1984. (AP Photo/Neal Ulevich)
San Francisco Mayor Dianne Feinstein, right, and Mayor Richard Berkley of Kansas City, Mo. appear before the Senate Judiciary Committee at Capitol Hill in Washington, Monday, August 16, 1982 which is holding hearings on antitrust problems which professional sports teams. (AP Photo/Scott Stewart)
Democratic Senate candidates Barbara Boxer, left, and Dianne Feinstein raise their arms in victory and wave to supporters at an election rally in San Francisco, Tuesday, Nov. 4, 1992. The two women claimed victory over their Republican male rivals, Bruce Herschensohn and Sen. John Seymour. (AP Photo/Alan Greth)
Former San Francisco Mayor Dianne Feinstein, left, and Rep. Barbara Boxer raise their hands in victory during an appearance at the airport in Burbank, California, Wednesday, June 3, 1992. The two women won the Democratic nominations for the two California U.S. Senate seats. (AP Photo/Paul Sakuma)
Walter Mondale gestures to supporters as he is greeted by San Francisco Mayor Dianne Feinstein outside her home as she arrived to attend a fund-raiser reception in San Francisco, Wednesday, Sept. 19, 1984. Mondale had been in San Francisco for an after noon rally where he picked up the endorsement of the Sierra Club. (AP Photo/Lana Harris)
Sen. Dianne Feinstein, D-Calif., reacts after the Defense Base Closure and Realignment Commission announced on Capitol Hill in Washington, Friday, June 25, 1993, that the shipyard in Long Beach in Calif., would remain open. Sen. Barbara Boxer, D-Calif., is at right. (AP Photo/Stephen R. Brown)
California Senator Dianne Feinstein and Roland J. Johnson, assistant director of the San Diego district for the Immigration and Naturalization Service, tour the San Ysidro Border Crossing in San Diego, Wednesday, July 7, 1993. Feinstein has proposed a $1.00 fee for crossing the border. (AP Photo/Lenny Ignelzi)
U.S. Senator Dianne Feinstein gestures to friends on Thursday, Oct. 27, 1994 at the San Francisco Fire Department’s fireboat berth during a demonstration of equipment used to supply emergency drinking water to Rwandan refugee camps. Feinstein was instrumental in getting the equipment, credited with saving nearly 150,000 lives in Rwanda, shipped to the war-torn African nation. (AP Photo/Dwayne Newton)
Sen. Dianne Feinstein, D-Calif., arrives at a Democratic election party in San Francisco, Tuesday, Nov. 7, 2006. (AP Photo/Paul Sakuma)
Senator Dianne Feinstein, D-Calif., left, discusses re-introduction of legislation to expand a nationwide Amber Alert communication system to help find abducted children. Left to right are Feinstein, Sen. Patrick Leahy, D-Vt., Sen. Orrin, R-Utah, and Sen. Debbie Stabenow, D-Mich. Sens. Kay Bailey Hutchison and Feinstein said Tuesday they would try again to create a nationwide Amber Alert network to help track down suspected child abductors.(AP Photo/Dennis Cook)
** FILE ** In this July 17, 2008, file photo, Sen. Dianne Feinstein, D-Calif., left, President Bush, center, and Gov. Arnold Schwarzenegger, R-Calif., speak about the California wildfires in Redding, Calif. Firefighting costs have soared since a firestorm in Southern California in 2003. Schwarzenegger cited the expense as a factor when he deferred wages for state workers and laid off others recently as he contends with an overall budget shortfall. (AP Photo/Evan Vucci)
Sen. Dianne Feinstein, D-Calif., center, flanked by Sen. Christopher Coons, D-Del., left, and Senate Judiciary Committee Chairman Sen. Patrick Leahy, D-VT., right, take part in news conference on Capitol Hill in Washington, Thursday, Nov. 10, 2011, to discuss Judiciary Committee action on legislation to repeal the Defense of Marriage Act. Feinstein is the lead sponsor of the Respect for Marriage Act. (AP Photo/Pablo Martinez Monsivais)
Senate Intelligence Committee Chair Sen. Dianne Feinstein, D-Calif. walks to a closed-door briefing with intelligence officials, Wednesday, June 4, 2014, on Capitol Hill in Washington. (AP Photo/J. Scott Applewhite)
Senate Intelligence Committee Chair Sen. Dianne Feinstein, D-Calif. is surrounded by reporters on Capitol Hill in Washington, Tuesday, Dec. 9, 2014, as she leaves the Senate chamber after releasing a report on the CIA's harsh interrogation techniques at secret overseas facilities. Feinstein branded the findings a "stain on the nation's history." (AP Photo/J. Scott Applewhite)
Sen. Dianne Feinstein, D-Calif., attends a signing ceremony for a federal grant for the "regional connector transit corridor" in Los Angeles Thursday, Feb. 20, 2014. The light rail public transit system in Los Angeles is getting $670 million to solve one of its most vexing design deficiencies: Train riders who want to travel from one side of downtown and out the other must transfer twice. The "regional connector," as the Los Angeles County Metropolitan Transportation Authority calls it, will tie together three existing light rail lines with a new tunnel and three new stations. Major construction should begin later this year, with an estimated cost of $1.4 billion. It will be opened in 2020. (AP Photo/Damian Dovarganes)
Sen. Dianne Feinstein, D-Calif., waves after speaking at a news conference about health care at the UCSF Benioff Children's Hospital Friday, July 7, 2017, in San Francisco. Feinstein addressed how Medicaid cuts in the Senate Republican health care bill would devastate care for children. (AP Photo/Eric Risberg)
Vice President Mike Pence administers a ceremonial Senate oath during a mock swearing-in ceremony to Sen. Dianne Feinstein, D-Calif., accompanied by her husband Richard Blum, Thursday, Jan. 3, 2019, in the Old Senate Chamber on Capitol Hill in Washington. (AP Photo/Manuel Balce Ceneta)
Sen. Dianne Feinstein, D-Calif.,Sen. Dianne Feinstein, D-Calif., walks at the Capitol in Washington, Tuesday, Jan. 21, 2020. (AP Photo/J. Scott Applewhite)
Actress and activist Angelina Jolie, center, is joined from left by Sen. Shelley Moore Capito, R-W.Va., Sen. Dianne Feinstein, D-Calif., Sen. Lisa Murkowski, R-Alaska, Sen. Joni Ernst, R-Iowa, and Sen. Susan Collins, R-Maine, at a news conference to announce a bipartisan update to the Violence Against Women Act, at the Capitol in Washington, Wednesday, Feb. 9, 2022. (AP Photo/J. Scott Applewhite)
FILE - Sen. Dianne Feinstein, D-Calif., arrives for the Senate Democratic Caucus leadership election at the Capitol in Washington, Thursday, Dec. 8, 2022. Feinstein's months-long absence from the Senate has become a growing problem for Democrats. Feinstein's vote is critical to confirm President Joe Biden's nominees to the federal courts, but Feinstein is away from the Senate indefinitely as she recovers from the shingles. (AP Photo/J. Scott Applewhite, File)
Sen. Dick Durbin, D-Ill., left, talks with Sen. Dianne Feinstein, D-Calif., right, before a Senate Judiciary Committee business meeting, Thursday, Feb. 16, 2023, on Capitol Hill in Washington. (AP Photo/Mariam Zuhaib)
Sen. Dianne Feinstein, D-Calif., walks through a Senate corridor after telling her Democratic colleagues that she will not seek reelection in 2024, at the Capitol in Washington, Tuesday, Feb. 14, 2023. (AP Photo/J. Scott Applewhite)

