Feb 12, 2025Sponsored
Alternatives to PAIN Act
Summary not yet generated.
RepublicanIowa · U.S. Representative
Mariannette
Miller-Meeks
U.S. Representative for Iowa
In office
5 yrsSince Jan 2021
Next election
2027Re-elected 2021
Age
70Born Sep 6, 1955
Party
Republican
What they stand for
Miller-Meeks has spent time focused on a few core fights. Each is tied to bills actually introduced or votes actually cast.
- 01Expanding non-opioid pain treatment alternativesMiller-Meeks has sponsored the Alternatives to PAIN Act in multiple congressional sessions (HR.1227, HR.7142), legislation directed at increasing access to non-opioid pain management treatments. Each version attracted between 50 and 99 cosponsors, indicating broad House interest. The bills were referred to committee in both instances.
- 02Supporting legal status pathways for Afghan evacueesMiller-Meeks sponsored the Afghan Adjustment Act (HR.4627), a bill addressing the immigration and legal status of Afghan nationals who were evacuated to the United States. The legislation was referred to committee and drew between 50 and 99 cosponsors, reflecting cross-aisle attention to the issue.
- 03Strengthening services and programs for veteransMiller-Meeks has introduced both the Veterans SPORT Act (HR.1971) and the No Wrong Door for Veterans Act (HR.1969), each reintroduced in the current session and referred to committee. Taken together, these bills reflect consistent legislative attention to the range of services and access points available to military veterans.
- 04Modifying Medicaid and federal student loan programsMiller-Meeks sponsored the Medicaid Program Improvement Act (HR.1019) and the Know Before You Owe Federal Student Loan Act of 2025 (HR.3298), both reintroduced in committee. These bills address, respectively, changes to the federal Medicaid program and disclosure requirements for federal student loan borrowers.
- 05Oversight of federal lands, lobbying, and drug policyMiller-Meeks has introduced legislation on several federal governance topics: the Congressional Oversight of the Antiquities Act (HR.2645), which addresses congressional review of monument designations; the Disclosing Foreign Influence in Lobbying Act (HR.1883), targeting foreign influence in lobbying activities; and the DRUG Act (HR.2214), addressing drug-related policy. All three were reintroduced and referred to committee.
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01 · Background
Who they are, where they came from
Mariannette Miller-Meeks represents Iowa's 1st congressional district in the U.S. House of Representatives, a seat she has held since January 3, 2021. A physician by training, she is a member of the Republican Party. Her district encompasses much of Iowa's southeastern quadrant, including Davenport, Bettendorf, Burlington, and Iowa City; in her first term the district carried the designation of the 2nd congressional district before renumbering. Prior to her federal service, she served in the Iowa State Senate, representing the 41st district from 2019 to 2021. In the House, her legislative work spans healthcare, veterans' affairs, agriculture, and federal oversight. She has sponsored the Alternatives to PAIN Act (HR.1227, HR.7142), addressing non-opioid pain management options, and the Afghan Adjustment Act (HR.4627), concerning immigration status for Afghan nationals. She voted against HR.2872, a further continuing appropriations measure, a position that ran contrary to the majority of her party. Additional sponsored legislation includes the Veterans SPORT Act (HR.1971), the No Wrong Door for Veterans Act (HR.1969), the Medicaid Program Improvement Act (HR.1019), the Know Before You Owe Federal Student Loan Act of 2025 (HR.3298), and the Biochar Research Network Act of 2025 (HR.4764).
02 · Recent significant work
What they’ve done lately
Sep 23, 2024Sponsored
Supporting the designation of the week of September 23 through September 27, 2024, as "National Clean Energy Week".
Summary not yet generated.
Jan 30, 2024Sponsored
Alternatives to PAIN Act
Summary not yet generated.
Jan 18, 2024Voted no
(HR.2872)
Summary not yet generated.
Sep 26, 2023Sponsored
Supporting the designation of the week of September 25 through September 29, 2023, as "National Clean Energy Week".
Summary not yet generated.
03 · What's coming up
Bills they’ll vote on next
Bills that have cleared committee and are heading for a floor vote. See all upcoming votes →
House·HR.1071Reported to floor
No Censors on our Shores Act of 2025
Would bar entry and allow deportation of foreign officials who suppressed U.S. citizens' speech.
House·HR.151Reported to floor
Equal Representation Act of 2025
Would base House seat apportionment on citizen population rather than total population.
House·HR.2071Reported to floor
Save Our Shrimpers Act
Would bar U.S. funds to international institutions financing foreign shrimp operations.
House·HR.2076Reported to floor
Lulu’s Law
Would require the FCC to explicitly authorize wireless emergency alerts for shark attacks.
House·HR.2159Reported to floor
Count the Crimes to Cut Act
Would require public databases listing all federal criminal statutory and regulatory offenses.
04 · Money
Where the campaign funds come from
Miller-Meeks raised $5.7M this cycle, with 35.2% from PACs and 37.3% from individuals; itemized contributions made up 70.0% of individual giving. Top PAC contributors include Grow the Majority ($504K), Defend Our Majority ($288K), Emmer Majority Builders ($187K), and Miller-Meeks Victory Fund ($141K). Top employer concentrations among individual donors include Starkey Hearing Technologies, Winklevoss Capital Management, and J.W. Childs Associates. Outside spending totaled $2.2M supporting Miller-Meeks — led by Americans for Prosperity Action ($780K), With Honor Fund II ($548K), and American Medical Association Political Action Committee ($425K) — and $6.7M opposing her, led by HMP ($3.9M) and DCCC ($2.4M).
Total raised · 2026
$5.7M
Cash on hand
$4.3M
Spent
$1.8M
By source
- Individuals$2.1M · 37.3%
- PACs$2.0M · 35.2%
- Party committees$5K · 0.1%
- Other$1.5M · 26.2%
Individual donor mix
Small-donor share (under $200)30.0%
Top PAC contributors
Top employer concentrations
- ENTREPRENEUR$21K· 7 donors
- ATTORNEY$18K· 6 donors
- VALMORE GP$14K· 6 donors
- STARKEY HEARING TECHNOLOGIES$14K· 4 donors
- WINKLEVOSS CAPITAL MANAGEMENT$14K· 4 donors
- J.W. CHILDS ASSOCIATES$13K· 4 donors
- ESTES COMPANY$12K· 7 donors
- NYCBS$10K· 15 donors
- CEO$9K· 6 donors
- INFORMATION REQUESTED$9K· 3 donors
Self-reported employer data. Categories like “Retired” and “Not Employed” are excluded — these reflect demographic patterns rather than industry concentrations.
Outside spending · 2024
Supporting Miller-Meeks
- AMERICANS FOR PROSPERITY ACTION, INC. (AFP ACTION) DBA CVA ACTION AND DBA LIBRE ACTIONFEC ↗$780K
- WITH HONOR FUND II, INC.FEC ↗$548K
- AMERICAN MEDICAL ASSOCIATION POLITICAL ACTION COMMITTEEFEC ↗$425K
- CONGRESSIONAL LEADERSHIP FUNDFEC ↗$162K
- HEALTHCARE FREEDOM SUPER PACFEC ↗$111K
- CLEARPATH ACTION FUND, INC.FEC ↗$101K
- PATRIOTS FOR A BRIGHTER AMERICAFEC ↗$19K
- SEAL PAC SUPPORTING ELECTING AMERICAN LEADERS PACFEC ↗$12K
- NATIONAL ASSOCIATION OF REALTORS POLITICAL ACTION COMMITTEEFEC ↗$11K
Independent expenditures from super PACs and other groups, separate from contributions to the candidate’s own campaign. These committees may not coordinate with the campaign.
Every claim on this page links to a public source. We don’t tell you whether Mariannette Miller-Meeks is a good or bad official— that’s your call. We just make the facts easy to find.