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Mariannette Jane Miller-Meeks (born September 6, 1955) is an American physician and politician who has served as a U.S. representative from
Iowa Iowa ( ) is a U.S. state, state in the upper Midwestern United States, Midwestern region of the United States. It borders the Mississippi River to the east and the Missouri River and Big Sioux River to the west; Wisconsin to the northeast, Ill ...
since 2021. A member of the Republican Party, she represents the state's 1st congressional district. Her district, numbered as the 2nd district in her first term, includes most of Iowa's southeastern quadrant, including Davenport, Bettendorf, Burlington, and
Iowa City Iowa City is the largest city in Johnson County, Iowa, United States, and its county seat. At the time of the 2020 census the population was 74,828, making it the state's fifth-most populous city. The Iowa City metropolitan area, which enc ...
. Miller-Meeks previously served as the Iowa state senator from the 41st district from 2019 to 2021. Miller-Meeks ran three unsuccessful campaigns for the U.S. House against Dave Loebsack. When Loebsack retired in 2020, she ran again and defeated
Rita Hart Rita Hart (born May 5, 1956) is an American politician and retired educator who served as an Iowa Senate, Iowa State Senator from the Iowa Senate, District 49, 49th district from 2013 to 2019. She is a member of the Democratic Party (United States ...
by a margin of six votes. She was reelected in 2022 by a margin of nearly seven percentage points, and won a third term in a very close race in 2024.


Early life and education

Mariannette Jane Miller-Meeks was born in Herlong, California on September 6, 1955. A first-generation college student, Miller-Meeks earned a Bachelor of Science in Nursing from Texas Christian University, a Master of Science in education from the
University of Southern California The University of Southern California (USC, SC, or Southern Cal) is a Private university, private research university in Los Angeles, California, United States. Founded in 1880 by Robert M. Widney, it is the oldest private research university in ...
, and a
Doctor of Medicine A Doctor of Medicine (abbreviated MD, from the Latin language, Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of ph ...
from McGovern Medical School.


Career before politics

Miller-Meeks enlisted in the
United States Army The United States Army (USA) is the primary Land warfare, land service branch of the United States Department of Defense. It is designated as the Army of the United States in the United States Constitution.Article II, section 2, clause 1 of th ...
at the age of 18, in 1974, serving as a nurse until 1982. Starting in 1983, she became a member of the
United States Army Reserve The United States Army Reserve (USAR) is a Military reserve force, reserve force of the United States Army. Together, the Army Reserve and the Army National Guard constitute the Army element of the reserve components of the United States Armed ...
and retired at the rank of lieutenant colonel in 2000. Miller-Meeks operated a private ophthalmology practice in
Ottumwa, Iowa Ottumwa ( ) is a List of cities in Iowa, city in and the county seat of Wapello County, Iowa, United States. The population was 25,529 at the time of the 2020 United States census, 2020 U.S. Census. Located in the state's southeastern section, th ...
, until 2008. She also served as the first female president of the Iowa Medical Society. She was the first woman on the faculty of the
University of Iowa The University of Iowa (U of I, UIowa, or Iowa) is a public university, public research university in Iowa City, Iowa, United States. Founded in 1847, it is the oldest and largest university in the state. The University of Iowa is organized int ...
's department of ophthalmology and visual sciences, and worked as a representative from Iowa to the
American Academy of Ophthalmology The American Academy of Ophthalmology is a professional association, professional medical association of ophthalmologists. It is headquartered in San Francisco, California. Its membership of 32,000 medical doctors includes more than 90 percent ...
. In 2010, Governor
Terry Branstad Terry Edward Branstad (born November 17, 1946) is a retired American politician who served as the 39th and 42nd governor of Iowa (1983–1999; 2011–2017) and the United States ambassador to China (2017–2020). A member of the Repu ...
appointed Miller-Meeks director of the Iowa Department of Public Health; she resigned in 2014 to run for Congress.


Iowa State Senate

When Mark Chelgren announced he was not running for reelection, Miller-Meeks ran for Iowa Senate, District 41 in 2018, defeating Democratic nominee Mary Stewart. Miller-Meeks served in the Iowa Senate from 2019 to 2020.


U.S. House of Representatives


Elections


2008, 2010, 2014

Miller-Meeks was the Republican nominee for
Iowa's 2nd congressional district Iowa's 2nd congressional district is a List of United States congressional districts, congressional district in the U.S. state of Iowa that covers most of its northeastern part. It includes Cedar Rapids, Iowa, Cedar Rapids, Dubuque, Iowa, Dubuque ...
in 2008, 2010, and 2014, losing to Dave Loebsack in all three races. In her 2014 campaign, Miller-Meeks opposed the
Affordable Care Act The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and informally as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by Presid ...
(Obamacare). She also stated her opposition to legalized abortion except in cases of rape, incest, or harm to the mother. She opposed same-sex marriage. She criticized EPA regulation of waterways and coal plants, saying it creates uncertainty for farmers.


2020

Miller-Meeks ran to represent Iowa's 2nd congressional district again in
2020 The year 2020 was heavily defined by the COVID-19 pandemic, which led to global Social impact of the COVID-19 pandemic, social and Economic impact of the COVID-19 pandemic, economic disruption, mass cancellations and postponements of even ...
, following Loebsack's retirement. She won the June 2 Republican primary election, defeating former Illinois Congressman Bobby Schilling. During the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
, Miller-Meeks said she "practices social distancing, wears a mask in public and sanitizes her hands" but does not support face mask mandates. Miller-Meeks faced the Democratic nominee, former state Senator
Rita Hart Rita Hart (born May 5, 1956) is an American politician and retired educator who served as an Iowa Senate, Iowa State Senator from the Iowa Senate, District 49, 49th district from 2013 to 2019. She is a member of the Democratic Party (United States ...
, in the November general election. After Loebsack announced his retirement, journalists and election forecasters labeled the 2nd congressional district a swing district. Miller-Meeks defeated Hart in the general election by six votes; the Iowa Board of Canvass certified the result. Hart contested the certified result through a petition with the Committee on House Administration under the 1969 Federal Contested Elections Act, which sets forth procedures for contesting state election results in the House under the Constitution.Bridget Bowman & Herb Jackson
Iowa Democrat Rita Hart to appeal 2nd District results to House
''Roll Call'' (December 2, 2020).
Hart did not contest the election in Iowa's courts. In her petition, Hart contended, without evidence, that 22 legally cast votes were not counted. Had they been counted, per her petition, she would have won the race by nine votes. House Speaker
Nancy Pelosi Nancy Patricia Pelosi ( ; ; born March 26, 1940) is an American politician who was the List of Speakers of the United States House of Representatives, 52nd speaker of the United States House of Representatives, serving from 2007 to 2011 an ...
provisionally seated Miller-Meeks on January 3, 2021, pending adjudication of Hart's petition. The Committee on House Administration reviewed Hart's petition, and Pelosi claimed the House had the authority to expel Miller-Meeks, but on March 31, Hart withdrew her challenge.


2022

After redistricting, Miller-Meeks' district was renumbered as the 1st district, effective with the 2022 elections. Miller-Meeks defeated Democratic state Representative Christina Bohannan in the November 2022 general election by 53% to 47%.


2024

In 2024, Miller-Meeks again faced off against Christina Bohannan. The race was extremely close, with Miller-Meeks ahead by 801 votes after the initial count. A recount confirmed that Miller-Meeks had been elected to a third term by 799 votes.


2026

Miller-Meeks raised over $1 million in the first quarter of 2025. This was the most money raised by any U.S. House incumbent during this time period. In the 2026 election, Miller-Meeks is facing a primary challenge from David Pautsch, who unsuccessfully sought the Republican nomination in Iowa's 1st District in 2024. Pautsch is running to the right of Miller-Meeks.


Tenure

Miller-Meeks, along with all other Senate and House Republicans, voted against the American Rescue Plan Act of 2021. On May 19, 2021, Miller-Meeks was one of 35 Republicans who joined all Democrats in voting to approve legislation to establish the January 6 commission meant to investigate the storming of the U.S. Capitol. Following the November 2024 elections, Miller-Meeks ran in the internal House Republican Conference elections for secretary (the sixth-highest ranking post in the conference), but was defeated by Erin Houchin of Indiana. In April 2025, Miller-Meeks urged lawmakers to act to extend a tax break that benefits small businesses. The Qualified Business Income deduction allows small business owners to deduct up to 20% of their income. It is slated to expire on December 31, 2025.


Infrastructure

In 2020, Miller-Meeks said that an infrastructure bill would be her main priority, suggesting a
fuel tax A fuel tax (also known as a petrol, gasoline or gas tax, or as a fuel duty) is an excise tax imposed on the sale of fuel. In most countries, the fuel tax is imposed on fuels which are intended for transportation. Fuel tax receipts are often dedica ...
increase to pay for it.


Immigration

On July 21, 2021, Miller-Meeks and Deborah Ross co-sponsored the America's CHILDREN Act. The bill would prevent the children of long-term visa holders who came to the U.S. legally with their parents from having their visas expire the day they turn 21. If they have maintained legal status in the U.S. for 10 years and graduated from an institution of higher education, they are eligible to apply for permanent residency.


LGBT rights

On July 19, 2022, Miller-Meeks and 46 other Republican representatives voted for the
Respect for Marriage Act The Respect for Marriage Act (RFMA; ) is a landmark United States federal law passed by the 117th United States Congress in 2022 and signed into law by President Joe Biden. It repeals the Defense of Marriage Act (DOMA), requires the U.S. federal ...
, which codified the right to same-sex marriage in federal law.


Antitrust bill

In 2022, Meeks was one of 39 Republicans to vote for the Merger Filing Fee Modernization Act of 2022, an antitrust package that would crack down on corporations for anti-competitive behavior.


Committee assignments

For the 118th Congress: *
Committee on Energy and Commerce A committee or commission is a body of one or more persons subordinate to a deliberative assembly or other form of organization. A committee may not itself be considered to be a form of assembly or a decision-making body. Usually, an assembly o ...
** Subcommittee on Environment, Manufacturing, and Critical Minerals ** Subcommittee on Health * Committee on Veterans' Affairs ** Subcommittee on Health (Chair) * Select Subcommittee on the Coronavirus Pandemic


Caucus memberships

* Conservative Climate Caucus (chair) * Pandemic Preparedness Caucus (co-chair) * Congressional Western Caucus (vice chair) * For Country Caucus (vice chair) * 5G and Beyond Caucus * Abraham Accords Caucus * Aluminum Caucus * American Canadian Economy and Security (ACES) Caucus * Appalachian Caucus * Army Caucus * Biodefense Caucus * Biofuels Caucus * Bus Caucus * Civil Air Patrol Congressional Squadron * Climate Solutions Caucus * Congressional Diabetes Caucus * Critical Materials Caucus * Czech Caucus * Friends of Denmark Caucus * General Aviation Caucus * GOP Doctors Caucus * GOP Healthy Futures Task Force * Grid Innovation Caucus * House Energy Action Team * Main Street Caucus * Maternity Care Caucus * Mental Health Caucus * Motorcycle Caucus * Pro-Life Caucus * Public Schools Caucus * Rare Disease Caucus * Republican Governance Group * Rural Broadband Caucus * Small Brewers Caucus * Small Business Caucus * Sportsmen's Caucus * Steel Caucus * Suburban Caucus * Taiwan Caucus * Ukraine Caucus * Telehealth Caucus * Western Caucus * Women, Peace, and Security Caucus


Personal life

Miller-Meeks is married to Curt Meeks and has two children. She is a
Roman Catholic The Catholic Church (), also known as the Roman Catholic Church, is the largest Christian church, with 1.27 to 1.41 billion baptized Catholics worldwide as of 2025. It is among the world's oldest and largest international institut ...
. In 2022, after her longtime home in Ottumwa had been drawn out of the district in the 2020 round of redistricting, Miller-Meeks changed her voter registration to a house in LeClaire, near Davenport, owned by state senator Chris Cournoyer. In 2023, she received a homestead credit for her house in Ottumwa, and listed it as her residence both on congressional disclosure reports and campaign forms. Before the 2024 primary, Miller-Meeks rented an apartment in Davenport and registered to vote there. Members of the House are only constitutionally required to live in the state they represent, while Iowa law requires voters to register and vote in the county where they primarily reside. Two months before the 2024 general election, an Iowa citizen filed a complaint with the Office of Congressional Ethics, arguing that Miller-Meeks had violated state law by registering in Scott County, home to Davenport, rather than in Wapello County, home to Ottumwa. In a 2024 election debate, Miller-Meeks defended questions about her residency, saying she had been honest when she said she would not sell her Wapello County property, saying "In Iowa, land is valuable and we hold onto it, so I have a property there." She said she divides her time between an apartment in Washington, D.C., an apartment in Davenport, and her property in Ottumwa. In November 2024, an absentee and special precinct board in Scott County accepted Miller-Meeks' ballot cast in the 2024 election, rejecting the residency challenge. Miller-Meeks organized a physician recruitment and retention organization to help bring physicians to southeast Iowa and has served as a court-appointed special advocate volunteer for children.


Electoral history


2008


2010


2014


2018


2020


2022


2024


See also

* Women in the United States House of Representatives


References


External links


Representative Mariannette Miller-Meeks
official U.S. House website
Campaign website

Iowa State Senate page
* * , - , - , - {{DEFAULTSORT:Miller-Meeks, Mariannette 1955 births Living people 20th-century American physicians 20th-century American women physicians 21st-century American physicians 21st-century American women politicians 21st-century American women physicians 21st-century Roman Catholics American ophthalmologists American women academics Candidates in the 2008 United States elections Candidates in the 2010 United States elections Candidates in the 2014 United States elections Catholics from Iowa Catholic politicians from Iowa Female members of the United States House of Representatives Iowa Republicans Republican Party Iowa state senators Republican Party members of the United States House of Representatives from Iowa Military personnel from California Military personnel from Iowa People from Lassen County, California Politicians from Ottumwa, Iowa Physicians from California Physicians from Iowa State cabinet secretaries of Iowa Texas Christian University alumni American women ophthalmologists Women state legislators in Iowa United States Army officers United States Army reservists University of Iowa faculty University of Southern California alumni University of Texas Health Science Center at Houston alumni University of Michigan faculty 21st-century members of the United States House of Representatives 21st-century members of the Iowa General Assembly