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Unpopular, out-of-touch, electoral underperformer Mariannette Miller-Meeks barely held on to her seat in Congress last cycle, even as corporate special interests spent millions on her behalf.
Now, as Miller-Meeks votes to rip away Iowans’ health care to fund tax breaks for her billionaire donors and rubberstamps cost-raising tariffs and DOGE cuts to Social Security and veterans services, it’s more clear than ever that she is one of the most vulnerable Republicans in Congress.
Here’s what Miller-Meeks has to answer for from just the first six months of this year:
- Casting the deciding vote to gut Medicaid, increase costs, and rip health care away from Iowans to pay for tax cuts for her billionaire donors – then saying Iowans “may lose coverage, but that’s their choice to lose coverage.”
- Rubberstamping tariffs that will raise Iowa families’ costs by thousands per year, while farmers, small businesses, and manufacturers also grapple with higher costs.
- Supporting Elon Musk and DOGE’s cuts to Social Security, veterans’ health care, education, and law enforcement resources as a member of the DOGE Caucus.
- Voting to repeal energy tax credits, threatening Iowa jobs and raising Iowans’ energy costs because she chose her party and Big Oil donors over Iowans.
- Voting corporate special interests’ way over and over, after three terms of taking millions from special interest donors.
Reminder that Miller-Meeks is one of the most vulnerable House Republicans going into the 2026 election cycle:
- Miller-Meeks retained her seat in Congress by just 799 votes last cycle, underperforming the top of the ticket by more than eight percent despite national headwinds blowing in Republicans’ favor.
- Miller-Meeks is underwater with her voters, holding just a 26% approval rating.
- An underfunded primary challenger received 44% of the vote against Miller-Meeks last cycle, even as Washington Republicans spent millions to drag her across the finish line.
- The IA-01 race starts where it ended: universally rated as a 2026 Toss-Up, after Miller-Meeks’ weakness and unpopularity has made this district a key battleground.
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