PLANO, Texas (AP) — Texas Attorney General Ken Paxton won the Republican nomination for U.S. Senate on Tuesday, easily defeating four-term Sen. John Cornyn in the latest contest where President Donald Trump sought to oust an incumbent he saw as insufficiently loyal.

Trump endorsed Paxton last week, calling him a “true MAGA warrior.” Paxton’s victory in Tuesday’s runoff makes Cornyn — who was first elected to the Senate in 2002 — the first Republican senator from Texas to lose the party’s nomination for reelection.

Cheers rang through the ballroom at Paxton’s election night party when the race was called, and he took the stage to supporters chanting his name. He quickly gave credit to Trump.

“When everyone in Washington told him to abandon me and abandon the people of Texas, he didn’t listen,” Paxton said. “President Trump is the leader of our party, and his endorsement is the most powerful force in politics.”

Cornyn’s loss followed primaries this month where Trump successfully backed challengers to Republican lawmakers who had displeased him in Louisiana, Kentucky and Indianaa sign of his enduring influence among primary voters.

The candidates that Trump endorsed in those states are expected to easily win against Democratic opponents. However, the president’s decision to boost Paxton, who won Tuesday with a sliver of the Republican base who shrugged off his past scandals, may be a bigger gamble in the general election.

Democrats are hopeful that their nominee, state Rep. James Talarico, has a rare opportunity to win a statewide race in Texas — and help the party retake control of the Senate — with Paxton as his opponent.

Tuesday’s runoffs also decided Democratic U.S. House nominees for districts in Dallas and Houston that overwhelmingly support Democrats, and a San Antonio-area seat the party wants to flip.

‘I will be the Democrats’ No. 1 target’

In Austin on Tuesday night, Cornyn gave a short concession speech tinged with emotion to a room of only reporters.

“Tonight we’ve come up short,” Cornyn said, adding that he’d support Paxton in the general election. “I’ve always supported the Republican ticket, and I intend to do so again.”

Cornyn said in 2023 as Trump was running to return to the White House that his time “has passed him by,” a statement that came back to bite him. He also was an early critic of Trump’s plan for a border wall between the U.S. and Mexico — a project he now supports.

Cornyn had the backing of Senate GOP leaders who said he would be the stronger general election candidate against Talarico, which was also the senator’s argument to voters before Tuesday.

That’s not lost on Paxton, who said in his speech that “without a shadow of a doubt, I will be the Democrats’ No. 1 target in November.”

Talarico’s campaign hit back Tuesday night on the social platform X, highlighting what they — and some Republicans — see as Paxton’s weakness, including an FBI investigation and impeachment for corruption in which he was later acquitted.

The primary was long and costly

Cornyn led Paxton in the March 3 primary but failed to win a majority. That was after Cornyn and his supporters waged a monthslong advertising campaign, mostly attacking Paxton over ethical and personal questions.

The two-term attorney general was acquitted on corruption charges in a 2023 impeachment trialwhere allegations of extramarital affairs surfaced. Paxton’s wife filed for divorce last year, citing “biblical grounds.”

It gave Cornyn fodder for an ad campaign that, along with allied groups, spent roughly $109 million between the primary and runoff elections.

Immediately after the primary, Trump promised to endorse but didn’t act until after early voting began last week.

“Ken Paxton has gone through a lot, in many cases, very unfairly, but he is a fighter, and knows how to win,” Trump wrote in a social media post endorsing him.

Retired Dallas-area resident David Jacobson, 70, said Trump’s endorsement was a factor in his decision to back Paxton on Tuesday. While Cornyn has for the most part been a strong Trump supporter, Jacobson generally thinks most politicians have remained in office too long.

“Maybe it’s time for a change,” he said after voting.

Linda Williams said she voted for Cornyn, calling him “the lesser of two evils.” She thought Cornyn had a better chance to beat Talarico this fall.

“Because Paxton is a crook,” Williams said after voting in Plano, outside Dallas.

Trump snubbed Cornyn amid retribution campaign

Trump, in his endorsement, poked at Cornyn, saying he “was not supportive of me when times were tough” and that “John was very late in backing me.”

Cornyn said Tuesday on Fox News Radio’s “The Brian Kilmeade Show” that the president’s ire was misplaced. He said, “grifters” are “claiming that I am opposed to the president’s agenda, and I think that’s caused some confusion with the president himself. But I’ve been supportive.”

Some GOP strategists have argued that a Paxton nomination would cost millions of dollars more to promote in the fall, when money could be spent defending Republican seats in more competitive states. Democrats need to gain a net of four seats to take the majority. Cornyn had the support of Senate GOP leaders.

Democrats choose US House nominees

Newly elected Rep. Christian Menefee defeated veteran Rep. Al Green in Texas’ 18th District, dispatching a longtime House incumbent who was one of Trump’s most outspoken critics. The Republican-led Texas Legislature redrew the district when it approved a new House map last year. The new map led to a runoff between incumbents and marks the end of a dizzying series of elections in the Houston area.

Former Rep. Colin Allred beat U.S. Rep. Julie Johnson in the Dallas-area 33rd District’s Democratic primary runoff. Johnson was elected to the seat in 2024, the year Allred lost his U.S. Senate challenge to Republican Sen. Ted Cruz. Allred was running for Senate again this cycle but dropped his bid and instead sought a return to the House.

Near San Antonio, Johnny Garcia won the Democratic primary for Texas’ 35th District against against Maureen Galindo, a candidate who has expressed antisemitic views. While Texas lawmakers redrew the district to help Republicans, Democrats view it as within reach and didn’t want Galindo’s past comments to impede them.

Garcia will face Republican Carlos De La Cruz, who defeated John Lujan in the GOP primary.

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This story has been corrected to show that voter David Jacobson is 70, not 71.

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Bedayn reported from Austin, Texas. Associated Press reporter Jamie Stengle contributed from Sasche, Texas.

WASHINGTON (AP) — President Donald Trump had another medical exam on Tuesday, putting his health under renewed public scrutiny after he has worked to dismiss concerns over his age and stamina.

The 79-year-old president spent more than three hours at Walter Reed National Military Medical Center for what the White House described as preventive medical and dental checkups. It was Trump’s fourth publicly disclosed medical exam since he returned to office for a second term, and it comes as he tries to project strength ahead of midterm elections that will test his sway with voters.

In a social media post after the visit, Trump said that he had just finished his “6 month physical” and that “Everything checked out PERFECTLY.”

The White House did not immediately release a written report from Trump’s doctors.

For decades, administrations have released selected results from presidential physicals, offering the public a glimpse at the commander-in-chief’s health. But the results are filtered through the White House and must be approved by the president, raising questions about what the public does and doesn’t get to see.

Trump, a Republican, turns 80 next month and was the oldest person elected U.S. president. His immediate predecessor, President Joe Biden, a Democrat, was 82 when he left office, dropping out of the 2024 presidential race because of widespread concerns he was too old for the job.

A Washington Post/ABC News/Ipsos poll conducted in April found that less than half of U.S. adults think Trump has the mental sharpness or physical health to serve effectively as president.

“I think concern for the president’s physical health is probably at an all-time high, and I think advanced physical age is the No. 1 concern,” said Dr. Jeffrey Kuhlman, who served as a White House physician for more than a decade under Presidents Barack Obama, George W. Bush and Bill Clinton.

For a president of Trump’s age, a complete physical would be expected to include advanced heart testing, screening for common cancers and a cognitive assessmentalong with basics like height, weight and blood pressure, Kuhlman said.

The White House has not disclosed what the visit entailed but expressed confidence in what it will show.

“President Trump is the sharpest and most accessible President in American history who is working nonstop to solve problems and deliver on his promises, and he remains in excellent health,” White House spokesperson Davis Ingle said in a statement.

No law requiring presidents to disclose their medical records

In the weeks leading up to his visit, Trump has been saying he feels as good as he did five decades ago — even as he jokes about his fondness for fast food and his minimal exercise regimen. Yet he’s also sensitive to perceptions about his age, noting that he takes extra caution descending the steps from Air Force One to avoid headlines about a stumble.

There is no law requiring presidents to publicize their health records, and the degree of transparency has varied by administration. Trump’s past reports have been criticized for offering scant detail and for providing statistics that some medical experts have viewed with skepticism.

At public appearances, Trump is often seen wearing makeup to conceal bruising on his handswhich the White House attributes to handshaking and regular aspirin use. He has sometimes appeared drowsy during meetings and closed his eyes for long stretchesthough he denies having fallen asleep.

Trump often boasts of having “aced” cognitive tests while frequently deriding Biden, who faced questions about his mental acuity. Biden and his aides pushed back aggressively against doubts raised about his fitness for office.

Some of Trump’s previous physicals have included the Montreal Cognitive Assessmentused to screen for dementia and cognitive impairment. Trump’s physicians reported a score of 30 out of 30 for him at his 2018 and 20 25 checkups.

Yet critics have pointed to Trump’s meandering speeches and sometimes bellicose rhetoric as evidence of cognitive decline.

Last month, a statement from more than 30 neurologists, psychiatrists and other medical experts — who acknowledged they’ve never examined him — said Trump was mentally unfit to serve and warned of an “increasingly dangerous decline” in his behavior based on what they called “objectively observable signs of serious medical concern.″

“Any so-called medical professionals engaging in armchair diagnosis or false speculation for political purposes are clearly breaking the Hippocratic Oath they’ve sworn to,” Ingle said.

Just like any other patient, presidents get to choose what’s disclosed about their health, said Sara Rosenthal, a bioethicist at the University of Kentucky who studies presidential health. Questions about transparency have become more acute as America elects aging presidents like Trump and Biden, she said.

“I think we can expect very little disclosure about the true health status of any president unless they’re in perfect health,” said Rosenthal, who has suggested an independent medical organization to review and report on the health of the president and those in the line of succession.

‘Nothing should be hidden’

Trump’s first medical report in his second term was released last April. In July, he was diagnosed with chronic venous insufficiencya common condition in older adults that causes blood to pool in his veins. Photographs have shown the president with swollen feet, ankles and calves, described by the White House as a symptom of chronic venous insufficiency leading to “mild swelling” in his lower legs.

Following his last publicly disclosed exam, described as a routine follow-up last OctoberTrump’s physician issued a one-page summary saying the president was in “exceptional health” without divulging many specific results.

The frequency of Trump’s medical checkups is not uncommon for someone his age, according to S. Jay Olshansky of the University of Illinois-Chicago, who has studied the health of past presidents. It’s part of a strategy to catch problems while they’re still treatable, Olshansky said.

Olshansky says the public deserves to see more than White House medical summaries that “may be subject to editorial discretion.” Full, unredacted medical records should be made public, he said: “Nothing should be hidden.”

WASHINGTON (AP) — The U.S. military said Monday that it carried out “self-defense” strikes in southern Iran, including on missile launch sites and boats placing mines, even as President Donald Trump said on social media that negotiations with Tehran were “proceeding nicely.”

The strikes were done “to protect our troops from threats posed by Iranian forces,” but the military was “using restraint during the ongoing ceasefire,” Capt. Tim Hawkins, the spokesman for the U.S. military’s Central Command, said in a statement.

Further details were not immediately available, including more specifics on the threats from Iran and what this means for negotiations. There was no official response from Iran, which had sent its parliament speaker Mohammad Bagher Qalibaf to Qatar for negotiations over the possible deal with the U.S.

Qatar, which faced intense attacks from Iran during the war, holds billions of dollars in frozen Iranian funds.

In Iran, the news website Tabnak, believed to be close to former Revolutionary Guard chief Mohsen Rezaei, identified four dead Guard troops it said had been killed in American strikes on boats. Iranian state television separately reported blasts around Bandar Abbas, a city on the Strait of Hormuz home to a military port and a dual-use airport.

The strikes were the latest attacks to shake the weekslong ceasefire in the war. The Strait of Hormuz, through which a fifth of all crude oil and natural gas traded once passed, remains effectively in Iran’s chokehold, disrupting global energy markets.

Trump brings up recognition of Israel

Earlier, Trump said any agreement to end the Iran war should include a requirement for several additional countries, including Saudi Arabia and Pakistan, to join the Abraham Accordsthe U.S.-brokered agreements from Trump’s first term aimed at normalizing relations with Israel.

The proposal came as the emerging Iran deal faced criticism from fellow Republicans who favor a harder line on Iran, and it could add new diplomatic complications to the negotiations.

Trump pointed to Saudi Arabia and Qatar as countries that should “immediately” sign on. Bahrain and the United Arab Emirates became the first countries to join in 2020, diplomatically recognizing Israel.

He wrote that “after all the work done by the United States to try and pull this very complex puzzle together, it should be mandatory that all of these Countries, at a minimum, simultaneously, sign onto the Abraham Accords.”

Trump has long hoped Saudi Arabia would join. Saudi Arabia in particular has for decades called on Israel to return to its 1967 borders and allow the formation of a Palestinian nation with east Jerusalem as its capital. Israel’s conduct in the war against Hamas in the Gaza Strip also has alienated Gulf Arab states and the wider Muslim world as well.

Pakistan remains key mediator

Recognition of a Palestinian state also remains key for Pakistan, which is among the countries that do not have diplomatic relations with Israel.

Islamabad-based analyst Syed Mohammad Ali said Pakistan’s position on Israel remains unchanged despite Trump’s latest proposal.

The president said he brought up the Abraham Accords plan with leaders during negotiations on Saturday. He said he would accept “one or two” countries declining to sign, but said most should be willing. Egypt and Jordan already formally recognize Israel and have long-standing peace treaties. Turkey first recognized Israel in 1949.

Masood Khan, Pakistan’s former ambassador to the United States, said it remains to be seen how workable the proposal might be for the countries on Trump’s list.

“The invocation of the Abraham Accords at this stage gives an altogether new dimension to the diplomatic and mediatory processes because this issue was not on the agenda,” he said, pointing to the domestic pressure Trump is facing to strike a favorable deal.

Still, Khan said, “the diplomatic track is still working, and I believe Pakistan is very much at the center of it, supported by regional countries.”

It remains unclear when or how any deal with Iran might be completed. Trump suggested even Iran could eventually sign on to the accords, if an agreement is reached.

The accords are a series of diplomatic, economic and security agreements created with U.S. influence during Trump’s first term, which also saw Sudan, Morocco, and, more recently, Kazakhstanjoin.

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Ahmed reported from Islamabad. Associated Press writer Jon Gambrell in Dubai, United Arab Emirates, contributed to this report.