Combest, as chair of the House Agriculture Committee, speaks in support of the Crop Year 2001 Agricultural Economic Assistance Act Recorded June 26, 2001
In 1984, Democratic Congressman Kent Hance did not run for a fourth term but instead ran unsuccessfully for his party's nomination for the United States Senate. Combest won the Republican nomination in a runoff over fellow Lubbock conservative Ron Fleming. Combest was elected in November amid Ronald Reagan's landslide reelection victory that year. Democratic presidential nominee Walter F. Mondale barely managed 20 percent of the vote in much of the district. Combest received 102,805 votes (58.1 percent) to 74,044 (41.9 percent) for Democrat Don R. Richards, a former Hance aide.
Combest was only the third person to represent the 19th District since its creation in 1934, and the first Republican. Combest was thus one of six freshmen Republican congressmen elected from Texas in 1984 known as the Texas Six Pack. Although the 19th had become increasingly friendly to Republicans over the years (a Democratic presidential candidate has not carried the district since Lyndon B. Johnson in 1964), conservative Democrats continued to win most races at the state and local level until 1994's Republican Revolution.
However, proving just how Republican this district had become at the national level, Combest was reelected nine times with no substantive Democratic opposition. He ran unopposed in 1990 and 1994 and with no major-party opposition in 2000 and 2002.
After the deaths of his father and a daughter within a short period of time, Combest announced his pending resignation on November 12, 2002 – a week after winning a tenth term. He said that he and his wife, Sharon, "realize[d] how fragile life and health are. They certainly caused us to rearrange our priorities and we want to spend as much time together while we have our life and health." He resigned from the House on May 31, 2003. Fellow Republican Randy Neugebauer won the special election to replace Combest and was sworn into office on June 3, 2003.
In 2006, lawyers for the NAACP discovered that Combest was one of six Republican congressional leaders who secretly requested an IRS investigation into the NAACP's tax-exempt status after NAACP chairman Julian Bond called Bush's policies racially divisive.