As the midterm elections take shape, we continue to monitor key races that will determine the legislative direction of Congress. Current projections suggest the House will flip to a Democratic majority while the Senate is likely to remain in Republican control. With a significant number of House seats in play, shifting committee majorities will directly impact how healthcare and human services policies are drafted, funded, and overseen in the next Congress.
Shared Voter Priorities: Economic Affordability
Economic affordability remains a defining issue for voters across the political spectrum. Rising costs associated with housing, healthcare, and workforce stability remain top of mind for voters, putting pressure on candidates from both parties to present clear economic solutions.
Emerging Infrastructure Issues in Swing Districts
Beyond economic concerns, localized infrastructure challenges have emerged as notable points of discussion in competitive districts. In several key battlegrounds, the rapid expansion of digital infrastructure and energy-intensive data centers has sparked broader debate surrounding local land use, grid reliability, and residential utility costs.
The Congressional Battleground
While political experts are suggesting the House majority will flip to the Democrats, how large their majority could be and which seats will flip remains to be seen. 37 districts are rated competitive. They are not Democratic-leaning: on average, Trump won them by 5 points in 2024. About 25 of them are seriously in play. Those are the seats Trump won by 10 points or less, and Democrats are spending money there.
As we get closer to the election, it will be increasingly important to monitor projected seat flips, particularly in races that could affect the membership of committees with jurisdiction over key policy priorities. These committees will be central to decisions regarding federal health care funding, appropriations, and other issues of importance to our network.
Senate races are a mixed bag. Some have become clearer, while others remain toss ups. Republicans are defending seats in the following states: Maine, Ohio, Alaska, Iowa, and Texas. Democrats are struggling in Michigan and New Hampshire—both seats are currently held by Democrats who are retiring.
Key Toss-ups in the House:
Republican:
Democrat:
Key Toss-ups in the Senate:
Republican
- IA OPEN (Ernst)
- TX OPEN (Cornyn)
Democrat
- MI OPEN (Peters)
- NH OPEN (Shaheen)
What can you do now?
With the midterms approaching and many competitive toss-up races, we encourage our members to take the following steps to stay engaged and prepared:
- Use our Here We Stand action guide to raise the health care priorities you want candidates to address at the state level.
- Monitor candidates in toss-up Congressional and gubernatorial races, and review redistricting in your state to identify newly competitive seats as maps evolve.
- Strengthen voter outreach by making sure the people you serve understand any documentation requirements and changes to voter registration processes in your state.
Kylie Bowlds is an Issue Education & External Relations Associate at Lutheran Services in America.