Polling Average
40%30%20%10%0%
30.3%
13%
KY-06 Republican nominee?
$17.3K
MAY 20, 2026Primary Election
Party selects its nominee.
Overview
Current roleFormer State Senator
PartyRepublican
Political ideologyConservative Republican
Age56 years old (Apr 30, 1970)
GenderMale
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LocationKentucky
BackgroundPhysician (internal medicine)
EducationLoma Linda University — B.S. Biology (1990)
Notable personal detailsRalph A. Alvarado is an American physician and Republican politician running for U.S. House in Kentucky’s 6th Congressional District. He represented Kentucky’s 28th Senate District from 2015 to 2023 and was the Republican nominee for lieutenant governor of Kentucky in 2019. He later served as Commissioner of the Tennessee Department of Health from January 16, 2023 to July 11, 2025. He earned a B.S. in Biology and an M.D. from Loma Linda University and completed an internal medicine residency at the University of Kentucky.
SourcesShowHide
fec.goven.wikipedia.orgwkms.orgastho.orgalvaradoforcongress.comkentucky.comelectrepublicans.orgchfs.ky.govwkyt.comhud.govkypublicnotice.comkypublicnotices.newzgroup.comjobcreatorsnetwork.comwtvq.comkyhealthnews.netkyma.orgmedicaleconomics.comapnews.comapps.legislature.ky.govkentuckylantern.comjustfacts.votesmart.orggoverning.comnrapvf.orgspectrumnews1.compbs.orgballotready.orgthefreedomindex.orgstatechambers.orglegiscan.comnga.orgbarr.house.gov
Positions
LiberalConservative
Economy & Taxes
Supports cutting taxes and tax reform to grow the economy and promote business-friendly policies. Emphasizes unleashing workers and reducing tax burdens as part of his economic agenda.
Healthcare
Has supported expanding state-based insurance enrollment systems and using them to help pay for Medicaid expansion, and has focused on preserving physician‑patient relationships and healthcare finance reforms. As a physician‑lawmaker he has criticized some government mandates on practices but has proposed state‑level actions to broaden access and manage Medicaid expansion costs.
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Immigration & Border
The candidate supports securing the southern border and tougher measures to stop illegal drug flow while also endorsing expanded legal pathways such as expanded work visas and a pathway to citizenship for immigrant children not born in the U.S. He aligns with former President Trump’s America First border/security messaging while expressing support for some legalization measures for certain immigrants.
Abortion & Reproductive Rights
Has sponsored and supported legislation in the Kentucky legislature that restricts abortion access, including backing a 20-week ban and presenting bills that prohibit abortions for reasons such as sex, race or disability; has sponsored measures expanding legal restrictions around abortion and born‑alive protections. Positions and legislative actions indicate support for strict limits on abortion with few or no exceptions beyond protecting the mother’s life.
Climate & Energy
Ralph Alvarado’s campaign emphasizes “restoring energy independence” and aligns with a Trump-style America First agenda that prioritizes domestic energy production and economic growth. His public materials focus on supporting Kentucky industries and energy independence rather than proposing aggressive emissions cuts or Green New Deal–style policies.
Public Safety & Guns
Supports Second Amendment rights and has received high ratings/endorsements from pro-gun organizations; has backed measures to expand armed presence or loosen restrictions on guns in certain contexts such as schools. Positions indicate support for gun ownership while favoring law-enforcement and security-focused approaches rather than new restrictive gun-control measures.
News
AINews Summary
Last updatedMay 19, 2026
Ralph Alvarado is in the news because Kentucky’s 2026 primary races are heating up, including a competitive Republican contest for an open U.S. Senate seat. The latest coverage says GOP primaries are likely to decide the eventual winner in November, with Kentucky’s federal races expected to stay solidly Republican. Broader primary elections in several states are also shaping the 2026 Senate landscape.
fec.gov+30
Polls
KY-06 Republican nominee?
Aggregation source: FiftyPlusOne
Fundraising
Latest report: Cycle 2026Total raisedCash on hand
$1.2M
$881.4K
$587.6K
$293.8K
$0
2026
LatestYear
Total raised
Cash on hand
Total spent
Burn rate
Cycle 2026
$1.2M
$455.2K
$720.0K
$45.0K
Source: FEC
New updates coming soon
We're monitoring and will update when new data impacts the race.
- Endorsements