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What to know about primaries in 5 states today: Michigan, Virginia and more

▶ Watch Video: Michigan’s Democratic Senate race comes to a head as multiple states hold primaries | Special Report

Primary elections are being held Tuesday in five states, including Michigan, where Democrats are watching the expensive and contentious Senate primary contest between populist Abdul El-Sayed and moderate Rep. Haley Stevens.

They’re running for retiring Democratic Sen. Gary Peters’ seat, which is among a handful that Democrats must hold in order to have any chance of winning control of the Senate. Gov. Gretchen Whitmer is backing Stevens, while Sen. Bernie Sanders and Rep. Alexandria Ocasio-Cortez are campaigning for El-Sayed. Former GOP Rep. Mike Rogers, who lost to Sen. Elissa Slotkin by less than a point in 2024, is running unopposed in the Republican primary. 

After the Virginia Supreme Court struck down Democrats’ voter-approved plan to redraw the congressional districts to net up to four more districts, Virginians will be using the maps drafted by a nonpartisan commission in 2021. Democrats are still targeting several districts in their fight for control of the House.

In Missouri, ongoing redistricting legal battles may yet affect congressional races, where longtime Democratic Rep. Emanuel Cleaver’s district has been redrawn to favor the GOP and five Republicans are vying for the chance to take him on in November. In the only reliably Democratic district in the state, the 1st, Democratic Rep. Wesley Bell was projected to defeat former Rep. Cori Bush, whom he also unseated two years ago. 

In Kansas, Democratic Gov. Laura Kelly’s tenure will be ended by term limits, opening up the governor’s race in the reliably GOP state. 

There are also primaries in Washington, where the top two vote getters, regardless of party, will  advance to the general election. Four Democrats and three Republicans are vying to take on two-term Rep. Marie Gluesenkamp Perez, who is a frontrunner to make the ballot in the 3rd District this fall. And in the Seattle area, longtime Rep. Adam Smith is being challenged by former Seattle City Council member Kshama Sawant, a socialist, along with several others. 

Here are the major races to watch today:

Michigan Senate race 

Progressives and moderate party leaders have been clashing for months over who’s best positioned in the race, and who is more broadly representative of Michigan’s voters. Stevens, 43, who was recruited by Senate Minority Leader Chuck Schumer, has represented Michigan in the House since 2019 and has the support of national Democrats. El-Sayed, a 41-year-old doctor and former state health official, has picked up the backing of prominent progressives like Rep. Alexandria Ocasio-Cortez and independent Sen. Bernie Sanders. 

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File: Democratic Senate candidates: Michigan Rep. Haley Stevens and former Michigan health official Abdul El-Sayed

Campaigns of Haley Stevens and Abdul El-Sayed

El-Sayed spoke with CBS News senior White House and political correspondent Ed O’Keefe on the eve of the primary and suggested the Democratic Party has been losing sight of what Americans really need. 

“Sometimes, when the Democratic Party talks about a big tent, we push everybody into the corner and then go talk and pander to the corner,” he told O’Keefe. “I’m just trying to bring everybody to the tent pole in the middle to talk about what we really need. We need good housing. We need good schools. We need healthcare.” 

Stevens, who also talked with O’Keefe, accused El-Sayed of using the Senate race as a stepping stone to the presidency. 

“This is six years of hard, unglamorous work that I’m signing up for. I’m Michigan’s workhorse. That’s what I want to be,” Stevens said. “My opponent, he’s already got his website for president.”

El-Sayed has run on progressive policies like Medicare for All and he’s been an outspoken critic of Israel’s government and the war in Gaza. And for Michigan, which is home to the largest concentration of Arab Americans in the U.S., the issue has been central to the campaign. 

While Stevens is a proponent of a two-state solution, she’s received an influx of funding from pro-Israel groups, which El-Sayed seized on during their debate earlier this month. But Stevens has emphasized her priorities in the Great Lakes State, including affordability issues, healthcare and housing. 

A third high-profile candidate in the race, state Sen. Mallory McMorrow, dropped out earlier this month.

Michigan’s governor’s race

Whitmer is also facing term limits, setting up an open contest. CBS News projected Tuesday that Secretary of State Jocelyn Benson had easily defeated Genesee County Sheriff Chris Swanson in the Democratic primary.

On the Republican side, former Michigan Attorney General Mike Cox dropped out of the race in July, citing Mr. Trump’s endorsement of Rep. John James in the race. Senate Minority Leader Aric Nesbitt suspended his campaign a month earlier for the same reason. Both candidates then backed James. James still has one opponent, businessman Perry Johnson. Polls show James with a significant lead. 

Michigan House races 

With Stevens running for Senate, the race for her suburban Detroit district is wide open. Although Stevens flipped the Republican seat in 2018, she won the seat by nearly 20 points in 2024 and the district is considered a solidly Democratic seat. Four Democrats are competing on Tuesday, with Whitmer backing state Sen. Jeremy Moss. Troy Mayor Ethan Baker is running unopposed for the Republican nomination.

There is also an open primary in Michigan’s 10th District, since James is running for governor. The nonpartisan Sabato’s Crystal Ball at the UVA Center for Politics ranks the seat as a toss-up and it has nearly 50-50 partisan split, according to the Michigan Legislative Consultants

Republican Robert Lulgjuraj dropped out of the race in July, leaving three Republicans still in the running — Army Capt. Michael Bouchard, Justin Kirk and Steffan Demetropoulos. Three Democrats are running, attorney Eric Chung, former Pontiac Mayor Tim Greimel and prosecutor Christina Hines.

Virginia House races 

Although Democrats did not succeed in enacting the congressional map that favored them in 10 out of 11 districts, the party is still trying to flip several seats. The state appears to have become more Democratic, and last year the state was severely affected by federal government layoffs. Democrats swept the 2025 statewide elections, and the redistricting referendum passed earlier this year before being struck down by the courts. 

Former Rep. Elaine Luria was projected to win the Democratic primary for the 2nd Congressional District race and will take on incumbent Republican Rep. Jen Kiggans in the Virginia Beach-area district. Kiggans defeated Luria in 2024, but the Democrats’ campaign arm threw its weight behind Luria again this time. 

Democrats are also targeting the 1st District, currently represented by Republican Rep. Rob Wittmann. CBS News projected Tuesday that Democrat Shannon Taylor defeated a field of six primary challengers and will face Wittmann in November’s general election to represent the Williamsburg and western Richmond suburban district. 

The Democrats’ campaign arm supported Taylor, a prosecutor who in 2011 was the first Democrat in 40 years to win the Henrico Commonwealth’s Attorney’s Office. Sabato’s Crystal Ball at the UVA Center for Politics ranks the race as Lean Republican. 

Another closely-watched race is in Virginia’s 5th District, currently represented by Republican Rep. John McGuire. In 2024, McGuire defeated two-term GOP Rep. Bob Goode in the Republican primary by less than 500 votes, and then went on to win the central Virginia district by 15 points in the general election. Although Sabato’s Crystal Ball at the UVA Center for Politics ranks the race as Likely Republican, three Democrats are vying for the chance to take on McGuire in November. 

Republicans, meanwhile, are focused on Virginia’s competitive 7th District, where Democratic Rep. Eugene Vindman is one of the most vulnerable Democrats this cycle. Vindman, an Army colonel who was a whistleblower during Mr. Trump’s first impeachment trial, won in 2024 by 2 points after Abigail Spanberger decided to run for governor. Douglas Ollivant, a former official at the White House’s National Security Council, was projected to win Tuesday’s Republican primary and will face Vindman in November. 

Missouri House races 

In 2024, Rep. Wesley Bell successfully challenged the incumbent Rep. Cori Bush, a Black Lives Matter organizer who was aligned with the progressive members known as “The Squad,” in a Democratic stronghold district in St. Louis. Bush is now challenging Bell again for the seat.

Nearly 80% of the district’s constituents voted for former Vice President Kamala Harris in 2024, so the winner of Tuesday’s primary is expected to win again in November. Bush is campaigning that she will fight both Mr. Trump as well as Democratic leadership, while Bell is running as a more pragmatic candidate. 

Last year, Missouri lawmakers undertook redistricting to edge out the state’s other Democratic representative, Cleaver, who has represented Kansas City in Congress since 2004. The new district now stretches from Kansas City through the suburbs into the more rural parts of the state, and Cleaver is running unopposed for the Democratic nomination. Six Republicans are vying Tuesday to take on Cleaver in November, but a Kansas City Star investigation in July found that only one lives in the new district’s boundaries. 

Although the new congressional boundaries have been signed into law, the map’s legal status is still in question after an ambiguous ruling from the Missouri Supreme Court. At the heart of the case is a referendum with more than 305,000 signatures that called for a statewide vote on the map. Republican Secretary of State Denny Hoskins has until Tuesday to verify the signatures and certify the referendum. If he certifies it, the new map would be paused. The legal fight is bound to continue, whatever Hoskins decides.

Washington’s 3rd Congressional District 

Democratic Rep. Marie Gluesenkamp Perez is running against eight other candidates to advance to the general election in Washington’s 3rd Congressional District. 

Washington has nonpartisan primaries, with the top two candidates with the most votes appearing on the November ballot.

The race is one of the closest-watched House contests this cycle and will help decide who controls the lower chamber as of early next year. It was one of 13 districts that voted for President Trump in 2024 while also electing a Democrat to the House.

Among her challengers is Trump-backed Republican state Sen. John Braun, who has disagreed with the president on tariffs and whether he lost the 2020 election. 

Kansas governor’s race 

Kelly, first elected in 2018, prevailed in 2022 despite Kansas’ deep-red leanings and Mr. Trump went on to win Kansas in 2024 by 16 points. Three Democrats are vying Tuesday to replace Kelly, while seven Republicans are on the ballot. 

Mr. Trump has endorsed Republican Kansas Senate President Ty Masterson, while Kelly has backed state Sen. Ethan Corson of Fairway for the Democratic nomination. 

Millions of Americans with untreated high blood pressure should be taking medication

Nearly 1 in 3 adults in the United States with untreated high blood pressure would benefit from treatment and are not getting it, according to a new study.That’s because nearly 10 million Americans now meet newly updated guidelines by the American Heart Association and American College of Cardiology that redefine an adult’s risk for cardiovascular disease.“We estimated that approximately 200,900 all-cause deaths and 162,600 cardiovascular deaths could be prevented over the next 10 years,” said lead study author Dr. Mustafa Al-Jarshawi, a cardiologist at Keele University in England.Ideally, doctors want blood pressure to fall below 120 mmHg systolic and 80 mmHg diastolic. If blood pressure is around 130/80, doctors have typically advised people to make changes to their lifestyle, such as increasing exercise.If doctors use the American Heart Association’s new PREVENT tool, which considers blood sugar, kidney function and a person’s decade-long risk for heart disease as well as blood pressure, some 81 million Americans would be eligible for blood pressure medications.“What this is saying is that people who have traditionally not been at very high risk are now eligible to be treated with medications more aggressively,” said cardiologist Dr. Andrew Freeman, director of cardiovascular prevention and wellness at National Jewish Health in Denver.“Generally, I think when people have additional risk, blood pressure is really the silent killer,” said Freeman, who was not involved with the study.Expanding treatment could save livesThe study, published July 29 in the Journal of the American Heart Association, analyzed National Health and Nutrition Examination Survey data from 2009 to 2018. Newer data is available, but the most up-to-date version of the survey hasn’t been around long enough for researchers to know participants’ cause and time of death.The study examines how death rates might be lower if the 2025 hypertension guidelines were implemented during those years, Al-Jarshawi said.Among 81 million adults with high blood pressure and no cardiovascular disease, nearly 23 million may be newly eligible under the new guidelines. Of those 23 million, 9.7 million were untreated.Becoming eligible to receive blood pressure medication was associated with a 23% lower risk of dying compared with no treatment. When it comes to the chances of dying from a heart-related issue, risk dropped by 50%. The study also found that adults with diabetes would benefit most from treatment. This is because diabetes and high blood pressure often occur together, significantly increasing cardiovascular risk, Al-Jarshawi said.Treatment is more than a medicationAny eligible person shouldn’t hesitate to start taking medication in addition to making lifestyle changes to reduce long-term risks, Al-Jarshawi said.Controlling high blood pressure is a long-term commitment to health, CNN contributor Dr. Leana Wen, an emergency physician and adjunct associate professor at George Washington University, told CNN in a previous article. She recommended looking into a key inventory of five daily habits: level of physical activity, diet, substance use including alcohol and marijuana, stress levels, and a healthy weight.“You don’t have to do everything perfectly to make a difference in your health,” Wen said. She suggests starting with small lifestyle changes. Many people can’t easily reduce stress in their lives, but maybe they can more easily start eating more fruits and vegetables.”The findings of the new study highlight the importance of controlling high blood pressure, Freeman said.“The western world is ailing from a variety of cardiometabolic, kidney diseases,” Freeman said. “High blood pressure amplifies a lot of risk, and we have to do whatever we can to get that risk down and being aggressive about blood pressure is very low-hanging fruit.”However, medication only works when it’s inside the person, and not sitting in the bottle unused, Freeman said. About half of adults in the US with high blood pressure don’t regularly take their prescribed medication, according to a July 2025 study published in the journal JAMA Cardiology.Freeman recommends trying to form a habit, such as keeping your pillbox next to an alarm or toothbrush. That way, when set an alarm for the morning or brush your teeth, you remember to also take the pills.“There’s a way to cue yourself and remind,” Freeman said. “For those people that forget, consider having a small supply in your purse or your wallet or your car, just so you can always remember to take it.”The study’s findings also highlight the need for physicians to be alert to early signs of disease and consider blood pressure treatment, even in younger people, according to Freeman.“We’re seeing a lot more young people now who have chronic disease and diabetes and other things that may be relatively mild, but still at risk, and we need to be even more aggressive,” Freeman said.The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.
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