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. She is generally considered to be a moderate Republican and has supported issues such as immigration and LGBT rights.

Mariannette Jane Miller-Meeks^[1] was born in Herlong, California^[2] 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]

Miller-Meeks enlisted in the United States Army at the age of 18 and served for 24 years, including as a nurse, physician, and member of the United States Army Reserve.^{[citation needed]} She retired at the rank of lieutenant colonel.^[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.^[4] In 2010, Governor Terry Branstad appointed Miller-Meeks director of the Iowa Department of Public Health; she resigned in 2014 to run for Congress.^[4][6]

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.^[7] Miller-Meeks served in the Iowa Senate from 2019 to 2020.^[3]

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.^[8]

In her 2014 campaign, Miller-Meeks opposed the Affordable Care Act (Obamacare).^[2] She also stated her opposition to legalized abortion except in cases of rape, incest, or harm to the mother.^[2] She opposed same-sex marriage.^[2] She criticized EPA regulation of waterways and coal plants, saying it creates uncertainty for farmers.^[2]

Miller-Meeks ran to represent Iowa’s 2nd congressional district again in 2020, following Loebsack’s retirement.^[9] She won the June 2 Republican primary election, defeating former Illinois Congressman Bobby Schilling.^[8]

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.^[10]

Miller-Meeks faced the Democratic nominee, former state senator Rita Hart, in the November general election.^[8] 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.^[11][12]

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.^[13] Hart did not contest the election in Iowa’s courts.^[13][12][14] 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.^[15][16]

House Speaker Nancy Pelosi provisionally seated Miller-Meeks on January 3, 2021, pending adjudication of Hart’s petition.^[15][17] The Committee on House Administration reviewed Hart’s petition, and Pelosi claimed the House had the authority to expel Miller-Meeks,^[18][19] but on March 31, Hart withdrew her challenge.^[20]

After redistricting, Miller-Meeks’ district was renumbered as the 1st district, effective with the 2022 elections.^[21] Miller-Meeks defeated Democratic nominee Christina Bohannan in the November 2022 general election by 53% to 47%.^[22]

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.^[23][24] A recount confirmed that Miller-Meeks had been elected to a third term.^[25]

Miller-Meeks, along with all other Senate and House Republicans, voted against the American Rescue Plan Act of 2021.^[26]

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.^[27]

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.^[28]

In 2020, Miller-Meeks said that an infrastructure bill would be her main priority, suggesting a fuel tax increase to pay for it.^[29]

In 2021, Miller-Meeks voted against the Infrastructure Investment and Jobs Act.^{[30][better source needed]}

On July 21, 2021, Miller-Meeks and Deborah Ross co-sponsored the America’s CHILDREN Act.^[31] 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.^[31]

In 2021, Miller Meeks was one of 29 Republicans to vote to reauthorize the Violence Against Women Act.^{[32][better source needed]} This bill expanded legal protections for transgender people, and contained provisions allowing transgender women to use women’s shelters and serve time in prisons matching their gender identity rather than by biological sex.^[33]

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.^[34]

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.^[35][36]

For the 118th Congress:^[37]

• Committee on Energy and Commerce
  • Subcommittee on Environment, Manufacturing, and Critical Minerals
  • Subcommittee on Health
• Committee on Veterans’ Affairs
  • Subcommittee on Health (Chair)
• Select Subcommittee on the Coronavirus Pandemic

• Conservative Climate Caucus (chair)^[38]
• Pandemic Preparedness Caucus (co-chair)^[38]
• Congressional Western Caucus (vice chair)^[38]
• For Country Caucus (vice chair)^[38]
• 5G and Beyond Caucus^[38]
• Abraham Accords Caucus^[38]
• Aluminum Caucus^[38]
• American Canadian Economy and Security (ACES) Caucus^[38]
• Appalachian Caucus^[38]
• Army Caucus^[38]
• Biodefense Caucus^[38]
• Biofuels Caucus^[38]
• Bus Caucus^[38]
• Civil Air Patrol Congressional Squadron^[38]
• Climate Solutions Caucus^[39]
• Congressional Diabetes Caucus^[38]
• Critical Materials Caucus^[38]
• Czech Caucus^[38]
• Friends of Denmark Caucus^[38]
• General Aviation Caucus^[38]
• GOP Doctors Caucus^[38]
• GOP Healthy Futures Task Force^[38]
• Grid Innovation Caucus^[38]
• House Energy Action Team^[38]
• Main Street Caucus^[38]
• Maternity Care Caucus^[38]
• Mental Health Caucus^[38]
• Motorcycle Caucus^[38]
• Pro-Life Caucus^[38]
• Public Schools Caucus^[38]
• Rare Disease Caucus^[38][40]
• Republican Governance Group^[38]
• Rural Broadband Caucus^[38]
• Small Brewers Caucus^[38]
• Small Business Caucus^[38]
• Sportsmen’s Caucus^[38]
• Steel Caucus^[38]
• Suburban Caucus^[38]
• Taiwan Caucus^[38]
• Ukraine Caucus^[38]
• Telehealth Caucus^[38]
• Western Caucus^[38]
• Women, Peace, and Security Caucus^[38]

Miller-Meeks is married to Curt Meeks and has two children.^[41] She is Roman Catholic.^[2]

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.^[4]

• Women in the United States House of Representatives

• Representative Mariannette Miller-Meeks official U.S. House website
• Campaign website
• Iowa State Senate page
• Biography at the Biographical Directory of the United States Congress
• Financial information (federal office) at the Federal Election Commission
• Legislation sponsored at the Library of Congress
• Profile at Vote Smart
• Appearances on C-SPAN