Dr. Heidi Overton, Donald Trump’s nominee to be the next head of the FDA, opened a Wednesday confirmation hearing before the Senate’s Health, Education, Labor and Pensions (HELP) committee by thanking her “lord and savior, Jesus Christ.” Throughout the hearing, Overton faced many questions about vaccine safety, flavored vapes, and foodborne illness. Perhaps unsurprisingly given her past anti-abortion statements, many of Overton’s most alarming answers—and non-answers—had to do with abortion and birth control.

“I wanted to know if you agree that an IUD is an abortifacient,” asked Washington Democrat Patty Murray, referencing the Trump administration’s false claims that some forms of birth control, including intrauterine devices, can cause abortion. Overton not only refused to answer, but her response even suggested that the FDA could change its stance. “If I’m confirmed as FDA commissioner, I’ll be fully briefed on all their prior decisions and make determinations according to the standards of safety and efficacy,” she said.

Overton’s birth control comments are notable as Trump’s Department of Justice has refused to say in an active court case that certain forms of birth control don’t cause abortions, and because many anti-abortion groups oppose the use of IUDs and emergency contraception, claiming they are abortifacient.

If confirmed, Overton—who is currently serving as a White House domestic policy advisor—will face intense pressure to roll back access to abortion pills. Murray also asked the nominee about her 2023 claim that the abortion drug mifepristone is “dangerous to women,” which Overton made in a paper written for the far-right America First Policy Institute. Murray asked Overton whether she agreed with the FDA’s approval of mifepristone, “which means the agency deems it safe and effective.” Overton said only that “mifepristone was approved by the FDA as having met its safety and efficacy standard.” Murray pressed her again on whether or not she believes the drug is safe. “I know that it has met the safety and efficacy standard,” Overton said. The nominee repeatedly used the past tense when talking about mifepristone regulations meeting FDA standards.

I can’t wait until I get arrested for having had a vasectomy. If an IUD is abortion …