# Trump Campaigns for Marshall in Tight Kansas Senate Race

> President Donald Trump is scheduled to rally in Park City, Kansas, today to support incumbent Republican Senator Roger Marshall in an unexpectedly close re-election bid.

By PrimaryBrief newsroom · Published 2026-10-19T15:40:22.883657Z
Canonical: https://primarybrief.com/article/trump-campaigns-for-marshall-in-tight-kansas-senate-race-cf827bf9

President Donald Trump is scheduled to campaign today, October 19, 2026, in Park City, Kansas, to support incumbent Republican Senator Roger Marshall, who faces an unexpectedly tight re-election bid partly due to reports he sued over 700 patients for unpaid medical bills [1][11][12][13]. This race is one of a handful that could decide control of the U.S. Senate in the November 3 midterm elections [2][4][6].

This closely watched Senate contest in a historically Republican state shows how past professional conduct and national political figures can reshape local elections, directly affecting voters' representation and the balance of power in Congress [1][2][25].

## What the records show

A New York Times analysis of Kansas court records indicates that during his decades as an obstetrician-gynecologist, Senator Roger Marshall and his practice, Heartland Regional OBGYN, filed debt-collection lawsuits against more than 700 patients for unpaid bills [13][15][16][17]. Of these cases, 81 patients reportedly faced arrest warrants for missing court dates [13][14][16]. Some lawsuits concerned amounts as low as $101, and Marshall sometimes listed himself as the plaintiff [15]. His practice also reportedly charged 18% interest on these debts [15].

## Campaign developments

President Trump's rally today in Park City, Kansas, aims to bolster Senator Marshall's campaign [1][5][10][11]. The Republican National Convention announced Trump's visit [5]. Chris Grant, a top Trump political operative, has joined Marshall's campaign, signaling Republican efforts to defend the seat [7][8][9].

## The competitive race

Multiple polls suggest the Kansas Senate race is much closer than political analysts predicted [2]. The Pollsmax polling average shows Democratic challenger Adam Hamilton slightly ahead of Marshall, 46.4% to 45.6% [31][33]. Another polling average indicates Hamilton leads Marshall 45.6% to 45.4% [32]. This unexpected challenge for Marshall is attributed partly to the medical billing controversy and Hamilton's broad appeal [25][27].

## Candidate positions

President Trump has defended Senator Marshall, stating he was “mandated by Law to request money owed from patients” [18][20][21]. Trump praised Marshall as “absolutely GREAT” and “one of my favorite Senators” [18][20]. He criticized Democratic challenger Adam Hamilton as a “Trump Deranged Phony” and a “Radical Left Dumocrat” who “pretends to be a 'Moderate,' but he's not!” [21][26]. Adam Hamilton, a pastor and founder of the largest United Methodist congregation in the U.S., has focused his campaign on healthcare and the cost of living [2][3][22][23]. He has also highlighted the experiences of patients Marshall sued over medical debt [24][28]. Hamilton has positioned himself as a candidate attempting to bridge political divides and appeal to moderate voters [27].

## What we could not confirm

We could not confirm the specific outcomes for all patients sued by Senator Marshall's medical practice beyond the 81 cases where arrest warrants were reportedly issued for missed court dates. The evidence does not specify the current status of these debts or any subsequent legal actions for all 700-plus patients.

## Evidence cited
1. Trump to head to Kansas to show support for embattled Marshall – US politics live (www.theguardian.com) — https://www.theguardian.com/us-news/live/2026/oct/19/donald-trump-kansas-roger-marshall-golf-ukraine-midterms-latest-news-updates
2. (October 14 2026) Political-watchers from across the country have their eyes trained on the U.S. Senate race in Kansas. Sen. Roger Marshall, the Republican incumbent seeking his second term, is in a race that with a Democratic challenger who has built a name as the pastor of the largest Methodist church in America. The race, according to multiple polls, is much closer than national pundits had predicted, and now may be one of a handful of races that will determine whether Democrats or Republican (ljworld.com) — https://ljworld.com/
3. In tight Kansas U.S. Senate race, here's where Marshall and Hamilton stand on the issues (kcur.org) — https://kcur.org/
4. 2026 United States elections - Wikipedia (wikipedia.org) — https://wikipedia.org/
5. President Trump coming to Wichita for rally Monday ahead of general election (youtube.com) — https://youtube.com/
6. United States Congress elections, 2026 - Ballotpedia (ballotpedia.org) — https://ballotpedia.org/
7. Scoop: Top Trump operative enlisted to rescue Kansas senator's campaign - Axios (axios.com) — https://axios.com/
8. Top Trump Operative to Help Marshall Campaign (politicalwire.com) — https://politicalwire.com/
9. KPR News - Top Stories (kansaspublicradio.org) — https://kansaspublicradio.org/
10. President Donald Trump is headed to Wichita (wichitabyeb.com) — https://wichitabyeb.com/
11. Trump rally for Marshall moved to Park City (jcpost.com) — https://jcpost.com/
12. Prez Trump Moves 'Kansas-Style' Campaign Rally Outside Wichita. (tonyskansascity.com) — https://tonyskansascity.com/
13. U.S. Senator Roger Marshall Sued Hundreds, Jailed Dozens of Women Over Medical Debt - Protect Borrowers (protectborrowers.org) — https://protectborrowers.org/
14. Sen. Marshall sued more than 700 patients, leading to arrest warrants for 81, NYT finds (beckersasc.com) — https://beckersasc.com/
15. Kansas senator sued 700+ patients over unpaid medical bills, leading to dozens of arrests (healthexec.com) — https://healthexec.com/
16. Sen. Roger Marshall's obstetrics practice sued more than 700 patients over unpaid bills (medicaleconomics.com) — https://medicaleconomics.com/
17. Sen. Roger Marshall's OBGYN Practice Sued Over 700 Patients For Unpaid Bills (forbes.com) — https://forbes.com/
18. Trump to campaign for Marshall in Kansas, attacks Democratic opponent as 'phony' - Washington Times (washingtontimes.com) — https://washingtontimes.com/
19. Trump Signals Kansas Rally to Boost Sen. Roger Marshall's 2026 Re-Election Bid (drooid.social) — https://drooid.social/
20. Trump's Truth (trumpstruth.org) — https://trumpstruth.org/
21. TRUTH: Roger Marshall is a “Trump Deranged Phony” (impactalerts.io) — https://impactalerts.io/
22. AP: Adam Hamilton, Kansas pastor, tries to pull off an upset in the U.S. Senate (pbs.org) — https://pbs.org/
23. Adam Hamilton for Kansas (adamhamilton.com) — https://adamhamilton.com/
24. In Kansas Senate race, Democrat Adam Hamilton focuses on medical debt (19thnews.org) — https://19thnews.org/
25. The Kansas Senate race is surprisingly close. Here's why. (cbsnews.com) — https://cbsnews.com/
26. Trump Calls Kansas Dem 'Radical Left Dumocrat,' 'Trump Deranged Phony' in Marshall Endorsement (reddit.com) — https://reddit.com/
27. Marshall's lawyers send cease-and-desist to Hamilton campaign over ad about medical debt (kmuw.org) — https://kmuw.org/
28. Trump-Endorsed Roger Marshall Under Fire for Suing 700+ Patients, Jailing Dozens Over Unpaid Bills (dscc.org) — https://dscc.org/
29. 2026 U.S. midterm elections (britannica.com) — https://britannica.com/
30. U.S. midterm elections 2026: A guide to congressional races - WKZO (wkzo.com) — https://wkzo.com/
31. 2026 Kansas Senate Polls (pollsmax.com) — https://pollsmax.com/
32. NEW POLLING AVERAGE: Kansas Senate 🟢 Adam Hamilton - 45.6% 🟥 Roger Marshall - 45.4% Democrat Adam Hamilton narrowly leads Republican Roger Marshall in our new Kansas polling average. Marshall remains the favorite in the DDHQ Forecast, with a 77% win probability. Find our polling average and forecast on Votes: https://votes.decisiondeskhq.com/races/2026-11-03/kansas-us-senate-general-election/forecast. (instagram.com) — https://instagram.com/
33. 2026 Kansas Senate Election | Latest Polls (decisiondeskhq.com) — https://decisiondeskhq.com/