Updated Oct 16, 2026, 2:28 PM ET
Mariannette Miller-Meeks
Republican · 3 November 2026

Mariannette Miller-Meeks

U.S. Representative for Iowa's 1st congressional district (since 2023)

Mariannette Miller-Meeks, a Republican physician who has represented Iowa in the U.S. House since 2021, seeks re-election in Iowa's 1st congressional district in 2026 against Democrat Christina Bohannan and independent Michael Bridgford.

Latest coverage

Live News

Recent media coverage for Mariannette Miller-Meeks.

  1. An updated look at the shape of the House battleground (late October edition)

    PA-10, Scott Perry, R Trump +5.2 [...] What follows is the list of the 58 competitive seats, starting with the most Republican-leaning category and ending with the most Democratic-leaning category.

    almanacofamericanpolitics.substack.comMillerGillenKiley
  2. ANCA endorses congressional allies for 2026 midterm elections

    Rep. Robert Garcia (D-CA-42) – B [...] Sen. Alex Padilla (D-CA) – A

  3. Miller-Meeks: PAC pullback reflects her campaign’s strength

    Republican incumbent Mariannette Miller-Meeks is facing Democratic challenger Christina Bohannan in the race for Iowa’s District 1 in the U.S. House of Representatives.

    Quad City Times
  4. Trump to campaign in Iowa twice before 2026 election

    Iowa GOP chairman Jeff Kaufmann says President Trump will hold events in Iowa on Thursday October 22 and Sunday, November 1.

    radioiowa.com
Born
September 6, 1955
Birthplace
Herlong, California
Education
Texas Christian University (Bachelor of Science in nursing, 1976)
University of Southern California (Master of Science in education, 1980)
University of Texas Health Science Center at San Antonio (Doctor of Medicine, 1986)

Biography & Campaign Analysis

Background

Mariannette Miller-Meeks was born Mariannette Jane Miller in Herlong, California, on September 6, 1955.

She earned a Bachelor of Science in nursing from Texas Christian University in 1976, a Master of Science in education from the University of Southern California in 1980, and a Doctor of Medicine from the University of Texas Health Science Center at San Antonio in 1986.

She served on active duty in the United States Army from 1976 to 1982 and joined the Army Reserve in 1983, retiring in 2000. She is married to Curt Meeks, has two children, and is a Roman Catholic.

Career

Mariannette Miller-Meeks operated a private ophthalmology practice in Ottumwa, Iowa, until 2008, served as the first female president of the Iowa Medical Society, and was the first woman in twenty years to be a faculty member of the University of Iowa's department of ophthalmology and visual sciences.

In 2010 Governor Terry Branstad appointed her director of the Iowa Department of Public Health, which she led until 2013.

She was the Republican nominee for Iowa's 2nd congressional district in 2008, 2010, and 2014, losing each time to Dave Loebsack, and she represented District 41 in the Iowa Senate from 2019 to 2021.

After Loebsack retired, Miller-Meeks won the 2nd district in 2020 over Democrat Rita Hart by six votes after a recount; Hart contested the result before the House and later withdrew her challenge.

Redistricting renumbered the seat as the 1st district for 2022, and she defeated Christina Bohannan that year by 53% to 47% and again in 2024 by 799 votes after a recount. In the 118th Congress she chaired the Subcommittee on Health of the Committee on Veterans' Affairs.

She chairs the Conservative Climate Caucus and is a member of the moderate Republican Governance Group.

2026 race

Iowa's 1st congressional district is based in the southeastern part of the state and includes the cities of Davenport and Iowa City. Mariannette Miller-Meeks was re-elected there with 50.0% of the vote in 2024, the narrowest win of any incumbent House Republican that year.

In the June 2026 Republican primary she defeated David Pautsch, a ministry founder who had also sought the nomination in 2024 and who received 28.4% of the vote.

In the general election on November 3, 2026, she faces Democrat Christina Bohannan, a former state representative, for the third consecutive time, along with independent candidate Michael Bridgford.