What’s ahead for Biotech, Biopharma, and MedTech in 2026?

Our Top 3: 1) Backlash Over Federal Immigration Enforcement Intensifies: National outrage has surged after two fatal shootings by federal immigration agents in Minneapolis, complicating the Trump administration’s immigration strategy and turning ICE enforcement into a central campaign issue. 2) More Redistricting Moves Continue to Pop: Republicans’ appeal of a court ruling throwing out New York City’s only GOP-held House district comes as Democrats simultaneously push mid-decade redistricting efforts in Maryland and pursue a ballot move in Virginia to reclaim map-drawing power. 3) High Profile Names Shake Up Senate Races: The 2026 map is drawing marquee names as Julia Letlow, Michele Tafoya, and Alexander Vindman launch Senate bids in their respective states, signaling both parties’ intent to nationalize key races early and reshaping the battleground well ahead of November. National Sentiment Tracking Even Before MN Shooting, Voters Overwhelmingly Disapprove of ICE

Our Top 3: 1) Redistricting Chaos Creeps Into 2026 Planning: Ongoing redistricting battles in Wisconsin and Florida are creating uncertainty for House candidates as filing deadlines approach. 2) Economic Anxiety Ends 2025 On A Low Note: While inflation headlines have softened, voter frustration with the state of the economy sat at -33 at the end of the year, its lowest since July 2024. 3) Notable Retirements Are Beginning To Pop: A growing number of senior lawmakers in Washington have begun announcing plans to step aside, signaling early turnover ahead of 2026. At the state level, Tim Walz announced he will not seek reelection, a decision that follows a period of heightened scrutiny and controversy in Minnesota and sets off an open-seat race in a closely watched state with an open Senate seat for the Democrats to defend. National Sentiment Tracking Voters Still Concerned About Costs Over Everything Else Compared with polling from last year, inflation and prices remain the top voter concern, though the share citing it as the single most important issue has softened modestly as inflation cools. Even with that dip, cost-related issues continue to crowd out all others: inflation (26%), healthcare (12%), and jobs and the economy (11%) together account for nearly half of voter concern. Immigration (10%) and civil rights (9%) remain on the list but are secondary, suggesting that voters are still filtering political debates through an affordability lens rather than ideological ones. Read More. What This Means For candidates and outside groups heading into 2026, economic framing is unavoidable. Even when talking about healthcare, immigration, or regulation, voters are looking for answers to how policies affect household costs, wages, and financial stability. Voter Groups Shift In Support For Trump A new Economist/YouGov poll covering January 2–5, 2026, finds mixed movement in President Donald Trump’s job approval: his standing improved among men and Hispanic voters compared with the prior week, while approval among Republicans and women declined. Despite those shifts within subgroups, Trump’s overall approval remains down nationally, reflecting broader voter dissatisfaction. Then & now context matters. Today, Trump’s RealClearPolitics average sits at 43.8% approve / 52.6% disapprove (-8.8). On the same point in 2018, his approval was lower, and opposition was far deeper: 39.4% approve / 56.0% disapprove (-16.6). While approval is still down, the narrower gap today points to a sturdier base of support than during his first term. Key takeaways: Men & Hispanic voters: Trump’s approval ticked up in the latest numbers. Republicans & women: Both groups showed declining support for his performance compared with recent polling. Overall national picture: This nuanced movement highlights how demographic coalitions are shifting subtly and could influence messaging strategies for both parties in 2026. 

Big infrastructure decisions are coming fast in 2026. Our resident expert Jack Ruddy explains what’s next—from funding fights to major transportation legislation.

President Ashlee Rich Stephenson joins SiriusXM POTUS to break down the early outlook for the 2026 midterm elections and the battle for control of Congress. "The words of last year and probably still again this year, Steve, are going to be mid-decade redistricting. I think Republicans are going to end up netting out maybe three or four seats overall when it's all said and done." Watch the interview:

President Ashlee Rich Stephenson joined SiriusXM POTUS this morning to discuss President Trump's speech, the Affordable Care Act, and Republican strategy heading into the midterms. "The path to a strong midterm showing runs through President Trump’s base, and that’s exactly who this speech was designed to activate.” Watch the interview:

Here is the latest redistricting update based on recent events and projections for the new year, not taking into consideration potential dynamic shifts, such as the outcome in the Voting Rights Act cases that may impact redistricting in several other states. Virginia Democrats have taken the first step toward a constitutional amendment that will allow them to overturn the state's non-partisan redistricting commission. In order to do so, the legislature will need to pass the amendment again in the new year and then voters will have their say via referendum in the Spring or Summer. In Florida, Governor DeSantis confirmed that a redistricting effort would take place in the new year. The Florida constitution bans partisan redistricting, so any new map would be subject to challenges, but the state Supreme Court has previously been deferential to the legislature in redistricting matters. Governor JB Pritzker in Illinois has expressed an openness to redistricting, as requested by national Democrats including House Minority Leader Hakeem Jeffries, but to date no concrete steps have been taken. If Illinois elects to redraw its map, it would require moving the 2026 primary to later in the year as filing deadlines have already passed.

Congratulations to AxAdvocacy Principal Bobby Babcock on being named one of The Hill’s Top Lobbyists for 2025! Bobby’s exceptional leadership, strategic insight, and results-driven advocacy on behalf of a diverse portfolio of clients make this recognition well deserved. We’re proud to celebrate his impact and continued contributions to our clients and the industry. The Hill Top Lobbyist List: https://thehill.com/homenews/5632709-top-lobbyists-2025/

All eyes are on Tennessee’s 7th Congressional District today as voters brave the elements and holiday slump to head to the polls in the special election to replace Fmr. Rep. Mark Green. AxAdvocacy President Ashlee Rich Stephenson joined SiriusXM POTUS to unpack the turnout warning signs and what Republicans eyeing 2026 should pay attention to from today’s results. Watch the interview:

Every year, as our country pauses to reflect on Veterans Day, I think about the history and meaning behind this solemn day. Originally established as Armistice Day to mark the end of World War I on November 11, 1918, it later evolved into Veterans Day, a day we honor American servicemembers of every generation who have sworn to defend our country. For me, this day means a great deal. As an Army Veteran who served as an Infantry Officer in Afghanistan and Iraq, I often receive a "Thank you for your service." I genuinely appreciate the sentiment, yet I hesitate in how to respond. It was an honor to serve, and I will be forever grateful to have worn the uniform. I am grateful that my years in uniform shaped the person I am today. I learned valuable lessons in leadership and followership; how to build, inspire, and support teams; and the importance of values such as duty, integrity, respect, and selfless service. Those experiences, responsibilities, and perspectives have guided me throughout my civilian career and in my personal life. Most importantly, I am forever grateful for the lifelong friendships forged while serving, bonds strengthened through shared mission, values, hardship, and, oftentimes, humor. It is also important to note that the sacrifices were not solely with the veteran. To the spouses, children, parents, and loved ones who stood behind us, carried the weight at home, and supported their service members through deployments, moves, uncertainty, and long separations, you also served. Our service would not have been possible without your strength and sacrifice. To all who have served, and to the families who served alongside them, a big thank you! Today, we honor your commitment, your sacrifice, and your enduring contribution to our great nation.  Happy Veterans Day!