Candidate for U.S. Representative, Iowa District 1
Mariannette Miller-Meeks
RepublicanIncumbent
Mariannette Miller-Meeks is an ophthalmologist, Army veteran and former director of the Iowa Department of Public Health who has served in the U.S. House since 2021. She is seeking a fourth term and points to her experience as a doctor, veteran and legislator, as well as rural health funding and manufacturing investment in the district.
- Current or most recent role
- U.S. Representative, Iowa District 1 (in Congress since 2021)
- Hometown
- Ottumwa
- Campaign website
- drmillermeeks.com
Why they say you should vote for them
The candidate's own case to voters, summarized from their campaign and public statements.
- Describes herself as a "Proven Conservative" and says she will "never quit fighting" for Iowans and their future.[1]
- Points to her background as a doctor, military veteran, state senator and member of Congress who grew up in a working-class family.[1],[2]
- Highlights her push for more federal rural health care funding and a $15 billion steel plant announced for Lee County.[4],[5]
Background
- U.S. Representative (Iowa District 2, 2021–2023; District 1, 2023–present), U.S. House of Representatives · 2021–present[2],[3]
- State Senator, District 41, Iowa Senate · 2019–2021[2],[3]
- Director, Iowa Department of Public Health · 2010–2014[2],[3]
- Ophthalmologist in private practice; first female president of the Iowa Medical Society[3]
- Private, nurse and doctor; retired from the Army Reserve as a lieutenant colonel, U.S. Army and Army Reserve · 24 years of service[2],[3]
Education
Where they stand
- Foreign PolicyVoted against a March 2026 war powers resolution on Iran; said the mission must "remain focused and limited" and that the resolution would "hamstring operations while pilots are in the air."[6]
- Economy & JobsSupports bringing manufacturing back to the U.S., including her Critical Infrastructure Manufacturing Feasibility Act to study domestic production of critical imported goods.[5]
- Health CareSupports more federal rural health care funding, including Iowa's Rural Health Transformation Program request, and strengthening the rural health workforce.[4]
- Government SpendingSponsored, with Sen. Joni Ernst, the Billion Dollar Boondoggle Act, signed into law in 2026, which requires an annual report to Congress on federal projects that run far over budget or behind schedule.[7]
Voting record
A selection of notable recorded votes. Not a complete record.
| Measure | Vote | Date |
|---|---|---|
| H.R. 1 – One Big Beautiful Bill Act (final passage) Budget reconciliation bill extending the 2017 individual tax cuts, adding new tax deductions, increasing border and defense spending, and reducing projected Medicaid and SNAP spending; passed 218–214. (U.S. House) | Yes[9] | Jul 3, 2025 |
| H.R. 5371 – Continuing appropriations ending the 2025 shutdown (Senate amendment) Funded most of the government at existing levels through Jan. 30, 2026, ending the fall 2025 shutdown, and enacted full-year agriculture, military construction-VA and legislative branch spending; passed 222–209. (U.S. House) | Yes[10] | Nov 12, 2025 |
| S. 1071 – National Defense Authorization Act for Fiscal Year 2026 Compromise annual defense policy bill authorizing military and national security programs; passed 312–112. (U.S. House) | Yes[11] | Dec 10, 2025 |
| H.R. 1834 – Breaking the Gridlock Act Three-year extension of the enhanced Affordable Care Act premium tax credits that expired at the end of 2025, brought to the floor by discharge petition; passed 230–196. (U.S. House) | No[12] | Jan 8, 2026 |
In their words
“There's no better place than Iowa to make things IN America, BY Americans.”
“Washington has a spending problem, and taxpayers deserve accountability.”
Sources
- Mariannette Miller-Meeks for Congress (home page), Miller-Meeks campaign
- About, Office of Rep. Mariannette Miller-Meeks (millermeeks.house.gov)
- Mariannette Miller-Meeks, Wikipedia
- Dr. Miller-Meeks Joins Iowa Delegation in Push for More Rural Health Care Funding, Office of Rep. Mariannette Miller-Meeks, October 6, 2026
- President Trump, Miller-Meeks Announce Historic $15 Billion Steel Plant Coming to Lee County, Office of Rep. Mariannette Miller-Meeks, September 28, 2026
- Iowa's congressional delegation votes against limiting U.S. bombardment of Iran, Radio Iowa, March 6, 2026
- Miller-Meeks, Ernst Billion Dollar Boondoggle Act Signed Into Law, Office of Rep. Mariannette Miller-Meeks, October 7, 2026
- Candidate List, November 3, 2026 General Election (last updated 8/19/2026), Iowa Secretary of State, August 19, 2026
- Roll Call 190 – H.R. 1, On Motion to Concur in the Senate Amendment, Office of the Clerk, U.S. House, July 3, 2025
- Roll Call 285 – H.R. 5371, On Motion to Concur in the Senate Amendment, Office of the Clerk, U.S. House, November 12, 2025
- Roll Call 320 – S. 1071 (FY2026 NDAA), On Passage, Office of the Clerk, U.S. House, December 10, 2025
- Roll Call 11 – H.R. 1834, Breaking the Gridlock Act, On Passage, Office of the Clerk, U.S. House, January 8, 2026
Photo: Official portrait, U.S. House of Representatives (Public domain (U.S. government work)).
Last reviewed October 10, 2026. Spot an error or something missing? Report a correction.
Also running for U.S. Representative, Iowa District 1
- Christina Bohannan (Democratic)
- Michael Bridgford (No Party)