The future of the Make America Healthy Again movement is uncertain after Tuesday’s midterm elections swept many of its allies out of office. Led by Health Secretary Robert F. Kennedy Jr., the coalition now faces a larger group of Democratic senators, representatives and governors opposed to many of its policies.

MAHA was already showing divisions over issues including pesticides, and it played little role in key races. The election results also suggest voters were not simply disengaged from the Trump administration’s health agenda, but rejected it.

The movement’s next steps remain unclear. The available report frames its future as three possible paths but does not detail what those scenarios are.

Sources: STAT News.