District: AZ-01
Cook Political Ranking: Toss Up
Performance Voter Index: R+1
Dr. Amish Shah is a doctor and former State Representative who is running for Congress to try to flip Arizona’s 1st congressional district blue. His mother and father were engineering students who immigrated from India in the 1960s. Shah graduated from Northwestern University Medical School and then went on to become a medical student and resident at the Mount Sinai Medical Center in New York as a full-time faculty member and academic researcher. Shah went back to school again and graduated from the University of Arizona’s Sports Medicine fellowship. He is currently board-certified in Emergency Medicine and Sports Medicine and practices throughout Arizona, treating adults and children. In 2019, he ran for and was elected to the Arizona House of Representatives, serving Assembly District 5. He has served two terms in office. Shah first ran forAZ-01 in 2024, but ultimately lost to Republican incumbent David Schweikert by two points. Shah is running for the U.S. House in Arizona to continue fighting for reproductive rights, lowering costs for working families, protecting democracy, and improving access to healthcare.

Arizona’s 1st Congressional District is based in northeastern Maricopa County, and includes the city of Scottsdale. Ahead of the 2022 race, this district changed substantially under the redistricting process. The newly renumbered AZ-01 seat, numbered AZ-06 under the old lines, is currently held by GOP Rep. David Schweikert. Through redistricting, the seat became bluer but is still considered Republican-leaning. Under the old district lines, in 2020, President Trump won the district by 4 points; however, in 2024 Trump won the district by 3 points under the new lines. While it is an overwhelmingly white district, there are significant Latinx and Jewish populations present as well. In 2024, the race for AZ-01 saw more than $25 million in outside spending, with Democratic candidate Shah raising $6.1 million and Rep.Schweikert raising $4.1 million. In 2026, Shah is challenging incumbent Rep. Schweikert again, and the DCCC has included Shah in its Red to Blue program. V4P PAC has not yet endorsed in this race.