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Mariannette Miller-Meeks

Current U.S. representative for Iowa's 1st Congressional District. Campaign affiliation: Republican.

Voter guide

Background, stated goals, record, and money

Background comes from official records, and from the campaign's own biography where the bullet says so; goals are summarized from the campaign's own platform and stay attributed; the record lines are official actions with the government source attached; money is shown as filed, with the filing window and the reconciliation in the note under the table, and is not evidence of why any position was taken.

Mariannette Miller-Meeks

Background

  • The sitting member for Iowa's first district, in office since January 2021; Congress.gov records her in the 117th Congress for the second district and in the 118th and 119th for the first. She chairs the Veterans' Affairs Subcommittee on Health and sits on Energy and Commerce. Office of Representative Mariannette Miller-Meeks, Congress.gov
  • Her official biography records 24 years in the United States Army as a private, nurse and doctor, four years directing the Iowa Department of Public Health from 2010, and an Iowa Senate seat won in 2018 and resigned on January 2, 2021 to take her House seat. Office of Representative Mariannette Miller-Meeks

What they say they want to do

What the official record shows

  • Voted Yea on passage of H.R. 6833, the Affordable Insulin Now Act, on March 31, 2022 (Roll Call 102, passed 232 to 193); the Clerk's record shows twelve Republicans voting Yea, and she was one of them. Office of the Clerk, U.S. House of Representatives
  • Voted Yea on passage of S. 5, the Laken Riley Act, on January 22, 2025 (Roll Call 23, passed 263 to 156); it became Public Law 119-1 on January 29, 2025. Office of the Clerk, U.S. House of Representatives, Congress.gov
  • Has sponsored 129 bills and resolutions plus five floor amendments across the 117th, 118th and 119th Congresses, and cosponsored 1,224; eleven of her own bills passed the House, and no bill she sponsored became law in its own right. Congress.gov

Campaign money from other committees, by type

Transfers from joint fundraising committees (line 12) 7 committees$1,686,037
Conduit entries for earmarked individual contributions 1 committee$690,472
Other PACs (no organization type recorded) 163 committees$788,688
Corporation-connected PACs 213 committees$706,425
Trade association PACs 93 committees$388,750
Membership organization PACs 36 committees$171,000
Other candidates' committees 65 committees$166,477
Contributions from joint fundraising committees (line 11C) 3 committees$150,367
Labor organization PACs 3 committees$16,000
Corporation without capital stock PACs 2 committees$11,000
Committees listed without an FEC id in the filing 2 committees$10,000
Cooperative PACs 2 committees$7,500
Party committees 1 committee$5,000

Source: Federal Election Commission

Itemized receipts from political committees in the 2025-2026 cycle filings through June 30, 2026, grouped by the FEC's recorded organization type or designation of the contributing committee. The conduit row is the exception: it holds what the campaign's own fundraising platform passed through, which the FEC records as a hybrid political action committee rather than by organization type. Table rows other than the transfer and conduit rows sum to $2,421,206.95, equal to the FEC summary's other-committee plus party contributions. Every other figure here is a sum of the filings' own itemized rows, not the matching line on the FEC's summary of the cycle, and the two can differ by whatever the filings did not itemize. Not in the table: $78,328.06 of itemized line-14 offsets to operating expenditures, where the summary says $79,791.04; $75,893.12 of itemized line-15 other receipts including bank interest, where the summary says $75,893.13; $2,000 of line-11AI contributions from organizations; and the memo entries outside the conduit row. A memo entry restates money the report already counts elsewhere, so adding one would count it twice: they include $91,535.99 restating the transfer row and $263,310.71 that donors earmarked to the campaign through other political committees.

Words and record

Where statements meet the record

Each card is labeled narrowly, by rule, and states its own limit.

Mariannette Miller-Meeks

Health care: the $35 insulin cap

Matches stated record claim

What they say

Her official statement says she is leading a bipartisan bill to cap insulin at $35 a month for people on private insurance, and that in 2022 she was one of only twelve Republicans who voted to pass the Affordable Insulin Now Act.

“In 2022, I was one of only 12 Republicans to cross party lines and vote to pass the Affordable Insulin Now Act, capping insulin at $35 a month for Medicare seniors.”

Source: Office of Representative Mariannette Miller-Meeks

What the record shows ·

The Clerk's roll call for March 31, 2022 records the House passing H.R. 6833, the Affordable Insulin Now Act, 232 to 193 (Roll Call 102), with exactly twelve Republicans voting Yea, and she is one of the twelve. As the House passed it, the bill capped cost-sharing at $35 a month under both private insurance and the Medicare drug benefit; it never became law in that form, and its bill number was later used for an unrelated appropriations act. The $35 Medicare insulin cap that is law came from section 11406 of the Inflation Reduction Act, Public Law 117-169, on which she voted Nay when the House agreed to the Senate amendment 220 to 207 on August 12, 2022 (Roll Call 420). She is one of seven cosponsors of the INSULIN Act of 2026, H.R. 10227, recorded as an original cosponsor on the day Representative DeGette introduced it, September 2, 2026; it sits in committee.

Sources: Office of the Clerk, U.S. House of Representatives, Office of the Clerk, U.S. House of Representatives, U.S. Government Publishing Office via Congress.gov, Congress.gov

Limit: The countable part of her claim is exactly right: twelve Republicans voted Yea on that roll call and she was one. Two things the statement does not say are on the record beside it. The bill she voted for did not become law, and the act that did put a $35 cap on insulin for Medicare beneficiaries is one she voted against. On the 2026 bill she is an original cosponsor, not its sponsor. Whether a cap is good policy, and whether her reason for the 2022 vote against the larger act was insulin, are not questions this card assesses.

Mariannette Miller-Meeks

Veterans: mammography screening becoming law

Matches stated record claim

What they say

Her official issues page says she championed the SERVICE Act, directing the VA to provide mammogram screening for veterans who served where burn pits and other toxic exposure occurred, and that the bill passed the House and was signed into law.

“I championed the SERVICE Act: a bill that would direct the Department of Veterans Affairs (VA) to provide mammogram screening for female veterans who served in areas associated with burn pits and other toxic exposure. This bill passed the House and was signed into law.”

Source: Office of Representative Mariannette Miller-Meeks

What the record shows ·

The SERVICE Act became law. She sponsored the House bill, H.R. 4571, the SERVICE Act of 2021, introduced July 20, 2021 with nineteen cosponsors; its last recorded action is referral to the Subcommittee on Health on September 8, 2021, so her own bill never reached the floor. The act that was enacted is the Senate companion, S. 2102, the Dr. Kate Hendricks Thomas SERVICE Act, sponsored by Senator Boozman: the House passed it 418 to 0 under suspension on May 18, 2022 (Roll Call 228) and it became Public Law 117-133 on June 7, 2022. Its enacted text carries the mammography screening directive her page describes. This desk also read the whole enacted text of the PACT Act, Public Law 117-168, because that act is the usual home for toxic-exposure provisions, and found no mammography or breast-cancer provision in it.

Sources: Congress.gov, U.S. Government Publishing Office via Congress.gov, Office of the Clerk, U.S. House of Representatives, U.S. Government Publishing Office via Congress.gov

Limit: The subject became law and she sponsored the House bill on it, so "championed" holds and so does "passed the House and was signed into law" about the SERVICE Act. The bill that passed and was signed was the Senate's, not hers; hers stopped at a subcommittee. The check read the enacted text of both public laws named here and the action history of her own bill. Whether the screening the act directs has reached Iowa veterans is a question about administration, which this card does not assess.

Mariannette Miller-Meeks

Health care and veterans: what "I introduced" covers

Matches stated direction

What they say

Her official issues pages say she introduced two bills, the Accelerating Kids' Access to Care Act and the MAMMO for Veterans Act.

“I introduced H.R. 4758, the Accelerating Kids’ Access to Care Act: A bipartisan bill passed by the House to reduce barriers for children with complex medical conditions, facilitating access to out-of-state care by streamlining the Medicaid provider enrollment process.”

Source: Office of Representative Mariannette Miller-Meeks, Office of Representative Mariannette Miller-Meeks

What the record shows ·

Congress.gov records one sponsor for each bill, and it is not her. H.R. 4758 was introduced by Representative Lori Trahan on July 19, 2023; Miller-Meeks is recorded as its first cosponsor and its only original cosponsor, added the same day, of 124 cosponsors in all. The bill passed the House by voice vote on September 17, 2024 and was received in the Senate, as her page says. H.R. 4794, the Making Advances in Mammography and Medical Options for Veterans Act, was introduced by Representative Julia Brownley on July 29, 2021, with Miller-Meeks again the first cosponsor and the only original one, of twenty-three in all; that bill's last action is a subcommittee hearing, and the act became law as the Senate companion S. 2533, Public Law 117-135. Across the 117th, 118th and 119th Congresses she sponsored 129 bills and resolutions, and neither of these two is among them. Both bills were co-led, and her own releases at the time say so. Her release of May 18, 2022 records that in July of 2021 she, Brownley and Boozman joined Senator Jon Tester, the chair of the Senate Veterans’ Affairs Committee, to introduce the MAMMO for Veterans Act. Her release of September 17, 2024 says she and Trahan "celebrated passage of their" Accelerating Kids’ Access to Care Act, quotes her on "Our legislation", and quotes Trahan calling it "my bipartisan Accelerating Kids’ Access to Care Act". The Sponsor field on Congress.gov names exactly one member for a bill by design, so it cannot record a co-lead.

Sources: Congress.gov, Congress.gov, U.S. Government Publishing Office via Congress.gov, Congress.gov, Office of Representative Mariannette Miller-Meeks, Office of Representative Mariannette Miller-Meeks

Limit: The Sponsor field names Trahan on one bill and Brownley on the other, so on the official record she is not the sponsor of either. What the record does establish is that she was the sole original cosponsor of each on the day it was introduced, the only member either sponsor brought aboard at that point, which is how a co-lead appears in that record, and that her own releases of 2022 and 2024 describe both bills as jointly introduced, the second in Trahan's words as well as hers. On that evidence this desk does not find the word introduced false, and does not find it confirmed either: what the record supports is that the claim runs the same way as her part in the two bills. On the paired SERVICE Act the roles were reversed, with her as sponsor and Brownley as first cosponsor. The same pages use "I cosponsored" accurately elsewhere, and other "I introduced" claims on them are correct, including H.R. 8111 and the Critical Infrastructure Manufacturing Feasibility Act. This card is about attribution, not about whether either bill was worth passing.

Mariannette Miller-Meeks

Government accountability: a congressional stock-trading ban

Matches stated direction

What they say

Her campaign account says she wrote legislation to ban congressional stock trading. Her office separately says the House passed such a ban led by her.

“I don't own a single individual stock. I wrote legislation to ban congressional stock trading. If you write the laws, you shouldn't profit from them.”

Source: X, Office of Representative Mariannette Miller-Meeks

What the record shows ·

Across the 117th, 118th and 119th Congresses she sponsored 129 bills and resolutions, and none of them concerns congressional stock trading. Both bills on the subject that carry her name are someone else's. H.R. 7008, the Stop Insider Trading Act, was introduced by Representative Bryan Steil on January 12, 2026; she is an original cosponsor recorded that day, 36th of 93 in the listed order and 36th of the 72 original cosponsors, and she voted Yea when the House passed it 232 to 198 on July 22, 2026 (Roll Call 280). It was placed on the Senate calendar on August 6, 2026 and is not law. H.R. 5106, the Restore Trust in Congress Act, was introduced by Representative Chip Roy on September 3, 2025; she is not an original cosponsor of it and joined on September 11, 2025, 47th of 142. Her office's own releases describe her role three ways, and none of them is authorship. The release of November 19, 2025 states plainly that she is a cosponsor of the Restore Trust in Congress Act, and records a letter she sent to Chairman Bryan Steil and Ranking Member Joe Morelle asking the Committee to unify the proposals that already existed into one enforceable reform, naming a full ban on individual stock trading by members and spouses, blind trusts or index funds as the alternative, and uniform enforcement with real penalties; Steil introduced H.R. 7008 fifty-four days later. The release of July 22, 2026 is headed House Passes Miller-Meeks Backed Bill to Ban Congressional Stock Trading, and its first sentence calls the bill led by her, so her office's headline and its lede do not agree with each other. She does not sit on the Committee on House Administration, which both bills were referred to, and that committee's report on H.R. 7008, H. Rept. 119-479 of February 3, 2026, does not name her anywhere, and does not mention Iowa: it credits the introduction to Steil, and the substitute amendment adopted at markup to Steil. She uses the same verb accurately about a bill that is hers: on August 26, 2026 she posted that she wrote the Billion Dollar Boondoggle Act, and she is its sponsor.

Sources: Congress.gov, Congress.gov, Office of the Clerk, U.S. House of Representatives, Congress.gov, Office of Representative Mariannette Miller-Meeks, Office of Representative Mariannette Miller-Meeks, U.S. Government Publishing Office, Office of Representative Mariannette Miller-Meeks, X

Limit: The official actions behind this label are two cosponsorships and a Yea vote when the House passed a ban 232 to 198, and the desk names them because the label requires it. On the word wrote, the record is not silent by accident: it holds sponsorship, cosponsorship, committee action and floor statements, and it records who drafted a bill nowhere, for any member, because most bill text is drafted by the Legislative Counsel at a member's request. A claim to have written legislation is therefore one the official record can neither confirm nor refute, here or anywhere, and this desk does not treat a record that cannot test a claim as a record that defeats it. What the record can show is set out above and a reader can weigh it: no bill of her own on the subject across 129 bills and resolutions, 36th of the seventy-two original cosponsors filed the same day on H.R. 7008, not an original cosponsor of H.R. 5106 at all, her own office calling her a cosponsor under a headline calling it a bill she backed, and a committee report that does not name her on a committee she does not sit on. It also shows the nearest documented thing to authorship: seven weeks before H.R. 7008 existed she wrote to its eventual sponsor, the chairman of that committee, asking him to build a package whose contents it partly matches. The post claims she wrote legislation on a subject. It does not claim any bill of hers passed, and this card does not read it as though it did. The post also carries a video this desk did not watch. What the ban would cover is a question about the bill's text, which this card does not assess.

Mariannette Miller-Meeks

Health care: the bill against the drug middlemen

Matches stated record claim

What they say

Her campaign account says she wrote the law against the drug middlemen and that the House passed her bill to lower premiums.

“So I wrote the law to break the drug middlemen, and the House passed my bill to lower premiums for all Americans.”

Source: X

What the record shows ·

H.R. 6703, the Lower Health Care Premiums for All Americans Act, is her own bill: she is its sponsor and introduced it on December 15, 2025. The House passed it 216 to 211 on December 17, 2025 (Roll Call 349), having rejected a motion to recommit 210 to 218 the same day, and the Senate received it on December 18. It is not law. Its second title, Lowering Health Care Premiums for Everyone, has two sections. Section 201 writes oversight of entities that provide pharmacy benefit management services into the Public Health Service Act, the Employee Retirement Income Security Act and the Internal Revenue Code: for plan years beginning thirty months after enactment such an entity would have to report to the group health plan it serves at least every six months, in plain language and in a machine-readable format, and no plan, issuer or such entity could contract with anyone who would limit or delay the information those reports require. The bill never uses the phrase pharmacy benefit manager; its own term is an entity providing pharmacy benefit management services, and the words pharmacy benefit appear 88 times in the text the House passed. Spread pricing appears nowhere in it, and it carries no divestiture or ownership provision. Section 202 permanently appropriates the cost-sharing reduction payments of section 1402 of the Affordable Care Act for plan years beginning January 1, 2027, and bars those funds from any qualified health plan that covers abortion, except where the pregnancy threatens the mother's life or results from rape or incest. The first title, Improving Health Care Options for Workers, is association health plans, an exclusion from the definition of health insurance coverage for certain medical stop-loss insurance, and health reimbursement arrangements.

Sources: Congress.gov, Office of the Clerk, U.S. House of Representatives, Congress.gov

Limit: The bill is hers, the House did pass it, and its second title is about pharmacy benefit managers, which is what the drug middlemen names. Two things the record does not carry. It is not law: it passed one chamber and has sat in the Senate since December 18, 2025. And what section 201 does to those entities is require them to disclose, twice a year, in a form the health plan can read; the text the House passed bans no practice and breaks up nothing, so that verb is the post's characterization of a reporting requirement. The post names the middlemen only, and section 202 is the part of the same title with the plainest effect on premiums and the sharpest politics: it funds the Affordable Care Act's cost-sharing reductions permanently and withholds that money from plans covering abortion. Whether the bill would lower premiums is a question about its effects, which this card does not assess.

Issues in this record

Follow the evidence by issue.

Costs and the economyHealth careGovernment accountabilityFarms, biofuels and the rural economySchools and educationWater, land and cancer riskVeterans and the militarySocial Security and retirementWork, wages and manufacturingThe border and immigration

Evidence timeline

Dated records, with sources attached.

  1. race event

    Official candidate list updated

    The Iowa Secretary of State's candidate list for the November 3, 2026 general election, stamped last updated August 19, 2026 at 1:36 PM, showed three candidates for the first district when The Stated Record read it on September 13: Mariannette Miller-Meeks, Christina Bohannan and Michael Bridgford.

    Iowa Secretary of State

  2. finance

    FEC filing snapshot

    July Quarterly 2026, principal campaign committee MILLER-MEEKS FOR CONGRESS.

    Federal Election Commission

  3. race event

    Miller-Meeks filed

    The same list records the incumbent Mariannette Miller-Meeks's filing date for the seat as March 6, 2026.

    Iowa Secretary of State

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