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Center for Healthcare Affordability

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Joni Ernst

Sen · Republican · IA

Joni Ernst — Republican U.S. Senator from Iowa (official headshot)

Where they stand

Every rated Senate member for the selected period — dots are members, the shaded band is the middle 50% of each party, the tick is the party median.

Trend vs. medians

Joni Ernst's score per Congress against the Senate, party, and Congress-wide medians (rated members only).

By issue category

Joni Ernst vs. the Republican median and the Senate median, per issue category.

Standout votes

Votes where Joni Ernst broke from the Republican majority in the Senate.

Detailed score tables

Congress

Score

Role

Party

Dist.

119th Congress
89.41
Sen
R

Congress

119th Congress
80.65
100.00
0.00
78.57
100.00

Frequently Asked Questions

What is Sen. Joni Ernst's voting record?

Sen. Joni Ernst (R-IA) currently holds a 89% Center for Healthcare Affordability score for the 119th Congress (2025–2026), showing strong alignment with healthcare reform and limited-government healthcare positions. This is an ongoing scorecard, updated throughout the session as new votes and bill sponsorships are recorded. Joni Ernst serves Iowa in the U.S. Senate.

How aligned is Joni Ernst with healthcare reform and limited-government healthcare positions?

Joni Ernst earned a 89% Center for Healthcare Affordability score in 2025, showing strong alignment with healthcare reform and limited-government healthcare positions.

What is Joni Ernst's Reform Healthcare score?

Joni Ernst has a 89% Reform Healthcare score for 2025.

Where does Joni Ernst serve?

Sen. Joni Ernst (R-IA) serves Iowa in the U.S. Senate as a Republican.

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