It would have made it a felony for a doctor to perform a surgery or prescribe a medication to a minor intending to alter the child's gender.

[13][14] During the COVID-19 pandemic, Maddox was an opponent of Governor Andy Beshear's emergency orders, calling them acts of "tyranny.

[16][17] Beshear said his actions saved lives, and that they reflected guidance from the White House Coronavirus Task Force.

[18] Maddox's connection to armed militia groups who organized certain protests generated controversy, as did her posting of photos of herself with white supremacists.

[21] She had made comments about Beshear after a protest, that she did not personally attend, which the Democrats said encouraged the protestors to escalate their tactics.

[30] In her announcement video, she criticized Beshear's handling of the COVID-19 pandemic, and fellow Republicans for not challenging the governor's emergency orders.