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Primary Election Wins for 73% of IMPAC-Backed Candidates
The 2026 Idaho Primary Election was held on Tuesday, May 19, and once again demonstrated the significant role primary elections play in shaping Idaho's political landscape. In a state where many general election outcomes are heavily favored toward Republican candidates, the outcome of the closed Republican primary often has a significant impact on the future of state policy.
The Idaho Medical Political Action Committee (IMPAC) supported 31 candidates, 22 of whom went on to win their primary races and are now positioned favorably for he general election. IMPAC's winning percentage, 73% among legislative candidates, represents a significant increase over the previous primary election in 2024.
One of the most significant election-night developments was the defeat of five members of the Legislature's so-called "Gang of 8," a group of hardline conservatives known for opposing government spending and their support of repealing Medicaid Expansion. IMPAC supported the opponents of each of the five defeated legislators. These results don't necessarily suggest that Idaho politics is becoming less conservative. Rather they may indicate that Republican primary voters are searching for a more measured approach to governing, particularly following a combative legislative session defined by budget constraints which included significant cuts to Medicaid.
The results were not uniformly positive for healthcare advocates. Three legislators, Sen. Jim Woodward (R-Sagle), Rep. Mark Sauter (R-Sandpoint), and Rep. Lori McCann (R-Lewiston), who have been strong supporters of healthcare issues in north Idaho, lost their races. However, several key legislators in eastern Idaho, including Sen. Jim Guthrie (R-McCammon), Sen. Julie VanOrden (R-Pingree), and Rep. Ben Fuhriman (R-Shelley), ultimately held onto their seats. Taken together, the May 19 results suggest the next Legislature may shift slightly toward the center.
For IMA members, this election underscores the importance of engagement, targeted support, and continued relationship-building with candidates who understand the importance of a stable healthcare system and a strong physician voice in the policymaking process.
Thank you to everyone who invested in IMPAC and helped contribute to our Primary Election success. Your support made a meaningful difference.
If you have not yet made a contribution, there is still time to help strengthen IMPAC's efforts heading into the General Election in November. The IMPAC Board will begin making endorsement decisions in the coming months, and additional contributions will allow us to support a strong slate of candidates who understand the importance of physician-led advocacy and sound healthcare policy.
Please consider making a contribution HERE.
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