Arizona 2026 Midterm Election Results

Updated November 6 @11AM MST

Here is the latest on preliminary results from Arizona’s 2026 Midterm Election.

As ballots continue to be counted, the Arizona Medical Political Action Committee — the Arizona Medical Association’s political arm — is keeping a close watch on the outcomes of key races in this year’s midterm election, which will shape the future of healthcare policy.

The state is projected to undergo a historic political shift, with Democrats pulling off surprising upsets across the board, including in suburban and rural districts. Should projections hold, the party will control the Governor’s Office, the House, and the Senate — a legislative landscape Arizona hasn’t seen in 60 years.

Several ArMPAC-endorsed candidates — including emergency physician Dr. Amish Shah and incumbent Representative Beverely Pingerelli— are faring well in competitive races. Our endorsees, who sit on both sides of the aisle, were vetted by physicians and vowed to support the practice of medicine.

Please note that with votes still being counted and some races remaining uncalled, these results are unofficial and may change.

Federal Outcomes & Highlights

As of November 6, the Associated Press has called eight of nine races for seats in the U.S. House. There were no races for U.S. Senate seats in this year’s election.

Congressional District 1

Emergency physician, ArMPAC-endorsee, and ArMA member Dr. Amish Shah (D) won out over Jay Feely (R) in the highly competitive race for a Congressional District 1 House seat. The race was officially called by the Associated Press on November 5. In his victory speech, Dr. Shah reemphasized a commitment to working across party lines and identified healthcare access and affordability among the issues he intends to address in Congress.

Congressional District 2

In the race for one of CD2’s House seats, which serves much of the Navajo Nation, incumbent Eli Crane (R) is leading challenger Jonathan Nez (D) by less than 4,000 votes. The district traditionally elects conservative representation.

Congressional District 4

ArMPAC-endorsed private practice physician and ArMA member Dr. Zuhdi Jasser (R) was unfortunately unsuccessful in his bid for a CD4 House seat against incumbent Congressman Greg Stanton (D). 

Congressional District 6

In Southern Arizona, JoAnna Mendoza (D) led Juan Ciscomani (R) in one of the country’s most closely watched battleground districts. The Associated Press officially called the race for U.S. House in Mendoza’s favor on November 5.

Statewide Highlights

Democratic candidates swept all statewide offices, including Governor, Secretary of State, Attorney General, Superintendent of Public Instruction, Treasurer, and the Corporation Commission.

• Governor: Katie Hobbs (Incumbent)
• Secretary of State: Adrian Fontes (Incumbent)
• Attorney General: Kris Mayes (Incumbent)
• Superintendent of Public Instruction: Teresa Leyba Ruiz
• Treasurer: Nick Mansour
• Corporation Commissioner: Clara Pratte and Jonathon Hill

Hobbs’ reelection is notable because the newly elected lieutenant governor, John Giles, will also take office as Arizona’s first lieutenant governor under the state’s new succession framework.

State Legislature Outcomes & Highlights

Though several races remain in play, Democratic candidates led in 20 of 30 state Senate races and 37 of 60 House seats. The Associated Press has called enough Senate races to ensure Democrats will hold at least a tie in the chamber, marking the party’s first Senate majority or tie since 1992. In the House, Democrats also hold a substantial advantage in the outstanding races, putting them in position to secure their first majority since 1966.

• In LD4, Aaron Lieberman, Tammy Caputi, and Karen Greshman (D) are leading incumbent Carine Werner, Matt Gress, and Pamela Carter (R).
• In LD14, which would have been considered a solidly Republican district, Stephanie Walsh (D) is leading Mylie Biggs (R) by a few points in the race for Senate.
• In LD27, incumbent Lisa Fink (R) and Tony Rivero (R) are both vying for the second seat in the House. They are within less than half a percentage point of each other, which could potentially trigger a recount if the margin holds. Deborah Howard (D) is about five points ahead of Fink and Rivero.
• In LD29, Christine Scianna (D), Steve Montenegro (R), and James Taylor (R) are all less than a half percentage point apart in their race for the district’s two House seats.
• Several prominent Republican lawmakers faced potential defeats, including Senate President Pro Tempore T.J. Shope (R) and ArMPAC-endorsed Rep. Julie Willoughby (R), who was running for the Senate in LD13.

Democrats also appeared poised to strengthen their position in Tucson-area districts, including LD17. If these leads hold, the change in legislative control would represent a significant shift in Arizona’s political landscape and fundamentally alter the environment for the 2027 Legislative Session.

Looking Ahead

As counties continue to process ballots through the end of the week, some close races may remain undecided and could potentially even trigger a recount if the margins are close enough. 

ArMPAC will continue to update this story as new developments occur.

About ArMPAC

As the bipartisan political arm of the Arizona Medical Association, ArMPAC is here to ensure your voice is heard at the Arizona State Capitol and beyond. We do this by supporting healthcare-minded candidates who support you.

Your involvement in this process is key to preventing costly, intrusive, and unnecessary legislation that affects the daily practice of medicine. You can help by exercising your right to vote for candidates with strong healthcare platforms. That’s why we publish ArMPAC’s Voter Guide — your essential resource for casting a healthcare-minded ballot.

Did you find our election results summary helpful? Please consider supporting our mission by making a donation of any amount. Our work is entirely funded by healthcare-minded voters like you. Together, we’re keeping healthcare front-and-center at the Arizona State Capitol!

Thank you for joining ArMPAC in our mission to amplify the physician voice.