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Republican leadership of Senate health panel in doubt

Oct 8, 2026, 4:59am EDT
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Josh Hawley
Nathan Howard/Reuters

Tight polls for Republicans are throwing future GOP leadership of the Senate health panel into question.

With Sens. Roger Marshall, R-Kansas, and Susan Collins, R-Maine, fighting difficult reelection battles, it’s unclear who will replace Louisiana Sen. Bill Cassidy as the top Republican on the Senate HELP Committee.

Sen. Rand Paul, R-Ky., is the next most senior person, but he would have to give up leading the Homeland Security Committee to helm the health panel. And Sen. Lisa Murkowski, R-Alaska, another member, could be in line to be the top GOP appropriator if Collins loses her reelection bid.

Sen. Tim Scott, R-S.C., would be next up after Paul and Murkowski, but he already leads the Senate Banking Committee.

It’s not impossible that Missouri Sen. Josh Hawley, a staunch abortion opponent, lands the role opposite Sen. Bernie Sanders, I-Vt., on the committee.

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