[4] On November 4, 2008, Mary Pilcher-Cook was elected to Senate District 10, defeating Democrat Pete Roman by a vote of 19,050 to 13,600, a 54.9 to 45.1 percent margin.
[6] On November 6, 2012, Mary Pilcher-Cook was re-elected to Senate District 10, defeating Democrat Mark J. Greene by a vote of 21,637 to 17,713, a 58 to 42 percent margin.
[10] However, a bill simply placing the same language in statute, called the "Kansas Health Care Freedom Act", was later adopted and was signed into law by Governor Sam Brownback.
[13] On the 41st anniversary of Roe v. Wade, in 2014, she arranged for a sonogram to take place in the Kansas Statehouse during a meeting of the Senate Public Health and Welfare Committee.
[20] Despite personal attacks leveled by conservatives and criticism of health grants from the fund established posthumously and named after Tiller, Toland was confirmed to the position by the Kansas Senate on April 1, 2019, by a vote of 23-14.
Toland survived an effort by the Kansas Republican Party, Kansans for Life, the Koch Industries-funded Americans for Prosperity and others, to derail his nomination.
Her successor, Mike Thompson, a retired TV meteorologist, was elected by Republican Party precinct committee members in the 10th Senate District, on a vote of 46-0.