Democratic candidates scored major victories in the 2026 midterm elections, reclaiming control of Congress and making gains across several states, but the results of ballot measures targeting transgender rights pose a challenge for Democrats in the 2028 presidential election cycle.

Voters in Washington, Colorado, Arizona and Nebraska approved measures restricting transgender participation in school sports or access to certain gender-affirming medical procedures for minors.

The results suggest that support for Democratic candidates does not necessarily translate into support for every position associated with the party's platform.

The results also highlight an issue Republicans have increasingly used to challenge Democratic candidates, particularly in competitive races where cultural issues have become part of broader arguments about the direction of the country.

Republican campaigns have repeatedly focused on transgender participation in women's sports and medical treatment for transgender minors, attempting to portray Democrats as out of touch with public opinion on the issue.

Some Democratic candidates have emphasized fairness and competitive standards in athletics, while others have defended transgender rights or avoided discussing the issue altogether.

Democrats in Congress have said the matter should be handled on the local and state levels.