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R Republican · U.S. House 6, Kentucky · Nov 3, 2026

Ralph
Alvarado

Republican physician and former Kentucky state senator running for Kentucky's 6th Congressional District in 2026

Background

Ralph Alvarado is a Republican physician and candidate for Kentucky's 6th Congressional District in the November 2026 election. 19 He earned a B.S. in Biology and an M.D. from Loma Linda University, and completed a residency in internal medicine and pediatrics at the University of Kentucky in 1998. 2 He practiced medicine in Winchester and Central Kentucky across hospital medicine, primary care, and skilled nursing settings. 2

Alvarado previously served as a Kentucky State Senator for the 28th District from 2015 to 2023. 9 From 2023 to 2025, he served as Tennessee's Commissioner of Health. 29 He and his wife raised their children in Clark County, Kentucky, and Winchester is listed as his city of residence. 157

He won the Republican primary in May 2026 to fill the open seat vacated by incumbent Andy Barr, who is running for the U.S. Senate. 1312 Alvarado faces Democratic candidate Zach Dembo in the general election on November 3, 2026. 9

At a glance

Party
Republican
Running for
U.S. House · District 6, Kentucky
Election
Nov 3, 2026
Website
alvaradoforcongress.com(opens in a new tab)

Where they stand

Each position links to the page it was drawn from. Quotes are verbatim.

Timeline

  1. Oct 27
    debate
    Estill County High School forum scheduled for Alvarado and Dembo (upcoming)

    An Estill County High School candidate forum featuring Alvarado and Dembo, among others, was announced and scheduled for October 27. As of the current date it has not yet occurred.

    Estill County High School to host candidate forum featuring local, state and federal races · Oct 7, 2026 (opens in a new tab)
  2. Oct 9
    poll
    Cook Political Report shifts KY-06 rating in Dembo's direction, per DCCC

    The DCCC, a partisan Democratic source, reported that the Cook Political Report had shifted the KY-06 race in Dembo's direction, citing close polling with some surveys showing Dembo ahead.

    Cook Political Report Shifts KY-06 in Zach Dembo's ... · Oct 9, 2026 (opens in a new tab)
  3. Oct 8
    poll
    Change Research poll shows Dembo leading Alvarado 47%-38% among likely voters

    A Change Research poll conducted September 29–October 5 showed Democrat Zach Dembo ahead of Alvarado by 9 points. The poll had a 4.4-point margin of error. Alvarado's campaign criticized the methodology, calling it 'manufactured momentum.'

    New poll shows Democrats with 9-point lead in Kentucky ... · Oct 8, 2026 (opens in a new tab)
  4. Oct 7
    poll
    Sabato's Crystal Ball shifts KY-06 from 'Likely Republican' to 'Leans Republican'

    The University of Virginia's Sabato's Crystal Ball downgraded the race one notch, citing increasing competitiveness and changes to Alvarado's campaign messaging. The shift reflected a tighter-than-expected contest.

    Analysts shift Kentucky's 6th district race from 'Likely' to 'Leans Republican' · Oct 7, 2026 (opens in a new tab)
  5. Oct 6
    endorsement
    Alvarado holds FOP and U.S. Chamber endorsements; Trump-aligned PAC spent $1M+ for him

    Louisville Public Media reported Alvarado had endorsements from the Fraternal Order of Police and U.S. Chamber of Commerce. The Trump-affiliated No Going Back PAC had spent more than $1 million supporting him, while Gov. Beshear's In This Together PAC spent $500,000 on attack ads against him.

    Election 2026: Ralph Alvarado, Zach Dembo face off in ... · Oct 6, 2026 (opens in a new tab)
  6. Oct 5
    debate
    Alvarado spokesperson says data-center decisions belong to local fiscal courts

    At a Scott County candidate forum, Alvarado, through a spokesperson, said decisions on data centers 'belong in the hands of local fiscal courts.' Candidates at the forum were split on Flock license-plate cameras.

    Scott County candidates oppose data centers, split on ... · Oct 5, 2026 (opens in a new tab)
  7. Sep 24
    debate
    Head-to-head Alvarado-Dembo debate remains unsettled weeks before election

    Kentucky Public Radio reported no standard debate had been arranged. The candidates shared a stage at a July Commerce Lexington luncheon but answered questions separately. Alvarado's campaign said he agreed to a Spectrum debate; a firm date and joint forum remained unclear.

    Will candidates for federal office square off in proper debates? The ... · Sep 24, 2026 (opens in a new tab)
  8. Aug 1
    news
    Alvarado shifts website messaging away from Trump references after primary

    After the primary, Alvarado removed prominent Trump references and images from his campaign website and moved toward 'independent leadership' messaging emphasizing lower prices, health-care choices, and affordability. He continued to say he was proud of Trump's endorsement.

    Election 2026: Ralph Alvarado, Zach Dembo face off in ... · Oct 6, 2026 (opens in a new tab)
  9. Jun 30
    filing
    Alvarado reports $1.52M in receipts, $398K cash on hand through June 30

    FEC-based figures via The Ledger showed Alvarado with $1,521,813 in receipts, $1,123,795 in disbursements, and $398,018 cash on hand as of June 30. These figures do not cover the later third quarter.

    RALPH A ALVARADO · The Race · The Ledger · Sep 26, 2026 (opens in a new tab)
  10. May 19
    filing
    Alvarado wins Republican primary for Kentucky's 6th District

    Ralph Alvarado won the Republican primary and advanced to the general election to contest the open seat left by Andy Barr, who is running for U.S. Senate.

    Election 2026: Ralph Alvarado, Zach Dembo face off in ... · Oct 6, 2026 (opens in a new tab)

Endorsements

  • Kentucky Fraternal Order of Police union
    Alvarado accepted the endorsement in Frankfort; PBS Kentucky Edition reported the event and quoted Alvarado saying he had 'earned the endorsement of the Kentucky Fraternal Order of Police.' pbs.org · Aug 31, 2026
  • Donald Trump, U.S. President official
    Trump announced his endorsement via Truth Social, stating Alvarado had his 'Complete and Total Endorsement.' wkyt.com · May 1, 2026
  • Mike Johnson and joint House Republican leadership (including Steve Scalise, Tom Emmer, and Lisa McClain) official
    Speaker Johnson posted that the House Republican leadership team was proud to endorse Alvarado. x.com · May 1, 2026
  • U.S. Chamber of Commerce organization
    The Chamber announced its endorsement of Alvarado for Kentucky's 6th Congressional District. uschamber.com · Apr 9, 2026

Campaign finance

Totals filed with the Federal Election Commission for the 2026 election cycle.

Raised
$1.52M
Spent
$1.12M
Cash on hand
$398K

As of Jun 30, 2026. Filings are periodic, so recent money may not be included yet. ↳ FEC record H6KY06192(opens in a new tab)

Sources 19

  1. [1] Cook Political Report Shifts KY-06 in Zach Dembo's ...(opens in a new tab) Oct 9, 2026
  2. [2] Media(opens in a new tab) Oct 8, 2026
  3. [3] New poll shows Democrats with 9-point lead in Kentucky ...(opens in a new tab) Oct 8, 2026
  4. [4] Analysts shift Kentucky's 6th district race from 'Likely' to 'Leans Republican'(opens in a new tab) Oct 7, 2026
  5. [5] Estill County High School to host candidate forum featuring local, state and federal races(opens in a new tab) Oct 7, 2026
  6. [6] Election 2026: Ralph Alvarado, Zach Dembo face off in ...(opens in a new tab) Oct 6, 2026
  7. [7] Scott County candidates oppose data centers, split on ...(opens in a new tab) Oct 5, 2026
  8. [8] Fact check: What do Central Kentucky House candidates say about AI and data centers?(opens in a new tab) Oct 2, 2026
  9. [9] RALPH A ALVARADO · The Race · The Ledger(opens in a new tab) Sep 26, 2026
  10. [10] Will candidates for federal office square off in proper debates? The ...(opens in a new tab) Sep 24, 2026
  11. [11] Kentucky Edition | August 31, 2026 | Season 5 | Episode 44(opens in a new tab) Aug 31, 2026
  12. [12] No on Ralph Alvarado(opens in a new tab) Aug 29, 2026
  13. [13] Ralph Alvarado — official campaign website(opens in a new tab) Aug 19, 2026
  14. [14] 6th District congressional forum sees Democrat, Republican adopting different strategies on Trump(opens in a new tab) Jul 7, 2026
  15. [15] Candidates for Kentucky's 6th Congressional District make their ...(opens in a new tab) Jul 7, 2026
  16. [16] Mike Johnson on X: "Joint House Republican leadership ...(opens in a new tab) May 1, 2026
  17. [17] Trump endorses Barr, Alvarado(opens in a new tab) May 1, 2026
  18. [18] U.S. Chamber Endorses Candidate Ralph Alvarado for Kentucky's ...(opens in a new tab) Apr 9, 2026
  19. [19] 19RS SB 150(opens in a new tab) Sep 11, 2023
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