{"entity":{"id":10945,"slug":"congress-m001215","name":"Mariannette Miller-Meeks","type":"person","role":"US Representative (R-IA-1)","description":"Mariannette Miller-Meeks is the Republican U.S. Representative (IA's 1st congressional district). The platform has 7 voting records on file (2021-2025) and 154 verified facts on file covering this member's voting positions, financial disclosures, and stated platform commitments.","imageUrl":"https://upload.wikimedia.org/wikipedia/commons/thumb/5/54/Mariannette_Miller-Meeks_117th_U.S_Congress.jpg/330px-Mariannette_Miller-Meeks_117th_U.S_Congress.jpg","createdAt":"2026-04-20T04:56:39.946Z","updatedAt":"2026-05-24T19:14:28.157Z"},"electedOffice":{"chamber":"U.S. House","state":"IA","district":"1","party":"Republican","in_office_since":null},"significance":{"score":20,"components":{"totalFindings":8,"connectionDegree":8,"recentFindings90d":0,"activeResearchJobs":0,"goblinAttributions":4,"recentSyntheses90d":0,"moneyFlowChainsTotal":0,"closedLoopMemberships":0,"moneyFlowHopsRecent90d":0},"computedAt":"2026-10-16T01:34:31.424Z"},"facts":[{"id":36240,"text":"Voted yea_unverified on H.R. 1 (One Big Beautiful Bill Act (119th Congress)) on 2025-07-03: Miller-Meeks voted for legislation that CBO projected would cut $1 trillion from Medicaid and SNAP, with 7.5 million projected to lose Medicaid by 2034. IA-01 has significant rural Medicaid enrollment and documented rural hospital financial stress; several rural Iowa hospitals operate near financial thresholds where Medicaid cuts trigger closure risk. Her vote crossed her stated platform as a rural physician committed to healthcare access and contradicts her public identity — but aligned with healthcare industry donors who benefit from market-based alternatives to Medicaid expansion.","confidence":"inferential","dateOccurred":"2025-07-03","source":null},{"id":36239,"text":"[vote] Miller-Meeks voted for the One Big Beautiful Bill Act in July 2025, which the CBO projected would cut approximately $1 trillion from Medicaid and SNAP over ten years, including work requirements that the CBO estimated would cause 7.5 million people to lose Medicaid coverage by 2034.","confidence":"primary","dateOccurred":"2025-07-03","source":{"title":"Roll call: H.R. 1","url":"https://www.congress.gov/bill/119th-congress/house-bill/1","publication":"Congress.gov"}},{"id":36235,"text":"Financial, insurance, and real estate sector contributions are among Miller-Meeks's top career sectors, consistent with her Energy and Commerce Committee assignments that touch financial services regulation. Insurance industry PACs have been consistent contributors across cycles.","confidence":"secondary","dateOccurred":"2024-12-31","source":{"title":"Donor mapping evidence: The American Medical Association PAC (AMPAC) and affiliated physician PACs are a","url":"https://www.opensecrets.org/members-of-congress/mariannette-miller-meeks/industries?cid=N00045219&cycle=Career","publication":"FEC / handoff"}},{"id":36234,"text":"Miller-Meeks won her initial 2020 House race by six votes — the narrowest House margin in decades — and faced serious 2022 and 2024 competition, driving sustained high fundraising levels relative to a typical safe-seat Republican. Her 2024 cycle raised approximately $3.8 million, including substantial out-of-state healthcare industry contributions tied to her Energy and Commerce Committee position.","confidence":"secondary","dateOccurred":"2024-12-31","source":{"title":"Donor mapping evidence: Miller-Meeks won her initial 2020 House race by six votes — the narrowest House ","url":"https://www.opensecrets.org/members-of-congress/mariannette-miller-meeks/summary?cid=N00045219&cycle=2024","publication":"FEC / handoff"}},{"id":36233,"text":"Agricultural sector contributions — including crop production, farm bureaus, and agribusiness — are among Miller-Meeks's top five career donor sectors, reflecting IA-01's dominant corn, soybean, and pork production economy. Farm Bureau PACs at both state and national level have been consistent contributors.","confidence":"secondary","dateOccurred":"2024-12-31","source":{"title":"Donor mapping evidence: The American Medical Association PAC (AMPAC) and affiliated physician PACs are a","url":"https://www.opensecrets.org/members-of-congress/mariannette-miller-meeks/industries?cid=N00045219&cycle=Career","publication":"FEC / handoff"}},{"id":36232,"text":"The American Medical Association PAC (AMPAC) and affiliated physician PACs are among Miller-Meeks's most consistent institutional donors, reflecting her identity as a physician-legislator on the Energy and Commerce Health subcommittee. The AMA has direct legislative interests before that subcommittee including Medicare reimbursement rates and scope-of-practice regulation.","confidence":"secondary","dateOccurred":"2024-12-31","source":{"title":"Donor mapping evidence: The American Medical Association PAC (AMPAC) and affiliated physician PACs are a","url":"https://www.opensecrets.org/members-of-congress/mariannette-miller-meeks/industries?cid=N00045219&cycle=Career","publication":"FEC / handoff"}},{"id":36231,"text":"Miller-Meeks's top career donor sectors through 2024 are health professionals, health services/HMOs, and hospitals/nursing homes — reflecting her background as an ophthalmologist and her service on the House Energy and Commerce Committee's Subcommittee on Health. Her career total receipts exceed $6 million since her 2020 election.","confidence":"secondary","dateOccurred":"2024-12-31","source":{"title":"Donor mapping evidence: Miller-Meeks's top career donor sectors through 2024 are health professionals, h","url":"https://www.opensecrets.org/members-of-congress/mariannette-miller-meeks/summary?cid=N00045219&cycle=Career","publication":"FEC / handoff"}},{"id":36246,"text":"Voted yea_unverified on H.R. 8034 (Israel Security Supplemental Appropriations Act, 2024) on 2024-04-20: Miller-Meeks voted for $26.38 billion in Israel military aid, aligning with the majority of Republicans and crossing pressure from the isolationist wing of the House GOP that voted against all foreign aid supplementals. She voted against Ukraine aid in the same package, splitting her foreign aid votes in a pattern that distinguished her from both Democratic foreign policy mainstream and the full isolationist bloc.","confidence":"inferential","dateOccurred":"2024-04-20","source":null},{"id":36245,"text":"Voted yea_unverified on H.R. 7521 (Protecting Americans from Foreign Adversary Controlled Applications Act (TikTok ban)) on 2024-03-13: Miller-Meeks voted for legislation requiring ByteDance to divest TikTok or face a ban, aligning with the Republican majority. The vote is notable given that rural Iowa agricultural communities have adopted TikTok as a significant marketing and community platform, and Iowa's agricultural information ecosystem has measurable TikTok presence — a factor that some Iowa agricultural organizations noted in opposing the bill. Minor constituent-alignment tension but not a primary signal.","confidence":"inferential","dateOccurred":"2024-03-13","source":null},{"id":36242,"text":"Voted yea_unverified on H.R. 3746 (Fiscal Responsibility Act of 2023 (Debt Ceiling)) on 2023-05-31: Miller-Meeks voted for the Biden-McCarthy debt ceiling deal despite opposition from the House Freedom Caucus, which included 71 Republican nays. Her yes crossed pressure from the conservative hardliner wing of her party. The deal included spending caps that some agricultural constituencies opposed as constraining farm program flexibility, creating mild constituent cross-pressure, but her vote aligned with governing pragmatism over ideological purity.","confidence":"inferential","dateOccurred":"2023-05-31","source":null},{"id":36244,"text":"Voted nay_unverified on H.R. 2617 (Consolidated Appropriations Act 2023) on 2022-12-23: Miller-Meeks voted against the omnibus appropriations bill that included agricultural programs, rural development funding, and healthcare provisions relevant to IA-01. Her nay aligned with the House Republican conference majority voting against the bill but crossed the material interest of agricultural constituents who benefit from farm program continuity funded by the appropriations. Constituent pressure: farm sector donors and rural communities benefit from stable agricultural appropriations. Party pressure: conservative Republicans opposed the omnibus as insufficiently fiscally constrained.","confidence":"inferential","dateOccurred":"2022-12-23","source":null},{"id":36243,"text":"Voted nay_unverified on H.R. 5376 (Inflation Reduction Act of 2022) on 2022-08-12: Miller-Meeks voted against the IRA, which included substantial renewable energy tax credits relevant to Iowa's wind energy industry — Iowa generates approximately 60% of its electricity from wind and is the second-largest wind energy producer in the United States. Her nay aligned with her party but crossed the material economic interest of a significant constituent industry. Wind energy companies and rural landowners receiving turbine lease payments in IA-01 had a direct financial interest in the IRA's Production Tax Credit extension.","confidence":"inferential","dateOccurred":"2022-08-12","source":null},{"id":36237,"text":"[vote] Miller-Meeks voted against the creation of the January 6th Select Committee to investigate the Capitol attack, opposing the Democratic-led investigative body.","confidence":"primary","dateOccurred":"2021-06-30","source":{"title":"Claim: Miller-Meeks voted against the creation of the January 6th Select Committee to i","url":"https://www.congress.gov/bill/117th-congress/house-resolution/503","publication":"Handoff"}},{"id":36241,"text":"Voted yea_unverified on H.Con.Res. 2 (Certification of 2020 Electoral College Results) on 2021-01-07: Miller-Meeks voted to certify the 2020 election results in the immediate aftermath of the January 6 Capitol attack, breaking from the majority of House Republicans who objected to certification. Her yes vote aligned her with constitutional process while crossing party pressure — approximately 139 House Republicans voted to object. This is the most significant party-defection vote of her tenure.","confidence":"inferential","dateOccurred":"2021-01-07","source":null},{"id":36236,"text":"[vote] Miller-Meeks voted to certify the 2020 presidential election results following the January 6 Capitol attack, stating she was upholding her constitutional duty and that the courts had ruled on election challenges.","confidence":"primary","dateOccurred":"2021-01-07","source":{"title":"Claim: Miller-Meeks voted to certify the 2020 presidential election results following t","url":"https://www.congress.gov/bill/117th-congress/house-concurrent-resolution/2","publication":"Handoff"}},{"id":36238,"text":"[platform] Miller-Meeks has publicly described herself as committed to healthcare access for all Iowans and has emphasized her rural physician background as central to her legislative approach, stating she understands healthcare challenges facing rural communities.","confidence":"primary","dateOccurred":"2021-01-01","source":{"title":"Silence evidence: Medicare physician reimbursement rate cuts and their impact on rural Iowa physic","url":"https://miller-meeks.house.gov/media","publication":"Handoff"}},{"id":36269,"text":"[constituency_baseline] Demographic anchor: Rural population share: Approximately 35% (significant rural component outside Quad Cities and Iowa City metro areas)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36268,"text":"[constituency_baseline] Demographic anchor: Homeownership rate: Approximately 68% (above national average of 65.5%)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36267,"text":"[constituency_baseline] Demographic anchor: Median age: 36.8 (below Iowa median of 38.7, reflecting University of Iowa student population)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36266,"text":"[constituency_baseline] Demographic anchor: Cook Partisan Voting Index: R+4 (competitive; Miller-Meeks won 2020 by 6 votes, 2022 by approximately 2,500 votes)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Demographic anchor","url":"https://www.cookpolitical.com/cook-pvi/2023-partisan-voting-index/house-map","publication":"Census/BLS/SoS"}},{"id":36265,"text":"[constituency_baseline] Demographic anchor: Poverty rate: Approximately 11% (near Iowa average of 10.5%)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36264,"text":"[constituency_baseline] Demographic anchor: Bachelor's degree or higher: Approximately 36% (above Iowa average of 31% and national average of 33.7%, driven by University of Iowa presence)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36263,"text":"[constituency_baseline] Demographic anchor: Black population share: Approximately 5%","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36262,"text":"[constituency_baseline] Demographic anchor: Hispanic population share: Approximately 6%","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36261,"text":"[constituency_baseline] Demographic anchor: White non-Hispanic population share: Approximately 82%","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36260,"text":"[constituency_baseline] Demographic anchor: Median household income: Approximately $65,800 (above Iowa median of $63,683, near national median of $74,580)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36259,"text":"[constituency_baseline] Ballot measure: Iowa Constitutional Amendment — Abortion (no right in constitution) (2024) (2024) — failed, margin Statewide: 49% Yes — 51% No (failed to pass)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Ballot measure","url":"https://sos.iowa.gov/elections/results/index.html","publication":"Census/BLS/SoS"}},{"id":36258,"text":"[constituency_baseline] Ballot measure: Iowa Amendment 1 — Right to Bear Arms (2022) (2022) — passed, margin Statewide: 65% Yes — 35% No","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Ballot measure","url":"https://sos.iowa.gov/elections/results/index.html","publication":"Census/BLS/SoS"}},{"id":36257,"text":"[constituency_baseline] Dominant industry: NAICS 48-49 Transportation and Warehousing (share 0.07)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36256,"text":"[constituency_baseline] Dominant industry: NAICS 61 Educational Services (share 0.09)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36255,"text":"[constituency_baseline] Dominant industry: NAICS 33 Manufacturing (share 0.13)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36254,"text":"[constituency_baseline] Dominant industry: NAICS 11 Agriculture Forestry Fishing and Hunting (share 0.08)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36253,"text":"[constituency_baseline] Dominant industry: NAICS 62 Health Care and Social Assistance (share 0.2)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Dominant industry","url":"https://data.census.gov/profile/Iowa_1st_Congressional_District","publication":"Census/BLS/SoS"}},{"id":36252,"text":"[constituency_baseline] Top employer: Kraft Heinz (Davenport) (1800 employees)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Top employer","url":"https://www.kraftheinzcompany.com/locations.html","publication":"Census/BLS/SoS"}},{"id":36251,"text":"[constituency_baseline] Top employer: Rock Island Arsenal / Army Sustainment Command (6000 employees)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Top employer","url":"https://www.ria.army.mil","publication":"Census/BLS/SoS"}},{"id":36250,"text":"[constituency_baseline] Top employer: Arconic (formerly Alcoa — Davenport rolling mill) (2200 employees)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Top employer","url":"https://www.arconic.com/en/locations/united-states/davenport.html","publication":"Census/BLS/SoS"}},{"id":36249,"text":"[constituency_baseline] Top employer: UnityPoint Health (Quad Cities / Iowa City) (6000 employees)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Top employer","url":"https://www.unitypoint.org/about-us","publication":"Census/BLS/SoS"}},{"id":36248,"text":"[constituency_baseline] Top employer: University of Iowa / UI Health Care (32000 employees)","confidence":"secondary","dateOccurred":null,"source":{"title":"Constituency baseline: Top employer","url":"https://uiowa.edu/about/economic-impact","publication":"Census/BLS/SoS"}},{"id":36247,"text":"[constituency_baseline] District summary: Iowa's 1st Congressional District covers eastern Iowa, encompassing the Quad Cities (Davenport, Bettendorf) on the Mississippi River, Iowa City (home to the University of Iowa), and a wide swath of rural eastern Iowa counties. The district is economically anchored by three distinct clusters: the Quad Cities manufacturing and logistics corridor (including John Deere's global headquarters in Moline, Illinois, adjacent to Davenport), the University of Iowa's healthcare and research complex in Iowa City, and the broadly agricultural interior — among the most productive corn and soybean land in the world. IA-01 has competitive political geography, with liberal Iowa City and labor-influenced Quad Cities precincts counterbalanced by heavily Republican rural counties. Miller-Meeks won her initial 2020 race by six votes following a recount — the narrowest House margin in modern history — and has faced competitive elections since. The district has above-average healthcare employment relative to Iowa generally, reflecting UI Health Care's dominance in Iowa City. Ethanol, pork, and biofuels are central to the rural economy. The district has documented rural hospital financial stress in smaller counties.","confidence":"secondary","dateOccurred":null,"source":null}],"connections":[{"id":66421,"relationshipType":"donor","description":"$10,000 to Mariannette Miller-Meeks's principal committee in the 2026 cycle (2 contributions), FEC Schedule A line 11C. https://www.fec.gov/data/committee/C00889386/","confidence":"primary","firstDocumented":"2026","lastDocumented":"2026","other":{"id":68267,"name":"Nb3 PAC","slug":"fec-c00889386","type":"organization"}},{"id":66420,"relationshipType":"donor","description":"$5,500 to Mariannette Miller-Meeks's principal committee in the 2026 cycle (3 contributions), FEC Schedule A line 11C. https://www.fec.gov/data/committee/C00885319/","confidence":"primary","firstDocumented":"2026","lastDocumented":"2026","other":{"id":56606,"name":"Colorado Western PAC","slug":"fec-c00885319","type":"organization"}},{"id":66419,"relationshipType":"donor","description":"$5,000 to Mariannette 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