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Ralph Alvarado

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Ralph Alvarado
Image of Ralph Alvarado

Candidate, U.S. House Kentucky District 6

Prior offices
Tennessee Commissioner Department of Health

Kentucky State Senate District 28
Successor: Greg Elkins

Elections and appointments
Next election

May 19, 2026

Education

Bachelor's

Loma Linda University

Medical

Loma Linda University

Personal
Religion
Christian: Baptist
Profession
Doctor
Contact

Ralph Alvarado (Republican Party) is running for election to the U.S. House to represent Kentucky's 6th Congressional District. He declared candidacy for the Republican primary scheduled on May 19, 2026.[source]

Alvarado (Republican Party) was a member of the Kentucky State Senate, representing District 28. He assumed office on January 1, 2015. He left office on January 6, 2023.

Alvarado resigned from the state Senate on January 6, 2023, to become commissioner for the Tennessee Department of Health.[1]

Alvarado ran on a joint ticket with Governor Matt Bevin in the 2019 Kentucky gubernatorial race.[2]

Biography

Ralph Alvarado was born in Winchester, Kentucky. He earned a bachelor of science and a medical degree from Loma Linda University and conducted his medical residency at the University of Kentucky. Alvarado’s career experience includes working as a physician with Kentucky One Medical Group, a member of the board of trustees of the Kentucky Medical Association, a fellow and a member of the government council with the American College of Physicians, and as a member of the Clark County Chamber of Commerce.[3]

Committee assignments

Note: This membership information was last updated in September 2023. Ballotpedia completes biannual updates of committee membership. If you would like to send us an update, email us at: editor@ballotpedia.org.

2021-2022

Alvarado was assigned to the following committees:

2019-2020

Alvarado was assigned to the following committees:

2017 legislative session

At the beginning of the 2017 legislative session, this legislator served on the following committees:

Kentucky committee assignments, 2017
Appropriations and Revenue
Health and Welfare, Vice chair
State and Local Government

2015 legislative session

At the beginning of the 2015 legislative session, Alvarado served on the following committees:

The following table lists bills this person sponsored as a legislator, according to BillTrack50 and sorted by action history. Bills are sorted by the date of their last action. The following list may not be comprehensive. To see all bills this legislator sponsored, click on the legislator's name in the title of the table.


Elections

2026

See also: Kentucky's 6th Congressional District election, 2026

General election

The primary will occur on May 19, 2026. The general election will occur on November 3, 2026. General election candidates will be added here following the primary.

Democratic primary election

Democratic primary for U.S. House Kentucky District 6

Zach Dembo, David Kloiber, Erin Petrey, and Cherlynn Stevenson are running in the Democratic primary for U.S. House Kentucky District 6 on May 19, 2026.


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Republican primary election

Republican primary for U.S. House Kentucky District 6

Ralph Alvarado, Ryan Dotson, and Deanna Frazier Gordon are running in the Republican primary for U.S. House Kentucky District 6 on May 19, 2026.


Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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Withdrawn or disqualified candidates

Endorsements

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2022

See also: Kentucky State Senate elections, 2022

General election

General election for Kentucky State Senate District 28

Incumbent Ralph Alvarado defeated Joshua Buckman in the general election for Kentucky State Senate District 28 on November 8, 2022.

Candidate
%
Votes
Image of Ralph Alvarado
Ralph Alvarado (R)
 
98.0
 
27,097
Image of Joshua Buckman
Joshua Buckman (Independent) (Write-in)
 
2.0
 
551

Total votes: 27,648
Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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Republican primary election

The Republican primary election was canceled. Incumbent Ralph Alvarado advanced from the Republican primary for Kentucky State Senate District 28.

2019

See also: Kentucky gubernatorial and lieutenant gubernatorial election, 2019

General election

General election for Lieutenant Governor of Kentucky

Jacqueline Coleman defeated Ralph Alvarado and Ann Cormican in the general election for Lieutenant Governor of Kentucky on November 5, 2019.

Candidate
%
Votes
Image of Jacqueline Coleman
Jacqueline Coleman (D)
 
49.2
 
709,890
Image of Ralph Alvarado
Ralph Alvarado (R)
 
48.8
 
704,754
Ann Cormican (L)
 
2.0
 
28,433
 Other/Write-in votes
 
0.0
 
46

Total votes: 1,443,123
Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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Democratic primary election

Democratic primary for Lieutenant Governor of Kentucky

Jacqueline Coleman defeated Stephanie Horne, Gill Holland, and Joshua French in the Democratic primary for Lieutenant Governor of Kentucky on May 21, 2019.

Candidate
%
Votes
Image of Jacqueline Coleman
Jacqueline Coleman
 
37.9
 
149,448
Image of Stephanie Horne
Stephanie Horne
 
31.9
 
125,981
Image of Gill Holland
Gill Holland
 
27.9
 
110,161
Joshua French
 
2.3
 
8,923

Total votes: 394,513
Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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Republican primary election

Republican primary for Lieutenant Governor of Kentucky

Ralph Alvarado defeated Michael T. Hogan, Justin Miller, and James Anthony Rose in the Republican primary for Lieutenant Governor of Kentucky on May 21, 2019.

Candidate
%
Votes
Image of Ralph Alvarado
Ralph Alvarado
 
52.4
 
136,069
Image of Michael T. Hogan
Michael T. Hogan
 
39.0
 
101,345
Justin Miller
 
5.4
 
14,040
James Anthony Rose
 
3.2
 
8,412

Total votes: 259,866
Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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2018

See also: Kentucky State Senate elections, 2018

General election

General election for Kentucky State Senate District 28

Incumbent Ralph Alvarado defeated Denise Gray in the general election for Kentucky State Senate District 28 on November 6, 2018.

Candidate
%
Votes
Image of Ralph Alvarado
Ralph Alvarado (R)
 
53.4
 
23,212
Image of Denise Gray
Denise Gray (D)
 
46.6
 
20,291

Total votes: 43,503
(100.00% precincts reporting)
Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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Democratic primary election

Democratic primary for Kentucky State Senate District 28

Denise Gray advanced from the Democratic primary for Kentucky State Senate District 28 on May 22, 2018.

Candidate
Image of Denise Gray
Denise Gray

Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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Republican primary election

Republican primary for Kentucky State Senate District 28

Incumbent Ralph Alvarado advanced from the Republican primary for Kentucky State Senate District 28 on May 22, 2018.

Candidate
Image of Ralph Alvarado
Ralph Alvarado

Candidate Connection = candidate completed the Ballotpedia Candidate Connection survey.
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2014

See also: Kentucky State Senate elections, 2014

Elections for the Kentucky State Senate took place in 2014. A primary election took place on May 20, 2014. The general election was held on November 4, 2014. The signature filing deadline for candidates wishing to run in this election was January 28, 2014. Incumbent R. J. Palmer II ran unopposed in the Democratic primary, while Ralph Alvarado ran unopposed in the Republican primary. Alvarado defeated Palmer in the general election.[4][5][6]

Kentucky State Senate, District 28 General Election, 2014
Party Candidate Vote % Votes
     Republican Green check mark transparent.pngRalph Alvarado 52.8% 18,636
     Democratic R.J. Palmer II Incumbent 47.2% 16,656
Total Votes 35,292

2010

See also: Kentucky State Senate elections, 2010

Alvarado ran in the 2010 election for Kentucky State Senate District 28. Alvarado defeated Bryan Lutz in the Republican primary election on May 18, 2010, and was defeated by R.J. Palmer in the general election on November 2, 2010.[7][8]

Kentucky State Senate, District 28 - Republican Primary (2010)
Candidates Votes Percent
Green check mark transparent.png Ralph Alvarado 3,386 65.5%
Brian Lutz 1,780 34.5%

Campaign themes

2026

Ballotpedia survey responses

See also: Ballotpedia's Candidate Connection

Candidate Connection

Ralph Alvarado has not yet completed Ballotpedia's 2026 Candidate Connection survey. Send a message to Ralph Alvarado asking him to fill out the survey. If you are Ralph Alvarado, click here to fill out Ballotpedia's 2026 Candidate Connection survey.

Who fills out Ballotpedia's Candidate Connection survey?

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You can ask Ralph Alvarado to fill out this survey by using the buttons below or emailing ralphalvarado@pdscompliance.com.

Twitter
Email

2022

Ralph Alvarado did not complete Ballotpedia's 2022 Candidate Connection survey.

2019

Ralph Alvarado did not complete Ballotpedia's 2019 Candidate Connection survey.

Campaign finance summary


Note: The finance data shown here comes from the disclosures required of candidates and parties. Depending on the election or state, this may represent only a portion of all the funds spent on their behalf. Satellite spending groups may or may not have expended funds related to the candidate or politician on whose page you are reading this disclaimer. Campaign finance data from elections may be incomplete. For elections to federal offices, complete data can be found at the FEC website. Click here for more on federal campaign finance law and here for more on state campaign finance law.


Ralph Alvarado campaign contribution history
YearOfficeStatusContributionsExpenditures
2026* U.S. House Kentucky District 6Candidacy Declared primary$0 N/A**
2022Kentucky State Senate District 28Won general$189,330 $0
2018Kentucky State Senate District 28Won general$364,848 N/A**
2014Kentucky State Senate, District 28Won $339,741 N/A**
Grand total$893,919 N/A**
Sources: OpenSecretsFederal Elections Commission ***This product uses the openFEC API but is not endorsed or certified by the Federal Election Commission (FEC).
* Data from this year may not be complete
** Data on expenditures is not available for this election cycle
Note: Totals above reflect only available data.

2016 Republican National Convention

See also: Republican National Convention, 2016
Ralph Alvarado
Republican National Convention, 2016
Status:Delegate
State:Kentucky
Bound to:Unknown
Delegates to the RNC 2016
Calendar and delegate rules overviewTypes of delegatesDelegate rules by stateState election law and delegatesDelegates by state

Alvarado was a delegate to the 2016 Republican National Convention from Kentucky.[9] In the Kentucky Republican caucuses on March 5, 2016, Donald Trump received 17 delegates, Ted Cruz received 15, and Marco Rubio and John Kasich received seven each. Ballotpedia was not able to identify which candidate Alvarado was bound by state party rules to support at the national convention. If you have information on how Kentucky’s Republican delegates were allocated, please email editor@ballotpedia.org.[10]

Speaking slot

Alvarado received a speaking slot at the 2016 Republican National Convention. His July 20 speech focused on the story of his family, legal immigration, and Hillary Clinton. The speech can be viewed below.

RNC Rules Committee

See also: RNC Rules Committee, 2016

Alvarado was a member of the RNC Rules Committee, a 112-member body responsible for crafting the official rules of the Republican Party, including the rules that governed the 2016 Republican National Convention.[11]

Appointment process

The convention Rules Committee in 2016 consisted of one male and one female delegate from each state and territorial delegation. The Rules of the Republican Party required each delegation to elect from its own membership representatives to serve on the Rules Committee.

Delegate rules

See also: RNC delegate guidelines from Kentucky, 2016 and Republican delegates from Kentucky, 2016

Delegates from Kentucky to the Republican National Convention were selected by nomination committees and approved at the county and state conventions. Kentucky GOP rules required national convention delegates to have supported the 2012 Republican presidential nominee. Kentucky GOP rules and Kentucky state law required delegates from Kentucky to vote for the candidate to whom they were allocated through the first round of voting at the national convention. If a candidate died or withdrew prior to the first round of voting at the national convention, the chairman of the Kentucky delegation was to call a meeting at which the delegates were to vote on the remaining candidates and be reallocated on the basis of the results.

Kentucky caucus results

See also: Presidential election in Kentucky, 2016
Kentucky Republican Caucus, 2016
Candidate Vote % Votes Delegates
Green check mark transparent.pngDonald Trump 35.9% 82,493 17
Ted Cruz 31.6% 72,503 15
Marco Rubio 16.4% 37,579 7
John Kasich 14.4% 33,134 7
Ben Carson 0.8% 1,951 0
Rand Paul 0.4% 872 0
Other 0.2% 496 0
Jeb Bush 0.1% 305 0
Mike Huckabee 0.1% 174 0
Chris Christie 0% 65 0
Carly Fiorina 0% 64 0
Rick Santorum 0% 31 0
Totals 229,667 46
Source: The New York Times and Republican Party of Kentucky

Delegate allocation

See also: 2016 presidential nominations: calendar and delegate rules
Logo-GOP.png

Kentucky had 46 delegates at the 2016 Republican National Convention. Of this total, 18 were district-level delegates (three for each of the state's six congressional districts). District delegates were allocated proportionally; a candidate had to win at least 5 percent of the statewide caucus vote in order to be eligible to receive any district delegates.[12][13]

Of the remaining 28 delegates, 25 served at large. At-large delegates were allocated proportionally; a candidate had to win at least 5 percent of the statewide caucus vote in order to be eligible to receive any of the state's at-large delegates. In addition, three national party leaders (identified on the chart below as RNC delegates) served as bound delegates to the Republican National Convention. The RNC delegates were allocated in the same manner as the at-large delegates.[12][13][14]

Scorecards

See also: State legislative scorecards and State legislative scorecards in Kentucky

A scorecard evaluates a legislator’s voting record. Its purpose is to inform voters about the legislator’s political positions. Because scorecards have varying purposes and methodologies, each report should be considered on its own merits. For example, an advocacy group’s scorecard may assess a legislator’s voting record on one issue while a state newspaper’s scorecard may evaluate the voting record in its entirety.

Ballotpedia is in the process of developing an encyclopedic list of published scorecards. Some states have a limited number of available scorecards or scorecards produced only by select groups. It is Ballotpedia’s goal to incorporate all available scorecards regardless of ideology or number.

Click here for an overview of legislative scorecards in all 50 states.  To contribute to the list of Kentucky scorecards, email suggestions to editor@ballotpedia.org.



2023

In 2023, the Kentucky State Legislature was in session from January 3 to March 30.

Legislators from the Louisville area are scored on their votes on bills related to business issues.
Legislators are scored on their votes on bills related to business issues.
Legislators are scored on their votes on bills related to family issues.


2022


2021


2020


2019


2018


2017


2016


2015



See also


External links

Footnotes

  1. Office of the Governor, "Gov. Lee Names Dr. Ralph Alvarado Commissioner for TN Department of Health," November 22, 2022
  2. Kentucky Secretary of State, "Candidate Filings with the Office of the Secretary of State," accessed January 30, 2019
  3. Kentucky General Assembly, "Senator Ralph Alvarado (R)," accessed March 23, 2020
  4. Kentucky Secretary of State, "Election: 2014 General Election," accessed October 29, 2014
  5. Kentucky Secretary of State, "Official 2014 Primary Election Results," accessed October 29, 2014
  6. Kentucky Secretary of State, "Official 2014 General Election Results," accessed December 5, 2014
  7. Kentucky State Board Of Elections, "Statewide Results - 2010 Primary Election," accessed September 2, 2014
  8. Kentucky State Board Of Elections, "Official 2010 General Election Results," accessed September 2, 2014
  9. Cincinnati.com, "Kentucky GOP releases list of delegates," April 25, 2016
  10. To build our list of the state and territorial delegations to the 2016 Republican National Convention, Ballotpedia relied primarily upon official lists provided by state and territorial Republican parties, email exchanges and phone interviews with state party officials, official lists provided by state governments, and, in some cases, unofficial lists compiled by local media outlets. When possible, we included what type of delegate the delegate is (at-large, district-level, or RNC) and which candidate they were bound by state and national party bylaws to support at the convention. For most delegations, Ballotpedia was able to track down all of this information. For delegations where we were not able to track down this information or were only able to track down partial lists, we included this note. If you have additional information on this state's delegation, please email editor@ballotpedia.org.
  11. Ballotpedia's list of 2016 RNC Rules Committee members is based on an official list from the Republican National Committee obtained by Ballotpedia on June 24, 2016
  12. 12.0 12.1 Republican National Committee, "2016 Presidential Nominating Process," accessed October 6, 2015
  13. 13.0 13.1 CNN.com, "Republican National Convention roll call vote," accessed July 20, 2016
  14. Republican National Committee, "Memorandum on Binding of RNC Members," January 29, 2016

Political offices
Preceded by
-
Kentucky State Senate District 28
2015-2023
Succeeded by
Greg Elkins (R)
Preceded by
-
Tennessee Commissioner Department of Health
-2025
Succeeded by
-


Senators
Representatives
District 1
District 2
District 3
District 4
District 5
District 6
Andy Barr (R)
Republican Party (7)
Democratic Party (1)