Senator Marshall’s History of Voting Against Health Care Protections for Kansas Families, Veterans, and Seniors

KANSAS | According to a recent report, Kansas leads the nation in rural hospitals at risk of closure. Out of approximately 100 rural Kansas hospitals analyzed, 69 are at risk of closure, with 28 considered to be at immediate risk.

While Senator Marshall has said Americans should be able to shop for health care “like Black Friday shopping”, many Kansans are still facing the reality of losing nearby rural care. This could mean longer drives, fewer services, and delayed access to emergency treatment, where some families cannot wait for the next town, which may be over an hour away.

While rural communities and our neighbors struggle to find ways to take care of their families, Marshall has voted and continues to vote against multiple measures tied to health care coverage and affordability, including protections to prevent Medicaid cuts that could lead to thousands of Kansans losing coverage, safeguards for veterans’ health care and PACT Act benefits, and proposals aimed at protecting Medicare and Medicaid funding. He also voted against protecting seniors’ health care, including nursing home care, and voted against an amendment to protect maternal and pediatric health care through Medicaid. Despite his OB/GYN credentials, he has not even supported protections for mothers or children.

These are facts—real votes straight from Congress.

Senator Marshall has made it clear through his record that he is not fighting for Kansans.

2025

  • Marshall voted against adding a budget safeguard designed to make it harder to pass legislation that could reduce Medicare or Medicaid funding.

    Roll Call Vote Here

  • Marshall voted against a measure that would protect veterans’ health care and PACT Act benefits from potential funding cuts.

    Roll Call Vote Here

  • Senator Marshall voted against an amendment that would add protections to the budget process to help prevent Medicaid cuts that could cause Americans to lose health coverage.

    Roll Call Vote Here

  • Marshall voted against an amendment that would protect access to maternal and pediatric health care services provided through Medicaid.

    Roll Call Vote Here

  • Marshall voted against an amendment that would add protections to the budget process to help prevent Medicaid cuts that could cause Americans to lose health coverage.

    Roll Call Vote Here

2026

As of June 2026

  • Marshall voted against a measure that would reduce Americans’ health care expenses by lowering out-of-pocket costs for medical care.

    Roll Call Vote Here

  • Marshall voted against an amendment aimed at reducing prescription drug costs, including proposals to bring U.S. prices closer to international benchmarks.

    Roll Call Vote Here

  • Marshall voted against a proposal to study and review prescription drug pricing agreements and how they impact costs for patients and taxpayers.

    Roll Call Vote Here

  • Marshall voted against a move to block a rule aimed at stopping insurance companies from stepping between patients and their doctors to delay or deny access to care.

    Roll Call Vote Here


Roger Marshall has a history of ignoring, avoiding, and dodging Kansans seeking answers. This is not about a single incident. It is about a pattern of disengagement that raises a basic question of accountability and access.

We have big plans to continue holding our politicians accountable.

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Senator Marshall Has Walked-Out of Town Halls, Returned Postcards, and Called the Police on Constituents