Midterm primaries 2026 live: results and reaction after six states including California and Iowa cast ballots

Knocking on strangers’ doors on a warm May afternoon in Trenton, New Jersey, Adam Hamawy did not seem fazed when more than a few went unanswered.

It’s his first time running for office, but this is an area where he has experience. After returning from a medical mission in Gaza in 2024, Hamawy went to Washington to describe the crisis – which he viewed as a US-funded genocide – to lawmakers, only to encounter “too many doors that were closed, that didn’t even want to listen”.

“I could only define it as a genocide, because I saw the bodies of the people that came in,” the veteran army trauma surgeon and political newcomer reflected, while walking between houses. “And it wasn’t an accident. You can’t have an accident, every single day for three years.

Rob Sand, the best known Democrat in Iowa, is running to lead a state that Republicans have come to dominate under Donald Trump, and Democrats believe his candidacy for governor could be the breakthrough needed to win key Iowa offices in the November midterm elections.

With Trump’s approval ratings deep underwater, gas prices high and historical political trends favoring the party out of power, Democrats this year are considering a comeback in Iowa, putting the state at the center of their campaigns to win back control of both the US House of Representatives and the Senate. On Tuesday, voters will cast ballots in primary elections that set the stage for months of what is likely to be fevered campaigning by candidates of both parties.

“I think this is a once-in-a-generation opportunity for us to be able to win here in Iowa. I mean, this is a state that has completely hit the bottom,” said Josh Turek, a state representative who is one of two Democrats vying to represent Iowa in the US Senate.

Voters in six states have been casting their ballots in the US midterm election primaries. Here are some of the images from polling stations that have dropped on the news wires today:

A wave of Democratic doctors, scientists and public health professionals across the country are seeking office in the midterm elections in a rebuke to Donald Trump and Robert F Kennedy Jr’s health policies.

They share a diagnosis of what ails American governance – disinformation, funding cuts and the rollback of research, among other things – and the belief that their clinical and scientific training equips them to treat it.

They have watched the Trump administration’s health policies play out in their exam rooms, their labs and the communities they serve, and they want to stop the bleeding.

In California, voters can select any candidate among the long list of gubernatorial hopefuls, regardless of which party they have registered with.

The system was put in place under former governor Arnold Schwarzenegger, who supported the open primary, or “jungle primary”, as a way to create more competition in races that Democrats won year after year. Schwarzenegger, who left office in 2011, was the last Republican elected to statewide office in California.

In a crowded race like this year’s gubernatorial primary, the system could cause some unexpected results – such as the possibility that emerged earlier this year of two Republicans advancing to the general election in deep blue California.

That situation now appears unlikely, but the possibility has prompted some Democrats to push to overhaul the way the state votes.

Millions of voters across the country are heading to the polls today in crucial primaries in a slew of key gubernatorial, Senate and House races.

Here’s a quick rundown of what we’re watching:

California
Voters are casting ballots on who should lead the nation’s most populous state (and the world’s fourth largest economy), where there is no clear leader among candidates vying to advance in the race to succeed term-limited Democratic governor Gavin Newsom. The race for Los Angeles mayor is also on the ballot, along with a series of high-stakes US House contests in the state’s newly redrawn congressional districts – which are set to play an outsized and potentially decisive role in the battle for power in Washington in November’s midterm elections. My colleague Lauren Gambino has more:

Iowa
Per my colleague Chris Stein, with Trump’s approval ratings deep underwater, gas prices high and historical political trends favoring the party out of power, Democrats this year are considering a comeback in Iowa, putting the state at the center of their campaigns to win back control of both the US House and the Senate. That effort for a “once-in-a-generation” breakthrough in the GOP-dominated state is being led by pro-hunting Democrat Rob Sand, who is running for governor. Chris wrote about him below. Democrats also believe they have a shot at winning three of the state’s US House seats and a competitive chance at securing a US Senate seat, where the GOP frontrunner recently called Trump’s war on Iran a “political liability”.

New Jersey
One of this year’s most closely watched House midterms will take place in the battleground district currently represented by now-infamous Republican Tom Kean Jr, who has drawn public scrutiny and concern after missing more than 100 House votes due to an undisclosed illness. Voters are deciding which Democrat will run against him in November – and the seat is a must-win for the party. The frontrunner, veteran army trauma surgeon and political newcomer Adam Hamawy, has secured endorsements from the likes of Bernie Sanders, Alexandria Ocasio-Cortez and Ilhan Omar. My colleague Joseph Gedeon has more:

New Mexico
Contests in the state include primaries for congressional seats, a US Senate seat and a long list of statewide offices, but the governor’s race is the main event. Deb Haaland, who was Joe Biden’s interior secretary, is running for the Democratic nomination, which could put her on a historic path for Native American leaders.

Montana
In Montana, a five-way Democratic fight is under way for the retiring Republican senator’s seat. Independent Seth Bodnar, former president of the University of Montana, is outraising them all at the moment but they’re refusing to step aside, Politico reports this morning.

South Dakota
The race is on for state governor, Sioux Falls mayor, a US Senate and House seat, a Republican primary for local lawmakers. The incumbent GOP governor Larry Rhoden faces three primary challengers in his first run for a full term. He stepped up into the role from the lieutenant governorship when the former governor, the since-ousted Kristi Noem, left to lead the Department of Homeland Security.

The Associated Press contributed reporting