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Candidate

Mariannette Miller-Meeks

Republican · Incumbent

U.S. Representative, Iowa District 1

Mariannette Miller-Meeks is an ophthalmologist and Army veteran who has represented Iowa's 1st District in the U.S. House since 202124. She served in the Iowa Senate from 2019 before going to Congress2. She is the Republican nominee in November 20261.

Where they stand 20 issues · tap any issue for the evidence

  • Safety net programsKeep them, but add work requirements for able-bodied adultshigh
    Voted · high confidence
    • At a November 2025 town hall she said the Medicaid changes, including work requirements, would "strengthen and preserve Medicaid" for people it was intended for, and called current spending "unsustainable." (2025-11-10) source
    • Voted yes on the One Big Beautiful Bill Act, which expands SNAP work requirements for able-bodied adults without dependents and requires many Medicaid expansion adults to work, volunteer or study at least 80 hours a month, according to the CRS summary. (2025-07-03) source
  • HealthcarePrivate insurance with more competition and price transparency, keeping protections for pre-existing conditionshigh
    Said · high confidence
    • In August 2026 she said extending the expanded COVID-era premium tax credits sent money to "profitable insurance companies" and did not lower premiums, and she pointed to her Lower Health Care Premiums for All Americans Act. (2026-08-28) source
    • Voted yes on the Lower Health Care Premiums for All Americans Act. (2025-12-17) source
    • Voted no on H.R. 1834, a bill to restore enhanced Affordable Care Act premium tax credits for three years. (2026-01-08) source
  • Income taxesCut taxes across the board, including for top earners and corporationsmedium
    Voted · medium confidence
    • At an Aug. 28, 2026 event she said she supported the One Big Beautiful Bill Act "despite all the criticism" and "for you all," speaking to manufacturing workers. (2026-08-28) source
    • Voted yes on House passage of the One Big Beautiful Bill Act. (2025-05-22) source
    • Voted yes on the final House version of the One Big Beautiful Bill Act, which made permanent the individual tax rates of 10% to 37% and permanently extended 100% bonus depreciation for businesses, according to the CRS summary. (2025-07-03) source
  • ImmigrationSecure the border first; deport those with criminal records; keep legal immigration steadymedium
    Voted · medium confidence
    • Voted no on the American Dream and Promise Act, which offered a path to citizenship for Dreamers. (2021-03-18) source
    • Voted yes on the Secure the Border Act of 2023. (2023-05-11) source
    • Voted yes on the Laken Riley Act. (2025-01-07) source
    • Voted yes on the Secure America Act, which funds immigration enforcement and border security through 2029. (2026-06-09) source
  • E-Verify mandateRequire it for all employersmedium
    Voted · medium confidence
    • Voted yes on the Secure the Border Act of 2023, which would require employers to use E-Verify. (2023-05-11) source
    • As a state senator, cosponsored Senate File 243, which would have required employers to verify new hires through E-Verify. (2019) source
  • China policyGet tougher: broad tariffs, state bans on land purchases, and forced app salesmedium
    Voted · medium confidence
    • Voted yes on the bill requiring TikTok's Chinese owner to sell the app or face a U.S. ban. (2024-03-13) source
  • Aid to IsraelKeep full aid without new conditionsmedium
    Voted · medium confidence
    • Voted yes on the Israel Security Supplemental Appropriations Act. (2023-11-02) source
    • Voted yes on the $26 billion Israel security supplemental that became law. (2024-04-20) source
    • Voted yes on the Israel Security Assistance Support Act, which sought to require delivery of weapons the Biden administration had paused. (2024-05-16) source
  • Politicians trading stocksNo, ban it for members and their spousesmedium
    Voted · medium confidence
    • Cosponsored the Stop Insider Trading Act. (2026-01-12) source
    • Voted yes on the Stop Insider Trading Act, which generally bars members of Congress, spouses and dependent children from buying individual stocks and requires public notice before sales, according to the CRS summary. (2026-07-22) source
  • Transgender athletesNo, and Congress should set a biological sex rule nationwidemedium
    Voted · medium confidence
    • Voted yes on the Protection of Women and Girls in Sports Act of 2025, a federal rule basing school sports eligibility on sex at birth. (2025-01-14) source
  • Mandatory minimumsAdd or lengthen them for serious crimes like fentanyl traffickingmedium
    Voted · medium confidence
    • Cosponsored the HALT Fentanyl Act. (2025-01-03) source
    • Voted yes on the HALT Fentanyl Act, which permanently places fentanyl-related substances in Schedule I and applies the same mandatory minimum prison terms as fentanyl analogues. (2025-02-06) source
  • Student loansCap borrowing, simplify repayment, and skip broad forgivenessmedium
    Voted · medium confidence
    • Voted yes on a resolution to overturn the Biden administration's student loan debt relief. (2023-05-24) source
    • Voted yes on a resolution to overturn the SAVE income-driven repayment rule. (2023-12-07) source
    • Voted yes on the One Big Beautiful Bill Act, which ends Grad PLUS loans for new borrowers, sets borrowing limits and creates an income-based Repayment Assistance Plan, according to the CRS summary. (2025-07-03) source
  • AbortionIllegal, except to save the mother's life or in cases of rape or incestmedium
    Said · medium confidence
    • At an Oct. 21, 2024 debate she said she opposes abortion rights but supports exceptions for rape, incest and the mother's life. (2024-10-21) source
    • Voted yes on the Born-Alive Abortion Survivors Protection Act. (2025-01-23) source
    • Cosponsored the Life at Conception Act in the 117th Congress, which lists no exceptions. (2021-05-14) source
    • Cosponsored the Protecting Pain-Capable Unborn Children from Late-Term Abortions Act. (2022-09-13) source
    • Cosponsored the Born-Alive Abortion Survivors Protection Act. (2025-01-15) source
    • As a state senator, cosponsored Senate Joint Resolution 9, a proposed constitutional amendment saying the Iowa Constitution does not secure a right to abortion or require its funding. (2019) source
    • As a state senator, voted yes on Senate Joint Resolution 2001, a proposed constitutional amendment saying the Iowa Constitution does not secure a right to abortion or require its public funding; it passed the Senate 32 to 18. (2020-02-13) source
  • Business regulationCut regulations broadly and let the market sort it outlow
    Voted · low confidence
    • Voted yes on a resolution overturning the EPA waiver that let California set its own vehicle emission standards. (2025-04-30) source
  • GunsRemove most restrictions; bearing arms is a rightlow
    Voted · low confidence
    • Voted no on the Bipartisan Background Checks Act. (2021-03-11) source
    • Voted no on a federal red-flag (extreme risk protection order) bill. (2022-06-09) source
    • Voted no on the Assault Weapons Ban of 2022. (2022-07-29) source
    • Voted no on the Bipartisan Safer Communities Act. (2022-06-24) source
    • Cosponsored the Concealed Carry Reciprocity Act. (2023-01-09) source
    • Cosponsored the Constitutional Concealed Carry Reciprocity Act. (2025-01-14) source
  • Trade and tariffsNo single answer fitsmedium
    Said · medium confidence
    • At a November 2025 town hall she said tariffs "can be a negotiating tool." (2025-11-10) source
    • At an Oct. 21, 2024 debate she said she has "concern over tariffs and concern over getting into trade wars" and supports trade that is fair for American producers and farmers. (2024-10-21) source
    • Voted no on a resolution to end the national emergency the President used to impose tariffs on most Canadian goods. (2026-02-11) source
  • Kids onlineNo single answer fitsmedium
    Voted · medium confidence
    • Voted yes on the KIDS Act, which requires safeguards for minors on online platforms, including limits on sexual material, parental controls and disclosures by AI chatbots, according to the CRS summary. (2026-06-29) source
  • National debtNo single answer fitslow
    Voted · low confidence
    • Voted yes on the Limit, Save, Grow Act, a House bill pairing a debt limit increase with spending cuts. (2023-04-26) source
    • Voted yes on the Fiscal Responsibility Act, the final bipartisan debt limit deal. (2023-05-31) source
  • Aid to UkraineNo single answer fitslow
    Voted · low confidence
    • Voted yes on the March 2022 appropriations package that included emergency aid to Ukraine. (2022-03-09) source
    • Voted yes on the $40 billion Ukraine supplemental. (2022-05-10) source
    • Voted yes on the Ukraine Security Supplemental Appropriations Act. (2024-04-20) source
    • Voted no on the Ukraine Support Act, which included aid and new sanctions on Russia. (2026-06-04) source
  • Energy and climateNo single answer fitslow
    Voted · low confidence
    • Voted yes on the Lower Energy Costs Act, a bill to expand domestic oil, gas and mineral production. (2023-03-30) source
  • Drug pricesNo single answer fitslow
    Voted · low confidence
    • Voted yes on the Affordable Insulin Now Act, which would cap insulin copays at $35 a month. (2022-03-31) source
    • Voted no on the Inflation Reduction Act, which created Medicare drug price negotiation. (2022-08-12) source
    • As a state senator, sponsored Senate File 347, a bill on pharmacy benefit managers and the management of prescription drug benefits. (2019) source

Said vs. did

  • Abortion: Said: At an Oct. 21, 2024 debate she said she supports exceptions for rape, incest and the life of the mother5. Did: She cosponsored the Life at Conception Act in 2021, which lists no exceptions36.

No public position found on: Social Security, Minimum wage, Foreign policy, Judges, Marijuana, Redistricting, Term limits, Campaign finance, Electoral College, Supreme Court reform, Death penalty, Qualified immunity, Childcare and pre-K, Paid leave, AI regulation, School vaccines, Nuclear power, Birthright citizenship, DEI programs, Religion in schools.

Record

  • Served in the U.S. Army from age 18, rising from private to lieutenant colonel over 24 years, and ran a private medical practice in Ottumwa from 19972.
  • Elected to the Iowa Senate in 2018 and to the U.S. House in 2020 by a six-vote margin2.
  • Directed the Iowa Department of Public Health from 2011 to 20133.
  • Won reelection in 2022 (53% to 47%) and in 2024 by 799 votes after a districtwide recount38.
  • On Jan. 7, 2021, voted no on sustaining the objection to counting Pennsylvania's electoral votes; the objection failed 138 to 28249.
  • Voted yes on the Feb. 13, 2024 resolution impeaching Homeland Security Secretary Alejandro Mayorkas, which the House adopted 214 to 21350.
  • Voted yes on House Concurrent Resolution 93, which directed the President to remove U.S. forces from hostilities with Iran and passed 220 to 204 on Sept. 15, 202656; Iowa Public Radio reported she was one of seven Republicans who voted for it57.
  • Listed as the Republican candidate for U.S. House District 1 on the Nov. 3, 2026 ballot1.

Who funds this campaign

Official reports filed with the Federal Election Commission (FEC) for January 1, 2025 through June 30, 2026.

$7,208,271raised
$2,890,534spent
$4,691,481cash on hand

Cash on hand includes money left over from the campaign's earlier races, so it can be more than raised minus spent.

Where the money came from

  • People who gaveincluding $936,090 in gifts under $200$2,945,343
  • PACs and other political committees$2,416,207
  • Political party committees$5,000
  • Transfers from joint fundraising and other campaign committees$1,686,037

Gifts from individual people are listed by name in the full filings. See every report on FEC.gov. Numbers updated October 5, 2026; we add no labels or judgments to any donor.

Last reviewed 2026-10-06. Spotted something wrong? Every claim links to its source so you can check it yourself.

Sources (57)

Every claim on this page links to one of these
  1. Candidate List, November 3, 2026 General Election (last updated 8/19/2026)Iowa Secretary of State
  2. HomeMiller-Meeks for Congress
  3. Mariannette Miller-MeeksWikipedia
  4. Iowa's 1st Congressional District sees challengers to party frontrunnersIowa Public Radio (May 29, 2026)
  5. 1st District candidates Miller-Meeks and Bohannan debate abortion, immigration and the economyIowa Public Radio (Oct. 22, 2024)
  6. Miller-Meeks faces heated crowd at Iowa town hall before return to D.C.Iowa Capital Dispatch (Nov. 10, 2025)
  7. U.S. Rep. Miller-Meeks says 2025 GOP tax cuts help Iowa manufacturing workersIowa Capital Dispatch (Aug. 28, 2026)
  8. IA-1 Is the Tightest District in America. Independent Michael Bridgford Sees That as an Opening.Independent Voter News
  9. House Roll Call 145 (H.R. 1, One Big Beautiful Bill Act, House passage)Clerk of the U.S. House of Representatives
  10. House Roll Call 190 (H.R. 1, One Big Beautiful Bill Act, final House vote)Clerk of the U.S. House of Representatives
  11. House Roll Call 199 (H.R. 2811, Limit, Save, Grow Act)Clerk of the U.S. House of Representatives
  12. House Roll Call 243 (H.R. 3746, Fiscal Responsibility Act)Clerk of the U.S. House of Representatives
  13. House Roll Call 111 (H.J.Res. 87, disapproving the EPA California vehicle emissions waiver)Clerk of the U.S. House of Representatives
  14. House Roll Call 209 (H.R. 2, Secure the Border Act of 2023)Clerk of the U.S. House of Representatives
  15. House Roll Call 6 (H.R. 29, Laken Riley Act)Clerk of the U.S. House of Representatives
  16. House Roll Call 214 (S. 2, Secure America Act)Clerk of the U.S. House of Representatives
  17. House Roll Call 91 (H.R. 6, American Dream and Promise Act of 2021)Clerk of the U.S. House of Representatives
  18. House Roll Call 65 (H.J.Res. 72, ending the national emergency used for tariffs on Canada)Clerk of the U.S. House of Representatives
  19. House Roll Call 86 (H.R. 7521, Protecting Americans from Foreign Adversary Controlled Applications Act)Clerk of the U.S. House of Representatives
  20. House Roll Call 577 (H.R. 6126, Israel Security Supplemental Appropriations Act)Clerk of the U.S. House of Representatives
  21. House Roll Call 152 (H.R. 8034, Israel Security Supplemental Appropriations Act, 2024)Clerk of the U.S. House of Representatives
  22. House Roll Call 217 (H.R. 8369, Israel Security Assistance Support Act)Clerk of the U.S. House of Representatives
  23. House Roll Call 65 (H.R. 2471, Consolidated Appropriations Act, 2022, security divisions)Clerk of the U.S. House of Representatives
  24. House Roll Call 145 (H.R. 7691, Additional Ukraine Supplemental Appropriations Act, 2022)Clerk of the U.S. House of Representatives
  25. House Roll Call 151 (H.R. 8035, Ukraine Security Supplemental Appropriations Act, 2024)Clerk of the U.S. House of Representatives
  26. House Roll Call 207 (H.R. 2913, Ukraine Support Act)Clerk of the U.S. House of Representatives
  27. House Roll Call 182 (H.R. 1, Lower Energy Costs Act)Clerk of the U.S. House of Representatives
  28. House Roll Call 280 (H.R. 7008, Stop Insider Trading Act)Clerk of the U.S. House of Representatives
  29. House Roll Call 12 (H.R. 28, Protection of Women and Girls in Sports Act)Clerk of the U.S. House of Representatives
  30. House Roll Call 33 (H.R. 27, HALT Fentanyl Act)Clerk of the U.S. House of Representatives
  31. House Roll Call 234 (H.J.Res. 45, disapproving student loan debt relief)Clerk of the U.S. House of Representatives
  32. House Roll Call 705 (H.J.Res. 88, disapproving the SAVE income-driven repayment rule)Clerk of the U.S. House of Representatives
  33. House Roll Call 228 (H.R. 7757, KIDS Act)Clerk of the U.S. House of Representatives
  34. House Roll Call 349 (H.R. 6703, Lower Health Care Premiums for All Americans Act)Clerk of the U.S. House of Representatives
  35. House Roll Call 11 (H.R. 1834, Breaking the Gridlock Act, three-year extension of enhanced ACA premium tax credits)Clerk of the U.S. House of Representatives
  36. H.R. 1011 (117th) Life at Conception Act, cosponsorsGovTrack.us
  37. H.R. 8814 (117th) Protecting Pain-Capable Unborn Children from Late-Term Abortions Act, cosponsorsGovTrack.us
  38. House Roll Call 27 (H.R. 21, Born-Alive Abortion Survivors Protection Act)Clerk of the U.S. House of Representatives
  39. House Roll Call 75 (H.R. 8, Bipartisan Background Checks Act)Clerk of the U.S. House of Representatives
  40. House Roll Call 255 (H.R. 2377, Federal Extreme Risk Protection Order Act)Clerk of the U.S. House of Representatives
  41. House Roll Call 410 (H.R. 1808, Assault Weapons Ban of 2022)Clerk of the U.S. House of Representatives
  42. House Roll Call 299 (S. 2938, Bipartisan Safer Communities Act)Clerk of the U.S. House of Representatives
  43. H.R. 38 (118th) Concealed Carry Reciprocity Act, cosponsorsGovTrack.us
  44. H.R. 38 (119th) Constitutional Concealed Carry Reciprocity Act of 2025, cosponsorsGovTrack.us
  45. House Roll Call 102 (H.R. 6833, Affordable Insulin Now Act)Clerk of the U.S. House of Representatives
  46. House Roll Call 420 (H.R. 5376, Inflation Reduction Act of 2022)Clerk of the U.S. House of Representatives
  47. H.R. 7008 (119th) Stop Insider Trading Act, cosponsorsGovTrack.us
  48. H.R. 27 (119th) HALT Fentanyl Act, cosponsorsGovTrack.us
  49. House Roll Call 11 (Objection to counting Pennsylvania electoral votes)Clerk of the U.S. House of Representatives
  50. House Roll Call 43 (H.Res. 863, impeaching Homeland Security Secretary Alejandro Mayorkas)Clerk of the U.S. House of Representatives
  51. Senate Journal, Feb. 13, 2020 (Senate Joint Resolution 2001, roll call)Iowa Legislature
  52. Senate Joint Resolution 9 (2019), as introducedIowa Legislature
  53. Senate File 243 (2019), as introducedIowa Legislature
  54. Senate File 347 (2019), as introducedIowa Legislature
  55. H.R. 21 (119th) Born-Alive Abortion Survivors Protection Act, cosponsorsGovTrack.us
  56. House Roll Call 307 (H.Con.Res. 93, directing removal of U.S. forces from hostilities with Iran)Clerk of the U.S. House of Representatives
  57. Hinson calls for immediate end to Iran war as U.S. Senate race intensifiesIowa Public Radio (Sept. 25, 2026)