Election 2026
Independent, source-first accountability
Issue record
In short
Miller-Meeks's official statement says she is leading a bill to cap insulin at $35 on private insurance. Bohannan's campaign backs reversing Medicaid cuts, a Medicare buy-in at any age and $35 insulin caps. Bridgford's campaign backs upfront hospital prices, more Medicare pay for rural hospitals and drug-middleman transparency. On the record, Miller-Meeks cosponsors that bill, now in committee; her own House-passed bill makes drug middlemen report to health plans and is not law.
Campaign positions
Her official health page, written in the first person as a physician and former director of the Iowa Department of Public Health, lists bills she says she worked on to lower drug costs, including on pharmacy benefit managers, Medicaid enrolment and non-opioid pain treatment. Her September 3, 2026 statement says she is leading a bipartisan bill to cap insulin at $35 a month for people on private insurance.
Her campaign says she would reverse this year's Medicaid cuts, fully extend the Affordable Care Act tax credits, let Iowans buy into Medicare at any age while opposing a single-payer system, cap insulin, epi pens and inhalers at $35, widen Medicare drug negotiation and extend the negotiated prices to private insurance, and add vision, dental, hearing and family-caregiver home health to Medicare.
His campaign says he would require hospitals and insurers to publish exact upfront cash prices with penalties for non-compliance, raise Medicare reimbursement for critical access hospitals in rural counties, mandate site-neutral billing, correct Medicare Advantage overpayments and force transparency on pharmacy benefit managers.
Evidence timeline
official action
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.
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. 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.
official action
Medicare coverage of these tests became law in February 2026 in a spending act she voted for. The House bill's sponsor is Jodey Arrington; she is an original cosponsor.
In the October 20 KCRG-TV9 debate, Miller-Meeks said she introduced and passed into law multi-cancer early detection, and in her closing that she passed a bill for it. The House bill, H.R. 842, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act, was introduced by Representative Jodey Arrington on January 31, 2025, and she is an original cosponsor, added that day. None of the bills she had sponsored as of September 13, 2026 has multi-cancer in its title. Medicare coverage of multi-cancer early detection screening tests became law in Division J, Health Care Extenders, of the Consolidated Appropriations Act, 2026, H.R. 7148, Public Law 119-75, signed February 3, 2026. She voted Yea when the House passed that act 341 to 88 on January 22, 2026 (Roll Call 45) and when it agreed to the Senate's changes 217 to 214 on February 3, 2026 (Roll Call 53). The enacted text covers tests furnished on or after January 1, 2029. Her office's release that day calls it legislation she led. Limit: What she backed became law, and she backed it from the day the House bill was filed and voted for the act that carried it. Congress lists Arrington as the one sponsor, and she is an original cosponsor, so "introduced" means she joined the bill when it was filed rather than filed it herself. The record does not show who drafted it. Coverage applies to tests furnished from January 1, 2029, so no one has the benefit yet; her office's release gave 2028.
official action
Her bill passed the House 216-211 in December 2025 and awaits the Senate. It would require drug-benefit-manager reports to plans, rather than ban pricing practices or break up companies.
Her campaign account says she wrote the law against the drug middlemen and that the House passed her bill to lower premiums. 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. 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.
official action
Congress lists Lori Trahan and Julia Brownley as the sponsors, one each, with her as the only original cosponsor of both from day one; her own releases say both were introduced jointly.
Her official issues pages say she introduced two bills, the Accelerating Kids' Access to Care Act and the MAMMO for Veterans Act. 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. Limit: Congress lists Trahan and Brownley as the sponsors, and Miller-Meeks as the only original cosponsor of each, added the day they were introduced. Her own releases say both were introduced jointly.
See something wrong or incomplete? Report it for review.
Office of Representative Mariannette Miller-Meeks · Reviewed Sep 13, 2026
Lists bills she says she introduced or cosponsored to lower drug costs, including H.R. 4758 and H.R. 8111. The page's claim about H.R. 4758 is the statement side of the attribution card.
official office record
For: Mariannette Miller-Meeks: campaign position; Mariannette Miller-Meeks: Matches stated record claim
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: Mariannette Miller-Meeks: campaign position; Mariannette Miller-Meeks: Matches stated record claim
Christina Bohannan for Congress · Reviewed Sep 13, 2026
Eight sections: lowering costs, restoring faith in government, health care, education, family farms and natural resources, seniors and Social Security, freedom, and a family friendly economy. Read directly from the live site; no archive was needed. The government section carries the sentence "I take no corporate PAC money.", which is the statement side of the money card on her.
candidate statement
For: Christina Bohannan: campaign position
Bridgford for Iowa · Reviewed Sep 13, 2026
Eleven issue panels. The site is a client-rendered application: it answers a plain request with HTTP 200 but serves the same shell for every route and has no content API, so the panels were read twice, once rendered in a browser with each panel expanded and once extracted verbatim from the site's own JavaScript bundle. This is not a block and no archive was used.
candidate statement
For: Michael Bridgford: campaign position
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: Mariannette Miller-Meeks: Matches stated record claim
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: Mariannette Miller-Meeks: Matches stated record claim
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: Mariannette Miller-Meeks: Matches stated record claim
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: Mariannette Miller-Meeks: Matches stated record claim
KCRG-TV9 · Published Oct 20, 2026 · Reviewed Oct 22, 2026
52:06. Paraphrased from YouTube's captions of the station's video; no second transcript was found to confirm the exact words.
candidate statement
For: Mariannette Miller-Meeks: Matches stated direction
KCRG-TV9 · Published Oct 20, 2026 · Reviewed Oct 22, 2026
56:40. Paraphrased from YouTube's captions of the station's video.
candidate statement
For: Mariannette Miller-Meeks: Matches stated direction
Congress.gov · Published Jan 31, 2025 · Reviewed Oct 22, 2026
Sponsored by Representative Jodey Arrington and introduced 2025-01-31; Miller-Meeks is an original cosponsor added that day. Reported by Ways and Means 2025-10-03; enacted through H.R. 7148.
official legislative record
For: Mariannette Miller-Meeks: Matches stated direction
Congress.gov · Reviewed Sep 13, 2026
129 sponsored bills and resolutions plus 5 floor amendments, and 1,224 cosponsorships, across the 117th, 118th and 119th Congresses; terms recorded for the second district in the 117th and the first in the 118th and 119th. Eleven sponsored bills reached the Senate; none has a latest action of becoming law. Pulled 2026-09-13.
official legislative record
For: Mariannette Miller-Meeks: Matches stated direction; Mariannette Miller-Meeks: Matches stated record claim
Congress.gov · Published Feb 3, 2026 · Reviewed Oct 22, 2026
Became Public Law 119-75 on 2026-02-03. Division J, Health Care Extenders, of the enrolled text carries Medicare coverage of multi-cancer early detection screening tests.
official legislative record
For: Mariannette Miller-Meeks: Matches stated direction
Office of the Clerk, U.S. House of Representatives · Published Jan 22, 2026 · Reviewed Oct 22, 2026
Consolidated Appropriations Act, 2026, passed 341 to 88. Miller-Meeks is recorded Yea.
official legislative record
For: Mariannette Miller-Meeks: Matches stated direction
Office of the Clerk, U.S. House of Representatives · Published Feb 3, 2026 · Reviewed Oct 22, 2026
Agreed to 217 to 214. Miller-Meeks is recorded Yea.
official legislative record
For: Mariannette Miller-Meeks: Matches stated direction
Office of Representative Mariannette Miller-Meeks · Published Feb 3, 2026 · Reviewed Oct 22, 2026
Calls the act legislation led by her and says Medicare coverage of FDA-approved multi-cancer early detection tests begins in 2028. The enacted text says tests furnished on or after January 1, 2029.
official office record
For: Mariannette Miller-Meeks: Matches stated direction
X · Published Aug 14, 2026 · Reviewed Sep 14, 2026
Her own post on the campaign account her site links. Collected on September 13, 2026 and re-read against the platform on September 14, 2026 before it was written down: unchanged, the same author, the same publication time, and one entry in its edit history. The post also carries a video, which this desk did not watch; the words quoted are in the post's own text.
social profile
For: Mariannette Miller-Meeks: Matches stated record claim
Congress.gov · Published Dec 15, 2025 · Reviewed Sep 14, 2026
Her own bill: Miller-Meeks is the sponsor, introduced 2025-12-15, referred to Energy and Commerce with Education and Workforce and Ways and Means. Passed the House 2025-12-17 and received in the Senate 2025-12-18; no public law number, so it is not law. Congress.gov carries no summary for it, so the bill's content here is read from the text the House passed, the engrossed version of 2025-12-17, kept with this desk's evidence.
official legislative record
For: Mariannette Miller-Meeks: Matches stated record claim
Office of the Clerk, U.S. House of Representatives · Published Dec 17, 2025 · Reviewed Sep 14, 2026
The House passed the Lower Health Care Premiums for All Americans Act, 216 to 211, with 6 not voting. Miller-Meeks, its sponsor, is recorded Yea.
official legislative record
For: Mariannette Miller-Meeks: Matches stated record claim
Office of Representative Mariannette Miller-Meeks · Reviewed Sep 13, 2026
Opens on her Army service and lists her work for veterans, including the SERVICE Act and the MAMMO for Veterans Act. Both claims are quoted on cards.
official office record
For: Mariannette Miller-Meeks: Matches stated record claim
Congress.gov · Published Jul 19, 2023 · Reviewed Sep 13, 2026
Sponsored by Representative Lori Trahan and introduced 2023-07-19 with 124 cosponsors; Miller-Meeks is the first listed and an original cosponsor, recorded the same day. The bill passed the House by voice vote on 2024-09-17.
official legislative record
For: Mariannette Miller-Meeks: Matches stated record claim
Congress.gov · Published Jul 29, 2021 · Reviewed Sep 13, 2026
Sponsored by Representative Julia Brownley and introduced 2021-07-29 with 23 cosponsors; Miller-Meeks is the first listed and an original cosponsor. Its last recorded action is a subcommittee hearing on 2021-10-14.
official legislative record
For: Mariannette Miller-Meeks: Matches stated record claim
U.S. Government Publishing Office via Congress.gov · Published Jun 7, 2022 · Reviewed Sep 13, 2026
The enacted MAMMO for Veterans Act, from S. 2533 sponsored by Senator Tester. It requires a VA strategic plan for breast imaging and a telescreening mammography pilot, the subject her page describes.
official legislative record
For: Mariannette Miller-Meeks: Matches stated record claim
Office of Representative Mariannette Miller-Meeks · Published Sep 17, 2024 · Reviewed Sep 13, 2026
Her office's account of House passage of the Accelerating Kids’ Access to Care Act, written as hers and Representative Lori Trahan's jointly: the two of them celebrated passage of their bill, she is quoted on "Our legislation", and Trahan is quoted calling it "my bipartisan" bill. Cited on the attribution card for how the bill's introduction was described at the time.
official office record
For: Mariannette Miller-Meeks: Matches stated record claim
Office of Representative Mariannette Miller-Meeks · Published May 18, 2022 · Reviewed Sep 13, 2026
Her office's account of the day the House passed both the SERVICE Act and the MAMMO for Veterans Act. Its background says that in July of 2021 Miller-Meeks, Brownley and Boozman joined Senator Jon Tester to introduce the MAMMO for Veterans Act, and she calls both measures her bipartisan bills. Cited on the attribution card for the joint-introduction framing.
official office record
For: Mariannette Miller-Meeks: Matches stated record claim