Internal medicine physician and hospital medicine medical director

Shelly Nickels is a Democrat and an internal medicine physician who has served as a medical director for hospital medicine programs in San Antonio for 12 years¹. She earned a master's in healthcare administration from Trinity University¹. She faces Republican incumbent Mark Dorazio on Nov. 3, 2026².

Where they stand 7 issues · tap any issue for the evidence

• Drug pricesNegotiate more drugs and extend the insulin and yearly cost caps to private insurancemedium

  Questionnaire answer · medium confidence

  • In the San Antonio Report 2026 voter guide she said the state should use its purchasing power to negotiate lower prescription drug prices and reduce out-of-pocket costs. (2026) source
  • Her campaign priorities page says to lower prescription drug costs by capping costs and negotiating through government health plans. (2026) source
• School choiceNo, keep public money in traditional public schoolsmedium

  Questionnaire answer · medium confidence

  • In the San Antonio Report 2026 voter guide she said Texas should fully fund public education, oppose vouchers that drain neighborhood schools and undo the voucher law. (2026) source
  • Her campaign priorities page says to keep public dollars in public schools and stop voucher schemes. (2026) source
• Childcare and pre-KOffer free pre-K to every 4-year-old, and expand childcare aidmedium

  Questionnaire answer · medium confidence

  • In the San Antonio Report 2026 voter guide she said she supports investing in universal pre-K. (2026) source
  • Her campaign priorities page says to invest in universal pre-K. (2026) source
• AI data centersWelcome them, but make them pay their full share of grid and water costsmedium

  Questionnaire answer · medium confidence

  • In the San Antonio Report 2026 voter guide she said industrial users including data centers must contribute fairly to the infrastructure. (2026) source
  • Her campaign priorities page says to hold data centers accountable for their impact on water, air, infrastructure and electricity demand. (2026) source
• HealthcareKeep the Affordable Care Act and fix what is brokenlow

  Questionnaire answer · low confidence

  • In the San Antonio Report 2026 voter guide she said Texas should expand Medicaid to improve access to care and reduce costs for families and rural hospitals. (2026) source
  • Her campaign priorities page says to expand Medicaid. (2026) source
• AbortionLegal in most cases up to viability (about 24 weeks)low

  Questionnaire answer · low confidence

  • In the San Antonio Report 2026 voter guide she said Texas should restore women's reproductive rights, reverse laws that have denied access to necessary medical care and protect access to IVF. (2026) source
  • Her campaign priorities page says to protect reproductive rights and keep politicians out of private medical decisions between patients, families and doctors. (2026) source
• Property taxesKeep cutting them and cap how fast they can riselow

  Questionnaire answer · low confidence

  • In the San Antonio Report 2026 voter guide she said property tax relief should focus on primary residences, seniors, disabled Texans, veterans and working families, with the state using its revenue to permanently reduce school tax rates and replace lost local revenue. (2026) source

No public position found on: Safety net programs, Minimum wage, Business regulation, Guns, Immigration, Energy and climate, Texas power grid, Curriculum and books, Housing and growth, Policing and crime, Election rules, Judges, Politicians trading stocks, Marijuana, Gender care for minors, Redistricting, Term limits, Campaign finance, Electoral College, Ranked-choice voting, Death penalty, Qualified immunity, Mandatory minimums, Paid leave, Student loans, AI regulation, Kids online, School vaccines, Nuclear power, E-Verify mandate, Transgender athletes, DEI programs, Religion in schools, China policy.