Kansas · U.S. Senate · Nov. 3, 2026
Roger Marshall's medical practice took more than 700 patients to court over unpaid bills. Eighty-one of them were arrested after missing court dates. This is his record, in his votes, his words and his donors, with a source on every line.
Source: The New York Times, Sept. 8, 2026, from Kansas court records.
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Sources: his Senate biography; The New York Times · Photo: U.S. Senate Photographic Studio, 2021, public domain
Source: Senate roll call 372 · Photo: USDA, Tom Witham, Jan. 23, 2025, public domain
Source: Senate roll call 644 · Photo: USDA, Jan. 23, 2025, public domain
Source: FEC, through July 15, 2026 · Photo: USDA, Jan. 23, 2025, public domain
Source: Topeka Capital-Journal · Photo: U.S. Senate Photography Office, public domain
Before Congress, Marshall delivered babies in Great Bend. A New York Times review of Kansas court records found what his practice did when patients could not pay.
Source: The New York Times, from Kansas court records; Medical Economics.
Zimmerman gave birth in Great Bend in 2009, with private insurance. She says she never got a bill. Then a law office served her for more than $3,000.
She paid about $50 a month on a debt growing at 18 percent. She says she was arrested three times. “The second time I was arrested I was eight months pregnant with my son.”
Source: KWCH 12 News, Sept. 10, 2026
“Most described themselves as living paycheck to paycheck, often deciding between paying medical bills or buying groceries. Two said that the bills Mr. Marshall pursued in court stemmed from late miscarriages that required surgery.”
“Some facing lawsuits were new mothers with outstanding bills from their deliveries. Most lived in Barton County, a rural area with above-average uninsured and poverty rates.”
One woman sued for $1,200 in 2004 asked not to be held liable for care she received “for me and my twins (who I lost).” She was still found responsible for the bill.
Source: The New York Times, Sarah Kliff, Sept. 8, 2026, as quoted by KAKE News.
Great Bend, 1998-2019
About half the suits were filed in Marshall's own name, the rest under Heartland Regional OBGYN, which he owned outright until 2012 and co-owned through 2019. His own lawyer says Marshall set the 18 percent rate in the contract patients signed. Collection work continued while he served in Congress.
Sources: The New York Times, Sept. 8, 2026; Medical Economics, Sept. 10, 2026
Spokesperson Payton Fuller, Sept. 2026
“Judges issue warrants when people repeatedly miss court dates, not Doctors.”
“Sixty days before an election, the New York Times has decided that a rural doctor keeping the hospital’s lights on is some kind of scandal.”Then his lawyers demanded his opponent pull a TV ad in which a former patient tells her story.
Sources: KAKE News; KWCH 12 News; KWCH, Sept. 30, 2026
A checkup on the doctor's voting record.
July 1, 2025 · H.R. 1 · Senate roll call 372
Marshall voted yes on the 2025 megabill, which passed 50-50 on the vice president's vote. The Congressional Budget Office projects about $1 trillion less federal spending on Medicaid and ACA marketplaces, plus 10 million more uninsured Americans by 2034.
Sources: Senate roll call 372; American Hospital Association on the CBO estimate
June 30, 2025 · Markey motion on H.R. 1 · Senate roll call 333
A motion to send the megabill back to committee with instructions on rural hospitals failed 49-51. Marshall, whose campaign says he kept the hospital's lights on, voted no.
Sources: Senate roll call 333; Senate floor log, June 30, 2025
Dec. 11, 2025 · S. 3385 · Senate roll call 644
A three-year extension of the ACA premium tax credits got 51 votes, short of the 60 it needed. Marshall voted no. The credits expired Dec. 31, 2025.
Source: Senate roll call 644
Aug. 7, 2022 · Amendment 5194 · Senate roll call 314
A $35 monthly cap on insulin for people with private insurance won 57 votes but needed 60. Marshall voted no. The cap survived only for Medicare.
Source: Senate roll call 314
May 4, 2017 · H.R. 1628 · House roll call 256
In the House, Marshall voted for the American Health Care Act, which passed 217-213. The Congressional Budget Office estimated it would leave 23 million more people uninsured by 2026.
Sources: House roll call 256; CBO, May 24, 2017
June 13, 2024 · S. 4445 · Senate roll call 197
Marshall voted against even opening debate on the Right to IVF Act. The motion failed 48-47.
Source: Senate roll call 197
July 27, 2022 · S. 3373 · Senate roll call 272
The PACT Act covers veterans sickened by burn pits. Marshall voted to block it, and it stalled 55-42. He voted yes six days later, when it passed 86-11.
Sources: roll call 272; roll call 280
Jan. 6-7, 2021 · Senate roll calls 1 and 2
Hours after the mob left the Capitol, Marshall voted to throw out Arizona's electors at 9:58 p.m. and Pennsylvania's after midnight. Both objections failed, 6-93 and 7-92.
Sources: roll call 1; roll call 2
Aug. 10, 2021 · H.R. 3684 · Senate roll call 314
The bill that pays for roads, bridges and rural broadband passed 69-30. Marshall voted no.
Source: Senate roll call 314
What Roger Marshall says about the people he represents, in full context.
Kansas State Fair debate, Hutchinson, Sept. 12, 2026
Asked about suing his patients, as the crowd chanted “Shame on you!”:
“Those were common, common business practices.”
Source: Mediaite, Sept. 12, 2026
STAT News, March 2017, on Medicaid expansion
“Just like Jesus said, ‘The poor will always be with us.’ There is a group of people that just don’t want health care and aren’t going to take care of themselves.”He later said he regretted “trying to address several issues with a singular response.”
Sources: STAT, March 10, 2017; Fox News
After his Oakley town hall, March 2025
Kansans showed up to question him. Marshall shared President Trump's post calling them “paid troublemakers” and added “Can confirm.” Days later, on the radio:
“I don’t have firsthand evidence. But that was the rumor there.”
Facebook, Aug. 30, 2020, while running for Senate
Marshall, a physician, posted that CDC data showed only 6 percent of COVID deaths were due to COVID alone. That reading of the data had already been debunked. Facebook removed the post. Marshall called it “corporate censorship, pure and simple.”
Who pays for Roger Marshall, from his own filings with the Federal Election Commission.
Sources: FEC, Kansans for Marshall, Pre-Primary report through July 15, 2026; Associated Press, Oct. 3, 2026.
The Senate Leadership Fund reserved nearly $8.2 million in ads for Marshall's final month. Counting his campaign and other groups, Republicans lined up about $10.8 million. Hamilton's side: about $1.15 million.
Over his Senate term through July 15, 2026, PACs and other committees gave his campaign $2,507,970. Individual donors gave $2,503,737.
Of $2.47 million in itemized individual donations this cycle, $444,498 came from Kansas: about 18 percent. Florida, Texas, New York and California follow.
Source: FEC, contributions by state, 2025-26. Itemized means donations over $200.
Marshall sold his Great Bend home 10 days after joining the Senate and lists a cabin near St. John, appraised at $124,200, as home. A trust bought a Sarasota, Fla., house in 2019 for $750,000; it was later valued at $1.2 million. He billed taxpayers more than $4,500 for trips near it. His office says the trips were official and the house is for visiting his grandchildren.
Sources: Topeka Capital-Journal; Topeka Capital-Journal, Sept. 18, 2026
Marshall was up to 17 months late disclosing stock trades made for one of his dependent children. Federal law gives 45 days.
Yes. Marshall and his Great Bend OB-GYN practice filed debt-collection lawsuits against more than 700 patients from 1998 to 2019, over balances as small as $101, at 18 percent annual interest.
Source: The New York Times, from Kansas court records
Eighty-one of the patients he sued were arrested after missing court dates in those debt cases. His spokesperson says judges, not doctors, issue the warrants.
Source: The New York Times; KAKE News
He voted for the 2025 megabill and its Medicaid cuts, against a $35 insulin cap for private insurance in 2022, against extending ACA premium tax credits in 2025 and for the 2017 House bill to repeal the ACA.
Source: His votes, with roll calls
He lists a cabin near St. John, appraised at $124,200, as his home. A trust bought a Sarasota, Fla., house in 2019 that was later valued at $1.2 million.
Source: Topeka Capital-Journal
Democrat Adam Hamilton, a United Methodist pastor. The general election is Nov. 3, 2026.
Source: Kansas Reflector, Aug. 4, 2026
Oct. 13, 2026, for the Nov. 3 general election. Advance voting starts as early as Oct. 14.
Source: Kansas secretary of state
Kansas has not sent a Democrat to the U.S. Senate in more than 90 years. This race is close. Every date below comes from the Kansas secretary of state or state law.
Sources: Kansas secretary of state, important election dates; voter information; K.S.A. 25-1132; on the 90-year streak, CBS News.
