Who confirms the appointments made by the Missouri Governor?

The Missouri Senate is responsible for confirming the appointments made by the Governor. This process is part of the system of checks and balances designed to ensure that executive powers are not exercised unilaterally. The Senate reviews the Governor's nominations for various positions, including heads of state departments, boards, and commissions. This confirmation process allows the Senate to assess the qualifications and suitability of the candidates and provides an opportunity for public scrutiny and input.

Other choices do not play a role in this confirmation process. The Missouri House of Representatives primarily handles legislation and does not participate in the confirmation of appointments. The public does not confirm appointments directly through a referendum, as this would require a direct vote on specific nominations, which is not the case in Missouri. Lastly, the Missouri Supreme Court focuses on judicial matters and does not involve itself in the administrative process of appointing executive officials. Thus, the correct answer reflects the established legislative framework governing appointments within the state.