Attorneys representing Sen. Roger Marshall on Monday accused Democratic challenger Adam Hamilton of producing a "defamatory" ad centered on a former patient who was arrested for missing court dates related to unpaid medical debt owed to the Kansas Republican.

In a letter sent to Hamilton, Marshall's attorneys claimed that the ad released last week by the Kansas Democrat's campaign contained "false" information and must be taken down.

"We demand that you immediately cease and desist from any further publication, broadcast, distribution, or promotion of the advertisement," the letter said.

The ad in question features Meischa Zimmerman—a one-time patient of Marshall, a former obstetrician-gynecologist—who was arrested in 2011 after missing a $50 payment.

Meischa was Roger Marshall's patient. This is her story. pic.twitter.com/M6bmqK92gm
— Team Hamilton (@TeamHamiltonHQ) September 25, 2026

As The New York Times reported earlier this month, Zimmerman, who was eight months pregnant at the time of her arrest, owed Marshall nearly $3,600 for a C-section he performed while delivering one of her children. She had previously agreed to a $50 monthly repayment plan for the procedure after being sued by Marshall's office for unpaid medical debts.

Marshall's attorneys objected to the ad's portrayal of events, arguing that Zimmerman's $50 missed payment was only a fraction of the total that she owed to the future senator.

"Falsely accusing a physician of having a pregnant patient arrested over a $50 bill strikes directly at Senator Marshall’s professional integrity as a physician and his fitness for public office," they wrote, "and it has been broadcast to thousands of Kansas voters in the final weeks of an election."

The attorneys' letter does not appear to have deterred Hamilton, who continued to promote the ad featuring Zimmerman in a Monday social media post.

"Roger Marshall REALLY doesn't want you to see this ad," Hamilton wrote. "Meischa's story is true. Roger Marshall and his lawyers can’t hide the truth about his record from Kansas voters."

Tyson Brody, spokesperson for Hamilton's campaign, defended the ad in an interview with the Kansas Reflector.

“The lies in his letter are blatant and reek of desperation,” Brody said. “The truth is what Roger Marshall did is extreme and hurt Kansans. Voters should know the truth about who their senator is and what he’s done."

According to the Times' reporting, at least 81 one-time Marshall patients have been arrested for missing court dates stemming from their unpaid medical bills, with one patient taken into custody owing just $114.

The Times investigation also found that Marshall or his office sued more than 700 patients for unpaid bills throughout his two-decade career.

Kellie Clutts, another former patient of Marshall, told the Times she was sued by the Kansas Republican in 2015 over a $129 bill, which eventually resulted in her bank account being garnished.

"I was recently divorced, trying to do everything on my own," Clutts told the Times. "I told them I could make partial payments, but it seemed like no matter what I said, they wanted the full amount at once."

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