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R Republican · Incumbent · U.S. House 1, Iowa · Nov 3, 2026

Mariannette
Miller-Meeks

Republican U.S. Representative Mariannette Miller-Meeks (IA-01), ophthalmologist and former Iowa state senator, serving since 2021.

Researched checked 6 d ago
sources
28
positions
12
endorsements
16
drmillermeeks.com ↗(opens in a new tab) X(opens in a new tab)
Opponents Christina Bohannan D+ 1 more Compare race →

Background

Mariannette Miller-Meeks is the Republican U.S. Representative for Iowa's 1st Congressional District, having served in Congress since January 2021. Her district was designated Iowa's 2nd from 2021 to 2023 and was renumbered the 1st in 2023. 12/)3

Before entering Congress, Miller-Meeks served as an Iowa state senator representing District 41 from 2019 until she resigned on January 2, 2021, to take her congressional seat. She is an ophthalmologist by training, earning a B.S. in nursing from Texas Christian University (1976), an M.S. from the University of Southern California (1980), and an M.D. from the University of Texas Health Science Center at San Antonio (1986). 12/)6

Miller-Meeks served in the U.S. Army and Army Reserve and held faculty positions at the University of Michigan (1991–1994) and the University of Iowa (1994–1997). She was appointed director of the Iowa Department of Public Health in 2010, serving in that role until approximately 2013–2014. 12/)

She was born in Herlong, California, and resides in Ottumwa, Iowa. The Federal Election Commission lists her as an incumbent candidate for Iowa's 1st District in the 2026 election cycle, running under her authorized committee, Miller-Meeks for Congress. 1321

At a glance

Party
Republican · Incumbent
Running for
U.S. House · District 1, Iowa
Election
Nov 3, 2026
Current office
U.S. Representative for Iowa's 1st Congressional District
Website
drmillermeeks.com(opens in a new tab)

Where they stand

Each position links to the page it was drawn from. Quotes are verbatim.

Voting record

How Mariannette Miller-Meeks voted in Congress: 118th Congress (2023–24) and 119th Congress (2025–26), Jan 3, 2023 to Sep 16, 2026. From the official House and Senate roll call records.

roll call votes
1,909
missed
3.5%
with their party’s majority
93%

Recent key votes

  • Sep 16, 2026 · House · S2403 · Economy & jobs
    Retire through Ownership Act
    On Motion to Suspend the Rules and Pass · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 16, 2026 · House · HR9497 · Climate & energy
    Water Resources Development Act
    On Motion to Suspend the Rules and Pass, as Amended · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 16, 2026 · House · HR9340 · Climate & energy
    Ratepayer Protection Act
    On Motion to Suspend the Rules and Pass, as Amended · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 16, 2026 · House · HJRES213 · Climate & energy
    Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule issued by the Environmental Protection Agency relating to the “California State Nonroad Engine Pollution Control Standards; Commercial Harbor Craft Regulations; Notice of Decision”
    On Passage · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 16, 2026 · House · HR10326 · Crime & public safety
    PROOF Act
    On Passage · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 16, 2026 · House · HR9576 · Crime & public safety
    National Fraud Enforcement Division Act
    On Passage · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 15, 2026 · House · HJRES210 · Climate & energy
    Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Environmental Protection Agency relating to “California State Nonroad Engine Pollution Control Standards; Ocean-Going Vessels At-Berth; Notice of Decision”
    On Passage · Passed
    Official roll call ↗(opens in a new tab)
    Yes
  • Sep 15, 2026 · House · HR9500 · Taxes & budget
    Tax Relief for Fraud Victims Act
    On Motion to Suspend the Rules and Pass, as Amended · Passed
    Official roll call ↗(opens in a new tab)
    Yes

Key votes are final decisions on bills and joint resolutions, and top nominations. Software sorts each into an issue from its official title, so check the roll call. All 1,909 votes →

Timeline

  1. Oct 9
    poll
    Cook Political Report moves IA-01 race from 'toss-up' to 'Democratic lean'

    Cook cited the difficult national environment and Miller-Meeks's unpopularity in shifting the race rating. This is an analyst rating, not a poll result.

    Iowa's 3 top congressional races move in Democrats' favor · Oct 9, 2026 (opens in a new tab)
  2. Oct 9
    endorsement
    House Speaker Mike Johnson campaigns with Miller-Meeks at Davenport rally

    Johnson urged voters to return Miller-Meeks to Congress at the rally. KCRG reported ad spending in the district at $37.4 million as of that week, with Johnson predicting it could reach $50 million.

    Rep. Miller-Meeks holds campaign rally in Davenport with ... · Oct 9, 2026 (opens in a new tab)
  3. Oct 8
    news
    Miller-Meeks–Ernst bill signed into law to increase oversight of federal projects

    A bill co-authored by Rep. Miller-Meeks and Sen. Joni Ernst was signed into law to increase oversight of federal projects.

    Press Release: Miller-Meeks, Ernst Bill Signed Into Law to Increase Oversight of Federal Projects | Stock News · Oct 8, 2026 (opens in a new tab)
  4. Oct 7
    news
    Miller-Meeks says Trump should clarify U.S. aims and timeline on Iran war

    In a CBS2 interview, Miller-Meeks said the president needed to tell Congress the goals and timeline for the Iran war. She also expressed support for AI guardrails and acknowledged concerns about data-center water and land use.

    Beyond the Podium: 1st Congressional District candidate ... · Oct 7, 2026 (opens in a new tab)
  5. Oct 6
    news
    Miller-Meeks joins Iowa delegation in request for rural health funding

    Miller-Meeks joined fellow Iowa delegation members in formally requesting rural health funding, according to a press release.

    Press Release: Mariannette Miller-Meeks Joins Iowa ... · Oct 6, 2026 (opens in a new tab)
  6. Oct 5
    filing
    Miller-Meeks introduces Medicaid Whistleblower Protection Act

    The bill would create federal protections for state and local Medicaid workers who report warning signs of fraud, prompted in part by a Minnesota Medicaid fraud scandal.

    Press Release: Mariannette Miller-Meeks Introduces Medicaid Whistleblower Protection Bill | Stock News · Oct 5, 2026 (opens in a new tab)
  7. Oct 5
    poll
    Poll sponsored by Bridgford campaign shows Bohannan 45%, Miller-Meeks 29%, Bridgford 18%

    Wavefield Research survey of 297 likely district voters (Sept. 29–Oct. 2) showed Bohannan leading. The poll was released by Bridgford's campaign; margin of error ±5.7 points.

    New Poll: Independent Michael Bridgford Surges to 18% in ... · Oct 5, 2026 (opens in a new tab)
  8. Oct 5
    news
    Miller-Meeks and Trump announce proposed $15 billion steel plant in Lee County, Iowa

    Miller-Meeks's congressional office described a planned $15 billion project projecting 1,750 permanent jobs, up to 6,000 construction jobs, and $95 billion in economic output over construction and the first decade of operations. These are projections in the announcement, not completed results.

    Miller-Meeks, Trump Announce Largest-Ever Steel Plant ... · Oct 5, 2026 (opens in a new tab)
  9. Sep 16
    debate
    KCRG and KWQC announce Oct. 20 debate between Miller-Meeks and Bohannan at St. Ambrose University

    The planned one-hour debate is scheduled for Oct. 20 at 7 p.m. and includes only Miller-Meeks and Democrat Christina Bohannan, excluding independent Michael Bridgford.

    KCRG, KWQC partner for First Congressional District debate · Sep 16, 2026 (opens in a new tab)

Endorsements

  • Huck PAC organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • National Rifle Association Political Victory Fund organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • ClearPath Action Fund organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • National Right to Life organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • Ranger PAC organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • Maggie's List organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • AIPAC PAC organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • Gun Owners of America organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • With Honor Fund II organization
    Listed among endorsers in iVoterGuide 2026 general-election profile; no date provided. ivoterguide.com
  • House Speaker Mike Johnson official
    Publicly campaigned for Miller-Meeks at a Davenport rally, saying 'I gotta have her.' kcrg.com · Oct 9, 2026
  • Veteran Action organization
    Announced support via a video-campaign ad released around September 23, 2026; called her 'a Champion for America's Veterans.' breitbart.com · Sep 24, 2026
  • Iowa Farm Bureau Political Action Committee organization
    Designated Miller-Meeks a 'Friend of Agriculture' for the November 3, 2026 general election; she publicly acknowledged the support on September 2, 2026. x.com · Sep 2, 2026
  • U.S. Chamber of Commerce organization
    Announced endorsement for Iowa's First District race. uschamber.com · Aug 28, 2026
  • Iowa Association of Business and Industry (ABI) organization
    Endorsed her alongside the U.S. Chamber of Commerce at an event on August 28, 2026, per Iowa Capital Dispatch. iowacapitaldispatch.com · Aug 28, 2026
  • Americans for Prosperity Action (AFP Action) organization
    Endorsed her reelection bid. afpaction.com · Feb 12, 2026
  • Donald Trump official
    Endorsed Miller-Meeks in a social-media post in November 2025; described her as 'an incredibly strong advocate' for the district. en.wikipedia.org · Nov 3, 2025

Past elections

General election results for federal office, from the Federal Election Commission.

YearSeatResultVotesShare
2022U.S. House IA-01 · RWon162,94753.4%
2020U.S. House IA-02 · RWon196,96449.9%

Covers the 2016 to 2022 general elections. The FEC has not yet published 2024 congressional results.

Campaign finance

Totals filed with the Federal Election Commission for the 2026 election cycle.

Raised
$7.21M
Spent
$2.89M
Cash on hand
$4.69M

As of Jun 30, 2026. Filings are periodic, so recent money may not be included yet. ↳ FEC record H8IA02043(opens in a new tab)

Sources 28

  1. [1] House Speaker Mike Johnson rallies with Miller-Meeks in ...(opens in a new tab) Oct 9, 2026
  2. [2] Iowa's 3 top congressional races move in Democrats' favor(opens in a new tab) Oct 9, 2026
  3. [3] Mariannette Miller-Meeks - Iowa - iVoterGuide(opens in a new tab) Oct 9, 2026
  4. [4] Rep. Miller-Meeks holds campaign rally in Davenport with ...(opens in a new tab) Oct 9, 2026
  5. [5] Press Release: Miller-Meeks, Ernst Bill Signed Into Law to Increase Oversight of Federal Projects | Stock News(opens in a new tab) Oct 8, 2026
  6. [6] Beyond the Podium: 1st Congressional District candidate ...(opens in a new tab) Oct 7, 2026
  7. [7] Hear Iowa 1st Congressional District candidates on tariffs, Iran war(opens in a new tab) Oct 7, 2026
  8. [8] Press Release: Mariannette Miller-Meeks Joins Iowa ...(opens in a new tab) Oct 6, 2026
  9. [9] Miller-Meeks, Trump Announce Largest-Ever Steel Plant ...(opens in a new tab) Oct 5, 2026
  10. [10] New Poll: Independent Michael Bridgford Surges to 18% in ...(opens in a new tab) Oct 5, 2026
  11. [11] Press Release: Mariannette Miller-Meeks Introduces Medicaid Whistleblower Protection Bill | Stock News(opens in a new tab) Oct 5, 2026
  12. [12] Exclusive — Veteran Action: Rep. Mariannette Miller-Meeks Is 'a Champion for America's Veterans'(opens in a new tab) Sep 24, 2026
  13. [13] Iowa Republican Reps. Zach Nunn and Mariannette Miller-Meeks ...(opens in a new tab) Sep 16, 2026
  14. [14] KCRG, KWQC partner for First Congressional District debate(opens in a new tab) Sep 16, 2026
  15. [15] Dr. Miller-Meeks on X: "I'm honored to have the support of the Iowa ...(opens in a new tab) Sep 2, 2026
  16. [16] U.S. Chamber Endorses Rep. Mariannette Miller-Meeks for ...(opens in a new tab) Aug 28, 2026
  17. [17] U.S. Rep. Miller-Meeks says 2025 GOP tax cuts help Iowa manufacturing workers(opens in a new tab) Aug 28, 2026
  18. [18] Miller-Meeks Completes Second Annual Made in America ...(opens in a new tab) Aug 13, 2026
  19. [19] Miller-Meeks Speaks on House Floor as Historic Housing Law Delivers for Iowa Families(opens in a new tab) Jul 16, 2026
  20. [20] AFP Action Endorses Mariannette Miller-Meeks in Re- ...(opens in a new tab) Feb 12, 2026
  21. [21] One Big Beautiful Bill Passes House, Headed to President Trump's Deskmillermeeks.house.gov › media › press-releases › one-big-beautiful-bill-pa...(opens in a new tab) Jul 3, 2025
  22. [22] Miller-Meeks Joins Legislation to Prohibit Illegal Immigrants from ...(opens in a new tab) Mar 28, 2025
  23. [23] Energy | Representative Mariannette Miller-Meeks - House.gov(opens in a new tab) Mar 3, 2025
  24. [24] 2026 United States House of Representatives elections in ...(opens in a new tab) Dec 5, 2024
  25. [25] Miller-Meeks Statement on Gun Legislation(opens in a new tab) Jun 27, 2022
  26. [26] Miller-Meeks Statement on Supreme Court Dobbs Decision(opens in a new tab) Jun 27, 2022
  27. [27] Supporting Our Students | Representative Mariannette Miller-Meeks(opens in a new tab) Jan 7, 2022
  28. [28] Health(opens in a new tab) Jan 3, 2021
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