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Miller-Meeks “walks a tightrope over cuts” to Medicaid that would gut health insurance program that one in four Americans rely on
Iowa Starting Line is highlighting how Mariannette Miller-Meeks is poised to help Republicans gut Iowans’ health care to pay for trillions in tax breaks for the ultra-wealthy. A member of the House Energy & Commerce Committee, Miller-Meeks is crucial to Republicans’ plan to enact the largest cuts to Medicaid in American history.
Miller-Meeks has spent months lying to her constituents that she would not touch Medicaid – yet thousands of her constituents could lose health care and Davenport’s Genesis Medical Center, located in Miller-Meeks’ district, is projected to lose $1.7 million under Miller-Meeks’ and House Republicans’ plan.
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Iowa Starting Line: Miller-Meeks could provide decisive vote on Republican Medicaid cuts
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US Rep. Mariannette Miller-Meeks will be a decisive vote in House Republicans’ plan to make massive cuts to Medicaid.
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House Republicans are working on a controversial budget bill that includes sweeping changes to Medicaid, the health insurance program that one in four Americans rely on. On Tuesday, three major House committees will “markup” or consider the bills including the House Energy and Commerce Committee, which US Rep. Mariannette Miller-Meeks of Iowa sits on.
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Miller-Meeks has a challenging electoral road ahead if she decides to seek reelection. And Speaker Mike Johnson is asking her to sign off on […] “the largest Medicaid cut in American history.” The package is central to President Donald Trump’s domestic agenda, combining extensions of his 2017 tax cuts — which primarily benefited corporations and the wealthiest Americans — with significant spending reductions to programs like Medicaid…
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Despite promises from Speaker Mike Johnson and top Republicans that they won’t cut benefits, a Congressional Budget Office analysis released in March made clear that Medicaid is the only viable source for the cuts that conservative Republicans are demanding.
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As Miller-Meeks prepares for the vote, the timing couldn’t be more challenging. She has faced two historically close elections and in 2026 is expected to have another close race, one that Democrats are targeting.
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Earlier this year, 12 House Republicans in battleground districts sent a letter to leadership stating they “cannot and will not support a final reconciliation bill that includes any reduction in Medicaid coverage for vulnerable populations”. Miller-Meeks did not sign on to the letter.
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As the markup process begins Tuesday, the fundamental tension remains: Republicans have promised to protect Medicaid benefits while simultaneously needing to extract hundreds of billions in cuts to pay for their tax bill. How Miller-Meeks resolves this contradiction will determine not just the fate of the reconciliation bill, but potentially the political fortunes of vulnerable Republicans heading into the 2026 midterm elections.
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