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Democrats plan to push legislation on day one of taking Congress to restore a federal right to abortion care and end restrictions on abortion coverage in federal health programs. In Alaska, a pro-abortion Democrat Mary Peltola is in a close Senate race against incumbent Daniel Sullivan, complicated by a copycat candidate with Sullivan's name on the ballot due to a state supreme court ruling despite efforts to disqualify him for misleading voters.

A 2026 U.S. Government Accountability Office report found that 1,719 Obamacare insurance plans across 18 states and the District of Columbia, including Alaska, cover abortions in cases prohibited by the Hyde Amendment, leading to taxpayer funding of these abortions.

The U.S. Supreme Court declined to intervene in the case of Alaska surrogate McKenna West, who refused to abort the baby she was carrying after he was diagnosed with a serious heart defect and sought a say in his care, leaving a California ruling recognizing the intended parents as the legal parents intact.

The 2026 elections will be crucial in determining control of the Senate, with Republicans currently holding a slim majority of 53 seats to the Democrats' 47, and Democrats needing a net gain of four seats to take control. Ten states—Alaska, Iowa, Kansas, Maine, Michigan, Minnesota, Nebraska, New Hampshire, Ohio, and Texas—are identified as the most competitive Senate races, where pro-life voter turnout could significantly impact the election outcomes.