| As Mariannette Miller-Meeks railed against Affordable Care Act tax credits that help Iowans afford their health care, she was taking tens of thousands of dollars from insurance and pharmaceutical PACs.
New reporting finds that Miller-Meeks took “at least $45,500 from the insurance and pharmaceutical lobby” in the fourth quarter of 2025, and “donations came in after Miller-Meeks spent months advocating against extending the ACA premium tax credits.”
DCCC Spokesperson Katie Smith:
“Mariannette Miller-Meeks cashed insurance and pharma lobby checks while voting to make Iowa families pay more for their health care. Iowans deserve to know: what did Miller-Meeks promise her donors?”
Heartland Signal: Mariannette Miller-Meeks took tens of thousands from insurance PACs while opposing ACA tax credit extension
- U.S. Rep. Mariannette Miller-Meeks’ (R-IA) campaign finance records show she took at least $45,500 from the insurance and pharmaceutical lobby after repeatedly opposing extending the Affordable Care Act’s (ACA) premium tax credits.
- Miller-Meeks’ donations reported with the Federal Election Commission (FEC) show that several insurance and pharmaceutical political action committees (PACs) contributed to the representative’s 2026 reelection campaign in the fourth quarter of 2025, while she routinely advocated against extending the tax credits and lowering health care costs for roughly 24 million Americans.
- The donations came in after Miller-Meeks spent months advocating against extending the ACA premium tax credits, which expired at the end of last year.
- Miller-Meeks and the majority of Republicans in Congress refused to extend the tax credits, arguing that they are a bailout for insurance companies and “taxpayer-funded blank checks to large insurance companies.”
- The Kaiser Family Foundation (KFF), a nonpartisan nonprofit organization that researches health policy, projects that the average ACA enrollee will see their health insurance premiums double now that the tax credits have expired. As of last year, 24.3 Americans were enrolled in the ACA, and an estimated 92% of them were receiving support from the tax credits.
- “Mariannette Miller-Meeks took tens of thousands of dollars from insurance and pharmaceutical companies at the same time that she crusaded against tax credits to help Iowans afford their health care,” Smith said. “Typical for Miller-Meeks, who does the bidding of special interests while telling Iowans they should pay more for health care and ‘gargle with salt water’ instead of seeing a doctor.”
- Miller-Meeks’ office did not respond to a request to comment on the donations and whether Iowans should be concerned about them.
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