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Checked against the record · Iowa 1st District 2026

Did Mariannette Miller-Meeks vote for the Affordable Insulin Now Act in 2022?

Matches stated record claim. She backed the failed 2022 insulin-cap bill, opposed the law setting Medicare's $35 cap, and is an original cosponsor of a 2026 bill still in committee. Twelve Republicans backed 2022's.

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.”

What the record shows · Sep 2, 2026

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.

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.

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Sources5 source records

How we use sources

  1. Miller-Meeks Leads Bipartisan Push to Cap Insulin Prices at $35https://millermeeks.house.gov/media/press-releases/miller-meeks-leads-bipartisan-push-cap-insulin-prices-35

    Office of Representative Mariannette Miller-Meeks · Published Sep 3, 2026 · Reviewed Sep 13, 2026

    Her own quoted statement on the INSULIN Act of 2026, including the claim that she was one of only twelve Republicans to vote for the Affordable Insulin Now Act in 2022.

    official office record

    For: Did Mariannette Miller-Meeks vote for the Affordable Insulin Now Act in 2022?

  2. Roll Call 102, 117th Congress, on passage of H.R. 6833 (document)

    Office of the Clerk, U.S. House of Representatives · Published Mar 31, 2022 · Reviewed Sep 13, 2026

    Affordable Insulin Now Act, passed 232 to 193. Counting the recorded votes in this file gives 220 Democrats and 12 Republicans voting Yea; Miller-Meeks is recorded Yea and is one of the twelve.

    official legislative record

    For: Did Mariannette Miller-Meeks vote for the Affordable Insulin Now Act in 2022?

  3. Roll Call 420, 117th Congress, on the Senate amendment to H.R. 5376 (document)

    Office of the Clerk, U.S. House of Representatives · Published Aug 12, 2022 · Reviewed Sep 13, 2026

    The motion to concur that sent the Inflation Reduction Act to the President, agreed to 220 to 207. Miller-Meeks is recorded Nay.

    official legislative record

    For: Did Mariannette Miller-Meeks vote for the Affordable Insulin Now Act in 2022?

  4. Public Law 117-169, section 11406https://www.congress.gov/117/plaws/publ169/PLAW-117publ169.htm

    U.S. Government Publishing Office via Congress.gov · Published Aug 16, 2022 · Reviewed Sep 13, 2026

    The enacted text. Section 11406, whose heading in the enacted text reads "APPROPRIATE COST-SHARING FOR COVERED INSULIN PRODUCTS UNDER MEDICARE PART D", is the $35 Medicare insulin cap that is law; the word insulin appears 35 times in the act.

    official legislative record

    For: Did Mariannette Miller-Meeks vote for the Affordable Insulin Now Act in 2022?

  5. H.R. 10227, INSULIN Act of 2026, cosponsorshttps://www.congress.gov/bill/119th-congress/house-bill/10227/cosponsors

    Congress.gov · Published Sep 2, 2026 · Reviewed Sep 13, 2026

    Sponsored by Representative Diana DeGette and introduced 2026-09-02 with seven cosponsors; Miller-Meeks is the first listed and an original cosponsor. Referred to Energy and Commerce and two other committees.

    official legislative record

    For: Did Mariannette Miller-Meeks vote for the Affordable Insulin Now Act in 2022?

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