# Mariannette Miller-Meeks ## Summary U.S. Representative from Iowa's 1st Congressional District since 2021. Physician (MD) and U.S. Army veteran. Former Director of the Iowa Department of Public Health (2010–2013, Branstad appointment). Former Iowa State Senator (District 41, 2019–2021). Seeking fourth term. Her 2024 reelection — **a 799-vote margin** over Christina Bohannan — was the narrowest House R win of the cycle. ## Career highlights - Medical doctor; U.S. Army veteran - Director, Iowa Department of Public Health (2010–2013) under Gov. Terry Branstad - Iowa State Senate, District 41 (2019–2021) - U.S. House since January 2021 (elected 2020) - 2024 reelection: 50.0% over Bohannan (49.9%), 799-vote margin — the narrowest any House R won in 2024 ## Congressional profile - Committee on Energy and Commerce - Committee on Veterans' Affairs - 3rd-highest rate of bipartisan bill cosponsoring among House freshmen in her first term - Generally opposed to conservation measures per LCV scorecards - Underperformed top of ticket by ~8 points in 2024 — Trump won IA-01 by ~8, she won by 0.2 ## 2026 race See [[IA-01-2026]]. Cook Toss Up (all major forecasters rate Toss Up). Trump endorsed Miller-Meeks on **November 3, 2025** — full and complete support. Facing rematch against Christina Bohannan (D) for third straight cycle; Bohannan outraised her $2.09M to $1.49M in Q1 2026. David Pautsch (R, got 44% in 2024 primary) continues to challenge from the right. Iowa primary: June 2, 2026. ## Related KB entities - [[IA-01-2026]] — her 2026 race - [[Donald Trump]] — endorser - TBD: [[Christina Bohannan]] — Democratic challenger - TBD: [[David Pautsch]] — Republican primary challenger ## Sources - [Wikipedia — Mariannette Miller-Meeks](https://en.wikipedia.org/wiki/Mariannette_Miller-Meeks) - [Ballotpedia — Mariannette Miller-Meeks](https://ballotpedia.org/Mariannette_Miller-Meeks) - [Iowa Capital Dispatch — Trump endorses Miller-Meeks](https://iowacapitaldispatch.com/2025/11/03/president-donald-trump-endorses-u-s-rep-mariannette-miller-meeks/)