“Rodney Davis was handed nearly $200,000 in campaign contributions from Big Pharma, and he voted to hand them $40 billion in new tax giveaways. Davis even voted against a bipartisan plan to lower the costs of our prescription drugs,” one ad released Tuesday says.

The Democratic challengers in key Senate races are taking varied approaches to how they are discussing health care issues and whether they focus on their Republican opponent or Trump, according to a messaging memo by Protect Our Care summarizing how six Democratic challengers for the Senate and six Democratic House incumbents discuss health care and the COVID-19 pandemic. The memo covers Senate races in Arizona, Colorado, Iowa, Maine, Montana and North Carolina, all races that could determine which party controls the chamber next year.

The Democratic challengers’ talking points “are consistently about protecting people with pre-existing conditions, lowering drug costs, and protecting and expanding the Affordable Care Act,” the memo reads.

The memo, compiled before Ginsburg’s death, finds that many Democratic challengers began their campaigns talking about health care issues, including preexisting conditions. Sens. Martha McSally, R-Ariz., and Steve Daines, R-Mont., have run ads to defend their health care records, although both have voted to weaken preexisting condition coverage.

“Preexisting conditions politics were already playing out in Senate races, kind of similarly to how they played out in House races in 2018,” Woodhouse said.