Mariannette Miller-Meeks (R)
Republican incumbent ยท U.S. Representative since 2021
Visit campaign site โBorn 1955 in California. Lives in Ottumwa, Iowa (outside the district she represents). M.D. from University of Texas. Retired Army Lt. Colonel after 24 years of service. Married to Curt Meeks.
Ophthalmologist. Served as Iowa Department of Public Health Director 2010-2013. Iowa State Senator 2019-2020. Elected to U.S. House in 2020 and re-elected 2022 and 2024.
Leads on the Lower Health Care Premiums for All Americans Act (which she says reduces premiums 11%) and the Prices on the Wall Act for hospital price transparency, framing her work through her ophthalmology background. Defends her One Big Beautiful Bill vote as targeting Medicaid waste and fraud rather than coverage for those who genuinely need it.
Champions the Working Families Tax Cuts (making the 2017 Trump tax cuts permanent, "no tax on tips," "no tax on overtime") and the Permanent Tax Relief for Seniors Act, which establishes a $6,000 Social Security tax deduction for seniors.
Has secured more than $27 million in Community Project Funding for southeast Iowa during the 119th Congress, including $6M for Burlington's Cascade Bridge replacement, road infrastructure across multiple counties, and rural health investments.
Serves on the House Veterans' Affairs Committee as a 24-year Army veteran and frames her military and medical background as her core motivation for serving. Recently introduced the Veterans to Advanced Manufacturing Plan Act to support veteran workforce transitions.
Voted to fully fund ICE and Border Patrol operations and supports the Trump administration's deportation priorities, frequently tying border security to combating fentanyl trafficking into Iowa communities.
MMM has introduced three separate bills on this topic. One prohibits prediction-market trading by members of Congress, one is called End Special Treatment for Congress at Airports Act, and the third is PURE Executive Act. Different mechanism than Bohannan's sweeping reforms but the same broad idea.
She supports Iowa's Education Savings Account (ESA) voucher program and a national school-choice expansion.
- President Donald Trump
- House Republican Conference
- Total individual contributions: 8,308
- In-state: 915 (11.0%) Out-of-state: 7,392 (89.0%)
- Small-dollar donors ($100 or less): By count: 6,163 of 8,308 (74.2%) By dollar volume: $107,300 of $5,278,584 (2.0%)
Source: Federal Election Commission (FEC), Schedule A, as of July 23, 2026. fec.gov/data