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Mariannette Miller-Meeks
American physician and politician

Mariannette Jane Miller-Meeks (born September 6, 1955) is an American physician and politician who has served as a U.S. representative from Iowa 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. 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 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.

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Early life and education

Mariannette Jane Miller-Meeks1 was born in Herlong, California2 on September 6, 1955.3

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, and a Doctor of Medicine from McGovern Medical School.4

Career before politics

Miller-Meeks enlisted in the United States Army 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 and retired at the rank of lieutenant colonel in 2000.5

Miller-Meeks operated a private ophthalmology practice in Ottumwa, Iowa, 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's department of ophthalmology and visual sciences, and worked as a representative from Iowa to the American Academy of Ophthalmology.6 In 2010, Governor Terry Branstad appointed Miller-Meeks director of the Iowa Department of Public Health; she resigned in 2014 to run for Congress.78

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.9 Miller-Meeks served in the Iowa Senate from 2019 to 2020.10

U.S. House of Representatives

Elections

2008, 2010, 2014

See also: 2008 United States House of Representatives elections in Iowa § District 2, 2010 United States House of Representatives elections in Iowa § District 2, and 2014 United States House of Representatives elections in Iowa § District 2

Miller-Meeks was the Republican nominee for Iowa's 2nd congressional district in 2008, 2010, and 2014, losing to Dave Loebsack in all three races.11

In her 2014 campaign, Miller-Meeks opposed the Affordable Care Act (Obamacare).12 She also stated her opposition to legalized abortion except in cases of rape, incest, or harm to the mother.13 She opposed same-sex marriage.14 She criticized EPA regulation of waterways and coal plants, saying it creates uncertainty for farmers.15

2020

See also: 2020 United States House of Representatives elections in Iowa § District 2

Miller-Meeks ran to represent Iowa's 2nd congressional district again in 2020, following Loebsack's retirement.16 She won the June 2 Republican primary election, defeating former Illinois Congressman Bobby Schilling.17

During the COVID-19 pandemic, Miller-Meeks said she "practices social distancing, wears a mask in public and sanitizes her hands" but does not support face mask mandates.18

Miller-Meeks faced the Democratic nominee, former state senator Rita Hart, in the November general election.19 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.2021

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.22 Hart did not contest the election in Iowa's courts.232425 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.2627

House Speaker Nancy Pelosi provisionally seated Miller-Meeks on January 3, 2021, pending adjudication of Hart's petition.2829 The Committee on House Administration reviewed Hart's petition, and Pelosi claimed the House had the authority to expel Miller-Meeks,3031 but on March 31, Hart withdrew her challenge.32

2022

See also: 2022 United States House of Representatives elections in Iowa § District 1

After redistricting, Miller-Meeks' district was renumbered as the 1st district, effective with the 2022 elections.33 Miller-Meeks defeated Democratic nominee Christina Bohannan in the November 2022 general election by 53% to 47%.34

2024

See also: 2024 United States House of Representatives elections in Iowa § District 1

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.3536 A recount confirmed that Miller-Meeks had been elected to a third term.37

2026

See also: 2026 United States House of Representatives elections in Iowa § District 1

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 2024.38 Pautsch is running to the right of Miller-Meeks.39

Tenure

Miller-Meeks, along with all other Senate and House Republicans, voted against the American Rescue Plan Act of 2021.40

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.41

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.42

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, 2025.43

Infrastructure

In 2020, Miller-Meeks said that an infrastructure bill would be her main priority, suggesting a fuel tax increase to pay for it.44

Immigration

On July 21, 2021, Miller-Meeks and Deborah Ross co-sponsored the America's CHILDREN Act.45 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.46

LGBT rights

On July 19, 2022, Miller-Meeks and 46 other Republican representatives voted for the Respect for Marriage Act, which codified the right to same-sex marriage in federal law.47

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.4849

Committee assignments

For the 118th Congress:50

Caucus memberships

  • Conservative Climate Caucus (chair)51
  • Pandemic Preparedness Caucus (co-chair)52
  • Congressional Western Caucus (vice chair)53
  • For Country Caucus (vice chair)54
  • 5G and Beyond Caucus55
  • Abraham Accords Caucus56
  • Aluminum Caucus57
  • American Canadian Economy and Security (ACES) Caucus58
  • Appalachian Caucus59
  • Army Caucus60
  • Biodefense Caucus61
  • Biofuels Caucus62
  • Bus Caucus63
  • Civil Air Patrol Congressional Squadron64
  • Climate Solutions Caucus65
  • Congressional Diabetes Caucus66
  • Critical Materials Caucus67
  • Czech Caucus68
  • Friends of Denmark Caucus69
  • General Aviation Caucus70
  • GOP Doctors Caucus71
  • GOP Healthy Futures Task Force72
  • Grid Innovation Caucus73
  • House Energy Action Team74
  • Main Street Caucus75
  • Maternity Care Caucus76
  • Mental Health Caucus77
  • Motorcycle Caucus78
  • Pro-Life Caucus79
  • Public Schools Caucus80
  • Rare Disease Caucus8182
  • Republican Governance Group83
  • Rural Broadband Caucus84
  • Small Brewers Caucus85
  • Small Business Caucus86
  • Sportsmen's Caucus87
  • Steel Caucus88
  • Suburban Caucus89
  • Taiwan Caucus90
  • Ukraine Caucus91
  • Telehealth Caucus92
  • Western Caucus93
  • Women, Peace, and Security Caucus94

Personal life

Miller-Meeks is married to Curt Meeks and has two children.95 She is a Roman Catholic.96

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.97 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.98 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.99

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.100

Electoral history

2008

Main article: 2008 United States House of Representatives elections in Iowa

2008 Iowa's 2nd congressional district election
PartyCandidateVotes%
DemocraticDave Loebsack (incumbent) 175,218 57.19
RepublicanMariannette Miller-Meeks118,77838.77
GreenWendy Barth6,6642.18
IndependentBrian White5,4371.78
No partyOthers2610.09
Total votes306,358 100.00
Turnout 
Democratic hold

2010

Main article: 2010 United States House of Representatives elections in Iowa

2010 Iowa's 2nd congressional district election
PartyCandidateVotes%
DemocraticDave Loebsack (incumbent) 115,839 50.99
RepublicanMariannette Miller-Meeks104,31945.92
LibertarianGary Joseph Sicard4,3561.92
ConstitutionJon Tack2,4631.08
No partyOthers1980.09
Total votes227,175 100.00
Turnout 
Democratic hold

2014

Main article: 2014 United States House of Representatives elections in Iowa

2014 Iowa's 2nd congressional district election
PartyCandidateVotes%
DemocraticDave Loebsack (incumbent) 143,431 52.48
RepublicanMariannette Miller-Meeks129,45547.36
Write-ins4430.16
Total votes273,329 100
Democratic hold

2018

Main article: 2018 Iowa Senate election

2018 Iowa's 41st senate district primary elections101
PartyCandidateVotes%
RepublicanMariannette Miller-Meeks 1,706 85.39
RepublicanDaniel Cesar27913.96
Write-ins130.65
Total votes2,134 100
2018 Iowa's 41st senate district general election
PartyCandidateVotes%
RepublicanMariannette Miller-Meeks 11,451 51.77
DemocraticMary Stewart10,63248.07
Write-ins360.16
Total votes22,119 100
Republican hold

2020

Main article: 2020 United States House of Representatives elections in Iowa

Iowa's 2nd congressional district, 2020
PartyCandidateVotes%
RepublicanMariannette Miller-Meeks 196,964 49.912
DemocraticRita Hart196,95849.910
Write-ins7030.178
Total votes394,625 100.0
Republican gain from Democratic

2022

Main article: 2022 United States House of Representatives elections in Iowa

Iowa's 2nd congressional district, 2022
PartyCandidateVotes%
RepublicanMariannette Miller-Meeks (incumbent) 160,441 53.3
DemocraticChristina Bohannan140,45346.6
Write-ins2560.1
Total votes301,150 100.0

2024

Iowa's 1st congressional district, 2024102
PartyCandidateVotes%
RepublicanMariannette Miller-Meeks (incumbent) 206,955 49.98
DemocraticChristina Bohannan206,15649.79
Write-in9670.23
Total votes414,078 100.0
Republican hold

See also

  • Iowa portal
Wikimedia Commons has media related to Mariannette Miller-Meeks.

References

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  40. Carl Hulse (March 6, 2021). "After Stimulus Victory in Senate, Reality Sinks in: Bipartisanship Is Dead". New York Times. https://www.nytimes.com/2021/03/06/us/politics/stimulus-senate-bipartisanship-biden.html ↩

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  46. "Miller-Meeks, Ross, Kim, Krishnamoorthi Introduce Bipartisan America's CHILDREN Act". Representative Mariannette Miller-Meeks. 2021-07-01. Retrieved 2021-09-27. http://millermeeks.house.gov/media/press-releases/miller-meeks-ross-kim-krishnamoorthi-introduce-bipartisan-americas-children ↩

  47. Schnell, Mychael (July 19, 2022). "These are the 47 House Republicans who voted for a bill protecting marriage equality". The Hill. Retrieved July 25, 2022. https://thehill.com/homenews/house/3566600-these-are-the-47-house-republicans-who-voted-for-a-bill-protecting-marriage-equality/ ↩

  48. "House passes antitrust bill that hikes M&A fees as larger efforts targeting tech have stalled". CNBC. 29 September 2022. https://www.cnbc.com/2022/09/29/house-passes-antitrust-bill-raising-ma-fees.html ↩

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