While most of the attention in Georgia has focused on the tied race between Stacey Abrams and Brian Kemp, the undercard contests for statewide office also are surprisingly close, and the outcome of one could also make history.

Democrat Sarah Riggs Amico would become the state’s first female lieutenant governor if she bests Republican Geoff Duncan on Tuesday. Amico, who owns a trucking business, had 45 percent support of likely voters to Duncan’s 47 percent in a poll released last week by the Atlanta Journal-Constitution/Channel 2 Atlanta. Last month, Duncan, a former state representative, led Amico by 6 points.

Amico, who is making her first run for public office, was onstage last week with Abrams and former president Barack Obama during a rally in Atlanta. Abrams urges audiences to vote for Amico, saying she will need an ally as president of the Senate to help carry out her agenda, including the expansion of Medicaid. Amico is one of 28 women running for lieutenant governor in Tuesdays midterms, according to Rutgers University’s Center for American Women and Politics.

Campaigning extensively in rural Georgia, Amico said she’s seen first-hand the human and financial costs of the state’s decision not to offer Medicaid to more Georgians.

During the summer, while campaigning in Steward County, on the Alabama border in southwest Georgia, she said she made a video in front of a shuttered hospital that “now looks like the set of a scary movie.” As she left the hospital, about five minutes down the road, she saw a traffic accident in which a car was upside down in a ditch. She said to her husband, who had accompanied her on the trip, “Whoever’s upside down in that car, instead of going five minutes down the road are now going 60 miles to Columbus,” a city also in Southwest Georgia.

Duncan, her GOP opponent, said during a debate last month that Medicaid “bad health care” that will neither help people without insurance nor revive rural hospitals. He instead favors expanding a program created by the GOP-led legislature to give tax credits to donors who give money to rural hospitals. Duncan also said apps that allow people to shop for the best prices for services and providers would help reduce medical costs.

Duncan, who served five years in the legislature before giving up his seat to run for lieutenant governor, is a venture capitalist.

Amico is owner of Jack Cooper, which delivers cars to dealerships for major automobile manufacturers and employs more than 3,500 people. She is the mother of two girls and her husband, Andrea, is a naturalized U.S. citizen.

During the Republican gubernatorial primary, candidates competed over who would be tougher on immigration, threatening to use buses and trucks to “round up” undocumented individuals. And in recent days Trump has cranked up his anti-immigrant rhetoric in an effort to drive up turnout among his supporters. During last month’s debate, Duncan criticized Amico for saying she supports allowing undocumented immigrants to participate in a state-funded college scholarship program. Kemp has similarly criticized Abrams.

Amico said that rhetoric is not only personally painful to her — and frightening even to immigrants who are in the country legally — it is bad public policy. She said that undocumented students who qualify should be included in the scholarship program because “we don’t punish children for the sins of their parents.” She also said that immigrants are important to the economy of the country and to the state of Georgia, especially to its agriculture and service industries.

She said that Republicans have controlled the governor’s office and both chambers of the state legislature for the past 14 years, but have not focused on issues affecting the lives of struggling residents: Georgia has the highest rate of maternal mortality and more than half of the state’s 159 counties have no obstetricians/gynecologists. Instead, she said, Republican lawmakers spent their time “passing a resolution about kneeling football players [and] trying to shut down same sex adoptions, when we have an all-time high of 15,000 children in foster care. Where is the solution about sick kids being able to go to the doctor?”

Up until 2011, Amico was a Republican, although she said her values and priorities were the same before she switched parties. Rather, she argues, “I think the Republicans have moved the goal posts considerably.”