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Center for Healthcare Affordability

LESS GOVERNMENT.

BETTER CARE.

Mariannette Miller-Meeks

Rep · Republican · District 1 · IA

Mariannette Miller-Meeks — Republican U.S. Representative for Iowa's 1st Congressional District (official headshot)

Where they stand

Every rated House 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

Mariannette Miller-Meeks's score per Congress against the House, party, and Congress-wide medians (rated members only).

By issue category

Mariannette Miller-Meeks vs. the Republican median and the House median, per issue category.

Standout votes

Votes where Mariannette Miller-Meeks broke from the Republican majority in the House.

Detailed score tables

Congress

Score

Role

Party

Dist.

119th Congress
87.80
Rep
R
1

Congress

119th Congress
82.86
100.00
0.00
71.43
100.00

Frequently Asked Questions

What is Rep. Mariannette Miller-Meeks's voting record?

Rep. Mariannette Miller-Meeks (R-IA-1) currently holds a 88% 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. Mariannette Miller-Meeks represents Iowa's 1st Congressional District in the U.S. House of Representatives.

How aligned is Mariannette Miller-Meeks with healthcare reform and limited-government healthcare positions?

Mariannette Miller-Meeks earned a 88% Center for Healthcare Affordability score in 2025, showing strong alignment with healthcare reform and limited-government healthcare positions.

What is Mariannette Miller-Meeks's Reform Healthcare score?

Mariannette Miller-Meeks has a 88% Reform Healthcare score for 2025.

Where does Mariannette Miller-Meeks serve?

Rep. Mariannette Miller-Meeks (R-IA-1) represents Iowa's 1st Congressional District in the U.S. House of Representatives as a Republican.

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