Kansas’ Marshall faces yet another mess: A class-action lawsuit from a former patient
As 2026 got underway and political observers looked ahead to competitive Senate races, few gave Kansas a second glance. The conventional wisdom was that Republican Sen. Roger Marshall would cruise to re-election, simply because he represents a red state that hasn’t elected a Democratic senator since 1932.
With just days remaining in the midterm cycle, it’s safe to say things haven’t quite gone according to plan for the GOP incumbent.
There’s no shortage of reasons why polls show Marshall struggling. From questions about his residency to an unpaid bakery bill, from his ongoing campaign finance controversy to the strength of the Rev. Adam Hamilton’s Democratic candidacy, the incumbent senator with a thin record is at the center of a toss-up race that few would’ve predicted in the recent past.
But I’ve long argued that the turning point in the Kansas race came in early September when Kansans learned that Marshall garnished paychecks and pushed arrest warrants when his patients couldn’t afford their medical bills during his time as a physician in private practice. There’s ample evidence to suggest local voters heard the story and considered it important.
This, as much as anything else, stuck. It was around that point when some polls started showing Hamilton ahead, especially after the Democratic campaign seized on the issue in its advertising.
As the race nears its end, the story continues to haunt Marshall in new and potentially harmful ways. The New York Times reported:
A former patient of Senator Roger Marshall, Republican of Kansas, on Thursday filed a class-action lawsuit against him and his former medical practice, contending that he charged illegally high interest rates in pursuing patients over outstanding bills. […]
The lawsuit, filed in Kansas state court, focuses on the 18 percent interest rate that Mr. Marshall and the medical practice he co-owned, Heartland OBGYN, often charged patients.
When the story about his debt collection practices first came to the fore, Marshall repeatedly said his business practices were “very common,” but a few weeks ago, The Kansas City Star reported that an analysis of medical debt lawsuits in the Kansas court system “found that although it’s not uncommon for hospitals and clinics across the state to sue patients, the 18% annual interest rate Marshall applied to unpaid bills was by far the highest of the roughly 150 medical practices whose public records were reviewed by The Star.”
The report added that in reviewing thousands of court documents, the newspaper “found no other medical providers that charged annual interest at 18% or any other specified rate above 12%.”
The Star also spoke to the lawyer who had represented the Kansas Republican, and he said it was Marshall’s office that was responsible for determining how much interest to charge patients on unpaid bills.
The newspaper gave the senator and his campaign team multiple opportunities over a two-week period to respond to questions about the story. They declined.
Three weeks later, Marshall’s practices are now the basis for a new lawsuit, alleging the interest rates he charged were “egregious” and potentially at odds with state law, which typically limits medial interest rates to 15%.
The Times’ report added that the lead plaintiff in the newly filed class-action suit is Meischa Zimmerman, whom Marshall’s practice sued in 2009 for $3,596 over debt related to the delivery of her daughter by cesarean section.
“She was arrested three times for missing court dates related to the case,” the article added, “once while she was eight-months pregnant and at home with her 2-year-old daughter.”
It’s not yet clear whether other patients have joined with Zimmerman in the case, and a spokesperson for the Republican incumbent did not immediately respond to the Times’ request for comment. Watch this space.
This post updates our related earlier coverage.
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