At least 15 campaign ads featuring AI-generated content have run since November, raising concerns that the technology could confuse or mislead voters ahead of the 2026 midterm elections. The technology has been used in state, local and federal elections across the country, including in Massachusetts where it appears like a rival politician's voice. The campaign of Republican primary candidate Brian Shortsleeve has also used AI to create radio ads that mimic the voice of Democratic Gov. Maura Healey. The National Republican Senatorial Committee released a video of Democratic nominee for Senate in Texas showing James Talarico reading real tweets on race and transgender rights. The use of AI in political ads is largely regulated at the state level, with 26 states already regulating the use of such content. However, there are concerns that it could lead to misleading or misleading messaging or imagery in political communications.