What Happened in the 2026 Texas Primary Runoff Election? Results Here.

Texans went back to the polls on May 26 for the primary runoff elections.

Runoff elections usually have lower turnout, but they still have a big impact. They decide who appears on the general election ballot and help shape the choices voters see in November. In 2026, runoffs helped drive a major change in the U.S. Senate race and set up new matchups for attorney general, lieutenant governor, and other statewide offices that guide health policy.

How many Texans voted in the primary runoff election?

Almost 2 million Texans voted in the primary runoffs. Most of those voters took part in the Republican runoffs, with more than twice as many Republican voters as Democratic voters.

If you look at the full 2026 primary season, more than 4 million Texans voted in either the March primary or the May runoffs. This is the highest midterm primary turnout in Texas history and shows that people are paying attention to this election year.

Results for Big Statewide Races

Several big statewide races were shaped by the runoffs.

• U.S. Senate
  • Democrat James Talarico will be his party’s nominee for U.S. Senate in November.
  • On the Republican side, Attorney General Ken Paxton won his runoff against longtime U.S. Sen. John Cornyn with about 64% of the vote. A late endorsement from President Trump helped drive strong support from conservative voters.
• Attorney General
  • Democrat Nathan Johnson won his runoff with about 61% of the vote.
  • Republican Mayes Middleton won his runoff with about 55% of the vote.
  • Texas will choose a new attorney general in November, after more than 10 years with Ken Paxton in that office. The attorney general can play a major role in health policy, lawsuits over Medicaid, and how state laws that affect clinics are enforced.
• Lieutenant Governor
  • Democrat Vikki Goodwin won her runoff with about 68% of the vote.
  • She will face Republican incumbent Dan Patrick in the general election.
• Comptroller
  • Democrat Sarah Eckhardt will be on the ballot against Republican Don Huffines.
• Texas Railroad Commission
  • Democrat Jon Rosenthal will be his party’s nominee.
  • Republican Bo French narrowly defeated incumbent Jim Wright in the runoff with a little over half the vote.
  • The Railroad Commission regulates oil and gas, which affects air, water, and community health.
• Dallas County District Attorney
  • Former judge Amber Givens defeated incumbent John Creuzot in the Democratic primary and has no Republican opponent. She is set to become the next Dallas County District Attorney.

How do these results impact PHNTX clinics?

Runoff results and earlier primary contests also changed who will represent many neighborhoods where Prism Health North Texas (PHNTX) patients and staff live and work.

• Areas now in Congressional District 33
  • This new district includes communities near Oak Cliff Health Center, PHNTX – Uptown Physicians Group, Worth Street, and East Dallas Dental.
  • Democrat Colin Allred won his runoff over incumbent Julie Johnson with about 53.9% of the vote.
  • Republican Patrick Gillespie won his runoff over John Sims with about 57.1% of the vote.
• South Dallas Health Center
  • In Congressional District 30, Reverend Frederick Haynes III will be the Democratic nominee.
  • Everett Jackson won the Republican runoff with about 57.5% of the vote.
  • In House District 100, incumbent Venton Jones won the Democratic runoff with about 83% of the vote.
• Farmers Branch Dental
  • In Congressional District 24, Kevin Burge won the Democratic runoff with about 69.4% of the vote and will face incumbent Republican Beth Van Duyne in November.
  • In House District 103, Rafael Anchia will run against Melanie Medley-Thomas in the general election.

What’s next for voters?

The next big step is the November 2026 general election. Key dates from your notes include:

• Voter registration deadline: Monday, October 5, 2026
• Early voting: October 19–30, 2026
• Election Day: Tuesday, November 3, 2026

PHNTX does not support any one party or candidate but encourages every eligible voter to make a plan to vote, know their districts, and stay informed about the leaders who shape health care in their community.

Learn more about our healthcare policy and advocacy initiatives here.